Suggest Treatment For Severe Fatigue And Stomach Pain

Posted on Mon, 21 Nov 2016

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Mon, 21 Nov 2016 Answered on

Mon, 12 Dec 2016 Last reviewed on

Question : I have been feeling very fatigued for the past week or so. I don't want to eat; everything seems to upset my stomach. I also have SPMS and am taking Nuvigil and Cymbalta. I have absolutely NO energy! Thank you, XXXXXXX

Answered by Dr. Prof. Kunal Saha (2 hours later)

Brief Answer:
Needs management of the underlying cause.

Detailed Answer:
Thanks for asking on HealthcareMagic.

Please clarify if you mean Secondary progressive Multiple Sclerosis when you mention SPMS? Nuvigil (armodafinil) and Cymbalta (duloxetine) seem to be given with a different purpose. A proper clinical evaluation is required to identify the condition that you have. Based on the findings, unless the underlying cause is treated properly, disability may result. So, I would strongly insist you to visit a neurologist and to get yourself evaluated.

Going through the following link should help:
http://www.nationalmssociety.org/What-is-MS/Types-of-MS/Secondary-progressive-MS

You would also need to get your thyroid profile checked as low thyroid levels can lead to a feeling of having 'no' energy.

Regards

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar