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Anthony Osula
Anthony Osula, Doctor
Category: Neurology
Satisfied Customers: 623
Experience:  MB ChB DRCOG
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What should I do if my chronic fatigue syndrome and/m.e is

Customer Question

What should I do if my chronic fatigue syndrome and/m.e is just getting worse rapidly as nothing's helping? Also Is there any kind of inpatient services for this kind of thing or would a hospital be able to keep me in overnight at some point for observations
JA: Have you seen a doctor about this yet? What medications are you taking?
Customer: I have to take quite a lot of medications because of my cfs and fibromyalgia aswell as other issues, I have seen some different doctors but they just say to push through things and 'just to wait to see how I get on with my cfs'
JA: Anything else in your medical history you think the Doctor should know?
Customer: I'm not sure I have spinal/orthopaedic problems which aren't really a problem at the moment and I have asthma/allergies, my allergies are usually well controlled, my asthma + cfs can sometimes affect each other
Submitted: 5 days ago.
Category: Neurology
Expert:  Anthony Osula replied 5 days ago.

Hi, thanks for your query,

In what way are your symptoms getting worse?

Customer: replied 5 days ago.
The severity of a lot of my symptoms is getting worse, I'm getting more symptoms, It's getting even harder for me to walk/stand now or remember/focus on things and I'm not physically coping very well dealing with it all anymore/looking after myself
Customer: replied 5 days ago.
As I don't have the energy or the strength anymore
Customer: replied 5 days ago.
Also my joints and muscles keep on giving up on me
Expert:  Anthony Osula replied 5 days ago.

are you on any medication?

Customer: replied 5 days ago.
quite a bit, would you like a list
Expert:  Anthony Osula replied 5 days ago.

yes please

Expert:  Anthony Osula replied 5 days ago.

I'll be back in 10 mins after you sent the lisrt

Customer: replied 5 days ago.
Ferrous sulfate
Colecalciferol capsules
Citerizine antihistamines
Duoresp spiromax
Spiriva respimat
Carbomer eye gel
Tretinoin and Clindamycin gel
Sayanna press
Liquid paracetamolAnd often dulcoease as I'm struggling to get my bowels to work much
Customer: replied 5 days ago.
I also get nerve root injections and I'm on a high protein low fodmap diet with probiotics (usually probiotic drinks like actimel)
Expert:  Anthony Osula replied 5 days ago.

ok, nothing in your list would be contributing to your symptoms

You need to be referred to a CFS clinic or rhuematologist dealing with CFS which your GP can do as your symptoms are getting severe

I know some consultants have tried Vitamin B12 for some people which they've found effective

Customer: replied 5 days ago.
Thank you, I'm under the chronic fatigue service at Newcastle upon Tyne and everything they've tried so far hasn't helped my cfs. Should I see if there's other treatment options they can offer?Also is vitamin b12 better prescribed or would it be okay to get over the counter?
Expert:  Anthony Osula replied 5 days ago.

Vit b12 would be the injection form and usually tried by the CFS clinics, as no other Drs would do it due to lack of evidence base, so in some cases you might even have to go privately

Customer: replied 5 days ago.
Thank you
Expert:  Anthony Osula replied 5 days ago.

no worries