Aa
Is this complaint is CBS. suggest me good answers n get free gift.
This is one patient history who came to me in his words.
"I am normal and happy person when I don’t involve in any work like reading or journeys or any STRESS kind of activities. But when I involve in any work like reading (which is very much required for PG preparation/ doctor profession), small extra daily activities etc,. My mind is easily tired and exhausting. For example if a normal person exhausts for a threshold of 100% but I get that mental/ physical fatigue for just 15-20% of that.
That mental fatigue is lasting for 2-5 days or more depending on intensity and during that period my mind is not allowing going again to those activities and at that time my mind reacts very slow to external stimuli.
Due to this
1. I am very much feared to read/work as my root CAUSE is reading/working itself. My studies, my work efficiency are dropped a lot. People thinking me as lazy as I look normal externally but they dont see my inner MUSCLE FATIGUE. What i say is EARLY, EASY & EXCESS Fatigue i.e tiredness for small work. I am attending or finishing only 3 out of 10 works due to fatigue.
Examples of easy muscle fatigue
fatigue pain from arms if I rub my body for 30 sec fastly
fatigue pain from arm if I read the newspaper holding it without support for few secs
neck ache if I read a book keeping my neck face downwards
cant hold the baby with both arms for a minute as I get Arms fatigue
SOB if I walk with luggage for some time.
I feel so fatigue to talk with persons sometimes and also I fail to impress them.
2. As 70% of the time is lost & so I am having very less time to enjoy with friends, family and losing their social contact.I dont say my problem as there is a chance abusing my fatigue and memory loss (academic/ personal). Due to this problem, close friends are few to me as I dont have enough time to spare with them.
3. As I will fail to finish my works in time, slowly my body developed work anxiety. (Sometimes)
4. My recent memory (short term memory) is dropping a lot after that mental fatigue attack. For example, If I read a new topic of my syallabus and during attack I am having just 10-12% of it. I will write all my to-do tasks in my mobile as I might forget important events.
5. My mind is not at all interested and afriad or fear in recalling what I read before that attack.
6. I am not getting familiarity with any new procedures etc., even I practice them for enough times which I mean I am losing so much time & memory too during attack and if I want to get familiar. e.g. Delivery (labour). I also fear to clear O.P. as sometimes I may didnt remember the exact treatment of Malaria, like that.
7. Losing confidence and I am fear about developing future psychosocial problems. As I am suffering with normal and downs sessions my mind & body are unable to accommodate them. In future tyhese symptoms might complicate into other psychiatric conditions.
From last 4 years, my neck is paining a lot if I wear a gold chain which is not getting relived with pain killers. I also can’t hold a pen or 100 rupee note in my shirt pocket for 10-15min. Easy Neck Muscle fatigue
I also can’t lift the hand/s for 2 minutes above the shoulder.
If I walk for some time for having fitness or to lose weight, I am getting fatigue and the series of problem again starting so I stopped MILD WALKING too.Due to this, I am gaining weight slowly and that decreasing my confidence.
If I stand for 15 minutes, my legs are paining & I feel very weak (orthostatic weakness). Due to this problem, I bunked many operation theatre classes in SURGERY department. Mainly all my problem surrounds on MUSCLES, STRESS, FATIGUE, FEAR.
Recently from past few weeks I am having slight shortness of breath while I walk or talk for 5-10 min.
No weight loss/ loss of appetite or depression or anxiety or any other systemic manifestations except bilateral cataract (observed 12 years back & operated 8 years back), mild left eye ptosis which comes only when moderate work like reading is done and 1 cm painless non-progressive swelling below occipit. I don’t have any bad habits or addictions. I love reading and I am unable to leave reading & thus again series of problems starting.
What I will do to get out of this attack is -
I will try to see movie or go out, forcibly involve in other entertainment activities. But none seems work well, except strong sleep of continuous 12-18hrs sleep for 2-3 days (not sure too).
