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Doctor insights on: Symptoms Fatique Aching Muscles Brittle Nails Depression

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Dr. Pamela Pappas
4,588 doctors shared insights

Depression (Definition)

Depression is a mood disorder that can affect behavior and emotions. Symptoms of depression include feeling down most of the time, losing interest in previously enjoyable activities, increase or decrease in appetite or weight, sleeping more or less, becoming easily agitated or lethargic, feeling worthless, feeling guilty, having difficulty concentrating, thinking more about death and dying. Depression can sometimes result in suicidal thoughts and plans. In this case, emergent ...Read more


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Extreme weakness and fatigue muscle achy shortness of breath pressure in chest and neck digestive issues skin problems hair loss migraine dbl vision?

Extreme weakness and fatigue muscle achy shortness of breath pressure in chest and neck digestive issues skin problems hair loss migraine dbl vision?

See a physician.: just the double vision is of such a concern that if that was your only symptom, I would advise you to see a physician. shortness of breath and chest pressure is another indication to see a doc. perhaps all this is anxiety, but you must have this evaluated medically. ...Read more

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Sore muscles, joints, back ache, nerves on edge, headaches sometimes, IBS symptoms, low appetite, making me confused, stressed, depressed, anxiety?

Sore muscles, joints, back ache, nerves on edge, headaches sometimes, IBS symptoms, low appetite, making me confused, stressed, depressed, anxiety?

Fibromyalgia: You are describing typical features of fibromyalgia. This can also include bladder problems and a foggy sensation. It is associated with poor sleep ( usually waking up every 2 hours through the night). These symptoms can also be caused by stress and depression. You should see your doctor for a definitive disgnosis. ...Read more

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Neck/Elbow Rash (10 years), sudden Hair Loss, Fatigue, Severe Joint Pain, Heart Flutter/ Chest Spasms, Anemia, muscle Weakness, Headaches, Skin Pain?

Neck/Elbow Rash (10 years), sudden Hair Loss, Fatigue, Severe Joint Pain, Heart Flutter/ Chest Spasms, Anemia, muscle Weakness, Headaches, Skin Pain?

Please see someone: It sounds uncomfortable. With so many symptoms you may have a systemic condition, a functional condition like fibromyalgia, or a combination of both. Rheumatologists are experienced at helping you sort all this out. ...Read more

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TSH 1.0. Weight gain, fatigue, muscle ache, Raynaud's, IBS, dry skin, unable to concentrate, facial swelling. Tired of feeling tired!

TSH 1.0. Weight gain, fatigue, muscle ache, Raynaud's, IBS, dry skin, unable to concentrate,  facial swelling.  Tired of feeling tired!

2nd hypothyroid: I would be suspicious of a secondary hypothyoridism. You have many symptoms of thyroid problem, but a low TSH. You need to find out what your T4 and T3 (liothyronine) are. These are your serum levels of your thyroid hormone. ...Read more

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Muscle twitching, severe fatigue, joint pain, and weight gain. What are these symptoms of?

Muscle twitching, severe fatigue, joint pain, and weight gain. What are these symptoms of?

Many possibilities: I suspect that you may have fibromyalgia, a chronic pain syndrome with poor sleep, chronic fatigue, diffuse pain, and a variety of other symptoms. However, you need an evaluation to rule out other problems such as hypothyroidism, myositis, diabetes, ra, or sle. ...Read more

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What conditions mimic lupus, specifically with symptoms of extreme fatigue, muscle and joint pain, daily headaches, confusion, bruising, nosebleed ?

What conditions mimic lupus, specifically  with symptoms of extreme fatigue, muscle and joint pain, daily headaches, confusion, bruising, nosebleed ?

Lupus: Positive ANA tests are often seen in hashimotos disease which causes a lot of the symptoms you described. It's autoimmune thyroid disorder. Check your platelet count and clotting factors for possible autoimmune disorder causing these as well. Autoimmune disorders often run together. Let me know! ...Read more

Dr. Alan Ali Dr. Ali
1 doctor agreed:
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Fatigue loss of appetite nausea, weak dehryayted , feeling sore and tired. Flank pain. ?

Dr. Alan Ali Dr. Ali
1 doctor agreed:
Fatigue loss of appetite nausea, weak
dehryayted , feeling sore and tired. Flank pain. ?

