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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Fatigue,dizziness And Breathlessness?

So about 5-6yrs ago I all of a sudden I got extreme fatigue that was all day everyday for over a year. On a scale from 1-10, it was a 12. Tiredness to the point of feeling faint & dizzy like I m going to pass out. I would have to leave the store and go sit in my car until the feeling would pass, so I could go home. It has gone from that 12 to about a 5, but now I also feel sick to my stomach all the time. I also have bad heart racing and sometimes flip flopping feeling and really bad shortness of breath. I ve had blood test and even a heart monitor once, I m always told the tests are normal. I remember what normal feels like, and it s not this! This isn t even functional.
posted on Tue, 3 May 2016
Twitter Thu, 2 Jun 2016 Answered on
Twitter Fri, 3 Jun 2016 Last reviewed on
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Ayurveda Specialist,  's  Response
1. Since the blood test and cardiac monitoring were within normal limits thus one should exclude CFS (chronic fatigue syndrome) disease

2. At present there are no diagnostic laboratory investigation that can be performed for CFS, and it remains a diagnosis of exclusion

3. One should also exclude common manifestations like: hypothyroidism, diabetes, and anemia, depression/anxiety

4. Useful investigation are:
. Liver function tests
. Thyroid function test
. Full blood count
. Serum ferritin
.Anti nuclear antibody and rheumatoid factor
. Creatine kinase

5. Treatment option include:
. Cognitive behavioral therapy (CBT) & graded exercise therapy since no pharmacological and complementary therapy has been proven to be effective.
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What Causes Fatigue,dizziness And Breathlessness?

1. Since the blood test and cardiac monitoring were within normal limits thus one should exclude CFS (chronic fatigue syndrome) disease 2. At present there are no diagnostic laboratory investigation that can be performed for CFS, and it remains a diagnosis of exclusion 3. One should also exclude common manifestations like: hypothyroidism, diabetes, and anemia, depression/anxiety 4. Useful investigation are: . Liver function tests . Thyroid function test . Full blood count . Serum ferritin .Anti nuclear antibody and rheumatoid factor . Creatine kinase 5. Treatment option include: . Cognitive behavioral therapy (CBT) & graded exercise therapy since no pharmacological and complementary therapy has been proven to be effective.