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Ask Dr. Arun Phophalia Your Own Question
Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor
Category: Medical
Satisfied Customers: 63003
Experience:  MBBS MS. Post doctoral fellowship in Sports Medicine. General surgeon and sports medicine specialist
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I have problems with body temp, weakness and sleep patterns

Customer Question

Hi I have problems with body temp, weakness and sleep patterns
Submitted: 15 days ago.
Category: Medical
Expert:  Dr. Arun Phophalia replied 15 days ago.

Welcome to Just Answer.

Answers here are for education and information.

I will respond shortly with an answer or further information request.

Expert:  Dr. Arun Phophalia replied 15 days ago.

What are your age and gender?

Since when are your symptoms?

What are the investigations and treatments done for these symptoms?

Customer: replied 15 days ago.
I am 23, Female . This winter I was unable to heat up when I shivered alongside going to sleep early and not waking up for over 12hrs. It has gotten progressively worse and is not psychological in nature as that has been ruled out.
Customer: replied 15 days ago.
I am a sports coach and after exercise, I am unable to move for days
Expert:  Dr. Arun Phophalia replied 15 days ago.

What did your blood work/investigations show?

Customer: replied 15 days ago.
They have been inconclusive
Expert:  Dr. Arun Phophalia replied 15 days ago.

Which tests were done?

Expert:  Dr. Arun Phophalia replied 15 days ago.

You would need the following investigations:

Complete blood count (CBC)

Liver function tests

Thyroid function tests

Erythrocyte sedimentation rate (ESR)

Serum electrolyte level measurement

Immunoglobulin M (IgM)/immunoglobulin G (IgG) coxsackievirus B titer

IgM/IgG human herpesvirus 6 (HHV-6) titer

IgM/IgG C pneumoniae titer

Autoimmune panel

Anemia panel.

The causes of fatigue and your symptoms;

Thyroid disease

Connective tissue diseases

Chronic anemia

Neoplastic disease

Chronic infections like Epstein Barr virus

Endocrine diseases (Addison disease).

Chronic fatigue syndrome

Myasthenia Gravis.

I hope your symptoms resolve soon.

I would be happy to assist you further if you need any more information.
Thanks for using JustAnswer.

Customer: replied 15 days ago.
A full blood count, thyroid, diabetes and I believe autoimmune testing as they thought I had sarcoidosis.
Customer: replied 15 days ago.
My chest x ray showed 2 enlarged lymphnodes
Expert:  Dr. Arun Phophalia replied 15 days ago.

You may consider the following also;

1) Recurring episodes of weakness should raise the question of periodic paralysis.

2) Weakness exacerbated by effort and relieved by rest is characteristic of myasthenia gravis.

3) Proximal muscle weakness suggests a myopathy, whereas distal muscle weakness is more consistent with a peripheral neuropathy or pyramidal tract disorder. Myopathy would be detected by a blood test creatinine kinase.

4) Recurring episodes of apprehension, tremulousness, and palpitations are seen with generalized anxiety.

5) Weakness or fatigue that occurs only after work, fasting or insufficient sleep is most likely explained by normal physiologic mechanisms.

6) All prescription and over-the-counter medications should be considered. Frequently used medications such as antihypertensives, sedative-hypnotics, antidepressants, tranquilizers, and antihistamines are common causes of fatigue.


Customer: replied 15 days ago.
Thank you so much that is very useful. I have been so baffled. My body is alien to how I normally feel
Expert:  Dr. Arun Phophalia replied 15 days ago.


You are very welcome.

Wishing you a speedy resolution and all the very best in life.

It was a pleasure to assist you.

Thank you.

Stay blessed.

Customer: replied 15 days ago.
You be blessed 2. I've been searching for a solution as I had to get rid of Trigeminal neuralgia myself once before, there is always a way out of a medical issue.
Expert:  Dr. Arun Phophalia replied 15 days ago.

Thank you.

Good luck.