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Ask Dr. Saleem Your Own Question
Dr. Saleem
Dr. Saleem, Board Certified Physician
Category: Endocrinology
Satisfied Customers: 1903
Experience:  Two years experience of internal medicine also adept in the diagnosis and treatment of endocrinology related disorders.
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I am a 39 year old female with rheumatoid arthritis,

Customer Question

Hi, I am a 39 year old female with rheumatoid arthritis, suspected Sjoegren's and an underactive thyroid.
My meds are:
Thyroxine - 300micrograms daily
Leflunomide - 20mg daily
Sertraline - 100mg daily
Cimzia - fortnightly injection
I have had back to back chest infections since January with multiple courses of antibiotics. My chest is clear (x-ray). I got a virus a couple of weeks ago and then costochondritis (spelling? Infection in rib cartilage). Ultrasound scan showed gall bladder and kidneys clear but found 6cm, thin walled, fluid cyst on tight ovary.
The problem I have is total exhaustion. I am going to bed at 7pm and sleeping through till 7am. I then need a further four hours sleep during the day. I am not drinking any alcohol, eating healthy, fresh food (appetite lower than normal) and drinking plenty of water.
I have lost about half a stone and now weigh 8 stone (I'm 5'6" so this may not be an issue).
Do you think I've got post viral fatigue or could it be my thyroid? Last tests showed thyroid in normal range (one month ago).
Thanks,
Anna
Submitted: 1 month ago.
Category: Endocrinology
Expert:  Dr. Saleem replied 1 month ago.

Hello and welcome to JA. Dr Saleem here. Will be answering you shortly

Expert:  Dr. Saleem replied 1 month ago.

For how long have you been bothered by constant fatigue ?

Besides thyroid and related autoimmune conditions you are having , fatigue could be caused by a condition called chronic fatigue syndrome.

CFS is a debilitating disorder characterized by extremefatigue or tiredness that doesn't go away with rest, and can't be explained by an underlying medical condition.

As its a broad topic so i would like you to have a look at the following link ,j hope it proves useful;

http://www.mayoclinic.org/diseases-conditions/chronic-fatigue-syndrome/basics/definition/con-20022009

hope it answered your query.

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Expert:  Dr. Saleem replied 1 month ago.

Sertraline itself adds to fatigue and drowsiness besides other reasons mentioned above.

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