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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Tiredness, Back, Neck Pain, Drowsiness, Irritability. Causes And Treatment?

For the past several months, I have been tired. So tired that I sleep for more than 10/12 hours. I wake up and my back and neck ache through out the day. I also feel drowsy....like I have only slept for a hour. I haven t had much of an appetite either. And, I m incredibly irritable and moody. I feel like something is wrong with me and for the past three weeks I have been taking b12, Iron, and Vit C to see if that helps. No luck. I might add that Im a vegetarian and I rarely work out. ???? Any answers
Mon, 28 Jan 2013
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General & Family Physician 's  Response
Hello,

Thanks for the post

From your presentation there are wide range of possibilities that could be evoked ranging from possible underlying diseases condition such as electrolytic/mineral disorder, vitamin deficiency, anemia, presence of infection, tumor etc and psychosocial disorder (which in my opinion is the most likely). But first you will need to see a doctor who would normally have to run some blood test to make sure that you are not suffering from an underlying diseases condition. Test such as blood panel, kidney function, liver function, evaluate the heart with ECG, ultrasound and possible some heart enzymes (yes sounds like many tests to do, but useful when a patient is presenting with unspecific-to a particular diseases-symtoms). If all of this come out clean, then you are most likely suffering from a pscyhosocial illness such as depression (given the symptoms you have presented) that will require the attention of a psychiatrist or neuropsychiatrist. Doing exercises and improving/increasing your social interactions is probably a good way to start.

Hope this helps
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Tiredness, Back, Neck Pain, Drowsiness, Irritability. Causes And Treatment?

Hello, Thanks for the post From your presentation there are wide range of possibilities that could be evoked ranging from possible underlying diseases condition such as electrolytic/mineral disorder, vitamin deficiency, anemia, presence of infection, tumor etc and psychosocial disorder (which in my opinion is the most likely). But first you will need to see a doctor who would normally have to run some blood test to make sure that you are not suffering from an underlying diseases condition. Test such as blood panel, kidney function, liver function, evaluate the heart with ECG, ultrasound and possible some heart enzymes (yes sounds like many tests to do, but useful when a patient is presenting with unspecific-to a particular diseases-symtoms). If all of this come out clean, then you are most likely suffering from a pscyhosocial illness such as depression (given the symptoms you have presented) that will require the attention of a psychiatrist or neuropsychiatrist. Doing exercises and improving/increasing your social interactions is probably a good way to start. Hope this helps