HomeAnswersRheumatologysevere fatigue

I am extremely fatigued and had an episode where I was unresponsive. Please help.

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I have hypothyroidism, Hashimoto's disease, high blood pressure, and type 2 diabetes. I was diagnosed with microcytosis before few months. I also have fibromyalgia. I am extremely fatigued and I feel very weak. I am unable to tolerate the sun because I start to have rashes on my skin. They cause itching and burning. I have a lot of pain in my joints. My hands have turned red and my middle finger has become white. I have had profuse sweating for the past two months. I am not able to sleep well. I have a pin and needle sensation all over my body including my face and head. It feels like someone is poking me with needles. It burns and itches a lot. Two months back, I was talking to my brother and I sat on a floor propped against the bed. My brother told me that I was talking gibberish and started to fall to the side. He told me that he has caught me and I was unresponsive at that time. I do not remember anything. I got tested for lupus before four years. I always have health issues. I am taking Levothyroxine 137.5 mcg, Lisinopril 40 mg, Metformin XR 500 mg twice daily, and Iron tablets.

Answered by Dr. Nupoor Acharya

Education:

DM

Professional Bio:

Dr. Nupoor Acharya is a skilled Rheumatologist. She specializes in diagnosing and managing autoimmune and musculoskeletal disorders such as rheumatoid arthritis, lupus, vasculitis, and gout. With her expertise in clinical evaluation and advanced therapies, she focuses on improving patients’ joint function, pain management, and overall quality of life.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

You can have these symptoms due to fibromyalgia or hypothyroidism. You have photosensitivity with Raynaud's phenomenon and arthritis. These symptoms can also be seen in lupus or mixed connective tissue disease. As you had a neurological episode, you can have them due to stroke or a transient stroke. You need to do an evaluation for the presence of autoimmune disease. You should do the following tests.

Investigations to be done

You need to do ANA (antinuclear antibody test), MRI (magnetic resonance imaging) brain, APLA (antiphospholipid antibodies), CBC (complete blood count), KFT (kidney function test), urine analysis, C3 and C4 (complement tests) with LFT (liver function test).

Preventive measures

You can use a sunscreen with a sun protection factor below 30. Avoid having sun exposure by using an umbrella, wearing long sleeves, and cover the face. Avoid having cold exposure by wearing gloves and use lukewarm water for bathing.
Medically reviewed by Dr. Sneha Kannan
Published At October 8, 2020
Reviewed At January 4, 2024

Education:

DM

Professional Bio:

Dr. Nupoor Acharya is a skilled Rheumatologist. She specializes in diagnosing and managing autoimmune and musculoskeletal disorders such as rheumatoid arthritis, lupus, vasculitis, and gout. With her expertise in clinical evaluation and advanced therapies, she focuses on improving patients’ joint function, pain management, and overall quality of life.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. Sneha Kannan is a skilled Dental Surgeon with expertise in providing general dental care, including scaling, fillings, and preventive treatments. She does oral surgery procedures such as extractions and minor surgical interventions. She does procedures in restorative dentistry, including crowns, bridges, and dentures. She is an expert in doing endodontic treatments such as root canal therapy. She is well-versed in doing procedures in cosmetic dentistry, including teeth whitening and smile correction. She can provide pediatric dental care for children’s oral health and preventive treatments. She promotes oral hygiene awareness and preventive dental practices.  

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

DM

Professional Bio:

Dr. Nupoor Acharya is a skilled Rheumatologist. She specializes in diagnosing and managing autoimmune and musculoskeletal disorders such as rheumatoid arthritis, lupus, vasculitis, and gout. With her expertise in clinical evaluation and advanced therapies, she focuses on improving patients’ joint function, pain management, and overall quality of life.

This doctor is not available for online consultations on the platform anymore.

Listen to related tracks in our music library
Comprehensive Second Opinion

Read answers about:

severe fatiguefibromyalgia

Ask your health query to a doctor online

*guaranteed answer within 4 hours

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare 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. Read our Editorial Process to know how we create content for health articles and queries.