Discussions By Condition: General well-being

Unexplained Fatigue

Posted In: General well-being 3 Replies
  • Posted By: presto76
  • June 4, 2008
  • 06:54 PM

For the past three years I simply don'’t feel good – health wise – a persistent feeling that I’m not well, lingering doubts that if something is wrong. I feel tired most of the time. Especially in the office & outdoors. When I compare my “physical feel” any given time with what I felt 2 or 3 years back, I think that I don’t have the same energy and enthusiasm I used to have those days. No, I’m not talking about the psychological feel, but about the physical condition. I feel some kind of dullness. Sometimes I feel my vision is dull. A heavy feeling in the head as if I’m going out of the world. When I go for tea in the morning around 10.30am this feeling is more prominent. The climate is good – sunny bright and cheerful, so are my friends, but me? Though I “try to” look cheerful, “try to” feel good, still from inside I have a tired feeling. It is similar to the initial feeling before a blackout. But I don’t feel any compelling need to lie down as one feels during a black out and I can still move around. There is always a want to go back to home and take rest or sleep. Usually most of us have an awkward feeling when suddenly standing up from a sitting position. A similar feeling in a lower range is what I feel when I move my head. Also for the past three years there is a whistling or ringing sound from the ears. It is noticeable especially in silent surroundings or when the ears are closed. It neither reduces nor decreases but remains at a constant pitch and tone. The sound doesn’t bother me much, but I wonder whether it is related in some way with my physical state.
All other body functions are normal. Appetite, digestion, sleep etc. Sometimes a wave of tiredness suddenly hits and remains for 2 to 3 hours or sometimes 1 or 2 days. At that time I have a hot feeling – hot breath, heat in eyes etc. Post-fever kind of feelings.
This condition is continuing for past 3 years. It has affected my personal life. It has affected my official life also. All plans for the life have been paralysed by this. My parents are upset about this. I consulted several doctors, each of them giving different conclusions. Since nobody could give any conclusive remarks, I didn’t take the medicines they prescribed except a few. On some occasions I had bad effects after taking some tablets. For eg. I took a tablet “Serlift” which was supposed to lift up the mood, but instead caused severe nausea, after which I got hospitalized for 2 days. Some of the opinions I heard from doctors (in chronological order):
§Irregular pulse – Followed up with ECG, Holter attachment etc. Nothing was found special. Doctor told it is not that seroius to have occasional extra beats (ectopic beats?)
§Stress, tension – Took few tablets (Alprax). No effect.
§ENT specialists did several tests (hearing, ) Nothing was found.
§One ENT doctor prescribed “Trental” tabs ½ -½ -½ to increase blood flow in ears. Took the tabs for a week. No effect. Stopped on another doctor’s advice.
§Low blood sugar (hypoglycemia). Increased food intake. Gained 5-6kg. in 6months. I started looking slightly plumy. This didn’t improve the condition. On the contrary I felt worse after this.
§Consulted gastroenterologist – Did endoscopy ; Results were normal. Ultra sound scan was done. Fatty liver, but normal.
§Neurologist : After physical examination concluded that nothing is wrong. Ruled out hypoglycemia after blood test (Extended GTT). Then concluded on two possibilities : Chronic Fatigue Syndrome (CFS) or Insulin related irregularities. Prescribed Alprax for one month and review after that. Didn’t go for review.
§And finally attended YOGA class – relaxation exercises. This seemed to help a little, though I’m not very sure. Any how I could not continue it regularly.
What could be wrong?

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3 Replies:

