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Doctor insights on: My 4 Year Old Is Tired All The Time

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My 4 year old is tired all the time could that have anything to do with his heart.

My 4 year old is tired all the time could that have anything to do with his heart.

Rarely: Heart issues in infants and children are generally related to heart defects and those are detected within the first months. Older people have heart issues where they wear out or have vessel disease. Very rarely a kid can have a viral infection of the heart muscle, with progressive weakness, but I've only seen 1 in almost 4 decades. Tiredness is usually something else at that age. ...Read more

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My 4 year old weird breathing during sleep, snoring, and drooling with a foam-like salava. For past two days was a little fatigue looking and a little pale, kinda like tired...., really worry.?

My 4 year old weird breathing during sleep, snoring, and drooling with a foam-like salava. For past two days was a little fatigue looking and a little pale, kinda like tired...., really worry.?

Warrants a visit: To the pediatrician, can still be a viral upper respiratory problem with blocked nasal passages, but you need to get it sorted out, goo luck ...Read more

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Thirty-four yr old female. Always tired/extreme fatigue. Labs are good. Help!!! What can be the cause?

Thirty-four yr old female. Always tired/extreme fatigue. Labs are good. Help!!! What can be the cause?

Medications: I see that you take oral antihistamines such as Benadryl. This can have the side effect of drowsiness. If you are still experiencing fatigue after discontinuing the med, then I would think about your lifestyle and optimize it. Things like stress, lack of exercise, poor diet, and poor relationships can cause you to feel fatigued. I see you have pain, this can also cause fatigue. ...Read more

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22 year old female... Constant shortness of breathe, tiredness, dry cough, and anxiety. I have celiac disease, asthma, and chronic fatigue.

22 year old female... Constant shortness of breathe, tiredness, dry cough, and anxiety. I have celiac disease, asthma, and chronic fatigue.

Consider allergist: It sounds like your asthma is still not completely controlled. A board-certified allergist can be really helpful if you haven't seen one yet. Tai chi or chi gung classes can help with breathing technique and anxiety. See therapist for help with anxiety triggers. Take care of yourself! ...Read more

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Energetic four year old with sudden fatigue and headache as well as 101.8 fever that comes and goes?

Energetic four year old with sudden fatigue and headache as well as 101.8 fever that comes and goes?

Humph: A 4 year old can usually complain of other symptoms. Anything else? Fever can cause fatigue and often a headache. If he complains of sore throat or earache he might need to be seen for antibiotics but the odds are it is a viral illness and if you don't give meds you will watch the temp rise and fall on its own. If it goes up and stays up take him to the dr. ...Read more

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How significant is low testosterone in a 49 year old male? I am generally in good health but over the last year have been having problems with fatigue, memory, concentration, at at times libido. I thought it could be low t level after some internet resear

How significant is low testosterone in a 49 year old male? I am generally in good health but over the last year have been having problems with fatigue, memory, concentration, at at times libido. I thought it could be low t level after some internet resear

Your: Your urologist is correct in that most dietary supplements don't have much evidence to support their marketing claims. Worse, they're manufactured w/o 3rd party oversight to insure safety. Regardless, testosterone tends to peak in the morning and reach a low in the afternoon. There also tends to be quite a bit of day-to-day variation. As such, I wouldn't rely on two values drawn at different times of the day. It's also not clear to me whether you used the same laboratory both times (which is important). You also didn't mention the reference range of the laboratory used which would be helpful in interpreting your results as opposed to just blindly comparing to some values tossed around on the internet.

The point is that there's a wide range of what's normal for men of any age. Therefore, the goal for replacement/supplementation isn't a numeric value but rather a clinical response, at least in my practice. Working backwards, I am therefore also willing to consider replacement/supplementation based upon clinical symptoms such as yours, assuming that we've taken care of everything else. In other words, before jumping to your urologist, did you get evaluated by your family physician for your complaints? There are many other conditions that can present similar to hypogonadism and it would be a shame to whitewash them with testosterone. Don't forget that testosterone is not without side effects and/or harm so it's use must be closely monitored.

One last thought - while you mentioned your age, you didn't mention whether you're interested in future fertility or not. If father more children is in the plans, then you want to stay away from testosterone replacement products which would tend to shut down sperm production. Instead, you'd need to consider something like HCG or Clomiphene to increase testosterone & sperm production.