Multisymptoms: Your symptoms warrant thorough evaluation and workup by your primary care doctor. ...Read more

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What are these symptoms a sign of? Stomach pain, anxious feeling, muscle tention, shaking hands, muscle twitching, shallow breathing , muscle ache?

What are these symptoms a sign of? Stomach pain, anxious feeling, muscle tention, shaking hands, muscle twitching, shallow breathing , muscle ache?

Anxiety Disorder: I understand your discomfort' the stresses at age 18 of relationships, school, finances, peer pressure, and unresolved feelings with parents, siblings and friends can cause anxiety. Use of alcohol and drugs can make anxiety worse. Please see a therapist for understanding these symptoms, to deal with stresses, and treatment including therapy, relaxation, meditation, exercise, and medication. ...Read more

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Can cvid cause extreme fatigue and aching joints?

Can cvid cause extreme fatigue and aching joints?

Futher Investigation: Most definitely. However, immune deficiencies can also be linked to autoimmune diseases so further testing for things like inflammatory arthritis and connective tissue diseases is important. ...Read more

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For 2-3 weeks i've had neck, shoulders, and back pains. Loss of appetite. Fatigue. Hand numbness and tingling. Depression. What causes these symptom?

For 2-3 weeks i've had neck, shoulders, and back pains. Loss of appetite.  Fatigue. Hand numbness and tingling. Depression.  What causes these symptom?

Rule out med illness: You should first get a physicalexam to rule out any medical illness that might be contributing to how you're feeling. There are various illnesses such as vitamin deficiencies thyroid disease and sleep apnea that can cause what you're feeling. Lyme's disease is another possibility. Depression makes you feel very tired and fatigued both physically and mentally. You can develop aches and pains in virtually any part of your body. With depression you feel helpless hopeless worthless and guilty. Energy and motivation are low. There is a distinct lack of ability to enjoy things and a tendency to withdraw socially. You can either have an increased or decreased appetite and insomnia or increased sleepiness. You can also have both. If you are feeling this way please see your doctor, then a therapist, and if necessary a psychiatrist for medication management. Do not forget to watch your diet, exercise, and seek out other ways of treating your depression from an alternative medicine or complementary medicine point of view. Yoga, meditation, acupuncture, and finding your spiritual center can all be important ways to overcome depression. ...Read more

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Add.Symptoms-basal temp 96.9, exc. Hairloss/breakage, cold intol., low energy, weight gain, brain fog, dry skin, brittle nails, headaches, irrit.Bowel, moody.?

Add.Symptoms-basal temp 96.9, exc. Hairloss/breakage, cold intol., low energy, weight gain, brain fog, dry skin, brittle nails, headaches, irrit.Bowel, moody.?

Hypothyroidism: Please see your physician to assess for hypothyroidism. This will involve checking a blood tests (at least a tsh). Other conditions can cause these signs/symptoms, however, this is the classic presentation you submitted. ...Read more

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Advice?I have many symptoms, some seem linked to diabetes; Demobilising numb &prickly limbs Dizzyness Sickness Tiredness Soft nails Head aches

Advice?I  have many symptoms, some seem linked to diabetes; 
Demobilising numb &prickly limbs 
Dizzyness
Sickness 
Tiredness
Soft nails
Head aches

Get tested: You should get tested to see if you have diabetes or a pre-diabetic. It would need more history, physical examination and may be some tests for a proper evaluation. For good health - Have a diet rich in fresh vegetables, fruits, whole grains, low fat milk and milk products, nuts, beans, legumes, lentils and small amounts of lean meats. Avoid saturated fats. Exercise at least 150 minutes/week and increase the intensity of exercise gradually. Do not use tobacco, alcohol, weed or street drugs in any form. Practice safe sex. Get HPV vaccine. ...Read more

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Jaw pain, whiplash, anxiety, arm numbness, muscle weakness, shortness of breath, feel really weak/fatigued, lack of motivation, feel faint, pleasehelp?

Wow, too complex: Mentioning whiplash suggests u had an injury? Whiplash is graded based upon the extent of "systemic symptoms". These (dizzy/faint, nausea, headaches, etc) result from unbalance sympathetic nervous system response to the "shock" of the injury. More serious injuries need to be ruled out however. ...Read more

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Joint pain/tenderness/swelling, Dizziness/lightheadedness Loss of balance/cordination, Muscle weakness, Low libido, Eye light sensitivity/cloudy vision, Thinking/memory problems, Numbness/tingling, Severe fatigue, vaginal dryness, pain all over.

