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Doctor insights on: Im Always Tired But Blood Work Comes Back Fine And I Get Enough Sleep What Is Wrong With Me

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Im always tired but blood work comes back fine and I get enough sleep. What is wrong with me?

Im always tired but blood work comes back fine and I get enough sleep. What is wrong with me?

Always tired: I am not sure what blood work was done but make sure that epstein barr virus was included and if you are male that a testosterone profile is included. Usually is it is not the quantity of sleep but the quality. One thing to be consider if you are experiencing sleep apnea. Adding energy drinks to help may worsen the situation due to their high content of stimulant that cause fatigue hours later. ...Read more

Dr. Heidi Fowler
5,052 doctors shared insights

Sleep (Definition)

Sleep is a topic that involves concepts such as how long it takes to fall asleep, how many times one wakes up at night, how many hours one sleeps at night, sleep stages, ...Read more


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I constantly sleep. I self medicate with caffeine and nicotine. I'm always tired have been for years. I have periodic episodes of sleep paralysis. I've had blood work and a cat scan which came back normal. What could it be?

I constantly sleep. I self medicate with caffeine and nicotine. I'm always tired have been for years. I have periodic episodes of sleep paralysis. I've had blood work and a cat scan which came back normal. What could it be?

Have you had a...: ...sleep study? The amount of time you get restorative sleep may be much less than the amount of time you spend in bed.. Periodic episodes of sleep paralysis aren't necessarily abnormal, but, in the context of an abnormal sleep pattern, could be significant. Depression, lack of exercise & self-medication can contribute to chronic fatigue. Best wishes. Dr. Anne. ...Read more

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Mid back pain and ULQ/Epigastric pain for 3 Mos. Fatigue, tiredness, & trouble sleeping. Went to ER for severe pain 1 week ago, but blood work didn't show anything. Back pain bad today. Should I go to ER and insist they do more? My PCP won't help.

Mid back pain and ULQ/Epigastric pain for 3 Mos. Fatigue, tiredness, & trouble sleeping. Went to ER for severe pain 1 week ago, but blood work didn't show anything. Back pain bad today. Should I go to ER and insist they do more? My PCP won't help.

Ct scan , ultrasound: need this to finalize diagnosis, or maybe laproscopy if gynecological problems,, may have ulcer so go to g.i. dr for endoscopy[scoping] since epigastric pain, try proton pump inhibitor for 1 month like prilosec. avoid much alcohol , never smoke. hope /pray it helps. be sure not constipated, use mirilax /colace, senna/dulcolax. chnag diet if so , less white flour products. ...Read more

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Very tired all the time. Get plenty of sleep. Thyroid blood work done. 26yo. Don't exercise. 116 lbs. is sleep study necessary?dont snore.

Very tired all the time. Get plenty of sleep. Thyroid blood work done. 26yo. Don't exercise. 116 lbs. is sleep study necessary?dont snore.

Maybe: There may a problem with the quality of your sleep. PLMD (periodic limb movement disorder of sleep), narcolepsy, alcohol and poor sleep habits (esp erratic schedule) can all cause excessive daytime sleepiness even in a person who sleeps long enough. ...Read more

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Fasting blood work, RDW high 19.3 with RBC 4.81, hemoglobin 12.9, hematocrit 39.2, MCV 82. What does this mean? Trouble tolerating exercise and sleeping and tired, what's wrong with me?

Fasting blood work, RDW high 19.3 with RBC 4.81, hemoglobin 12.9, hematocrit 39.2, MCV 82. What does this mean? Trouble tolerating exercise and sleeping and tired, what's wrong with me?

What's wrong with u?: This laboratory data is not abnormal enough to account for your symptoms. You need a thorough physical exam and additional laboratory testing done to find out why you have poor exercise tolerance. Your post is a bit unclear - are you sleeping a lot or too little? I recommend seeing a functional medicine doctor to put it all together. Find one here: http://bit.Ly/11zdjeo. ...Read more

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Severe fatigue..Four years..Blood work fine, sleep study clear, on citalopram for dysthymia..And also welbutrin for fatigue..Still fatigued.Desperate?

Severe fatigue..Four years..Blood work fine, sleep study clear, on citalopram for dysthymia..And also welbutrin for fatigue..Still fatigued.Desperate?

Chronic Fatigue Synd: Other possibilities exist, including paradoxical reactions to your medications, issues with prior ebstein-barr infections, and even ms. Some agents have been shown to be helpful, including ritalin, (methylphenidate) provigil, nuvigil, etc. However, discuss with your physician if these are right for you. ...Read more

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I have had little to no sex drive for past year seems to have disappeared and I'm always tired. Should I get blood work done? I'm 22 male. Thanks

I have had little to no sex drive for past year seems to have disappeared and I'm always tired. Should I get blood work done? I'm 22 male. Thanks

Hhypogonadism/hypoth: Allow your physician to check for metabolic reasons that could be causing a low libido as well, like low thyroid or low testosterone (hypogonadism), but the previous physicians are absolutely correct in that those are the more common reasons. ...Read more

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Always tired now. Dry mouth nose. Dull pain and fullness on my center and left side chest. Like something surrounding heart beat being weaker. What can be? I'm going nuts? I got X-ray ekg ft scan blood work. I get lightheaded slow beat then panic.

