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Chronic Fatigue Syndrome (Me CFS)
I think, I have got chronic fatigue syndrome. I have been suffering from physical fatigue and slowed cognitive ability from the last 8 months. I have visited multiple doctors, did multiple tests, and later refered to Psychiatrist. I have seen multiple psychiatrist and taken multiple antidepressants but nothing is helping me. I am getting misdiagnosis with MD. I highly suspect that it is chronic fatigue syndrome. It's a rare deaseses where many doctors have no expertise in it. I am looking for doctors. Doctors who have expertise in the field, Please comment below.
Answers (25)
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ME/CFS is a real condition, but it is a diagnosis of exclusion: it requires at least six months of disabling fatigue with post-exertional malaise (feeling much worse for a day or more after even mild activity), unrefreshing sleep and cognitive "brain fog", once other causes have been ruled out. Your eight months of fatigue with slowed thinking fits the pattern, but common treatable causes - anaemia, iron and vitamin B12 or D deficiency, thyroid disease, diabetes, sleep apnoea, post-viral states and depression - must first be excluded properly. Antidepressants alone are often not the answer if the underlying problem has not been mapped out.
Next Steps
Collect all your reports in one file and stay with one general physician as your main doctor rather than moving between many. A reasonable baseline is CBC, ESR/CRP, ferritin, vitamin B12 and D, TSH, HbA1c, LFT, RFT, electrolytes, coeliac screen and, if you snore or wake unrefreshed, a sleep study. Use pacing - plan activity within your energy limit and avoid push-crash cycles - along with a fixed sleep schedule and a symptom diary. Please continue psychiatric follow-up rather than stopping medicines abruptly. You are welcome to consult me on Practo or at Synergy Miraj to review the reports together.
Health Tips
Do not stop or change psychiatric medicines on your own; discuss tapering with your treating doctor. Seek urgent care for chest pain, breathlessness, fainting, marked weight loss or any thoughts of self-harm.
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I can image how distressing it would be to go through chronic fatigue syndrome. No one in the world could feel normal understand how exactly you are doing. Only the person who experience it can know..... One of the major reason for CFS is stress. I hope u must have addressed that. I'm not talking about antidepressants and anxiolytics. Have you managed to reduce your stress levels or did u find a way to come out of it?? There lies your answer.....
Secondly please get your CBC, vitamin D and B12 levels as well.
Fix your diet and include exercise. This actually increases your happy hormones
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feel free to consult me on practo for further evaluation and management
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It needs proper analysis
Please book an appointment for detailed evaluation & personalised treatment
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Consult me via Practo.
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Need few more details for further evaluation. Kindly consult
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Chronic fatigue syndrome is a diagnosis of exclusion.There could be other causes including psychological.Get your basic blood tests, thyroid function tests, vitamin d and b 12,consultant a physician in your area or online,he may refer you to the sub specialist if required
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Ya
You are correct
You can chat with me for better understanding
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First get these tests done:-
CBC
VitB12
VitD3
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Kindly connect and consult
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If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at nine one one nine two five five six nine nine. Alternatively, you can connect with me through the Practo app for a detailed consultation
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Chronic fatigue syndrome is often diagnosed by excluding other likely causes of chronic fatigue like chronic anemia, vit d and or b12 deficiency.
Please share details of your symptoms, test results, then I can guide you further.
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kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
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Need evaluation
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Persistent fatigue can also occur with anemia or iron deficiency, thyroid disease, sleep disorders, nutritional deficiencies, medication effects, inflammatory disease and psychiatric disorders.
Next Steps
Review all previous investigations and all current or past medications, including antidepressants and their doses n duration.
Adv- CBC, ferritin, iron profile, Thyroid profile, LFT, RFT, ESR CRP, HbA1c, B12, folate, vitamin D and urine R/M.
Health Tips
Avoid repeatedly pursuing tests or prolonged empirical treatments without a clear clinical indication.
If you want to discuss your symptoms in detail, you can connect with me on Practo or WA business- 77 260 46 121,
I’ll take your complete history and guide you about the appropriate next step.
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Are you trying any recreational drugs ?
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Chronic fatigue syndrome is a serious, long-lasting condition causing extreme tiredness lasting over six months.
It's a diagnosis of exclusion , there is no definitive test
Symptoms worsen after physical or mental activity and do not improve with rest
Management and Treatment is often more of symptomatic relief
Basically t, to go for your scenario, we have to talk about your daily activities, diet status and other parameters too
Next Steps
Health Tips
Find your baseline, aggressive rest without diversion
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Requires a proper assessment to understand the underlying cause and guide you.
Please book a consultation for a detailed evaluation, personalized treatment plan and further advice.
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you visit the clinic for proper history and examination
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Dr. Rohan Gumber
General Physician
1 yrs exp
Sri Ganganagar
If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at eight six one nine six six nine nine zero six. Alternatively, you can connect with me through the Practo app for a detailed consultation
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Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Walk
Do connect and consult
Will help you
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Sachin Bhiwaji Sanap
General Practitioner
8 yrs exp
Hingoli
need more information
kindly consult
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Dr. Anuj Mothsra
General Practitioner
7 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Reesha Varshney
General Physician
1 yrs exp
Bareilly
I need to see your CBC, vit D3, vit B12 levels before jumping to next step as well as iron profile
Other than that I need to ask some questions and some questions which might be a little personal
So consultation on call would be a better option.
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Dr. Abhishek Yadav
General Physician
10 yrs exp
Sagar
Kindly tell your diet,profession and book an online appointment on practo.
Next Steps
please show your serology report if you have already get done
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