Joint pain/tenderness/swelling, Dizziness/lightheadedness
Loss of balance/cordination, Muscle weakness, Low libido,
Eye light sensitivity/cloudy vision, Thinking/memory problems, Numbness/tingling, Severe fatigue, vaginal dryness, pain all over.

See your doctor.: That is and impressive list of symptoms, and certainly more than can be dealt with in 400 characters. I would recommend that you see your doctor ASAP. If you have already done so and you do not have a diagnosis, you should seek out a second opinion with a primary care doctor. Don't stop until you find some answers. Good luck. ...Read more

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25 mcg levothyroxine is it normal to have fatigue, dry skin, muscle aching and weakness, depression, insomnia when on this medication for hypothyroi?

25 mcg levothyroxine is it normal to have fatigue, dry skin, muscle aching and weakness, depression, insomnia when on this medication for    hypothyroi?

Hypothyroidism: The symptoms you have are more compatible with hypothyroid state. You are on the lowest dose yet and likely your doctor is adjusting it, just can't give a very high dose right away. It takes a few weeks to adjust each level so as not to get side effects. Talk to your doctor for reassurance. ...Read more

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Experiencing fatigue, shortness of breath, numb toes, noticeably pale skin, headaches, joint pain, fast heart beat, dizziness, brittle nails. Help ?

Below: With the variety of symptoms you are experiencing, it would be best to see your DR for an exam. It is impossible to give you a DX without an exam. ...Read more

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Constant fatigue, muscle pain and mood swings. I am on anti depressants and beta blockers for anxiety and depression but I don't feel this is thecause?

Constant fatigue, muscle pain and mood swings. I am on anti depressants and beta blockers for anxiety and depression but I don't feel this is thecause?

Anxiety/depression: Beta blockers can cause fatigue that may ease after 1-2 months of therapy. Without knowing what anti-depressant you're on I can't comment on side effects. I would recommend seeing your doctor for further evaluation to rule out other causes for your symptoms. ...Read more

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Dry skin and hair thinning, brittle nails, loose bowels,weak muscles, dry skin, poor digestion, fatigue, autoimmune, thyroid, vitamin, anemia r good?

Dry skin and hair thinning, brittle nails, loose bowels,weak muscles, dry skin, poor digestion, fatigue, autoimmune, thyroid, vitamin, anemia r good?

Thyroid?: Not sure what your question is, but some of symptoms sound like low thyroid function. Please consult your doctor for more tests. ...Read more

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? Thyroid. Cold sensitivity, cold toes, fingers, joint(?)aches, dry skin, brittle nails hair, sore muscles, stiff body. diangosis w/ hypothyroidism 1990 & on .125 mcg meds. Normal TSH & t4. Problems now? What

? Thyroid. Cold sensitivity, cold toes, fingers, joint(?)aches, dry skin, brittle nails hair, sore muscles, stiff body. diangosis w/ hypothyroidism 1990 & on .125 mcg meds. Normal TSH & t4. Problems now? What

Thyroid "normal": As you obviously know all your symptoms fit into hypothyroidism. What you may not know is that the so called normal range thyroid levels is rather broad. You may very well still be hypothyroid. I would suggest seeing an endocrinologist who may be more liberal in your lab readings. ...Read more

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Symptoms...Chills, hot skin, fatigue, aching muscles, loss of appetite and headaches. I often wake up with a blocked nose. Please help?

Symptoms...Chills, hot skin, fatigue, aching muscles, loss of appetite and headaches. I often wake up with a blocked nose. Please help?

See a doctor: These symptoms are generally a result of some ongoing infection, often viral, and suggest a mononucleosis-like syndrome which can be due to ebv or other pathogens. The only way to get this successfully diagnosed is to see a doctor face to face and be examined and managed professionally. Good luck. ...Read more

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What could be wrong with me I have muscle and joint ache fatigue, memory loss, constipation, and some symptoms depession and occasional brain fog?

What could be wrong with me I have muscle and joint ache fatigue, memory loss, constipation, and some symptoms depession and occasional brain fog?

