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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Do low RBC count and high IG count have any underlying pathology?

Query: Hi doctor, I am a 58-year-old male with a height of 6.3 feet and weight 315 lbs. I had a CBC test done this week. The RBC, HGB, and HCT results were below average. There was an IG, and it was 0.05, and the reference range is 0.00-0.003. The IG % was 0.90, and the reference range is 0.00-1.00. This ...  Read Full »

Dr. Parth R Goswami

Family Physician, General Practitioner, Hematologist, Pathologist

Answer: Hi, Welcome to Sorry for the delayed response. Following is my opinion on your asked question. The low hemoglobin and hematocrit were due to mild anemia. It could be due to any internal or intestinal bleeding or due to piles. RBC (red blood cells) count can come low due to low hemoglo...  Read Full »

Why does my erythrocyte level remain low?

Query: Hi doctor, I suffer chronic debilitating fatigue, weakness, breathless, and extreme hair loss. My blood works are normal. However, I see my erythrocytes are always under the lowest range. My thrombocytes and hemoglobin are also on the lowest. My vitamin B12 was too low but now fine with inje...  Read Full »

Dr. Parth R Goswami

Family Physician, General Practitioner, Hematologist, Pathologist

Answer: Hi, Welcome to Your attached report is not in the English language (attachment removed to protect patient identity). However, as I understand, hemoglobin and hematocrit values seem to be low. Low hemoglobin level is called anemia in which oxygenation to the organs can get affected ...  Read Full »

What could cause symptoms like heart palpitations, skipping beats, fatigue, and stomach issues?

Query: Hello doctor, I have been experiencing heart palpitations, skipping beats, fatigue, stomach issues, and muscle pains which have been unexplained for years now. I have severe health anxiety and I am constantly worrying I am on the verge of dying or have a serious medical problem. I have been to t...  Read Full »

Dr. Vandana Patidar

Psychiatrist, Psychotherapist, Psychologist Counsellor, Sleep Medicine Physician

Answer: Hello, Welcome to There are various neurotransmitters in the brain that control our mood, thoughts, and behavior. A response is generated by mind in the condition of fear, fight, and flight called sympathetic stimulation. Sometimes without any external fear this system activates caus...  Read Full »

My father has severe fatigue with occasional headache and shortness of breath. Please help.

Query: Hello doctor, My father has extreme fatigue for the last 10 days. He has headaches and shortness of breath sometimes not very heavy. No other symptoms like fever, etc. When we visited a doctor 10 days back, he asked to get COVID-19 tested, which we did by HRCT scan but negative. With that report...  Read Full »

Dr. Parth R Goswami

Family Physician, General Practitioner, Hematologist, Pathologist

Answer: Hi, Welcome to I can understand your father's concern. Following is my opinion for your asked question. In the attached report (attachment removed to protect patient identity) hemoglobin, RBC (red blood count) and HCT (hematocrit) are borderline low. So do not worry about that. Noted...  Read Full »

What is the reason for my extreme tiredness, indigestion and constipation?

Query: Hello doctor, I have been feeling very tired and it is getting worst as it is affecting my day to day activities. I feel very worst because I cannot live my life to the fullest and some times I just cannot go anywhere (since the last 10-11 months). We have done blood test and most of them are norma...  Read Full »

Dr. Zubayeralam

Family Physician, General Medicine Physician, General Practitioner, Pulmonologist, Internal Medicine Physician

Answer: Hi, Welcome to I can understand your concern. According to your statement, you have been suffering from extreme fatigue, tiredness, lack of energy, indigestion, abdominal cramps with burning. You are a known case of sinusitis, atopic dermatitis with IBS (irritable bowel syndrome), or ...  Read Full »

How to diagnose the cause of shortness of breath and extreme fatigue?

Query: Hi doctor, My mom, who is 76 years old, has a transferritin saturation level of 17. She has been scheduled for iron infusion therapy. She feels extremely fatigued, short of breath and arthritic pain. She cannot tolerate oral Iron. She has had iron infusions before, but do not last long. What to do? ...  Read Full »

Dr. Sadaf Mustafa

General Medicine Physician, Internal Medicine Physician

Answer: Hello, Welcome to I am trying to understand whether she has iron deficiency anemia or anemia of chronic disease or myelodysplastic syndrome. Did she ever get a bone marrow biopsy or hemoglobin electrophoresis? Can you share her latest complete blood count (CBC) before and after the inf...  Read Full »

What does severe fatigue with positive ANA test indicate?

Query: Hello doctor, In January, I started to become very fatigued. My doctor sent me for some lab works and my ANA tested positive when a high membrane pattern of 1:1280. I have pain in my hands and back of my legs and the fatigue has continued since then. I also developed a bumpy rash on my abdomen. I ...  Read Full »

Dr. Divya Agarwal


Answer: Hi, Welcome to Your test suggests that you are suffering from a connective tissue disease. The symptoms may be nonspecific like you have fatigue, arthritis, rash, dry eyes, and mouth. It is advisable to do an extractable nuclear antigen (ENA) to reveal which particular antibodies ar...  Read Full »

Why do I feel chest heaviness?

Query: Hello doctor, I am a 34 year old male. I am suffering from numbness in my hands and toes. I also have wheezing. I am getting moderate chest pain and cough when I take a full breathe. I feel heavy over my chest. My body feels like burning, but also freezing under comforter. I have entire body pain a...  Read Full »

Dr. Eriol Braholli

Family Physician, General Medicine Physician, General Practitioner, General Surgeon, Internal Medicine Physician

Answer: Hi, Welcome to I have carefully gone through your query. As you are describing your symptoms above it seems to me like a viral condition, which has affected neuromuscular system too. Probably, the entry port of this infection is the respiratory system. There are several viruses and bac...  Read Full »

What diagnosis favor symptoms like joint pain, fatigue and irritability with normal ESR?

Query: Hello doctor, I have pain in the bones, joints of hands and feet especially in the morning upon waking up. It has been consistent for the past couple of months. Please help.  Read Full »

Dr. Naval Mendiratta


Answer: Hello, Welcome to I have gone through the reports (attachment removed to protect patient identity). There is a high RA factor and low vitamin D. I would like to take a few more details on the history part. But it would be better if someone can examine the joints as it is a long treatmen...  Read Full »

What could be the reason for symptoms like tired, fatigue, dizzness and headache?

Query: Hello doctor, Actually, I have been feeling low energy, tired, and fatigue for a couple months now. Also, I get light dizzy, light-headed, and headache, it gets worse when I walk or stand up. The headache is concentrated from the sides and sometimes forehead and around eyes. However, I have been su...  Read Full »

Dr. Md Ahsan Habib

General Practitioner, Family Physician

Answer: Hello, Welcome to It may happen sometimes but it will be solved very soon. Avoid those stressful conditions. Medication has to be given.  Read Full »

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Disclaimer: All health Q&As published on this website is not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.