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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Fatigue And Swollen Ankle

MY girlfriend has excessive fatigue and gets very sleepy out of nowhere. It doesnt matter how much sleep she gets \,she will wake up in the morning after 8 hours sleep and by the afternoon she is falling asleep at her desk. I am very concerned with her driving home after work. Also around the same time that this started happening she gained weight and her ankles swell badly. I have tried to elevate her feet at night,which helps for a few hours but again by the afternoon they are right back where they were the evening before.
Wed, 29 Oct 2014
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Orthopaedic Surgeon 's  Response
Hi,Thanks for your query. After going through your query I think your girlfriend is having extreme fatigue throughout your whole body. In my opinion these pains are likely to be due to vitamins and trace element deficiency specially that of vitamin D.I will suggest you to got following test to see cause .1.Serum Vitamin D2.Serum Vitamin B12 3.Blood sugar fasting and PP4.T3,T4,TSH. Furthermore I empirically treat my such patients by: 1.EVION LC2.VITAMINE D3(if it is low)3.VITAMIN B COMPLEX AND VITAMIN C 4.CALCIUM5.Mecobalmine 6.ANALGESICS such as ibuprofen to relive pain. You can discuss with your treating Doctor about it. You should also investigate her for cardiac ,thyroid and kidney function test to know cause of swelling ankles. I think hypothyroidism can explain all these symptoms. Hope I have answered your query. If you have any further questions I will be happy to help. Wishing you good health. Take care.
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Suggest Treatment For Fatigue And Swollen Ankle

Hi,Thanks for your query. After going through your query I think your girlfriend is having extreme fatigue throughout your whole body. In my opinion these pains are likely to be due to vitamins and trace element deficiency specially that of vitamin D.I will suggest you to got following test to see cause .1.Serum Vitamin D2.Serum Vitamin B12 3.Blood sugar fasting and PP4.T3,T4,TSH. Furthermore I empirically treat my such patients by: 1.EVION LC2.VITAMINE D3(if it is low)3.VITAMIN B COMPLEX AND VITAMIN C 4.CALCIUM5.Mecobalmine 6.ANALGESICS such as ibuprofen to relive pain. You can discuss with your treating Doctor about it. You should also investigate her for cardiac ,thyroid and kidney function test to know cause of swelling ankles. I think hypothyroidism can explain all these symptoms. Hope I have answered your query. If you have any further questions I will be happy to help. Wishing you good health. Take care.