Help, I feel awful For years I have had pain

Patient

Q: Help, I feel awful. For years I have had pain in my neck and shoulders causing muscle weakness and numbness in my arms. Have daily headaches, extreme fatigue, and was recently diagnosed with IST. I take digoxin, propafenone,and cymbalta.
Just got labs and xrays done...cervical xrays negative.
Labs:
WBC 12.5
LYMPHOCYTES 2.77
NEUTROPHILS 8.80
AST 47
ALT 56
BUN/CR RATIO 30.8
VIT D 23.4

ANY IDEAS??

Symptoms:  Fatigue, neck/shoulder pain, headache
Doctor

A:   Welcome to Ask The Doctor. We are here to help you.

Usually such generalized fatigue, stress, weight loss are due to anxiety or fibromyalgia.
However to state that we should first of all rule out issues like Anemia, Calcium and Vitamin D deficiency.
In case you snore in night, you might be having Obstructive sleep apnea, that can be one of the reason for the tiredness and yawning in the day time.
Ask your family members, if you snore excessively in night then you need to get a Sleep study done and to work for weight loss in case you are overweight.

I would advise you to get following tests done:
1. Fasting Blood Sugar- to rule out diabetes
2. Thyroid Profile- to rule out hypothyroidism
3. Hemogram- to check for anemia.
4. Serum Calcium and Vitamin D levels- to see for the deficiencies.
If any issues are found in your reports you would be treated accordingly. Otherwise your Doctor will treat you with SSRI's like Fluoxetine, Escitalopram.

I hope it helps.
Stay Healthy

Related Q&A

Q: I was inner tubing down a steep hill and fell off onto a patch of ice. I hit my elbow directly. I am able to move my ...

Q: Hello, My mother had severe pain and numbness in legs around 2 months ago. She was not able to walk freely. Spine ...

Q: RN of 27 years lifted a patient falling out of a w/c. That was the 13th. Increasing abdominal, hip, thigh pain despit...

Q: Im a 43 year old male and about a day and a half ago I started experiencing a dull pain from my scrotum (or left test...

Q: I have had a sore throat and pain along the side of my tongue (left lateral side) for nearly a full year now. I have ...

 
DOCTOR ADVISORY BOARD
218

Dr. James Obaji M.D.

  • 247 Reviews
  • Family Physician
173

Dr. Suneel Sharman M.D.

  • 190 Reviews
  • Family Physician
138

Dr. Pat Golden M.D.

  • 169 Reviews
  • Cardiologist
98

Dr. Kunaal Jindal M.D.

  • 112 Reviews
  • Plastic Surgeon
CNN
BBC
MSNBC
CBS
abcNews
FoxNews