I am 37 years old female with intermittent low-grade fever, chronic fatigue, and generalized pain. My CBC shows neutropenia for the past 3 to 5 years.
My pain and fatigue are getting worse. Can you help me with this?
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I would like to know if there are any localizing symptoms like cough, diarrhea or constipation, or burning sensation while passing urine. Are your periods regular? Are your stress levels normal? Do you have a loss of appetite or noticed weight loss in recent years? How is your overall digestion? Have you taken any other blood tests like thyroid profile (blood test done to measure the level of thyroid hormone in the blood)?
Also, please tell me the list of medications you have taken so far, including multivitamins.
Thank you doctor,
There is no cough, diarrhea or constipation, or burning sensation. Also, there is no weight loss or loss of appetite, and my digestion seems to be normal. Thyroid levels have been tested till last year, and it is normal. The stress level is also fair. I have not taken any medications so far except Vitamin C tablets.
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As you do not have any other symptoms and also since your appetite and weight are stable, I do not want to investigate you further at this point. It looks more like chronic fatigue syndrome (CFS) or fibromyalgia. I would suggest you with the following lifestyle regimen for three to four weeks, and after seeing the results, if needed, we can investigate it further.
2. Physical exercises:
3. Get a body massage once a week or do it on your own.
4. Take Probiotics twice daily for two weeks.
6. Paracetamol 1 g if needed for pain relief.
7. Green tea once a day and rosemary seasoning.
8. Do daily meditation.
9. Maintain a daily diary for pain score, moods, aggravating and relieving factors.
10. Practice giving and gratitude in a family or get involved in community service. Try to build positive emotions.
11. Get good 7 to 8 hours sleep daily. If needed, use St. John's wort 500 mg at bedtime.
Follow-up after two weeks.
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