  • Low blood sugar (hypoglycemia). Increased food intake. Gained 5-6kg. in 6months. I started looking slightly plumy. This didn’t improve the condition. On the contrary I felt worse after this. For hypoglycemia it isnt the case of eatting more food but a case of EATING MORE OFTEN and hence smaller meals. I think that I don’t have the same energy and enthusiasm I used to have those days. I feel some kind of dullness.The climate is good – sunny bright and cheerful, so are my friends, but me? Though I “try to” look cheerful, I know you probably are not going to like what im about to say.. but those comments are basically screaming depression. I have CFS myself (12 yrs of it) and most CFS people (unless they have depression as well) will say they have enthusiasm and want to do things .. but it's a case that they just cant, cause our bodies dont allow us too. Has your doctor gone throu one of those depression questionaires and tallied your score up to make sure you dont have depression??? Depression will cause tiredness, dullness, lack of enthusiasm and many other issues. Though I “try to” look cheerful, “try to” feel good, still from inside I have a tired feeling. It is similar to the initial feeling before a blackout. But I don’t feel any compelling need to lie down CFS people are usually compelled to lay down. The tiredness, weaknesss or sickness is just that bad that they NEED to lay down (either that or we will fall down). That comment about not feeling a need to lay down.. makes it sound as if you dont in fact have CFS... it just doesnt really fit with the illlness. In CFS also most people have low BP (86%?) and postural hypotension.. and these symptoms too will make it necessary for a CFS person to lay down esp if very tired or feeling like one is going to blackout. (i actually do go unconscious if i dont lay down regularly). Sometimes a wave of tiredness suddenly hits and remains for 2 to 3 hours or sometimes 1 or 2 days. At that time I have a hot feeling – hot breath, heat in eyes etc. Post-fever kind of feelings. Now that is a comment in which a CFS person may make.. usually the hot feelings thou come in with sore throat and glands going up... so actual flu like symptoms. Neurologist : After physical examination concluded that nothing is wrong. Ruled out hypoglycemia after blood test (Extended GTT). Then concluded on two possibilities : Chronic Fatigue Syndrome (CFS) or Insulin related irregularities. Prescribed Alprax for one month and review after that. Didn’t go for review. Why didnt you go back?? I personally thou arent sure if you could have CFS as you've said stuff which dont usually fit with that illness. If someone does diagnose you as having CFS.. make sure that person is a specialist in CFS so they will see things which may not fit the CFS picture. Some doctors use CFS as a wastebasket diagnoses.. something to give to someone who has lots of symptoms and who they cant work out what is wrong. This shouldnt be the case thou, there are certain things not usually found in CFS! and also certain scientific tests which are "often" positive in CFS (thou will just help one to conclude CFS is probably the right diagnoses).
    taniaaust1 2267 Replies Flag this Response
  • ^^ I agree with your speculation about depression. I have not yet been diagnosed with CFS/ME due to slight irregularities in blood counts and prolonged testing for everything else, though I am a text book case. I have suffered depression in the past (ie what he seems to be talking about) and I know it can be very tedious and make life very difficult. Sometimes it takes a bit of shifting and changing medication to get the right one for you, but the good news is their is hope! Anyhow, saying that depression and its consequencial fatigue are chalk and cheese with CFS/ME (or any illness closely resembling). There is a marked difference in the attitudes of people suffering CFS/ME and people suffering depression, and I know as someone who has (likely) suffered both that with CFS/ME you have a completely new appreciation for the smallest things in life and learn not to take anything, even an hour outdoors sitting in the sun, for granted. This is something not characteristic in people with depression.Anyhow, I write too much, but you get my drift...
    Anonymous 42789 Replies Flag this Response
  • Usually most of us have an awkward feeling when suddenly standing up from a sitting position. A similar feeling in a lower range is what I feel when I move my head. Also for the past three years there is a whistling or ringing sound from the ears. It is noticeable especially in silent surroundings or when the ears are closed. It neither reduces nor decreases but remains at a constant pitch and tone. The sound doesn’t bother me much, but I wonder whether it is related in some way with my physical state. All other body functions are normal. Appetite, digestion, sleep etc. Sometimes a wave of tiredness suddenly hits and remains for 2 to 3 hours or sometimes 1 or 2 days. At that time I have a hot feeling – hot breath, heat in eyes etc. Post-fever kind of feelings. I agree that it is probably not CFS, and there may be some recent development of depression due to feeling unwell without diagnosis for 3 years but that does not explain all of the symptoms here- for example the tinnitus (ringing in ears) and the vertigo (awkward feeling when standing up). Could it be allergies? It sounds like you feel worse at work and outside than you do at home. What kind of work do you do? Are you exposed to the same allergens at work as outside? There are several autoimmune diseases that have fatigue, vertigo, vision changes and tinnitus as symptoms. Try a Rheumatologist. I'll see if I can re-find the specific disorders I've read about and will post if I do.
    dizzy lizzie 192 Replies Flag this Response
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