Lethargy is the feeling of sleepiness or sluggishness. Some of the causes of lethargy are dehydration, fever, hypothyroidism, kidney failure, sleep apnea, stroke, and traumatic brain injury (TBI).
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I feel weak and lethargic off late. What should I do?
Query: Hello doctor, I am a 27 year old male. My blood test results are as follows: hsCRP is 3.48 mg/dL, SGPT is 63.1 U/L, GGT is 85.6 U/L, and lipoprotein (a) is 47.1 mg/dL. Rest of the 80 odd blood tests are in the normal range. Should I follow up with any tests? Is there anything to worry about, especia... Read Full »
Answer: Hello, Welcome to icliniq.com. Your lipoprotein, hsCRP (high sensitivity C-reactive protein), and SGPT (serum glutamic pyruvic transaminase) are mildly elevated and the reason for this is your weight and high BMI (body mass index). This leads to accumulation of fat in the liver, which causes an ... Read Full »
Am I taking the right dosage of Eltroxin as per my reports?
Query: Hello doctor, I am 33 years of age. Since four years, I am taking Eltroxin thyroid medicine. For one week I stopped taking medicine. Then I did a thyroid test. At that time, my TSH levels came above the normal levels. I then took a dose of 100 mcg for a month. I again checked my TSH levels. It came ... Read Full »
Answer: Hello, Welcome to icliniq.com. I just read your query and went through the reports (attachment removed to protect patient identity). From what you have mentioned, it appears that you have hypothyroidism. I saw your results, and I would recommend that you take 75 mcg Eltroxin (Levothyroxine) da... Read Full »
What could be the cause for diarrhea with loss of appetitie and dry mouth?
Query: Hello doctor, Every once a month at least I get a flare up of diarrhea where I go at least six times a day and nothing seems to settle my stomach. The stool itself has a weird texture, almost sand-like. Most of it float down but some do float up and there is mucus in it. Other symptoms I am experie... Read Full »
Answer: Hello, Welcome to icliniq.com. Do you have lost some weight since the start of symptoms? Do you have noticed any triggers (diets, stress, change in lifestyle, or drinking alcohol ) before such episodes? Alcohol has a large amount of fermentable carbohydrates which can cause diarrhea, gas, and bloati... Read Full »
I am a 30-year-old male with hypothyroidism symptoms. Kindly help.
Query: Hello doctor,I am 30 years old male with no known previous medical illness. I recently had hypothyroidism symptoms, feeling lethargic daily, cold intolerance, easily gaining weight, high cholesterol (my total cholestrol is 6.9), and borderline bradycardia (around 55 to 60 bpm). My TSH level is at a ... Read Full »
Dr. M. A. Toyeb, Nazma Parveen
Answer: Hello, Welcome to icliniq.com. Thank you for your query. I understand your concern. You must be aware that once you start taking l- thyroxine you have to continue it for a long time. But you have the symptoms of hypothyroidism and your TSH levels are also borderline low. I would suggest you to wai... Read Full »
How to overcome lethargy and sleepiness after lunch?
Query: Hello doctor, I am a 33 year old software professional. I have a lot of work pressure and also loads of stress and tension in my personal life. I sleep around seven to eight hours a day and stick to a very healthy and disciplined lifestyle with respect to timely food habits and taking a balanced die... Read Full »
Dr. Satpute Ganeshkumar Suresh
Answer: Hello, Welcome to icliniq.com. What epilepsy treatment are you on? Drugs prescribed for epilepsy as well as OCD (obsessive compulsive disorder) can cause sedation. If it is not due to the drugs, you can try changing your meal schedule. It is normal for everyone to feel sleepy after a heavy lunch.... Read Full »
A 7-week-old baby suffers from watery motions, severe nappy rashes, and lethargy. Kindly help.
Query: Hello doctor,A seven-week-old baby suffers from watery motions, severe nappy rashes, and lethargy.The baby is passing normal urine but feeding a little less.Kindly help. Read Full »
Dr. Bhaisara Baraturam Bhagrati
Answer: Hello, Welcome to icliniq.com. I read your query and I can understand your concern. Kindly let me know if the baby is bottle-fed or breast-fed. Watering or loose motions are expected at this age (physiological gastrocolic reflex). Give him complete feed (hind milk and foremilk). Ultimately fee... Read Full »
What can be the reason for extreme lethargy in an Addison's disease patient?
Query: Hello doctor, I have Addison's disease, and I am taking Hydrocortisone twice daily and Fludrocortisone one daily. I am taking a vitamin D supplement. The last endocrinologist appointment showed higher levels of antibodies in the thyroid; however, the thyroid levels remain good, and the scan reveals... Read Full »
Answer: Hello, Welcome to icliniq.com. I just read your query, and from what you have mentioned, it appears that although you have antithyroid antibodies, the thyroid function is normal, so there is nothing related to the thyroid that could be responsible for your symptoms. However, it could be attrib... Read Full »
Why do I feel tired, lack motivation, and concentrate after taking ADD pills?
Query: Hello doctor, I was recently diagnosed with ADD. My psychiatrist prescribed me Concerta 18 mg for a week, then 36 mg for another week, and 54 mg for 16 days. I started to take the pills three days ago but, I am tired, have a lack of motivation and no concentration all day long. I feel no benefits. ... Read Full »
Answer: Hello, Welcome to icliniq.com. As your psychiatrist diagnosed you as suffering from the ADD (attention deficit disorder), he started you on Concerta (Methylphenidate). But, it seems like you did not take the medication as prescribed. It is a well-known fact that these medications take some time to ... Read Full »
My baby is having loose motion from the third day of his birth. Can I give cow's milk?
Query: Hello doctor, My baby is 12 days old. He is having loose motions from the third day of birth. I gave him cow's milk for the first and the second day and he was fine. When I started breastfeeding him on day 3, he started having loose motions. His stools are not the same all the times; sometimes, it i... Read Full »
Answer: Hi, Welcome to icliniq.com. Please do not give cow's milk to the baby. You can either breastfeed or give him formula feed, but not cow's milk as it does not contain nutrition in the required amounts. It is normal for the children below the age of 6 months to pass stools up to 15 times a day or once ... Read Full »
How to manage body pain and fatigue present for many years?
Query: Hello doctor, The primary concern surrounding my inquiry is body pain and fatigue. I have lymphedema in my lower legs since eight years. Intermittently, the condition is mediated with compression stockings, massage therapy and occasional stationary exercise. The swelling persists with activity, just... Read Full »
Answer: Hi, Welcome to icliniq.com. The laboratory reports (attachment removed to protect patient identity) show mild anemia and microscopic hematuria. The anemia looks like dual deficiency (iron and B12), but we need to do reticulocyte count, peripheral smear, serum iron, total iron binding capacity (TIBC... Read Full »