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Talk to Internal Medicine on Exertion / Weakness

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Asking for Self, Male, 29 years old, Lahore

Aslamualekum,

Mje pehly anxiety ka issue tha jis ki waja sy chronic stress rha 3 weeks. Is k doran mje na nend ati thi na he thek sy khana khaya jata tha. Lekin ab almost 2 months hogae hen. Weakness thori behtr he. Vit D = 25 aya tha and vit b12 = 263. Ye almost 1.5 months pehly test karwaya tha us k bad me ne Sunny D stat k 3 capsules consume kiye jis sy kafi farak para. Meri ab diet b thek he.

But weakness khtm ni ho re. Mostly weakness exertion ki waja sy hoti he. Thori exercise k bad brain fog type feel hota he. lack of concentration , legs and arms weakness (jo k kabi kabi hoti he) and is ko recover karty hue 1-2 din lg jaty hen us k bad thora better feel hota he. Me ne Surbex Z use kea us sy koi faraq ni para. But omvit tab use ki ek week us sy ek week healthy feel hua and jb us ko chora us k phr weakness he..

Kya koi bta skta he konsa vitamin ya mineral lack kar rha he jis ki waja sy ye issue ho ra he???

Internal Medicine Specialist in Islamabad - Asst. Prof. Dr. Ehtsham Hafeez

Asst. Prof. Dr. Ehtsham Hafeez - Internal Medicine Specialist

MD (Doctor of Medicine in General Medicine), MRCP (Medicine) | Islamabad

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46 Positive Reviews

Are you loosing weight? have done any other blood tests? Get your blood cp, ESR and ANA with Urine R/E

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Post Owner


thanks for replying sir. Initially I lost 5 kg when i was stressed but after recovering from stress I have gain 2-3 kg back so far. My CBC and Lfts are normal. Not taken ESR and ANA. After exercise or any exertion i loose energy. What can be the reason.

4 years ago

Internal Medicine Specialist in Islamabad - Asst. Prof. Dr. Ehtsham Hafeez
Asst. Prof. Dr. Ehtsham Hafeez - Internal Medicine Specialist

MD (Doctor of Medicine in General Medicine), MRCP (Medicine) | Islamabad | Book Appointment

review-stars 46 Positive Reviews

did you check your TSH

4 years ago

Member

Post Owner


Yes. It is also normal. Is there any way i can know that which mineral or vitamin I am lacking?

4 years ago

Member

Post Owner


Sir I was prescribed with inderal for palpitations due to stress for 3 weeks. All this exertion has started after using that. But i have left inderal 2 months ago.

4 years ago

Member

Post Owner


Kndly help

4 years ago

Dermatologist in Karachi - Dr. Warda Amin Shaikh

Dr. Warda Amin Shaikh - Dermatologist

MBBS, MCPS ( Dermatology) | Karachi

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261 Positive Reviews


check your blood glucose levels
get thyroid profile done
get UCE levels done
get serum magnesium and phosphorus done too

Member

Post Owner


Thanks for your response. I have checked sugar level and thyroid. Both are normal. Should I conduct UCE and serum M and P after exertion or anytime? Do you think it might be happening because of adrenal fatigue?

4 years ago

Dermatologist in Karachi - Dr. Warda Amin Shaikh
Dr. Warda Amin Shaikh - Dermatologist

MBBS, MCPS ( Dermatology) | Karachi | Book Appointment

review-stars 261 Positive Reviews

u can go for that any time not necessary after exertion

4 years ago

Internal Medicine Specialist in Abbottabad - Asst. Prof. Dr. Nighat Jamal

Asst. Prof. Dr. Nighat Jamal - Internal Medicine Specialist

MBBS, FCPS (Medicine), Diploma Diabetes Education, Diploma Ultrasound Abdomen | Abbottabad

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59 Positive Reviews

Inderal do cause lathargy, how much is the dose ,how is your sugar level
so switch to another drug at the same time you may need to consult specialist as need detail history along with some clinical examination .tiredness has many other causes

Member

Post Owner


Thank you for you reply. I have used it for 3 weeks then withdrawn it. From the day I have started taking it. I got weakness and exertion issues. I think i have got vitamins or minerals shortage as two of those (B12 and D) were down. Now I have taken 3 tablet in one month of sunny D stat. feeling muscles better but still weakness.
In short if I take Omvit multivitamin and mineral, it makes me feel good. But after fee days i start feeling fatigue.
Can you please suggest me something to know what mineral or vitamin is causing the issue?

