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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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/mL, T3 - 48.9 ng/dL, 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 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 ma...  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 allergies lik...  Read Full »

I am a 20-year-old female, but my legs and back are always aching. Why?

Query: Hello doctor,I am a 20-year-old female, and I live a healthy lifestyle. However, my legs and back are always aching. It has gotten progressively worse over the last few years, and it is beginning to affect my quality of life. When the pain is intense, I get nauseous and throw up from the pressure it...  Read Full »

Dr. Bandam Srinivas

Answer: Hello, Welcome to It sounds like you are experiencing several symptoms impacting your quality of life. The aches and pains in your legs and back, nausea and vomiting, fatigue, muscle spasms, and bowel urgency could be symptoms of various conditions. It is also possible that it is rela...  Read Full »

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 normal, and...  Read Full »

My concentration, swallowing, and sleep are all impaired. Is this due to hyperthyroidism?

Query: Hi doctor,My symptoms include difficulty concentrating, brain fog, difficulty swallowing and sleeping, fatigue, and irritability. The doctor suspected thyroid disease since my grandfather had thyroid issues. I have reviewed my laboratory results with his. My TSH is 0.325 uIU/mL, T4 Free is 1.47 ng/d...  Read Full »

Dr. Shaikh Sadaf

Answer: Hello, Welcome to I understand your concern. It appears that you have chronic fatigue syndrome. Yes, your TSH (thyroid-stimulating hormones) is slightly low, but because your T4 (thyroxine) is within normal limits. Therefore, you likely do not have hyperthyroidism currently. You can,...  Read Full »

I am suffering from IBS-D with chronic fatigue and anxiety. What should I do?

Query: Hello doctor, I have been suffering from IBS-D along with chronic fatigue and anxiety for the last 8 years. Almost everything that I eat comes out of my body. Please help me out.  Read Full »

Dr. Jaydeep Tripathy

Answer: Hello, Welcome to I understand what you are going through. Since I do not have much history of whether you have received any treatment before or not, I will advise a few things you should remember when you have IBS-D (Irritable Bowel Syndrome with Diarrhea). 1) Avoid foods like bread...  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 »

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 »

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