Q. Why do I have brain fog, tiredness and fatigue?

Hello,

Welcome to icliniq.com.

For your tiredness, you have investigated properly with liver, kidney, and thyroid profiles (attachment removed to protect patient identity). That reports are within range. So, liver, kidney, and thyroid illnesses are ruled out here. Your lymphocytes are slightly high. So, a temporary viral infection can be a possibility. For that, symptomatic management can be done, and Vitamin C tablets can be prescribed too.

If fatigue remains persistent, then EMG (electromyography), and NCV (nerve conduction study) can be done to rule out neuromuscular illness, for which the neurologist should be consulted for neurological examination and the reports. Autoimmune disease, more work, lack of sleep, etc., also can be associated with fatigue.

If no specific cause is found, then anxiety-related or chronic fatigue syndrome can be the possibility. If any other specific history is associated, then provide it for giving more comments. Consult a neurologist for your physical examination and discuss all these.

Hello,

Welcome back to icliniq.com.

CRP (C-reactive protein) value up to 8 is considered normal. TIBC (total iron binding capacity) is also within range. Transferrin saturation is slightly low, but the picture is not strongly suggestive of iron deficiency anemia. Blood loss is present in stool which needs evaluation by endoscopic examination by a gastroenterologist (if needed). Before that, a stool routine micro examination and occult blood test can be done for a primary workup.

For low Vitamin B12, take cyanocobalamin injection once a week for six weeks. For low Vitamin D levels which you have, you can take Cholecalciferol sachet 60000 IU once a week for eight weeks.

Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Dr. Goswami Parth Rajendragiri

Experience: 10 + Yrs

Pathology

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