Discussions By Condition: I cannot get a diagnosis.

Weakness, Fatigue, Tiredness

Posted In: I cannot get a diagnosis. 4 Replies
  • Posted By: Liam123
  • February 3, 2008
  • 04:17 AM

I have been weaker than normal lately. It has been something that has been going on for about 24 months. Though lately it's been hitting harder. I would have to say my diet has slightly improved but my strength is below normal. I was diagnosed with Anemia several years ago but it was treated with Iron Tablets. I have erradic sleeping problems and I am a heavy heavy Caffiene drinker. I also suffer from some anxiety and depression but regardless I have for years and this weakness is a little beyond the regular.

I was imagining it could be a deficiency or something of that matter. Though I personally cannot go on like this.. I feel like falling asleep and when I do I can splurge for 12 or 13 hours and it's just not normal. I get a lot of muscle aches and fatigue and muscle pains as well. Any ideas or thoughts? Proffessional or Personal Experience?

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4 Replies:

  • I'm sorry you feel so wiped out.Did your anemia get better with the iron pills? What have the doctors checked for so far? Have you been to any specialists? It might be helpful to make sure you're not anemic presently.I don't know if this will help at all, but I had profound fatigue that went on for years, as well as some other symptoms (bad headaches and ataxia). I eventually was diagnosed with a rare complication of autoimmune thyroiditis called Hashimoto's Encephalopathy. Although my hormone levels looked okay on paper, I had a lot of thyroid symptoms that seemed to come and go. I wasn't diagnosed with the thyroiditis and encephalopathy until a subspecialist neurologist checked my thyroid antibodies- which were high. Usually doctors don't check antibodies until after your hormones are off, and so many cases of thyroiditis, and HE are being missed. I eventually had an ultrasound and CT scan done, which showed my thyroid was full of tiny nodules, from the autoimmune attack. HE is very treatable with steroids, which got rid of the profound weakness in my legs. The steroid also seemed ot correct my sleeping problems- I think the HE may have flipped my sleep/wake cycle, as I had become very somnolent during the day with insomnia at night.I don't know if this will end up applying to your case, but if everything else starts coming back negative and you get desperate, you may want to look into it. Both HE and thyroiditis can cause profound fatigue. Most doctors have not heard of HE yet. Also, most doctors will not actively look for thyroiditis unless you have an elevated TSH or a goiter first. I had neither.Anemia can sometimes be caused by low thyroid function. Also, there seems to be an increased prevalence of thyroid antibodies in depressed patients, even those with normal hormone levels. With your aches and pains, your doctors should be checking for all kinds of autoimmune and inflammatory conditions (besides just thyroid). Hopefully, they have already checked your ANA, rheumatoid factor, ESR, etc.I don't know if any of this helps. I hope you get some kind of answer soon. One thing to keep in the back of your mind is that if you think the fatigue is out of porportion to the depression, do NOT let your doctors write it off as depression/anxiety/stress. They love to do that when they can't figure out what it is and don't want to investigate it further. I wasted many years getting treated for depression, and none of the antidepressants got rid of the fatigue.
    Anonymous 42,789 Replies
    • February 3, 2008
    • 05:30 AM
    • 0
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  • I was interested in what elke posted also. I take synthroid for I had the radiation iodine treatment for a toxic nodule on my thyroid several years ago. I have been having severe fatigure, weakness comes and go but after a long day at work I am totally wiped out. My doctor has been keeping check on my thyroid levels and labs but I am going to mention this HE to him and see. My bp spikes, systolic hpn, labs normal, paps normal, heart normal thru nuclear test etc, so he just thinks 10-11 hrs working and my sleep habits being so bad along with job stress is the cause. I even went thru the sleep study and only had mild sleep apnea but can't tell the CPAP has helped for the fatigue.I don't want a medical problem but would like to know why the fatigue is so bad all the time IF is caused by something.Thanks
    agypsygrl 79 Replies
    • February 3, 2008
    • 02:30 PM
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  • depression can cause aches and someone to sleep a lot. Im wondering if you have any other symptoms like irritable bowel syndrome, fevers, sore throats, headaches etc after you physically exert yourself??? How do you feel after exercising outside on a nice day??? better or worst??
    taniaaust1 2,267 Replies
    • February 4, 2008
    • 09:01 AM
    • 0
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  • Definitely see if you can cut down on your caffeine, which can aggrevate anemia. Ask your doctor aboutr resuming your iron pills. You may also have a low-level infection. Ask for a CBC test.
    aquila 1,263 Replies
    • February 4, 2008
    • 03:07 PM
    • 0
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