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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Fatigue, Trembling Of Hands And Lack Of Energy?

Hello Am from New Delhi India. I have a variety of abnormal symptoms in my body to start with, am all day without any energy, enthusiasm or happiness in me. i have high and sometimes racing pulse throughout the day. i feel scared of everyone around me. my body starts trembling whenever i try to get angry. am always fatigued, and recently started feeling weak on wrist and knee joints, and started having black stools recently. to tell you, i ve had very bad times in my life during last 5-7 years, and never had a comfortable normal life since childhood, thus developed habit of smoking and eating snus. i ve been doing that for nearly 15-16 years now. i dont have any good sex life at all. i keep thinking about sex and females throughout the day. even talking to a female normally is a big challenge now. my married life (2 years) and sex life both r horrible. Please tell me whats going on. Tell me only whats truth without the fear of hurting me.
posted on Thu, 13 Mar 2014
Twitter Sat, 4 Oct 2014 Answered on
Twitter Mon, 6 Oct 2014 Last reviewed on
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Internal Medicine Specialist,  's  Response
Hello,

I understand what you are going through.
Your symptoms are related to anxiety and depression. The symptoms of racing pulse and feeling angry etc are related to the sympathetic over drive that anxiety produces. The lack of energy, enthusiasm and the unhappiness are related to depression. If you are having tarry stools or abdominal pains, it may mean that you have an erosion or ulcer in your upper gastrointestinal system which again can be stress related. You should have a blood hemoglobin and a stool occult blood done. If these are abnormal should see a gastroenterologist or specialist in Internal Medicine and have it treated on a priority basis.
If these tests are normal you should see a psychiatrist and his team. They will help you get over your problems.
If you have more questions, I am available
Wish you good luck and good health
Dr. Noble Zachariah
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What Causes Fatigue, Trembling Of Hands And Lack Of Energy?

Hello, I understand what you are going through. Your symptoms are related to anxiety and depression. The symptoms of racing pulse and feeling angry etc are related to the sympathetic over drive that anxiety produces. The lack of energy, enthusiasm and the unhappiness are related to depression. If you are having tarry stools or abdominal pains, it may mean that you have an erosion or ulcer in your upper gastrointestinal system which again can be stress related. You should have a blood hemoglobin and a stool occult blood done. If these are abnormal should see a gastroenterologist or specialist in Internal Medicine and have it treated on a priority basis. If these tests are normal you should see a psychiatrist and his team. They will help you get over your problems. If you have more questions, I am available Wish you good luck and good health Dr. Noble Zachariah