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Doctor insights on: Dose Every One With Lupus Get Crushing Fatigue In The Evening

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I have recurring flares of rashes, joint pain, muscle aches, debilitating fatigue, dizziness. I have photosensitity and one episode of my WBC at 2.0 years back. My ANA is 6:40. I'm on plaquenil. Why are all my other antibodies neg for lupus?

I have  recurring flares of  rashes, joint pain, muscle aches, debilitating fatigue, dizziness. I have photosensitity and one episode of my WBC at 2.0 years back.  My ANA is 6:40.  I'm on plaquenil. Why are all my other antibodies neg for lupus?

Maybe SLE maybe not.: Diagnosis of rheumatologic disease is generally based on symptoms with support from lab. Sounds like you have a rheumatologic disease and are being treated with a rheumatologic agent perhaps by a rheumatologist. They can explain your particular situation better, but suffice it to say tests are not always right and a single test does not generally make or break a diagnosis. ...Read more

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Dr. Michael Rothman
1,268 doctors shared insights

Lethargy (Definition)

Lack of energy, ...Read more


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Lupus: how can one get an easy DX? 1x butterfly rash(I think), 1x breakout of blister-like pimples on stomach, fatige,chest pain.Also,Any other ideas?

Lupus: how can one get an easy DX? 1x butterfly rash(I think), 1x breakout of blister-like pimples on stomach, fatige,chest pain.Also,Any other ideas?

Dx lupus: Systemic lupus erythematosis is a very hard disease to diagnose. It can mimic many diseases. A butterfly rash on the face with atrophic changes in the skin is one. Other signs and symptoms include fatigue, photosensitivity, fever, weight loss, kidney disease, lung disease, heart disease, liver disease, nerve and brain disease. There are blood tests which can help. Several things must be +. ...Read more

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What causes the intense fatigue in lupus even when one isn't in a flare?

What causes the intense fatigue in lupus even when one isn't in a flare?

Fatigue in Lupus: Atudy was done at hospital for special surgery few years ago, which suggested that depression and sleep prpblems might contribute to fatigue in patients with lupus.There have been other studies which suggest it may be due to lack of exercise. Acanadian study they found the fatigue is related to depression, pain, quality of sleep, quantity of sleep, exercise lack, severity of illness and stress. ...Read more

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How 2 get others 2understand lupus fatigue?When I am on empty i'm always asked 2work late cuz coworkers have kids &i'm single. As result, I get sick.

How 2 get others 2understand lupus fatigue?When I am on empty i'm always asked 2work late cuz coworkers have kids &i'm  single. As result, I get sick.

See below: Perhaps if you ask your fp/rheumatologist to write a note to your supervisor/boss (within the hipaa guidelines)—whoever insists on asking you to work late—explaining your condition & reminding him/her of ada, the message may get through. Single people should not be penalized for being single. ...Read more

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Have lupus & it is stable.No organ involvement.Is it normal that I still get waxing & waning normal energy & drop over fatigue more than normal people?

Have lupus & it is stable.No organ involvement.Is it normal that I still get waxing & waning normal energy & drop over fatigue more than normal people?

Yes, but: Fatigue is one of the most common symptoms of lupus. However, fatigue is also associated with other disorders often also present in lupus patients such as hypothyroidism and fibromyalgia. ...Read more

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I get frustrated -have even cried because others don't understand the fatigue i get w/lupus.I have no organ involvement so am i overreacting or is this a normal human response of frustration?

I get frustrated -have even cried because others don't understand the fatigue i get w/lupus.I have no organ involvement so am i overreacting or is this a normal human response of frustration?

Common: It is common to experience frustration when faced with a chronic illness, but you could have depression as well which also exists in the setting of chronic illness. Talk to your doctor to see what he or she can come up whether it be medications or therapy to help. The lupus foundation has offered support groups online in the past, but they also help individuals start support groups locally. ...Read more

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Why does one with lupus fatigue quickly when they push too much even when doing very, feeling good well & all labs (other than high ana)are normal?

Why does one with lupus fatigue quickly when they push too much even when doing very, feeling good well & all labs (other than high ana)are normal?

Cytokines: When a person has an inflammatory form of arthritis, their body produces some of the same cytokines (chemical alarm messages) that it produces during infection. This causes a host of flu-like symptoms. ...Read more

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