Misdiagnosed as:
Hypersomnia, hypothyroidism, Depression and Mania, Spondylitis, ocular myasthenia but none got +ve in respective investigations (thyroid profile, MRI neck, Blood picture). The medicines for Depression/Mania didnt help me. I used for 18 months.
My questions are:
Does this condition can happen if accidental ingested toxic food that damage brain neurons or memory center?
Does this can happen if there is bad childhood or Acute mind upset?
Does this condition can occur genetically?
Is this called a Psychiatry Disorder and if it is, How?
What is the provisional diagnosis and Can It be cured?
As this is causing due to studies or work, do I need to quit them totally to lead peaceful life?
What I feel is
As I am having very quick mental or physical exhaustion I might have problem with neurotransmitters .. ? I feel that I suffer with chronic fatigue syndrome ..?
The above problems started 10 years back (age of 18 years) and they are gradually progressed. Presently I am not preparing for PG and I am mentally prepared to be under govt. contract basis job (now) but that also needs some energy and memory which I am not having sometimes and that brings me worry.
Please advise/ suggest me your opinions like How I need to get out of this problem, what investigations I need go, which institution is best to admit, or etc,.Please ask me more questions regarding this problem. "
Give me Urs all feedback/suggestions.
"I am normal and happy person when I don’t involve in any work like reading or journeys or any STRESS kind of activities. But when I involve in any work like reading (which is very much required for PG preparation/ doctor profession), small extra daily activities etc,. My mind is easily tired and exhausting. For example if a normal person exhausts for a threshold of 100% but I get that mental/ physical fatigue for just 15-20% of that.
That mental fatigue is lasting for 2-5 days or more depending on intensity and during that period my mind is not allowing going again to those activities and at that time my mind reacts very slow to external stimuli.
Due to this
1. I am very much feared to read/work as my root CAUSE is reading/working itself. My studies, my work efficiency are dropped a lot. People thinking me as lazy as I look normal externally but they dont see my inner MUSCLE FATIGUE. What i say is EARLY, EASY & EXCESS Fatigue i.e tiredness for small work. I am attending or finishing only 3 out of 10 works due to fatigue.
Examples of easy muscle fatigue
fatigue pain from arms if I rub my body for 30 sec fastly
fatigue pain from arm if I read the newspaper holding it without support for few secs
neck ache if I read a book keeping my neck face downwards
cant hold the baby with both arms for a minute as I get Arms fatigue
SOB if I walk with luggage for some time.
I feel so fatigue to talk with persons sometimes and also I fail to impress them.
2. As 70% of the time is lost & so I am having very less time to enjoy with friends, family and losing their social contact.I dont say my problem as there is a chance abusing my fatigue and memory loss (academic/ personal). Due to this problem, close friends are few to me as I dont have enough time to spare with them.
3. As I will fail to finish my works in time, slowly my body developed work anxiety. (Sometimes)
4. My recent memory (short term memory) is dropping a lot after that mental fatigue attack. For example, If I read a new topic of my syallabus and during attack I am having just 10-12% of it. I will write all my to-do tasks in my mobile as I might forget important events.
5. My mind is not at all interested and afriad or fear in recalling what I read before that attack.
6. I am not getting familiarity with any new procedures etc., even I practice them for enough times which I mean I am losing so much time & memory too during attack and if I want to get familiar. e.g. Delivery (labour). I also fear to clear O.P. as sometimes I may didnt remember the exact treatment of Malaria, like that.
7. Losing confidence and I am fear about developing future psychosocial problems. As I am suffering with normal and downs sessions my mind & body are unable to accommodate them. In future tyhese symptoms might complicate into other psychiatric conditions.
From last 4 years, my neck is paining a lot if I wear a gold chain which is not getting relived with pain killers. I also can’t hold a pen or 100 rupee note in my shirt pocket for 10-15min. Easy Neck Muscle fatigue
I also can’t lift the hand/s for 2 minutes above the shoulder.
