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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