Discussions By Condition: Medical Stories

4 Different Conditions and Treatments, Looking for Underlying Cause

Posted In: Medical Stories 1 Replies
  • Posted By: AleCar
  • October 24, 2011
  • 09:24 AM

I tried to post this yesterday and it didn't show up, so I apologize if it's double posted. This is a shorter version so I'd prefer people commented on this if both magically show up!

Since it is diagnostically useful I will start by saying I am a male in my 20s. I have struggled with fatigue since I was 16, but it was blamed on my sleep habits because I was a teenager. Last year (sophomore year of college), I started getting sick with sinus infections very very frequently, and missed a lot of class. Bloodwork revealed I had low b12 and iron; I believe it was serum iron, it did not change my hemoglobin or storage iron (whatever it is that rules out anemia). I started taking reacted iron and a b12 supplement. I was also prescribed celexa for moderate depression and anxiety. My doc suspected I had an ulcer, because I also complained of a feeling of excess stomach acid and I had always eaten many iron-rich foods, but my hemocult test came back negative. My doc said it wasn't clear what caused the levels but everything responded well to supplementation so I didn't need to worry.

Last summer break I seriously focused on improving my health: I adopted a good sleep routine, exercised daily, and ate a good diet (including abstaining from alcohol). The infections went away but the fatigue did not, so my doc recommended a sleep specialist. A polysomnograph and MSLT led him to diagnose me with idiopathic hypersomnia, and he prescribed nuvigil and dexedrine.

4 weeks ago, I again got really sick in the same fashion I did before I started any treatments. It was a sinus infection which then progressed into strep throat because the doctor at the awful student health center told me to hold off on antibiotics. I was pretty much incapacitated, and I missed 3 weeks of class, which isn't acceptable. This was despite me doing all of the above things to stay healthy.

I am being treated for 4 things, all which seem to be interrelated, and none of which have clear causes. I feel like there may be another issue which is causing these problems. I love my doc, but I go to school a few thousand miles away from where I live, and won't be able to meet at length until December. I'm hoping this community can offer some more info, whether I have a clear separate problem, the diagnoses seem to be unrelated, or give me advice on what I should talk to a doctor about. The first thing my doc mentioned was a thyroid problem, so I believe it was included in my original bloodwork, but I'm not sure. I have done some research on my own, but I am no expert and it is way too easy to start inventing symptoms, so I defer to you all, the experts. Thanks in advance!

Little Recap:
-Low Iron: No anemia, normal storage iron, responds to supplementation, not ulcer/blood loss, not dietary
-Low b12: Responds to supplementation, but still slightly below normal range on August blood test
-Hypersomnia: Polysomnograph and MSLT rule out all other possible sleep disorders
-Depression: Responds well to citalopram, (I definitely notice when I have forgotten to take it)

Question: Do these share a common cause? What should I do about it?

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1 Replies:

  • I tried to post this yesterday and it didn't show up, so I apologize if it's double posted. This is a shorter version so I'd prefer people commented on this if both magically show up! Since it is diagnostically useful I will start by saying I am a male in my 20s. I have struggled with fatigue since I was 16, but it was blamed on my sleep habits because I was a teenager. Last year (sophomore year of college), I started getting sick with sinus infections very very frequently, and missed a lot of class. Bloodwork revealed I had low b12 and iron; I believe it was serum iron, it did not change my hemoglobin or storage iron (whatever it is that rules out anemia). I started taking reacted iron and a b12 supplement. I was also prescribed celexa for moderate depression and anxiety. My doc suspected I had an ulcer, because I also complained of a feeling of excess stomach acid and I had always eaten many iron-rich foods, but my hemocult test came back negative. My doc said it wasn't clear what caused the levels but everything responded well to supplementation so I didn't need to worry. Last summer break I seriously focused on improving my health: I adopted a good sleep routine, exercised daily, and ate a good diet (including abstaining from alcohol). The infections went away but the fatigue did not, so my doc recommended a sleep specialist. A polysomnograph and MSLT led him to diagnose me with idiopathic hypersomnia, and he prescribed nuvigil and dexedrine. 4 weeks ago, I again got really sick in the same fashion I did before I started any treatments. It was a sinus infection which then progressed into strep throat because the doctor at the awful student health center told me to hold off on antibiotics. I was pretty much incapacitated, and I missed 3 weeks of class, which isn't acceptable. This was despite me doing all of the above things to stay healthy. I am being treated for 4 things, all which seem to be interrelated, and none of which have clear causes. I feel like there may be another issue which is causing these problems. I love my doc, but I go to school a few thousand miles away from where I live, and won't be able to meet at length until December. I'm hoping this community can offer some more info, whether I have a clear separate problem, the diagnoses seem to be unrelated, or give me advice on what I should talk to a doctor about. The first thing my doc mentioned was a thyroid problem, so I believe it was included in my original bloodwork, but I'm not sure. I have done some research on my own, but I am no expert and it is way too easy to start inventing symptoms, so I defer to you all, the experts. Thanks in advance! Little Recap: -Low Iron: No anemia, normal storage iron, responds to supplementation, not ulcer/blood loss, not dietary -Low b12: Responds to supplementation, but still slightly below normal range on August blood test -Hypersomnia: Polysomnograph and MSLT rule out all other possible sleep disorders -Depression: Responds well to citalopram, (I definitely notice when I have forgotten to take it) Question: Do these share a common cause? What should I do about it?This is not the place to address it but it sounds like you have low B12 which means methylation issues. You can TRY to talk to the community at the B12 Deficiency topic or go to www.phoenixrising.me/forums and ask about Fredd's protocol.
    madanthony 1087 Replies
    • October 27, 2011
    • 08:11 PM
    • 0
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