If I walk for some time for having fitness or to lose weight, I am getting fatigue and the series of problem again starting so I stopped MILD WALKING too.Due to this, I am gaining weight slowly and that decreasing my confidence.
If I stand for 15 minutes, my legs are paining & I feel very weak (orthostatic weakness). Due to this problem, I bunked many operation theatre classes in SURGERY department. Mainly all my problem surrounds on MUSCLES, STRESS, FATIGUE, FEAR.
Recently from past few weeks I am having slight shortness of breath while I walk or talk for 5-10 min.
No weight loss/ loss of appetite or depression or anxiety or any other systemic manifestations except bilateral cataract (observed 12 years back & operated 8 years back), mild left eye ptosis which comes only when moderate work like reading is done and 1 cm painless non-progressive swelling below occipit. I don’t have any bad habits or addictions. I love reading and I am unable to leave reading & thus again series of problems starting.
What I will do to get out of this attack is -
I will try to see movie or go out, forcibly involve in other entertainment activities. But none seems work well, except strong sleep of continuous 12-18hrs sleep for 2-3 days (not sure too).
Misdiagnosed as:
Hypersomnia, hypothyroidism, Depression and Mania, Spondylitis, ocular myasthenia but none got +ve in respective investigations (thyroid profile, MRI neck, Blood picture). The medicines for Depression/Mania didnt help me. I used for 18 months.
My questions are:
Does this condition can happen if accidental ingested toxic food that damage brain neurons or memory center?
Does this can happen if there is bad childhood or Acute mind upset?
Does this condition can occur genetically?
Is this called a Psychiatry Disorder and if it is, How?
What is the provisional diagnosis and Can It be cured?
As this is causing due to studies or work, do I need to quit them totally to lead peaceful life?
What I feel is
As I am having very quick mental or physical exhaustion I might have problem with neurotransmitters .. ? I feel that I suffer with chronic fatigue syndrome ..?
The above problems started 10 years back (age of 18 years) and they are gradually progressed. Presently I am not preparing for PG and I am mentally prepared to be under govt. contract basis job (now) but that also needs some energy and memory which I am not having sometimes and that brings me worry.
Please advise/ suggest me your opinions like How I need to get out of this problem, what investigations I need go, which institution is best to admit, or etc,.Please ask me more questions regarding this problem. "
Give me Urs all feedback/suggestions.
I dont have neurotransmitter assessment, adrenal investigation, metal toxicity, etc done. From which institute do u feel it is better to go these tests like NIMAHNS, PGI, Etc. We live in Vijayawada, Andhra pradesh. Thanks
Post graduate medical education?
You case should be offered for study perhaps.
It is complex, but I will try to help you.
OK, the basis of your condition(s) must be multifactorial and systemic.
Could you give detailed information about the exact tests, results and lab ranges?
Also detailed dietary habits, nutritional panel, BMI, past traumatic events, stress levels, adrenal investigation, neurotransmitter assessment, hormonal profile, food sensitivities, metal toxicity, hyperventilation, nitric oxide levels, candida, neurological B12 and folate (methylocobalamin and methylfolate) which need a homocysteine CFS test-not serum, not MMA test- medications and more which I may request at another time.
Please provide as much information as possible.
Where do you live btw?
Looking forward to your reply.
Cheers.
Niko
You case should be offered for study perhaps.
It is complex, but I will try to help you.
OK, the basis of your condition(s) must be multifactorial and systemic.
Could you give detailed information about the exact tests, results and lab ranges?
Also detailed dietary habits, nutritional panel, BMI, past traumatic events, stress levels, adrenal investigation, neurotransmitter assessment, hormonal profile, food sensitivities, metal toxicity, hyperventilation, nitric oxide levels, candida, neurological B12 and folate (methylocobalamin and methylfolate) which need a homocysteine CFS test-not serum, not MMA test- medications and more which I may request at another time.
Please provide as much information as possible.
Where do you live btw?
Looking forward to your reply.
Cheers.
Niko
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