Severe Fatigue

A feeling of tiredness or lack of energy is called fatigue. It is a symptom of some poor lifestyle choices, mental health condition, and lack of exercise. People who are fatigued, lack motivation, are low in energy, and feel sleepy and lethargic.

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My WBC count is low and I have no other symptoms other than fatigue. Should I worry?

Query: Hello doctor, I had a CBC done six months ago. My WBC count was 3.5, which my doctor did not seem concerned about. Should I be worried about that low WBC count? I have no symptoms other than fatigue. If I had leukemia, would I have worse symptoms by now? Kindly help.  Read Full »

Dr. Goswami Parth Rajendragiri

Answer: Hello, Welcome to Thank you for your query. I have reviewed your query. You should not worry about your total WBC count. It is slightly low. If you had leukemia then your presentation can be more severe. Moreover in leukemia, the total WBC count is usually very much elevated that is aro...  Read Full »

I have been suffering from extreme fatigue and swollen legs. Please help.

Query: Hi doctor, I have been suffering from extreme fatigue, and I have been feeling heavy, swollen legs. My ankles have a permanent band around them that looks like a socks mark. I cannot lose weight no matter what I do. I elevate my legs and wear compression socks. I have hypothyroidism and fibromyalgia...  Read Full »

Dr. Basuki Nath Bhagat

Answer: Hello, Welcome to I understand your concern. I have reviewed your attached images (attachments removed to protect the patient's identity). Yes, there is a swollen bilateral lower limb. You mentioned hypothyroidism, and the TSH (thyroid stimulating hormone) level was 17.6 mIU/L in th...  Read Full »

How to improve my daughter's low platelet count?

Query: Hi doctor, My 12 year old daughter was fatigued and had blue blotches over her body. The doctor locally ordered blood tests, and the results showed low platelet count of 50000.¬†They administered Cortisone of 30 mg a day for two weeks, and the count went up to 100000. The doctor reduced Cortisone to...  Read Full »

Dr. Goswami Parth Rajendragiri

Answer: Hi, Welcome to Your child is having low platelet count and blue blotch over the body. The skin discoloration can be from low platelet as thrombocytopenia can lead mucosal bleeding. If it seems cyanotic patches on examination then cardiac, respiratory and vascular causes need ...  Read Full »

I have had a habit of masturbating for eight years and I want to stop it. Will this habit affect my growth?

Query: Hi doctor, I have had a habit of masturbating since eight years. I have been doing it ten times daily since I was 12 years old and somehow I want stop it. Does this habit affect my growth? Please help.  Read Full »

Dr. Goswami Parth Rajendragiri

Answer: Hi, Welcome to Thank you for your query, The masturbation will not affect your growth and these two are not related to each other. But I would like to focus more on your case. You are having excess masturbation habit. It can lead to chronic fatigue. Chronic groin pain and social anxi...  Read Full »

I experience fatigue, abdominal pain and weight gain with multinodular goiter. Why?

Query: Hi doctor, I would like some help with my blood test results as my doctor has not been able to help. I have a multinodular goiter with six nodules, the largest is 5 cm x 2 cm. I am particularly concerned about the high FT4 (while FT3 is below optimal level), high PTH, low vitamin D, high CRP and E...  Read Full »

Dr. Shaikh Sadaf

Answer: Hello, Welcome to I just read your query and the results that you have attached. (attachment removed to protect patient identity). It does not seem you have any thyroid disease as of now since your TSH (thyroid-stimulating hormone) is normal and your T3 and T4 are at acceptable leve...  Read Full »

I am fatigued with severe bone pain, and have abnormal smear findings. Is my cancer recurring?

Query: Hello doctor,I have a history of breast cancer for which the treatment got completed around two years back.Following are the current findings of my blood smear:Anisocytosis: +1,Poikilocytosis: +1,Polychromasia: +1,Ovalocytes: +1,And a few atypical lymphocytes.I am feeling very weak with severe bone ...  Read Full »

Dr. Goswami Parth Rajendragiri

Answer: Hello, Welcome to Following is my opinion of your findings: Anisocytosis means variations in the size of red blood cells and poikilocytosis is variations in the shape of red blood cells. These two findings together with polychromasia could be because of hemolytic anemia. However, anemi...  Read Full »

What does severe joint pain, stiffness and fatigue with positive ANA indicate?

Query: Hello doctor, I am a 25-year-old male. I have been seeing a rheumatologist with no diagnosis, but I have joint pain, blurry vision, and fatigue are getting worse. It feels like my body is shutting down. In terms of tests the only abnormal test I have are positive ANA but no specific antibodies that...  Read Full »

Dr. Nupoor Acharya

Answer: Hello, Welcome to Your symptoms are non-specific and do not fit into a single diagnosis of arthritis. You have not mentioned your joint pains in detail. It will help me understand the pattern of arthritis. Which joints are involved? Do you have swelling, morning stiffness, backache, joi...  Read Full »

Are low values of UIBC and DHEA the reason for chronic fatigue?

Query: Hello doctor, I am a 47-year-old male. I have chronic fatigue being on healthy diet. I am not on any medication. There is also low libido. In the blood test report, the levels of UIBC, DHEA, estradiol, vitamin D, progesterone, phosphorus, and platelets were low from the normal level and high B1...  Read Full »

Dr. Divakara. P

Answer: Hello, Welcome to Your chronic fatigue can be explained by low levels of vitamin D, low phosphorus, and low DHEA (dehydroepiandrosterone). I will explain why do you have these low levels. There are many causes of vitamin D deficiency, but most common is inadequate exposure to sunlight w...  Read Full »

I am having loss of libido, premature ejaculation, erectile dysfunction, and fatigue. Kindly help.

Query: Hello doctor, I am having loss of libido, premature ejaculation, erectile dysfunction, and extreme fatigue. I am currently on Lipicard 200, and Esomeprazole. Kindly help.  Read Full »

Dr. Seikhoo Bishnoi

Answer: Hello, Welcome to I can understand your problem. Your weight in proportion to height is almost near the normal range. But in lipid profile, the cholesterol levels are high, and HDL levels are low (attachment removed to protect patient identity). Deranged lipid profile is one of the comm...  Read Full »

Are breathlessness with chest pain and fatigue signs of severe illness?

Query: Hi doctor, I am a 50-year-old male, six feet tall, weighs about 100 kg. I feel breathlessness on exertion (even during simple walking, bending, etc.) and fatigued. I also face night-time breathing issues (OSA). I am not able to use CPAP (continuous positive airway pressure). I also suffer from freq...  Read Full »

Dr. Muhammad Zubayer Alam

Answer: Hi, Welcome to Thanks for the query. I can understand your concern. According to your statement, you have been suffering from breathlessness on exertion, fatigue, chest pain. Your HRCT (high-resolution computed tomography) of the chest (attachment removed to protect patient identity) ...  Read Full »

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