Doctor insights on:
Causes Of Fatigability
Tongue fasciculations + bulbar weakness associated with fatigability from eating, prolonged talking/social interactions. Potential causes? Neurologic?
Yes: Many possibilities come to mind but without a physcial exam and good history it is not possible to be sure. I see you have dysautonomia. Your symptoms are not due to that. They may be a form of chorea or an inflammatory process such as can occur after untreated strep infection (i.e. variant of Sydenham chorea) or MS. The fact that you have other neuropathy is concerningThese are only a few of many possibilities, however, so I would make sure that you Take this information to your neurologist right away ...Read more
Pain on the back of chest and right arm.. easy fatigability ESR 58 chest xray done on 11 sep showed pleural effusion on right side but is now resolved?
Tuberculosis ?: Could be several causes. TB is more common in your country and can cause pain from inflammation of pulmonary I tissue, can increase ESR and cause pulmonary effusion. Have you had a PPD test? This may be helpful but can also be positive is previously exposed but have no active infection. There is a blood test called "quantiferon gold" which is useful to help make diagnosis. ...Read moreSee 1 more doctor answer
What are the early symptoms of hypothyroidism? I've missed my period last january and felt easy fatiguability but i'm on my period now.
Check TSH: Hypothyroidism typically results in heavier periods, not lighter. Symptoms of low thyroid include weight gain, fatigue, feeling cold, hair loss, constipation, swelling, dry skin. However, all of these are very common symptoms in the population, so having them does not necessarily mean that you are hypothyroid. You can get a blood test for tsh, free T4 to be sure. ...Read more
Two thoughts: The possibilities here are numerous, but at least two that come to mind are 1) childhood developmental factors, and 2) anger as covering over other feelings. For the first one, if children aren't taught to deal with anger early on, they'll have trouble with it later. For the second one, anger can sometimes be an internal defense against other, more troubling feelings that are harder to express. ...Read moreSee 2 more doctor answers
Reintroducing grains after paleo, and i feel sick. Is my body freaking out from "foreign objects" or did grain-free cause grain intolerance?
This is the norm: Grains are really hard on a person's gut but for most of us our gut gets used to it. However, when you stop eating grains for a time and then add them back you are asking your gut to adjust too quickly to eating grains. Your experience is the norm rather than the exception. Were you to keep eating grains things would eventually improve though they will never feel as good as not eating them. ...Read moreSee 2 more doctor answers
Guilt and Shame: A certain amount of guilt means we have a conscious, when it is excessive we have developed a punitive attitude toward ourselves that is excessive and unwarranted. This is learned behavior and any learned behavior can be unlearned. Shame is often the result of being humiliated too early in life and then you can be easily shamed and embarrassed for just being human. Best. ...Read moreSee 2 more doctor answers
Many things: Blood in the urine is not normal and it could be a sign of underlying urinary tract problem. These include stones, infection, or cancer. Blood could also be from the female organs as well. You need to be evaluated by your medical doctor to determine the source of the blood. ...Read moreSee 1 more doctor answer
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