Always tired now. Dry mouth nose. Dull pain and fullness on my center and left side chest. Like something surrounding heart beat being weaker. What can be? I'm going nuts? I got X-ray ekg ft scan blood work. I get lightheaded  slow beat then panic.

Chest symptoms: The symptoms you describe do not necessarily indicate a particular diagnosis. Central left chest pain can be a symptom of serious conditions and it is always better to be safe than to ignore it. You don't want to miss a cardiac problem. Consider seeing an internist or cardiologist, or an Inbox Consult on HealthTap. These little text boxes are too small for a detailed review of your history. ...Read more

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Why am I always tired? Even when I get enough sleep, in school every block, at home, I am always tired and it's preventing me from doing school work.

Why am I always tired? Even when I get enough sleep, in school every block, at home, I am always tired and it's preventing me from doing school work.

Always tired.: 17F Asks why am I always tired? Even though I get enough sleep, I am always tired and can't do home work. ANS: Complex issue. The first thing to do is to go to the web and do the Epworth Sleepiness Scale. Get your score and take to Dr to discuss the problem. You may have obstructive sleep apnea or other sleep problem and need a sleep study. If not many other causes that need to be looked for. ...Read more

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Always tired even when I get enough sleep.tried pills to help wake up and don't work. It's getting worse, did sleep study nd don't have sleep apnea.

Always tired even when I get enough sleep.tried pills to help wake up and don't work. It's getting worse, did sleep study nd don't have sleep apnea.

If physical: reasons for chronic fatigue are eliminated (eg anemia, metabolic diseases, infection) a diagnosis of DEPRESSION should be considered!! (In these cases tri-cyclic anti-depressants treat the insomnia and the depression simultaneously!!!! Hope this helps!

Dr Z ...Read more

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I am tired all the time. Blood work is all normal. What else could cause to be tired all the time. I sleep normal at night?

I am tired all the time. Blood work is all normal. What else could cause to be tired all the time. I sleep normal at night?

Many ideas: Hypothyroidism, poor nutrition (many "healthy" / "green" diets are inadequate), sleep apnea, fibromyalgia, carbon monoxide (how's that home heater?), restless legs / parasomnia, Addison's, Chiari malformation, early MS, medications, early lupus, Simmonds', dysthymia (how are people treating you?) just for starters. ...Read more

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Been coughing up clear to white sticky mucus for 4 months now. Had xrays, blood work, 3 rounds of biotics. Bad at night, can't sleep. Tired & wt. Loss.

Been coughing up clear to white sticky mucus for 4 months now. Had xrays, blood work, 3 rounds of biotics. Bad at night, can't sleep. Tired & wt. Loss.

Coughing is a reflex: Given to us to get rid of a foreign body in the bronchus. It is governed by a computer in the lower brain. If that is irritable you can cough for no reason at all because it is initiated in the brain. That is why the bronchial search has been futile. Get rid of all forms of sugar and sweeteners and see my blog "oxygen, the spark of life" and see the post "sweet and dangerous". ...Read more

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Tired all the time i don't have sleep apnea been checked doc did blood work normal what cold it be maybe depression ?

Tired all the time i don't have sleep apnea been checked doc did blood work normal what cold it be maybe depression ?

Tired all the time: See your physician and have a complete physical. Are you taking any medications?
If all blood work and oxygen levels are normal, have your physician refer you to a therapist for evaluation. ...Read more

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I sweat really bad and I feel hot all the time and I'm always tired but all my blood work was normal what could it be?

I sweat really bad and I feel hot all the time and I'm always tired but all my blood work was normal what could it be?

Hyperthyroid/hidrosi: If you have been checked for hyperthyroidism with blood test for TSH and T4 T3 (liothyronine) levels and are normal.You may have hyperhidrosis and should consult your doctor or a dermatologist for that ...Read more

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What could cause persistent swollen/painful cheeks? Burning sensation on cheeks. No mumps. Blood work perfect. Always tired.

What could cause persistent swollen/painful cheeks? Burning sensation on cheeks. No mumps. Blood work perfect. Always tired.

Swollen cheeks: You could have salivary stones in your parotid glands which could give you swollen, painful cheeks canker sore in your mouth can give you similar symptoms. ...Read more

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Always tired, no energy or motivation. Sleep 4, 6, 14 hours, still tired after being awake for 2+ hours. Sometimes I get low blood sugar symptoms?

Low blood sugars: Low blood sugars are not good!
Please keep a close check on your blood sugar levels and if the level is low take some food and don't take diabetes medication for a day or two.
Regarding your sleep problems please get an appointment with a Psychologist. you will be surprised how well you will be over time.
Please let me know how things develop. ...Read more

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Blood work normal but always tired and weak with low blood pressure .Whats could be the cause?

Blood work normal but always tired and weak with low blood pressure .Whats could be the cause?

