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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Fatigue And Pain Be Dealt With?

How do you deal with the fatigue and pain without falling into alcohol and depression? I have all the symptoms of lupus but my blood tests come back neg. I feel like a fraud so I drink to help not feel so bad, but I know its not helping at all! Something is wrong with me, but its hard to believe its not in my head. My Dr. is supportive but....
Tue, 7 Jul 2015
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Psychiatrist,  's  Response
hello user , i understand your concern. feeling of early fatigability , tiredness and feeling "not so well" can be symptoms of a dysthymic/depressive illness too and in that case , one usually does not find anything abnormal in blood tests and imaging , especially if you have other symptoms of depression like feeling low mood, easily moved to tears, sleep irregularities, low appetite , pessimistic thoughts for future, difficulty in concentration , death wishes etc .....if you have some of these symptoms - do consult a psychiatrist for proper evaluation and treatment with antidepressant medicines . however one still have to rule out some of the endocrinological causes like diabetes,hypothyroidism,hypercortisolemia - nutritional deficiencies like vitamin b12, iron , folate deficiencies , autoimmune conditions etc. which can be ordered by your prescribing doctor or the psychiatrist . in any case , alcohol will not solve any of your problems - but medicines can . hope i answered your query - any followup queries are welcome . if satisfied please rate the answer
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How Can Fatigue And Pain Be Dealt With?

hello user , i understand your concern. feeling of early fatigability , tiredness and feeling not so well can be symptoms of a dysthymic/depressive illness too and in that case , one usually does not find anything abnormal in blood tests and imaging , especially if you have other symptoms of depression like feeling low mood, easily moved to tears, sleep irregularities, low appetite , pessimistic thoughts for future, difficulty in concentration , death wishes etc .....if you have some of these symptoms - do consult a psychiatrist for proper evaluation and treatment with antidepressant medicines . however one still have to rule out some of the endocrinological causes like diabetes,hypothyroidism,hypercortisolemia - nutritional deficiencies like vitamin b12, iron , folate deficiencies , autoimmune conditions etc. which can be ordered by your prescribing doctor or the psychiatrist . in any case , alcohol will not solve any of your problems - but medicines can . hope i answered your query - any followup queries are welcome . if satisfied please rate the answer