How JustAnswer Works:
  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.
Ask DocPhilMD Your Own Question
DocPhilMD
DocPhilMD, Medical Doctor
Category: Endocrinology
Satisfied Customers: 57249
Experience:  Endocrinology Expert
55099014
Type Your Endocrinology Question Here...
DocPhilMD is online now

Now I've had problems with overwhelming fatigue

Resolved Question:

For years now I've had problems with overwhelming fatigue and a long list of unspecific symptoms that go with it. After excluding problems with thyroid, depression, anxiety and a lot of other things, I was told I most likely have Chronic Fatigue Syndrome (in the UK first by my GP, then ME/CFS clinic). However my new GP in Germany wanted to run some additional tests. At my last appointment, as I had been having a lot of heart "problems" recently (mainly palpitations, which I have also had for years and which were several years ago diagnosed as ectopic beats, but these have increased in frequency, severity and length recently) he ordered a 24h ECG and additional blood tests (after speaking to a Endocrinologyst). The GP told me that I also get periods of really fast heart rate - up to over 130, with average over 80. My BP also seems to go up and down a but (it has so far always been really low, with my pulse 60-70 max), and he can't really see a reson for it. And I just got the results of the blood test today and apparently my Sodium (NAU) is really low (48.0 mmol/d with normal values 120-220). My GP's suggestion, taking everything into consideration (including the fact that I had a C-section 10 years go and had to be given blood - which apparently may be the important factor for some reason), is that it may be Addison's, or another hormonal issue. I now have an appointment in with the Endocrinologist in May). But I have to admit I couldn't quite follow what the GP was saying (language problems), I would like to ask for help clarifying the Sodium issue, and perhaps also a view on the whole issue. Thank you in advance.
Submitted: 1 year ago.
Category: Endocrinology
Customer: replied 1 year ago.
I just looked up my results from a year ago, anf the Sodium value was within the norm.
Expert:  DocPhilMD replied 1 year ago.
Do you have any other medical issues?
Customer: replied 1 year ago.
No. Just the overwhelming fatigue etc.
Expert:  DocPhilMD replied 1 year ago.
I agree with your doctor.This is a great findAddison's disease means your adrenal glands are not working.The adrenals produce energy making hormones like adrenaline but also control sodium balance in the body
DocPhilMD and other Endocrinology Specialists are ready to help you
Customer: replied 1 year ago.
Thank you. Do I need to get additional tests by the Endocrinologyst to confirm?
What is the tratment for it?
As I said, I have an appointment scheduled for May - there is no rush, or is there?
Expert:  DocPhilMD replied 1 year ago.
yes you will need additional tests.treatment is replacing the lost hormones.That is a long time to wait.you can go into adrenal crisis
Customer: replied 1 year ago.
What us adrenal crisis? And what do you suggest I do?
Expert:  DocPhilMD replied 1 year ago.
I think you need to ask your current doctor to put you on a low dose hydrocortisone orally. 5 mg three times a day until you see the endo
Customer: replied 1 year ago.
How do I go about asking him? Don't really want to be telling him what to do... And another question, tge low sodium - what can I do about that in the meantime? Can this in itself cause a problem?
Expert:  DocPhilMD replied 1 year ago.
the sodium needs treated with steroids as wellJust ask if you can go on meds for the problem
Customer: replied 1 year ago.
Thank you for your help with the above - I just have one final question - if I may. My GP has now prescribed me Prednisolon 5mg and said that I should see an improvement pretty much instantantly, or if there is no change, this would mean that I don't have Addison's. I've been taking it for a few days now and see no change, other than feeling a bit "funny" in the head. How long should I give it a go?