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Doctor insights on: Recurring Fatigue

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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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Keep having reoccurring temperatures of 100-101 over the last few months daily. Feel extremely fatigued, but Normal CBC and ESR. what could it be?

Keep having reoccurring temperatures of 100-101 over the last few months daily. Feel extremely fatigued, but Normal CBC and ESR. what could it be?

Many things: There are many reasons for people to have low grade fevers or frank fevers. They span infectious, inflammatory, hormonal, even cancers(though in a 19 year old that would be rather uncommon.) This is a very difficult diagnosis to make in a setting such as HealthTap, enough such that you may want to consider more formal consultation. ...Read more

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Reoccurring low grade fevers 99.5-100.5 over last 3 months & feeling fatigue. Doctor is investigating... Can I still have my Tonsillectomy in 2 weeks?

Reoccurring low grade fevers 99.5-100.5 over last 3 months & feeling fatigue. Doctor is investigating... Can I still have my Tonsillectomy in 2 weeks?

Depends: It will depend on the outcome of the investigation being done by the doctor. Among other causes, chronic infection of the tonsils may actually be a source of intermittent low grade fever. Continue follow up as recommended. ...Read more

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How long can glandular fever symptoms keep reoccurring, my fatigue has been dreadful since I had it at Christmas and my fibro pains got worse ?

How long can glandular fever symptoms keep reoccurring, my fatigue has been dreadful since I had it at Christmas and my fibro pains got worse  ?

Mono can last: Mono can last a while we know. With the Fibromyalgia you got things that are kind of confounding this entire issue. You may want to go ahead and evaluate your entire symptom complex and ask your physician to have you see an infectious disease specialist. ...Read more

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I believe I have myocarditis. I have been known to suffer from anxiety but I have had palpitations that reccur every so often also coughing because I feel mucus. I have periods of being fatigued and am not willing to get up from bed every morning.

I believe I have myocarditis. I have been known to suffer from anxiety but I have had palpitations that reccur every so often also coughing because I feel mucus. I have periods of being fatigued and am not willing to get up from bed every morning.

Myocarditis: To assess for myocarditis you need an echocardiogram to see if there is inflammation around the heart muscles. Palpitations are not really specific, and you should get an EKG to assess the underlying electrical activity of the heart. If palpitations are more spaced out I suggest wearing a holter monitor, which can detect underlying atrial fibrillation, PVCs, which cause palpitations. ...Read more

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L renal failure due to reoccurring reflux. Dx= crohns, sleep apnea, COPD, chronic fatigue, anxiety. What could cause all of this? No answers so far!!!

L renal failure due to reoccurring reflux. Dx= crohns, sleep apnea, COPD, chronic fatigue, anxiety. What could cause all of this? No answers so far!!!

Need a consultation: It's likely that your conditions are not all coming from a single source. A physician would need to know more about your medical history, social history and specifics surrounding each complaint in order to give helpful advice. You may want to have a Health Tap Virtual on line consultation.A VIDEO/PHONE consultation or an INBOX TEXT consult is best. A real time text consult is not the best for you ...Read more

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Easy bruising, heavy menstruals, frequent headaches, reoccurring colds, fatigue, occasional UL Abd Pain, feeling full fast, 20 single petechea? Help!

Easy bruising, heavy menstruals, frequent headaches, reoccurring colds, fatigue, occasional UL Abd Pain, feeling full fast, 20 single petechea? Help!

Time to get checked.: it sounds like this has been going on a while. You need to get a good physical and appropriate labwork and other testing to get to the bottom of this. Might me some simple fix. If you have had fever for more than 3 days or it is over 101 or 102 and not relieved by Tylenol, (acetaminophen) you need to get seen today. Avoid Ibuprofen with easy bruising. No alcohol, drugs, supplements or otc meds not okayed by doc. ...Read more

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Reoccurring infections n colds for 5mths, pale/yellow tint to skin, nausea n vomiting with wt. loss,daily feeling fatigue and unwell.dry/red patches?

Reoccurring infections n colds for 5mths, pale/yellow tint to skin, nausea n vomiting with wt. loss,daily feeling fatigue and unwell.dry/red patches?

Colds / yellow skin: Please follow up w/ urgent care /doc today. May be thyroid, anemia, ulcer with or without H pylori, liver issues -hepatitis, mass. Need liver tesing CBC, h pylori testing and thyroid testing to begin,as well as review of food intolerences like gluten f/u/ today ...Read more

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Can you give advice on reoccuring symptoms like balance issues, blurry eyes, nerve and muscle pain, fatigue, incontinence issues, dizziness?

Can you give advice on reoccuring symptoms like balance issues, blurry eyes, nerve and muscle pain, fatigue, incontinence issues, dizziness?

Sounds neurological: The constellation of your symptoms may or may not all go together, but they definitely warrant an evaluation. They sound neurologic in origin, so a neurology evaluation seems warranted. Since the symptoms are reoccurring, it is best to not ignore. Good luck! ...Read more

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