Finally, growth hormone is a totally different animal than testosterone. You take growth hormone only if it's needed, not to correct hypogonadism. And vice versa. Think gasoline & diesel. Both are perfectly good fuels, just like hgh & testosterone are excellent performance enhancing drugs. But you don't put diesel into a gasoline engine, nor gasoline into a diesel engine, and hope the car runs. Likewise, taking testosterone won't solve growth hormone deficiency and growth hormone won't treat hypogonadism.

Hope this helps! ...Read more

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16 year old girl runs track has been having lower left abdominal pain and dizziness and fatigue when running last couple weeks and at times after sto?

16 year old girl runs track has been having lower left abdominal pain and dizziness and fatigue when running last couple weeks and at times after sto?

Can't reply: HealthTAP has an age 17 threshold, so cannot reply directly. That said pain is a red flag telling the 16 year old that she needs to see a professional to find the cause of the pain, now. ...Read more

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Feeling under the weather. 49 year old male- fatigue- cold hands- ache feet and hands. Cold all the time. TPO AB results consistent with Hasimitos. Endo does not want to treat until either free T4 or TSH is out of range. Free T4 usually near mid range. TS

Feeling under the weather. 49 year old male- fatigue- cold hands- ache feet and hands. Cold all the time. TPO AB results consistent with Hasimitos. Endo does not want to treat until either free T4 or TSH is out of range. Free T4 usually near mid range. TS

See below: Hashimotos can go through three phases, 1. uncommonly it may cause hyperthyroidism in an early phase of the disease, 2. followed by normal thyroid function and the 3. long phase of hypothyroidism. If you do not have thyroid deficiency and taking thyroid medication is unlikely to be helpful. ...Read more

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Chronic fatigue and BP is 107 over 55... is this considered low? I'm a 27 year old female.

Chronic fatigue and BP is 107 over 55... is this considered low? I'm a 27 year old female.

Normal: That is a normal blood pressure with the 55 being on the low end though. Definitely worth being seen though if you're always feeling tired. ...Read more

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I am a married woman and is 27 years old. I have been suffering from fatigue and weight loss for the past 4 years. I feel very tired all the time.?

I am a married woman and is 27 years old. I have been suffering from fatigue and weight loss for the past 4 years. I feel very tired all the time.?

Multifactorial: Chronic fatigue syndrome is a multifactorial consequence of hormonal, immune system and nervous system dysfunction resulting from genetic predispositions and dietary and environmental insults. These factors impair the patient's ability to produce energy and they end up chronically fatigued. Also you should be checked for diabetes and cancer. ...Read more

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I am 24 years old male, today second time happening again, I feel slightly shiver with fatigue n feel so hungry fr awhile fr som 10 mnts n it disappear?

I am 24 years old male, today second time happening again, I feel slightly shiver with fatigue n feel so hungry fr awhile fr som 10 mnts n it disappear?

See below.: Occasional fluctuation in the blood sugar levels wight caused similar symptoms.
Try glass of the orange juice.
If that helps you need to see your physician for the future studies including fasting blood glucose test.
If not better, this condition will require evaluation by neurologist. ...Read more

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Hi, my father is 72 years old and he have blood pressure 120/60, with a dizziness all time and fatigue ; is his situation serious?

Hi, my father is 72 years old and he have blood pressure 120/60, with a dizziness all time and fatigue ; is his situation serious?

Dizziness needs eval: The blood pressure is normal but he needs to be evaluated for the dizziness and this could be vascular or inner ear. Your physician can help clarify. He needs a medical checkup. ...Read more

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Positive ANA Titer 1:80 Homogenous in my 10 year old daughter. Chronic fatigue and repeat kidney infections. Could it be Pediatric Systemic Lupus?

Positive ANA Titer 1:80 Homogenous in my 10 year old daughter. Chronic fatigue and repeat kidney infections. Could it be Pediatric Systemic Lupus?

ANA: The ANA, antinuclear antibody, is a nonspecific test that might suggest a connective tissue disorder, but might not. I'm wondering why the test was sent. In any case, given the result, it would be reasonable for your provider to either send off a more complete panel of tests, or refer your daughter to a Rheumatologist. ...Read more

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My 4 year old son constantly complains of sore, tired legs. Mostly when he wakes up or after sitting?

My 4 year old son constantly complains of sore, tired legs. Mostly when he wakes up or after sitting?

Growing pains: This sounds like growing pains. Massage and warm towels around the legs can help. If the pain is only on one side, becoming significantly worse, or waking your child up at night please see your pediatrician for a full evaluation. Growing pains may last for a few months. ...Read more

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