Discussions By Condition: I cannot get a diagnosis.

Weird fatigue?

Posted In: I cannot get a diagnosis. 6 Replies
  • Posted By: d4ng3r
  • October 31, 2008
  • 03:08 AM

Maybe there is a doctor or two out there that wouldnt mind lending their opinion on my condition. Im just looking for some outside imput (I will be going to see a 3rd doctor about this again next week some time..):

I am an 18 year old male. I am in the Police Foundations program at College, usually eat 4-5 smaller meals a day, get 8 hours of sleep a night, and enjoy a life with very little stress. I live at home, have good hygene practices, and just got the highest mark on an english paper today.

But... I have a problem. One that has been somewhat lingering for the past 4 months. It may be relevant: I had mononeuculosis with double pneumonia 2 years ago (almost exactly).

Around 4 months ago, I went to the doctor because I was sleeping all afternoon, constantly tired and irritable (this started happening gradually, I went from biking 3+hours a day (yeah, was pretty fit :P) to nil because I was so tired). Went for a blood test, had low iron (dont remember how low). Went on a course of perscrip. iron pills for 3 months. During 3rd month on percrip, I went to Costa Rica for 1 month travels. Got back, was still tired after pill course. Took follow-up blood test, to see if my iron came up. He said I was fine. I mentioned the fact that I was still really tired every day to my doctor, he said I should take 2x multivitamin tablets a day. because popping pills solves everything, aparently...

So, Im taking the pills. Feel quite a bit better (went from 40% to maybe 65-75%), but still dont feel energized at ALL to go work out.

Now, I feel that SOMETIMES if I have sugar, I plummet HARD afterwards. EVEN after a meal. Like, if I have a large dish of pasta and veggies, then an hour later have 3 cookies, within the hour I will feel exhausted and drained, as if I have been awake for 24 hours. I move in and out of a drowsy state in the afternoons, if I wanted to, I could fall asleep every afternoon. I am drinking lots of water, but randomly may feel thirsty. I have taken this sugar thing into account, and have tried to eat the most ballanced diet I can. It doesnt seem to matter much. I just feel inwardly tired, like I have been mentally and physically exhausted.

I just begged my last doctor (who said he didnt know what to do, but would refer me to an intern for an in-depth examination thingie a month from now). I asked him (lol, begged?) to give me a general blood test, because I didnt want to wait another month with this thing if it could just be a general illness that was overlooked.

This is bugging me and I was wondering if there was anything I should do that could identify what was wrong with me. I will mention my previous case of mono. Could this be a relapse? Could this have to do with my vitamins, and it will just take a while to get them back up? Could it be something else entirely?

I have zero sexual activity, do not smoke or drink much (3 beers/month? only at weekend at cottage, etc)

Thank you for reading this, greatly appriciated!


p.s. even if you aren't a doctor, but could offer some advice, it would be appricated.

p.p.s. I am a healthy 18-almost-19 year old. I shouldn't feel like I am incapacitated!

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6 Replies:

  • it sounds like you might be diabetic. ask your doctor to check your blood sugar levels, and tell him all of you symptoms so he understands whats going on.
    XANDER 23 Replies
    • October 31, 2008
    • 09:32 PM
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  • My father has late onset type 2 diabetes, hopefully it will come up in the latest blood test I just got (the general all inclusive one).We will see.Does anyone else have anything they can suggest? Thank you for your help!
    d4ng3r 4 Replies
    • November 2, 2008
    • 01:49 PM
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  • I had mono. twice. I heard that sometimes this is connected to getting chronic fatigue syndrome.(and fibromyalgia) I have both too.Keep this is the back of your mind if everything else tests out OK.
    natrlvr2 5 Replies
    • November 2, 2008
    • 09:23 PM
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  • Well, the fatigue you describe following a meal of carbohydrates and simple sugars would not represent symptoms of diabetes. Virtually anyone who eats a meal high in carbohydrates will cause an insulin spike that within an hour or two will drop glucose to base levels very quickly, resulting in fatigue and sleepiness. The body burns carbohydrates extremely fast and as a general rule, these food products do not equate with steady glucose levels, particularly if the person is extremely active. Proteins are necessary in every diet to stabilize blood glucose, as well as receive the necessary heme type iron in sufficient quantities. While plant foods can offer non-heme type iron, the body does not digest this type as well as heme iron. Average thirst could simply mean that you're mildly dehydrated, which can easily cause fatigue to occur. The kind of thirst associated with diabetic conditions is quite prominent and is directly associated with a dramatic increase in urinary frequency. Diabetes would not be a consideration unless you have a strong family history and even then, quite remote at your age. If you are in the police academy, I would presume that physical fitness regimen would also be a primary activity for you. If so, you need to realize that it takes an average of 2800 calories or so daily to keep pace with strenuous activity. If the mononucleosis was still active, your lymphocyte count would be abnormally high and liver enzymes likely abnormal. I'm sure your primary care physician would have checked this through diagnostic lab work. In about 10% of patients with a history of mononucleosis, symptoms of fatigue can persist for months afterward. The same holds true for pneumonia and many patients have described a persistent fatigue following lobar pneumonia that lasted for many weeks to several months in duration. In persons with depressed immune systems, reactivation of the virus is possible and has been documented in literature. The more primary concern would be the fact that you experienced iron deficiency. In a healthy 18 year-old with a diet and exercise practices such as those described by you, an iron deficiency would raise the concern that some occult bleeding may be taking place, ie the GI tract, etc. Although iron deficiencies are seen in otherwise healthy persons, the presence of an underlying cause needs to be ruled out. Your ferritin levels should be checked again in the absence of further iron treatment in order to determine whether your body is capable of storing iron from your diet and whether an iron anemia persists. As for the vitamins, I would seriously doubt whether a young man of your age is experiencing any type of deficiency in that regard. While we see vitamin deficiencies, it typically occurs in the very young and the elderly population, largely due to diet restrictions for different reasons. It won't hurt you to take a multi-vitamin, but realize that your body will get all the vitamins and supplements it needs from a healthy diet. If you're eating 4 to 5 meals that are varied in content, then I seriously doubt that you'd be experiencing a deficiency. When you mention that you are experiencing zero sexual activity, I'm presuming this is simply due to the lack of opportunity or circumstances wherein a sexual partner is merely not available. If you alternatively are stating that your libido is causing you to have a disinterest in sex, then it may be cause to determine whether emotional factors may be playing a role in your symptoms of fatigue. Your next visit with a physician should include a chem 21 panel to get the present status of your functions in general. This should include a test for GI occult bleeding if it wasn't performed previously. Best regards, J Cottle, MD
    JCottleMD 580 Replies
    • November 2, 2008
    • 11:03 PM
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  • Another cause of anemia in an otherwise healthy young person such as yourself is celiac disease. Try here: http://digestive.niddk.nih.gov/ddiseases/pubs/celiac/
    aquila 1,263 Replies
    • November 3, 2008
    • 08:03 PM
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  • Hello,I have a very very similar problem to the original poster.I am a 27y.o male. very active. I play soccer, I swim, I lift weights and live a very healthy lifestyle. However, about 2 year ago I've started to get these random episodes of fatigue. Out of nowhere I'd get incredibly tired, to a point where I'd sleep for 10 hours a night and still feel as if I haven't slept at all. My muscles get weak, I can't run because I get shortness of breath right away. The body simply refuses to do any physical activity. My mind is upbeat and energetic, I WANT to do these things, but my body says NO.I have had mono, although it was a very strange case where it lasted for only 3 days. I had a friend who got mono in college and was bed ridden for over a month. I also have HSV I and II. I've had shingles when I was 17. Been tested for HIV on numerous occasions, always negative.I've been taking L-Lysine on daily basis and I thought if was helping me, got rid of the fatigue for about a month or two. Then it came back, now it's accompanied by the swelling of the gums. It hurts to eat. Over all the fatigue is not as bad as it once was, however, it's still present. I also eat a lot during these (fatigue) times and never seem to be full. I eat a lot of sugary things too. When healthy, I eat nothing but protein shake in the morning and chicken all throughout the day, with a shake before bed. I mean, honestly it couldn't possibly be any healthier. I've tried taking multi vitamins, immune boosters, you name it. NOTHING WORKS.I've been to a doctor, and also remember my blood sugar level being low. Also I believe my iron was on the lower end of the spectrum.I'm so tired of being tired all the time. Doctors always write it off as stress related. They have no idea how easy my life is. (outside of the fatigue times)Thank you for reading my long post.
    sputnik 2 Replies
    • November 3, 2008
    • 09:54 PM
    • 0
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