Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
What Causes Constant Fatigue In A Diabetic And Cardiac Patient?
Posted on
Wed, 29 Apr 2015
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Wed, 29 Apr 2015
Answered on
Fri, 15 May 2015
Last reviewed on
Question : For past one year I am undergoing treatment for prostatomogaly. I am taking Veltam .4 one each at night. For past 20 years I am a cardiac patient too. Taking Metalor 25 5mg morning and night. Astor or 5mg at night, ecosprin75 one at noon and cilacar 10 one at night. Recently I am digonised to be little Diabetic too and advised to take rejumet 500 each at morning and at night. I am aged 65 and having stout body. Dr. I am feeling fatigued always and like to take rest always. Is this due to continued medication or because of aging. Should I need to stop any medicine.
Pl. give advice.
Pl. give advice.
Brief Answer:
Need evaluation for fatigue
Detailed Answer:
Hi Mr XXXXXXX XXXXXXX
Welcome to HCM. Thanks for posting the question. I understand your concerns.
Fatigue can be due to many reasons. In an otherwise healthy person, my usual approach will be
1. Do a clinical examination for anemia, any swelling in neck or body, chest and abdominal examination, neurological ecamination
2. Do blood works
Complete blood count - for anemia, infections etc
Fasting and after food blood glucose, Hba1c - to assess diabetes status
Liver and kidney functions
Lipid profile
Thyroid function tests - common cause of fatigue
Calcium, 25 hydroxy vitamin D, B12
If all investigations are normal, I will do hormonal evaluation like 8 am cortisol and testosterone.
The medications you are taking does not cause significant fatigue though Aztor can cause muscle pains, Rejumet can cause vitamin B12 deficiency and BP medications and Veltam can cause giddiness.
If all possibilities of fatigue are ruled out we can blame it on the age. 65 yrs is still too young to have age related fatigue
Regards
Dr Ajish TP
Consultant Endocrinologist
Need evaluation for fatigue
Detailed Answer:
Hi Mr XXXXXXX XXXXXXX
Welcome to HCM. Thanks for posting the question. I understand your concerns.
Fatigue can be due to many reasons. In an otherwise healthy person, my usual approach will be
1. Do a clinical examination for anemia, any swelling in neck or body, chest and abdominal examination, neurological ecamination
2. Do blood works
Complete blood count - for anemia, infections etc
Fasting and after food blood glucose, Hba1c - to assess diabetes status
Liver and kidney functions
Lipid profile
Thyroid function tests - common cause of fatigue
Calcium, 25 hydroxy vitamin D, B12
If all investigations are normal, I will do hormonal evaluation like 8 am cortisol and testosterone.
The medications you are taking does not cause significant fatigue though Aztor can cause muscle pains, Rejumet can cause vitamin B12 deficiency and BP medications and Veltam can cause giddiness.
If all possibilities of fatigue are ruled out we can blame it on the age. 65 yrs is still too young to have age related fatigue
Regards
Dr Ajish TP
Consultant Endocrinologist
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
