HomeAnswersInternal MedicinehypothyroidismWhy do I feel so tired?

I have no energy and feel like I have a thyroid issue. Please advise.

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Nagaraj

Medically reviewed by

Dr. Preetha. J

Published At October 25, 2020
Reviewed AtOctober 25, 2020

Patient's Query

Hi doctor,

Thank you for your reply.

I have no energy. I have a little trouble focusing on it. I am wondering if I have a thyroid issue.

Answered by Dr. Nagaraj

Hello,

Welcome to icliniq.com.

Sorry to hear that you are not feeling better. Please let me know the following before we arrive at anything.

1. Since when are you feeling like this?

2. Have you put on weight? If yes, how much and during what time? Is it an overall weight gain or mainly around the trunk?

3. Are you intolerant to cold?

4. Do you feel any breathlessness?

5. How is your blood pressure?

6. Are there any swelling of your legs?

7. Are there any rashes on your body?

8. Do you feel racing of your heart (palpitations)?

9. Do you look unusually pale?

10. Does your skin look unusually dry?

11. Are you diabetic or hypertensive?

12. Are you taking any medications?

13. Have you done blood tests in recent times? If yes, please share it with me.

Let me comprehensively evaluate your health condition to suggest appropriately.

Take care.

Patient's Query

Hi doctor,

Thank you for your reply.

Felt like this for about a year, and I gained 10 pounds in the last year, overall weight gain. I am cold at times, and I am not breathless. Blood pressure is normal. A little swelling, but not necessarily in my legs. I do not have any rashes and do not have any palpitations. I do not think that I am pale, but my skin is a little dry. I am not diabetic and not under any medication. But I only take Vitamins. I took a blood test about two years ago, and it was normal.

Answered by Dr. Nagaraj

Hello,

Welcome back to icliniq.com.

It leaves me with a couple of diagnoses that may be confirmed by following blood tests. Also, suggest you get a few more tests as routine considering your age. Once approved by laboratory reports, let start with treatment for the same. In the meantime, I shall prescribe you some Multivitamin and vitamin D medications, which help you feel better and are generally deficient in such age.

Blood investigations: Complete blood count, blood urea, serum creatinine, serum electrolytes, serum calcium, thyroid profile, and lipid profile.

Urine tests like urine routine.

The treatment plan as of now:

1. Capsule Becozinc (Zinc and B complex fortified with Vitamine C), or Vitafol (Multivitamins, Folic acid, and Iron liquid) or Strovite One (Multivitamins and Minerals), one capsule daily after food.

2. Vitamin D3 capsules 60 K IU, one tablet once in a week for four weeks and then once in a month for the next five months.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Nagaraj
Dr. Nagaraj

Diabetology

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