r/AskDocs•
wetpaste

30M constant fatigue and some other symptoms.

Over the past 2-3 years I have noticed a gradual decline in my wellbeing. I've had incidences of chest pain starting around 4-5 years ago as well, which was found to likely be related to heart burn and nothing serious. It still comes back every once in a while and I feel very wrong, I

I went to the doctor to describe that my heartburn had come back and I couldn't fall asleep at all for around 3 days because of uneasyness and heartburn while falling asleep. Many muscle twitches and pain on my left chest wall. I got over that and finally my appt. came. I didn't focus on the heartburn situation because I had gotten over that and was sleeping fine.

I took tests for my fatigue and I was tested for vitamin D, thyroid, and general blood anemia stuff. I had a pretty low vitamin D level (13 ng/ml). I have lived in this climate all my life and I'm sure my levels are on then low side but does it really explain my symptoms? I also have problems with a sort of subtle shakyness when I'm sitting down at work that I'm noticing more and more (i think somebody is shaking or walking near me but then I realize it is me). Anyways I have been on two beach vacations in the past month and have been taking 2000 IU of vitamin D daily and I feel... exactly the same.

I'm just extremely fatigued every day, even on days / weeks / months when I feel like I am very on top of exercise and eating vegetables and normal meals and having somewhat normal sleep (never really feel like I have perfect sleep but my hours are normal). I also sometimes have heart palpitations during exercise (but very rarely). I had an EKG /treadmill thing and they said nothing was wrong with me. days that I excercise I feel totally great right after, but a couple hours later I feel even more fatigued than I normally do.

There also seems to be a dead spot in my eye that I have noticed lately but the doctors think I might have glanced at the eclipse or something and it is unrelated.

my appetite in the past few months has gone down and I have lost weight. I think my libido is also slightly less. and my motivation to do anything when I get home is very low, even video games are hard to get into.

Doctor mentions maybe depression... but like.... what is depression? I don't feel unhappy necessarily, just frustrated that I don't feel energetic enough to do what I love to do. It feels like the problem is in my body, not in my mind. In fact one of the benefits of feeling this way is that I feel slower/calmer in general and I feel like I have less anxiety. I don't get worked up or have a high heart rate EVER unless I'm doing cardio.

Just looking for general thoughts on to approach this? Should I go see a naturopath in addition to my regular doctor and ask for more tests?(somebody told me this was a thing) Should i just wait a few months for vitamin D buildup and see how I feel?

Posted Feb 8, 2018, 3:39 AM UTC

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ilazriaThis user has not yet been verified.•

Have you been tested for POTS (Postural orthostatic tachycardia syndrome) or myasthenia gravis?

I would give you more info on them, but I'm just about to fall asleep. Just caught this before setting my phone down for the night.

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wetpasteOPThis user has not yet been verified.•

these are interesting but none of my symptoms have been that severe. I have not noticed any symptoms with getting up from laying down (except a few times getting up off the couch too fast and passing out). I don't really feel like I have weak muscles either. It feels more like a full body sleepyness and inability to concentrate.

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ilazriaThis user has not yet been verified.•

The online lists of symptoms normally make the health issues they're describing sound extreme. The reality for many people is much more subtle.

Most normal people do not pass out from getting up off a couch. You really should ask about POTS. The worst that happens is they test you and rule it out. Keep track of ANY time you feel lightheaded. Some foods or activities can be triggers, so note down anything you ate or did beforehand. Include the moments of full body sleepiness and concentration issues, and the moments you've been thinking were heartburn and heart palpitations. Those sensations can be confused with blood pressure changes.

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wetpasteOPThis user has not yet been verified.•

Thanks! The more I am reading about POTS, the more I realize a lot of these things are things I've had. I used to have headaches all the time but I don't anymore, however I do have migraines if and ONLY if I try to exercise in the morning. I have tremors, nausea is pretty rare for me, fainting while standing up is rare but I've had it happen some days especially as a teenager growing up. Being extremely sleepy even when I'm still in bed and need to go to work after a really solid nights sleep. I've noticed more recently some times when I'm sitting down at work for a long time I feel kind of weak/uneasy about getting up (almost like I'm dizzy but not too much). Dizziness is high on the list apparently although the vast majority of the time I never feel dizzy. I often have a slight numbness or tingling sensation but I attributed that to the heartburn stuff messing with my nerve endings causing all kinds of other shit to happen (my doctor's explanation).

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