Chronic Fatigue Syndrome

Chronic fatigue syndrome is a complicated condition characterized by extreme fatigue that does not improve with rest and is unexplained by an underlying medical condition. The actual cause of the chronic fatigue syndrome is still unknown, but it may be associated with viral infections or psychological stress. The characteristic symptoms include sleep that is not refreshing, difficulties with memory, focus, and concentration, and dizziness. Treatment for chronic fatigue syndrome consists of anti-depressants and over-the-counter medications and therapies, including exercise and counseling.

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I have low-grade fever, chills and fatigue for past six months. Kindly help.

Query: Hello doctor, I am feeling like I have flu for the past six months. I have low-grade fever, chills, and fatigue. I feel pain on one side of my throat while swallowing. I have done several blood tests. I did a throat swab last week for infection. But results were negative. Kindly help.  Read Full »

Dr. Muhammad Zubayer Alam

Answer: Hi, Welcome to Thanks for writing in, and I understand you. As per the reports attached (attachments removed to protect patient's identity), CRP (C-reactive protein) is above normal, and neutrophil, MCV (mean corpuscular volume), MCH (mean corpuscular hemoglobin) are below norma...  Read Full »

Why am I experiencing recurrent attacks of low-grade fever and fatigue for 17 years?

Query: Hi doctor, I am a 49-year-old man with a weight of 85 kilograms and a height of 1.84 meters. I have recurrent attacks of low-grade fever, muscle pain, fatigue, and insomnia, which have remained long-standing since seventeen years. The following laboratory tests including HIV, malarial parasite, com...  Read Full »

Dr. Basuki Nath Bhagat

Answer: Hello, Welcome to I have read your query. I am sorry for such discomfort you are having. You mention that the symptoms are very low-grade fever, muscle pain, fatigue, and insomnia. These symptoms present in remission and relapsing manner for seventeen years. Obviously, it is a...  Read Full »

Kindly advise the next step to treat my chronic fatigue, malaise, body pain, and brain fog.

Query: Hello doctor,I have a chronic condition that causes me severe pain, fatigue, malaise, and brain fog. I have an elevated CRP, acetylcholine receptor antibodies are negative, and my MRI reports are unremarkable. I took Hydroxychloroquine, but it did not help.Do you have any advice about what to do nex...  Read Full »

Dr. Anshul Varshney

Answer: Hi, Welcome to Please answer the following questions to help you better; 1) How is your sleep? 2) Do you have pain during sleeping? 3) Do you have any anxiety issues? 4) Do you have any sexual problems? 5) Have you ever been told that you have anxiety issues by any ...  Read Full »

Do I need to see a rheumatologist if my ANA test is positive?

Query: Hi doctor, I have been suffering from fatigue and soreness. Also, I have three positive ANA tests over four years. It is positive every time I test. Four years before in the report, it was a speckled nuclear pattern with a titer of 1:80. In recent tests that I took three months back, it was a homog...  Read Full »

Dr. Pawar Satyajit Jalinder

Answer: Hi, Welcome to I have gone through your query, and I can understand your concern. Positive ANA (anti-nuclear antibodies) is seen in various rheumatological disorders like lupus erythematosus, scleroderma, myositis, mixed connective tissue disease, etc. But its positivity by itself doe...  Read Full »

Do thyroid disorders cause extreme fatigue?

Query: Hi doctor, Can you please give a second opinion of what you see with these thyroid test readings in a patient with extreme fatigue for 30 years? TSH - 0.170 mIU/L, T3 - 1.7 nmol/L, reverse T3 - 29.5 ng/dL, T4 - 1.49 mcg/dL, TPO - 68 IU/mL.  Read Full »

Dr. Pawar Satyajit Jalinder

Answer: Hi, Welcome to I have gone through the values you have provided. And I have some queries. 1. Values you have provided are incomplete. I would like to see an entire report with reference ranges to give an accurate opinion. 2. Is the value of TSH (thyroid-stimulating hormone) 0.170 or...  Read Full »

What can cause vertigo, abdominal pain, headache, and nausea?

Query: Hi doctor, I have constant lightheadedness for the past 20 hours. Today, I started to have a feeling of nausea during day time. I also have abdominal pain, headache, and neck stiffness for a week. It comes and goes on for a week. I have pain and soreness in my neck and shoulders. I am taking Dexa...  Read Full »

Dr. K. Shanmuganandan

Answer: Hi, Welcome to Your temporal profile suggests that you have mild ongoing inflammation. These symptoms can occur due to sub-clinical inflammation or stomach bug or drug intolerance. In addition, a phenomenon of fibromyalgia (FM) or chronic fatigue syndrome (CFS) can be superimposed wit...  Read Full »

Does chronic fatigue syndrome cause debilitating fatigue with dizziness?

Query: Hi doctor, I am a 34-year-old female with a weight of 72 kilograms and a height of five feet. I have a complaint of unexplained debilitating fatigue for fifteen years. During the episodes of fatigue, I feel dizzy and become clumsy. I have difficulty in focusing or thinking clearly. I have studied ...  Read Full »

Dr. Naval Mendiratta

Answer: Hi, Welcome to I have gone through the query. Your symptoms point towards chronic fatigue syndrome or chronic pain syndrome. We need to rule out other causes. Since it has been for ten years, you can have a close diagnosis of Sjogren's syndrome. You have a low level of complement CH 5...  Read Full »

What could cause transient fatigue and lightheadedness in a 16-year-old girl?

Query: Hello doctor, Our daughter, who recently turned 16, has been having some random, sporadic episodes of transient fatigue and lightheadedness for the past three months. She has no other symptoms, including no weight loss, no headaches, no fever, and no lymphadenopathy. We mentioned it to our regular ...  Read Full »

Dr. Faisal Abdul Karim Malim

Answer: Hello, Welcome to I have gone through your query and the reports (attachment removed to protect patient identity). Nothing significant was noted except that the cholesterol levels are quite high. I would suggest the following: 1. Daily exercise, walking, or aerobic activ...  Read Full »

What is the root cause for my chronic fatigue for the past few years?

Query: Hello doctor, I am 51 years old. I have been fighting chronic fatigue for six years. It is like having the flu permanently. I have tried natural supplements, but I cannot seem to kick it. I have been doing a lot of reading lately, and I think the root cause is hormone-related. My symptoms seem to m...  Read Full »

Dr. Shaikh Sadaf

Answer: Hello, Welcome to I just read your query and your reports (attachment removed to protect patient identity), and it appears that you have slightly high LH levels but thankfully, normal testosterone. It could be possible because of your natural supplements or possible food allergi...  Read Full »

Why are there positive ANA, chronic fatigue with lightheadedness?

Query: Hi doctor,I am a 23-year-old female. I have positive ANA, chronic fatigue, and lightheadedness. Also, inflammation markers are elevated. I currently take Adderall 20 mg twice a day, and Prozac 40 mg once in a day. And I also performed laboratory tests like CBC, LDH, and CMP.  Read Full »

Dr. Naval Mendiratta

Answer: Hi, Welcome to Thank you for writing. I have gone through your query. There seem to be some doubts about the reports, and I would like to know the history in some more detail. As per the history: 1. Since how long have you been experiencing fatigue? Is it worse during the day or at...  Read Full »

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