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Bozeman, MT
A 24-year-old female asked:

chronic fatigue, tiredness, general "out of it" feeling, back/flank pain, gerd, ibs, migraine headaches, palpitations, waking from sleep with racing heart, low vitamin d levels, ferritin level of 14, tsh fluctuations; what could this be?

4 doctor answers8 doctors weighed in
Dr. John Chiu
Allergy and Immunology 57 years experience
See internist: This problem is so complex that I would urge you to see an internal medicine doctor ASAP. Gluten-intolerance is one condition you will need to rule out but there are also issues which cannot be explained by gluten intolerance alone. I presume you have significant anemia as well. Please keep us update on the findings since getting feedback helps us to do a better job in the future.
Dr. Anne Phelan-adams
A Verified Doctoranswered
A US doctor answeredLearn more
No single entity: I don't think any single "syndrome" can cause everything you're experiencing. The ferritin of 14 suggests that your bone marrow iron stores are low & you're at risk of iron-deficiency anemia which can cause fatigue. Thyroiditis can cause changes in TSH levels & may contribute to fatigue & palpitations. A low Vitamin D level in your age is usually nutritional. Discuss all this with your doctor!
Dr. Magdy Shaaban
Hematology and Oncology 41 years experience
Multisystem complain: in patients with multiple system complain ,I suspect underlying anxiety/depression. I will recommend complete check up and also treat anxiety/depression
Dr. Bernard Seif
Clinical Psychology 40 years experience
Multiple issues that: you seem to be addressing w/doctors. Stay in touch w/them. Also, consider a Micronutrient panel to see the nutritional status of your body. Spectracell lab in Texas has an excellent one. Check out their website. Peace and good health.

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A 21-year-old female asked:

I am 37 weeks pregnant and am 1 1/2 centimeters dialated I have had constant contractions for 3 weeks and I have had the steroid shots for the babies lungs is it safe to take castor oil to induce labor i can't sleep get sick when i eat and am in pain from

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Dr. Geoffrey Rutledge
Internal Medicine 41 years experience
No. : No. You should not take castor oil prior to reaching your due date. Remember that your baby is 2 weeks younger than the number of weeks that you are pregnant. Your baby is not ready to be born. Once your due date has arrived, you may consult your doctor about taking castor oil to induce pregnancy. Do not do this without consulting your doctor. Remember that castor oil is a laxative. It has a bad taste, can cause abdominal cramping, diarrhea and vomiting. If you do not want to feel these symptoms, then you should avoid this. Talk to your doctor about things to do to help you be more comfortable. It is very common for women to be uncomfortable during the last few weeks of pregnancy. Your baby needs more time in your tummy.

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Last updated Feb 3, 2020

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