DIfficult problem: The list of possible causes for your weakness and low blood pressure is nearly as long as you are tall. As a result, it is impossible to give you a definie answer here. You need to talk to your doctor about the problem and work with him or her on coming up with a cause for the reason why you feel the way you do. Good luck! ...Read more

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18,athlete.heart rate much higher than should/used to be for given activity.feel heart pounding extremely hard.no HR spikes,just high.extreme fatigue after I exercise(fall asleep I'm so tired).blood work normal.tilt test negative.

18,athlete.heart rate much higher than should/used to be for given activity.feel heart pounding extremely hard.no HR spikes,just high.extreme fatigue after I exercise(fall asleep I'm so tired).blood work normal.tilt test negative.

Cardiologist: I feel evaluation of your symptoms should include outpatient heart monitor, treadmill stress test, echocardiogram and, of course, ekg and heart auscultation(stethoscope). If no abnormalities, proceed with general examination by an internist to check thyroid status, look for anemia and iron deficiency. ...Read more

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Always tired, sleep 8-10hrs, low energy, bad moods, lack of interest in things, doctor gave me sleeping pills no blood tests or nothing. Whats wrong?

Always tired, sleep 8-10hrs, low energy, bad moods, lack of interest in things, doctor gave me sleeping pills no blood tests or nothing. Whats wrong?

See clinician: some of the symptoms you describe are consistent with depression. However, it could also be medical. Always rule out something medical before seeing a psychologist for a diagnose and treatment. Ask your doc to do some lab work and check all physical possibilities for your symptoms. ...Read more

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I get enough sleep, but i'm always tired because of re scheduling my sleep times and my packed schedule. W/o coffee, how can I make myself more alert?

I get enough sleep, but i'm always tired because of re scheduling my sleep times and my packed schedule. W/o coffee, how can I make myself more alert?

Sleep Evaluation: Certainly maintaining a regular sleep schedule and practicing good "sleep hygiene" might improve your tiredness. But if you feel you are getting enough sleep and still feel tired, i would recommend that you contact your primary care physician, schedule an appointment, and have a more comprehensive evaluation. For info on "sleep hygiene": http://www.Webmd.Com/sleep-disorders/guide/sleep-hygiene. ...Read more

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Had flu couple weeks ago and sense then I've had the lingering fatigue and it's horrible I'm always tired. What should I do? I also get enough sleep.

Had flu couple weeks ago and sense then I've had the lingering fatigue and it's horrible I'm always tired. What should I do? I also get enough sleep.

See integrative MD: Unfortunately this is not uncommon; while you will probably improve within a few weeks, some people develop chronic fatigue after flu-like illness. Sometimes this can activate a latent infection like Lyme disease. Continue to rest,have a healthy diet,avoid sweets,take quality multivit.,Vit. C 1000 mg 3-4/day,Niacinamide 500 mg 3x/day, immune-boosting herbs like andrographis, cordyceps.See comment: ...Read more

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Why is it every time I wake up it feels like I didn't get enough sleep and I sleep at lest 8 hours and I am always tired?

Why is it every time I wake up it feels like I didn't get enough sleep and I sleep at lest 8 hours and I am always tired?

? Sleep study: Do you snore .. A lot? Do you stop breathing and then startle almost awake to start breathing again? Could be sleep apnea. Sometimes various mouth appliances help, some need a cpap, or as my brother in law calls it, a snoring machine. Other considerations. Diet, hydration status, alcohol intake, drugs.
Thyroid problems or anemia. ...Read more

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I am always tired, i take blood pressure medication and meds for anxiety and to sleep?

I am always tired, i take blood pressure medication and meds for anxiety and to sleep?

Several causes: Fatigue is a symptom of so many conditions. You should see your physician who will check you for anemia, diabetes, thyroid function, kidney and liver function and screen for depression. ...Read more

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Extreme fatigue despite blood tests coming in normal and getting adequate sleep at night. What to do?!

Extreme fatigue despite blood tests coming in normal and getting adequate sleep at night. What to do?!

Fatigue: Fatigue can be due to many reasons and is often multifactorial. Things to consider are anemia (low iron), thyroid abnormalities, and any other chronic medical conditions. However, many people have fatigue due to poor sleep caused by sleep disorders, such as sleep apnea or restless legs syndrome. Lastly, it is important to take a look at stress levels as this can contribute to poor sleep as well. ...Read more

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Always tired no matter what I eat or how long I sleep. Cannot have low blood presure,i eat a lot of salt.

Always tired no matter what I eat or how long I sleep. Cannot have low blood presure,i eat a lot of salt.

Get checked out.: Chronic fatigue can be due to anemia or thyroid problems, which are often easily fixed. There are many other causes too. To find out, see your doctor for a thorough history and physical. Too much salt ain't good! ...Read more

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My 14 year old daughter gets very tired during and after her period. Her blood work came back fine. Would vitamins help and which kind?

My 14 year old daughter gets very tired during and after her period. Her blood work came back fine. Would vitamins help and which kind?

What blood work?: Blood work typically doesn't look at vitamin and mineral levels. Before giving her pills, ask the doctor to specifically check her iron, folate, B12 and vitamin d levels. Then you will know if she is low and can give her foods that contain what she needs. Avoid pills whenever possible. ...Read more