The nonspecific...: ...Symptoms you describe could be from many things, but depression is the first thing that pops into my mind. In any case, whether this is depression or something else, a visit to your doctor is indicated to investigate. ...Read more

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Low vit d of 22, positive igm 23 n 41for lyme. Have fatigue mild body and muscle ache Is it just low vit d or lyme symptoms? No rash ever seen.

Low vit d of 22, positive igm 23 n 41for lyme. Have fatigue mild  body and muscle ache Is it just low vit d or lyme symptoms? No rash ever seen.

23 is lyme specific: the 23 band is specific for lyme disease. Even if the western blot is read as negative, having that band could mean you were exposed to lyme. I suggest seeking out a lyme literate physician and having that doctor interpret the results in light of your symptoms ...Read more

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Are sore joints/muscles a symptom or normal with anxiety, stress and depression?

Are sore joints/muscles a symptom or normal with anxiety, stress and depression?

Can be but chk w/ dr: Mind ; body are the same you - physical pain can lead to emotional pain ; emotional pain can lead to physical pain. You definitely should see yr doctor to rule out any physical causes. If none are found, it could be psychosomatic. People often think this means that it is "all in your head." not so. It merely means that the pain is caused by some interaction between the mind (psyche) ; body (soma). ...Read more

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Just started on synthroid (thyroxine) (finally!!!) how long before symptoms improve (cold intolerance, brittle nails, hair falling out, constipation? What side effects should I watch for or expect? How long before dose increase?

I usually advise: my thyroid patients that it may be SEVERAl WEEKS for them to notice a "difference" and THAT is when I re-check the tests at 2 weeks to begin with! The "cold intolerance " is usually the first to "respond" BE PATIENT!!! It may take several visits before your problem is "sorted out" Hope this helps! Dr Z ...Read more

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I have brittle nails, no libido, thin hair, cannot lose weight, frequent headaches, gassiness, and strong pam's symptoms.Any ideas what could be wrong?

I have brittle nails, no libido, thin hair, cannot lose weight, frequent headaches, gassiness, and strong pam's symptoms.Any ideas what could be wrong?

Multi symptoms: Recommend workup by your primary care doctor to rule out endocrine/metabolic causes such as thyroid disease. Good luck. ...Read more

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Add.Symptoms-basal temp 96.9, exc. Hairloss/breakage, cold intol., low energy, weight gain, brain fog, dry skin, brittle nails, headaches, irrit.Bowel, moody.?

Hypothyroidism: Please see your physician to assess for hypothyroidism. This will involve checking a blood tests (at least a tsh). Other conditions can cause these signs/symptoms, however, this is the classic presentation you submitted. ...Read more

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Sore muscles, joints, back ache, nerves on edge, headaches sometimes, IBS symptoms, low appetite, making me confused, stressed, depressed, anxiety?

Fibromyalgia: You are describing typical features of fibromyalgia. This can also include bladder problems and a foggy sensation. It is associated with poor sleep ( usually waking up every 2 hours through the night). These symptoms can also be caused by stress and depression. You should see your doctor for a definitive disgnosis. ...Read more

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What's wrong if exercise and physical exertion causes fever, muscle ache and fatigue?

What's wrong if exercise and physical exertion causes fever, muscle ache and fatigue?

Probably not fever: If you really are having fever, as in high temp measured with a thermometer, it's probably not related to exercise. ...Read more

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I am a 40 year old female who is experiencing head ache, muscle soreness,extreme fatigue,I had diarehha for 2 days I can barely move.

I am a 40 year old female who is experiencing head ache, muscle soreness,extreme fatigue,I had diarehha for 2 days I can barely move.

Viral syndrome: Clinically we usually can differentiate bacterial infections which we would possibly treat with an antibiotic from viral infections which we would not be susceptible to an antibiotic by seeing if there is only one organ system being attacked or if there are multiple organ systems being attacked. Viral infections usually attack one system, bacteria attack multiple systems at once. ...Read more

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Muscle (Definition)

It is a body tissue that has the ability to contract. It shortens and generates force. It relaxes and returns to its original length. Muscles move joints, stabilize the body, move air and food through the organs, act as valves for bladder, bowel and other organs. They control movement of the eyes. They help us express ourselves by changing the shape of our ...Read more


Dr. Brad Goldenberg
49 doctors shared insights

Brittle Fingernails (Definition)

Brittle fingernails are fingernails that are easily chipped or cracked, and may be seen in people ...Read more