Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
What Causes Severe Fatigue, Depression And Chronic Back Pain With Tooth Infection?
Question: been very fatigued lately. might be depressed as i have had some tooth infections and recent removals of teeth. also some chronic back pain. no energy and irritable most of the time.
Brief Answer:
I would recommend as follows:
Detailed Answer:
Hello!
Welcome and thank you for asking on HCM!
Regarding your concern, I would explain that it is important performing a comprehensive differential diagnosis of different causes that may lead to this clinical symptomatology:
- a chronic infection (especially considering your tooth infections)
- chronic anemia
- chronic inflammation
- vitamin D or vitamin B12 deficiency
- thyroid dysfunction
- adrenal gland dysfunction
For this reason, I recommend consulting with your attending physician and performing some tests:
- a resting ECG
- complete blood count
- inflammation tests
- thyroid hormone levels
- cortisol plasma levels
- blood electrolytes
- vitamin B12 and vitamin D levels
If all the above tests result normal, you should consider chronic fatigue syndrome or depression as the possible cause of your symptoms.
In such case an antidepressant (like duloxetine, paroxetine, sertraline, etc.) would be helpful.
Otherwise, treating the possible cause (if revealed by the above tests) would help relieve your symptoms.
Hope you will find this answer helpful!
Kind regards,
Dr. Iliri
I would recommend as follows:
Detailed Answer:
Hello!
Welcome and thank you for asking on HCM!
Regarding your concern, I would explain that it is important performing a comprehensive differential diagnosis of different causes that may lead to this clinical symptomatology:
- a chronic infection (especially considering your tooth infections)
- chronic anemia
- chronic inflammation
- vitamin D or vitamin B12 deficiency
- thyroid dysfunction
- adrenal gland dysfunction
For this reason, I recommend consulting with your attending physician and performing some tests:
- a resting ECG
- complete blood count
- inflammation tests
- thyroid hormone levels
- cortisol plasma levels
- blood electrolytes
- vitamin B12 and vitamin D levels
If all the above tests result normal, you should consider chronic fatigue syndrome or depression as the possible cause of your symptoms.
In such case an antidepressant (like duloxetine, paroxetine, sertraline, etc.) would be helpful.
Otherwise, treating the possible cause (if revealed by the above tests) would help relieve your symptoms.
Hope you will find this answer helpful!
Kind regards,
Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
