Discussions By Condition: I cannot get a diagnosis.

Fatigue and other metabolic issues

Posted In: I cannot get a diagnosis. 6 Replies
  • Posted By: pdblues
  • November 14, 2008
  • 11:03 PM

I am a 29 y/o male having a series of issues around debilitating fatigue. I have obstructive sleep apnea but am 100% compliant with CPAP at 12cm H20. I have been to both my GP and sleep doc and both tell me I'm not exhibiting any medical reason for these symptoms. Here's more details:

245lbs. 6'0" Carry weight only at waist line.
Inability to lose weight despite healthy eating habits and moderate exercise 3x weekly.
Often feel bloated and distended stomach regardless of type of food eaten (could be salad or fish).
Recently have noticed more serious symptoms such as frequent muscle cramps, loss of strength in hands and arms, feel like I'm constantly having to use the bathroom, inability to concentrate, break out in drenching sweats for no reason, always feel hot without having a fever, increased thirst, insomnia, mood swings.

BP is normal, last dr. visit was 118/79. Blood test showed slightly elevated sugar @ 102, triglycerides were sky high at 700. HDL/LDL were also bad. I have been on 20mg of zocor for years. Dr. just added Lavaza (omega-3 pills) although I had been taking regular fish oil for 3 years. TSH was within normal limits. Nothing else stood out.

I have had family history of hypothyroidism but my doc says I am fine in that regard and to get more exercise. GP says it's my sleep apnea, but my sleep doctor says with an AHI of 1.8, that really shouldn't be causing this much problem. I tend to agree with her, I've lived with apnea for five years (treated) and I've never had this many problems. Before CPAP, I would be tired, but I could eventually get myself motivated. I've never heard of anyone having sweats and all these other types of problems from apnea. I really feel like something is wrong with me everyday. My body can't seem to regulate any system, they all feel out of whack.

Can anyone suggest some places to start? I feel like it's endocrine related but everyone I see says there's no need to see an endocrinologist because all my bloods come back "normal". I think if a patient feels enough issues, there should be no reason it can't be explored by a specialist. Am I wrong for thinking that?

thanks.

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6 Replies:

  • I think endocrinologist is a good start. Good luck!
    Felsen 510 Replies
    • November 15, 2008
    • 06:59 PM
    • 0
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  • Disbetalipoproteinemia and Diabetes Type 2
    Anonymous 42789 Replies
    • November 16, 2008
    • 03:34 PM
    • 0
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  • My advice would be to stick with the endocrinologist, maybe have a thyroid ultrasound. I seem to be meeting people lately with thyroid issues, that went undiagnosed by blood tests only.
    Anonymous 42789 Replies
    • November 17, 2008
    • 00:57 PM
    • 0
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  • A few thoughts come to mind. Here they are, not in any particular order: TSH is not always a reliable indicator of thyroid issues. I personally have secondary hypothyroidism, and for years doctors -- even an endocrinologist who should have known better -- told me I was fine because my TSH was within normal limits. Many doctors are not knowledgable or are extremely confused on this issue. Finally when I moved to a new city and found a new doctor, she noticed during my first physical that I exhibited clinical signs of hypothyroidism.Look at whether you are absorbing nutrients properly. Could you have celiac or crohn's disease? Or possibly some other intestinal issue that prevents proper nutrient absorption?The muscle cramps, etc. sound like they could possibly stem from a nutrient deficiency.If you have a metabolic issue that prevents you from creating cellular energy properly, that could cause multiple other issues. If your doctor is not taking your health and well-being seriously, FIND ANOTHER DOCTOR ASAP!!! There are other doctors out there who might have seen your symptoms before, and others who love a good puzzle. You may need a "tough skin" to deal with any you find who are insensitive, like your current doctor. Some of these very good doctors may not have an opening for an initial appointment for a long time, like six months. Make multiple appointments; you can always cancel and if they are that busy, there will be other patients hoping for an opening.It can be so frustrating to feel unwell for a long time. The best of luck to you!
    Anonymous 42789 Replies
    • September 11, 2009
    • 03:28 AM
    • 0
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  • Highly recommend you see a naturopathic doctor... get someone who is willing to work this out through the healing process. Forget the allopathic doctors, they aren't trained in this area. I am a 29 y/o male having a series of issues around debilitating fatigue. I have obstructive sleep apnea but am 100% compliant with CPAP at 12cm H20. I have been to both my GP and sleep doc and both tell me I'm not exhibiting any medical reason for these symptoms. Here's more details:245lbs. 6'0" Carry weight only at waist line.Inability to lose weight despite healthy eating habits and moderate exercise 3x weekly.Often feel bloated and distended stomach regardless of type of food eaten (could be salad or fish).Recently have noticed more serious symptoms such as frequent muscle cramps, loss of strength in hands and arms, feel like I'm constantly having to use the bathroom, inability to concentrate, break out in drenching sweats for no reason, always feel hot without having a fever, increased thirst, insomnia, mood swings.BP is normal, last dr. visit was 118/79. Blood test showed slightly elevated sugar @ 102, triglycerides were sky high at 700. HDL/LDL were also bad. I have been on 20mg of zocor for years. Dr. just added Lavaza (omega-3 pills) although I had been taking regular fish oil for 3 years. TSH was within normal limits. Nothing else stood out.I have had family history of hypothyroidism but my doc says I am fine in that regard and to get more exercise. GP says it's my sleep apnea, but my sleep doctor says with an AHI of 1.8, that really shouldn't be causing this much problem. I tend to agree with her, I've lived with apnea for five years (treated) and I've never had this many problems. Before CPAP, I would be tired, but I could eventually get myself motivated. I've never heard of anyone having sweats and all these other types of problems from apnea. I really feel like something is wrong with me everyday. My body can't seem to regulate any system, they all feel out of whack. Can anyone suggest some places to start? I feel like it's endocrine related but everyone I see says there's no need to see an endocrinologist because all my bloods come back "normal". I think if a patient feels enough issues, there should be no reason it can't be explored by a specialist. Am I wrong for thinking that?thanks.
    Anonymous 42789 Replies
    • September 8, 2010
    • 05:13 AM
    • 0
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  • You are absolutely correct in believing a GOOD (keyword) Endo can help you! You are exhibiting very classic symptoms of hyperparathyroidsm (not to confuse w/thyroid) and I am very sorry to say many Endos follow the poorly advised NIH guidelines for diagnosing this overlooked and not so rare disease. Please search by high calcium, high PTH (parathyroid hormone). Discovering this was a Godsend to me--much luck to you all, as well!
    Anonymous 42789 Replies
    • December 29, 2010
    • 04:51 AM
    • 0
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