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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Loss Of Appetite,fatigue And Sleeplessness?

Hello I am 24 and the last eight weeks I have lost my appetite I will seriously go a couple of days without eating anything. I am always tired no energy but can not sleep I will go a couple days without sleeping as well and a few days ago I woke up with little bruises all over both my thighs it's starting to worry me. Please help!!
posted on Mon, 8 Jun 2015
Twitter Wed, 10 Jun 2015 Answered on
Twitter Thu, 11 Jun 2015 Last reviewed on
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Psychiatrist,  's  Response
Hello thanks for asking from HCM for your health related queries

I can understand your concern. The symptoms like lack of appetite, persistent fatigue, tiredness, sleeplessness can be occurring due to some depressive episode. In depression with somatic symptoms such symptoms are seen. You are not able to sleep properly since last 8 weeks so there is need to visit a doctor for help. If the diagnosis comes out to be depression then visit a psychiatrist. Medicines like SSRIs are used in depression. Paroxetine, Sertraline etc can be used for persistent depressive symptoms and will help to improve appetite also. Apart from this for the complaints of bruises over thighs visit a doctor for evaluation.

Chronic vitamin B12 deficiency, hypothyroidism etc are also other medical causes that can cause similar symptoms. In both cases reduced appetite, persistent tiredness, weakness, fatigue etc symptoms are seen. Consult your doctor to rule out these causes.

Thanks, I hope this helps you. Take care

Dr. Seikhoo Bishnoi,
Psychiatrist
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What Causes Loss Of Appetite,fatigue And Sleeplessness?

Hello thanks for asking from HCM for your health related queries I can understand your concern. The symptoms like lack of appetite, persistent fatigue, tiredness, sleeplessness can be occurring due to some depressive episode. In depression with somatic symptoms such symptoms are seen. You are not able to sleep properly since last 8 weeks so there is need to visit a doctor for help. If the diagnosis comes out to be depression then visit a psychiatrist. Medicines like SSRIs are used in depression. Paroxetine, Sertraline etc can be used for persistent depressive symptoms and will help to improve appetite also. Apart from this for the complaints of bruises over thighs visit a doctor for evaluation. Chronic vitamin B12 deficiency, hypothyroidism etc are also other medical causes that can cause similar symptoms. In both cases reduced appetite, persistent tiredness, weakness, fatigue etc symptoms are seen. Consult your doctor to rule out these causes. Thanks, I hope this helps you. Take care Dr. Seikhoo Bishnoi, Psychiatrist