4 years ago

Member

Post Owner


ALHAMDULILLAH, my sugar levels are normal

4 years ago

Internal Medicine Specialist in Abbottabad - Asst. Prof. Dr. Nighat Jamal
Asst. Prof. Dr. Nighat Jamal - Internal Medicine Specialist

MBBS, FCPS (Medicine), Diploma Diabetes Education, Diploma Ultrasound Abdomen | Abbottabad | Book Appointment

review-stars 59 Positive Reviews

what type of job you have?

4 years ago

Internal Medicine Specialist in Abbottabad - Asst. Prof. Dr. Nighat Jamal
Asst. Prof. Dr. Nighat Jamal - Internal Medicine Specialist

MBBS, FCPS (Medicine), Diploma Diabetes Education, Diploma Ultrasound Abdomen | Abbottabad | Book Appointment

review-stars 59 Positive Reviews

if you have done your B12 level and that was low then you need to have B12 level life long .so better just to have complete blood count and share report

4 years ago

Member

Post Owner


I am software engineer. I was feeling good before this anxiety issue. After getting on medicines I have suffered from this tiredness. What should i take for B12? I am eating meat regularly almost 2-3 times per week.

ALHAMDULILLAH, CBC is also normal. I believe that some vitamin or mineral is the reason.

4 years ago

Internal Medicine Specialist in Abbottabad - Asst. Prof. Dr. Nighat Jamal

Asst. Prof. Dr. Nighat Jamal - Internal Medicine Specialist

MBBS, FCPS (Medicine), Diploma Diabetes Education, Diploma Ultrasound Abdomen | Abbottabad

review-stars

59 Positive Reviews

Reduce your screen time,go out and walk ,add magnesium and zinc,Also Sun exposure will help .take Vit D regularly .If still lathary and weak ,do your blood pressure check sitting and after two mins after standing, if any change or drop of BP let me know again .

Member

Post Owner


Okay. Thank you so much

4 years ago

Internal Medicine Specialist in Abbottabad - Asst. Prof. Dr. Nighat Jamal

Asst. Prof. Dr. Nighat Jamal - Internal Medicine Specialist

MBBS, FCPS (Medicine), Diploma Diabetes Education, Diploma Ultrasound Abdomen | Abbottabad

review-stars

59 Positive Reviews

Do remember that depression is still under diagnosed in our country .so if above mentioned results don't apply to you or no medical cause Be found ,don't hesitate to consult psychiatrist.

Member

Post Owner


U are right. I have been through stress and anxiety for 2 months. I have tried many medicines like citanew, benzos, inderal, SSris. They all have given me weakness. I felt like my central nervous system is always unconscious whenever i had taken these. And currently what i am suffering is because of it. So i switched to psychologist he helped me through CBT. My anxiety is much better. Bt trying to get those vitamins back.

4 years ago

Internal Medicine Specialist in Abbottabad - Asst. Prof. Dr. Nighat Jamal
Asst. Prof. Dr. Nighat Jamal - Internal Medicine Specialist

MBBS, FCPS (Medicine), Diploma Diabetes Education, Diploma Ultrasound Abdomen | Abbottabad | Book Appointment

review-stars 59 Positive Reviews

Do see a good psychiatrist too,beside psychologist ,but still above mentioned strategy will help you

4 years ago

Member

Post Owner


Yes sure. Thanks for your kindness.

4 years ago

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