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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What is the reason for my chronic fatigue?

Query: Hi doctor,I am a 46 year old female, who weighs 170 lbs and is 5.4 feet tall. I have symptoms of chronic fatigue. I had a sleep study recently that showed I have intrusion in every stage of sleep, and I have sleep fragmentation that occurs 14+ times an hour. My sleep doctor did not seem to think t...  Read Full »


Dr. Bharat Udey

Answer: Hello, Welcome to icliniq.com. Sleep itself is a complex phenomenon, which is regulated by multiple mechanisms. As per your sleep study records, which have pointed out fragmentation of your sleep cycle, yes, these fragmentations do have an effect on your physical and mental health. Fragmented sleep ...  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 transferrin saturation level of 17. She has been scheduled for iron infusion therapy. She feels extremely tired, short of breath, and has arthritic pain. She cannot tolerate oral iron. She has had iron infusions before but does not last long. What to do...  Read Full »


Dr. Sadaf Mustafa

Answer: Hello, Welcome to icliniq.com. 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 ...  Read Full »

Can blood cancer cause fatigue and sleep disturbacnces?

Query: Hi doctor, Why do I have extreme fatigue, pain, and tiredness? I could not sleep the whole night peacefully because of the pain in my body. I have attached my blood work. Do I have any blood cancer like lymphoma or non-Hodgkin lymphoma?   Read Full »


Dr. Prakash H Muddegowda

Answer: Hi, Welcome to icliniq.com. Based on your query and attached reports (attachment removed to protect patient identity), my opinion is as follows: Your report is perfectly normal, and there is no sign of any autoimmune disease or cancer, including lymphomas. As the symptoms are non-specific, w...  Read Full »

What is the reason for my fatigue and heart fluttering frequently?

Query: Hi doctor, I am 34 years old and measure 5 feet 9 inches in height, and weigh 200 pounds. My heart flutters in my chest approximately every 30 minutes when resting. It feels like I need to take in a breath every time it flutters. It had been there constantly for two weeks. I also have fatigue, and ...  Read Full »


Dr. Arpit Varshney

Answer: Hello, Welcome to icliniq.com. I would suggest you get an ECG (electrocardiography) done immediately. No matter whoever doctor you visit, everyone is going to ask for an ECG. So after the ECG only, we can proceed with further evaluation and treatment. I would also suggest thyroid function ...  Read Full »

Will I get pregnant after intercourse without ejaculation followed by taking an emergency contraceptive pill?

Query: I am a 23 year old female. I had my periods on the first of this month. I had unprotected sex with no ejaculation on the eighth and took Unwanted 72 the next morning. The first withdrawal bleeding was on the 11th and the second was on the 15th. But, I have general fatigue, weakness and abdominal cra...  Read Full »


Dr. Neha Singh Rathod

Answer: Hello, Welcome to icliniq.com. Since you have taken the emergency contraceptive pill within 72 hours of intercourse, and already had the withdrawal bleeding, there is no chance of pregnancy. So, there is nothing to worry about. The symptoms you had mentioned could be due to stress, anxiety, work pre...  Read Full »

Why am I experiencing recurrent attacks of low-grade fever and fatigue for 17 years?

Query: Hi doctor, I am a 49-year-old man with a weight of 85 kilograms and a height of 1.84 meters. I have recurrent attacks of low-grade fever, muscle pain, fatigue, and insomnia, which have remained long-standing since seventeen years. The following laboratory tests including HIV, malarial parasite, com...  Read Full »


Dr. Bn Bhagat

Answer: Hello, Welcome to icliniq.com. I have read your query. I am sorry for such discomfort you are having. You mention that the symptoms are very low-grade fever, muscle pain, fatigue, and insomnia. These symptoms present in remission and relapsing manner for seventeen years. Obviously, it is a...  Read Full »

Can I take iron supplements after recovery results in toxicity?

Query: Hello doctor, I began presenting last fall with some chronic fatigue. The initial blood work showed low iron saturation without anemia. I have attached reports of the same. There were other endocrine-related findings as well. In the course of various endocrine-related treatments and corresponding bl...  Read Full »


Dr. Parth R Goswami

Answer: Hello, Welcome to icliniq.com. In my opinion, iron supplementation can be stopped because serum iron, TIBC (total iron binding capacity) and hemoglobin levels are within the range. Fatigue can occur in hypothyroidism, or due to anxiety, lack of sleep, exhaustion, stress or lack of exercise. Repeat...  Read Full »

I have a sore throat, body pain, headache, and burning eyes. Kindly help me.

Query: Hi doctor, I have a sore throat, and I have body pain, but I do not have any fever at all. Headaches come and go. My eyes feel like it is burning. I am not sure if this is over fatigue by working the whole day with a computer in front of me. I am taking Paracetamol Biogesic. Kindly help me.  Read Full »


Dr. N Ashok Viswanath

Answer: Hi, Welcome back to icliniq.com. Prolonged working with a computer can cause eye irritation and headache. Prolonged sitting in the same position can cause body pain due to increased muscle stiffness during sitting. Your symptoms are probably due to overworking with the computer along with the hu...  Read Full »

I have a painful swollen lymph node in my neck area. Is it due to cancer?

Query: Hello doctor, I am a 23 year old male, and I have Hashimoto's thyroiditis, from the past five years. It is well controlled by Synthroid and natural thyroid. Over the last few months, I have been having some worrying symptoms. I am literally so tired all the time, and I am severely anemic even if I t...  Read Full »


Dr. Shobhit Shah

Answer: Hello, Welcome to icliniq.com. Get a thyroid profile and complete hemogram done. Your symptoms are very vague and they do not point to any one disease. Revert with more information to an internal medicine physician online --> https://www.icliniq.com/ask-a-doctor-online/internal-medicine-physi...  Read Full »

Does hypothyroidism cause joint pain and stiffness along with fatigue?

Query: Hi doctor, My TSH, ultrasensitive is 5.110 ml. Do I have a thyroid? My joints are painful and stiff in the morning. I feel fatigued and tired. I do not have a fever. Please suggest to me how to control it. Also, could I take the first dose of COVID vaccine with this condition? I am attaching my rep...  Read Full »


Dr. Thiyagarajan T

Answer: Hi, Welcome to icliniq.com. I looked at your lab work (attachments removed to protect the patient's identity). You have slightly increased TSH (thyroid-stimulating hormone). I suggest you follow it up with repeating TSH and also check FT4 (free T4). You may have low thyroid (mild). You coul...  Read Full »

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