Helped Over 500,000 patients with 98%+ satisfaction.

Connect & Get Personalized 1-to-1 Answers from Expert Doctors

DoctorSpring > Question Home

Why am I feeling suddenly tired every month with normal blood tests?

Resolved Question:

Every month, for no apparent reasons, I am feeling suddenly tired. It is like a step function. I have no other symptoms: no sore throat, no digestion issues, nothing. I do not have a specific stressful even that triggers it. However, it happens approximately on a monthly basis. Each time it happens, it last for 7-8 days. I had my annual exam and my doctor checked my blood. Everything was normal: no anemia, thyroid was OK, cell counts, etc. Everything was within the range. I eat well and exercise 5 days a week for 30 min. What could I possibly have? What are the next exams I should do?

Category: Internal Medicine Specialist

Ask Your Own Question

Category: HIV- AIDS Specialist
 25 Doctors Online

Thank you for choosing doctorspring.com.

I understand your concern and will do my best to help you. When there are no other major symptoms, and a physical evaluation and workup is also normal, it indicates that you do not have anything major. However, I require a few additional details in order to provide my best opinion.

1. Please mention your gender.

2. Does the tiredness occur at exactly the same time every month?



3. Since how long are you having this tiredness? Any history of fever recently?



4. Do you have any shortness of breath, palipations, chest pain etc?



Please reply in the follow up and feel free to ask queries, if any.

Thank you.



Patient replied :

Thank you for the reply. Here are my answers 1 - I am male (38) 2 - It does not happen at the same time. The last 4 times started on 4/7, 4/27, 5/17 and 6/16. It always last 7-8 days though. 3 - I log them since the April. It has happened for a couple of years with a frequency of about 1 to 3 months 4 - I don't have any of those symptoms.


Hello.

Thank you for your replies.

Keeping in view all the information you have provided, it seems that you have Idiopathic Chronic Fatigue. This is a very common condition found in as much as two-thirds of patients with chronic fatigue. The exact cause of this condition is not yet known. The symptoms usually include an inability to initiate activity (perception of generalized weakness, in the absence of objective findings), reduced capacity to maintain activity (easy fatiguability); and difficulty with concentration, memory, and emotional stability (mental fatigue).

Absence of good quality sleep can worsen the fatigue. So it is very important that you get good sleep.

You do not require any additional tests for now.

Management of this condition is mainly by cognitive behavioral therapy (CBT) and graded exercise therapy (GET). Iron supplementation, even in the absence of anemia has shown to help in reducing fatigue.





I have the following recommendations.

1. Please maintain good sleep hygiene practice and please do not over-sleep anytime.

2. You can start with iron supplementation with Ferrous gluconate 60 mg (Ferate [OTC] or Fergon® [OTC]), once daily with meals, for 1 month.

3. Please get in touch with your GP/ a therapist to discuss and start the above mentioned treatment options such as CBT and GET.



I hope this was helpful.



Let me know if I can assist you further.



Thank you.



Dr. Jaydeep Tripathy
Category: HIV- AIDS Specialist
Experience: 
MBBS from Sri Ramachandra University in December 2011
M.Med (Family Medicine) - TNMGR University, Chennai
MBA-MPH in Public Health in March 2016, SRM University
Finished AFIH in March 2016, SRM University
MRCP ( UK ), Internal Medicine, Royal College of Physicians, June 2016
Fellowship in Diabetology from Martin Luther University in January 2017

Currently Resident Physician, in MD Radiodiagnosis - Kamakshi Memorial Hospital, Chennai
Dr. Jaydeep Tripathy and 4 other Medical Specialists are ready to help you

Users who read this, also read:

Make informed and better medical decisions.

Join the 500,000 people who found a smarter, quicker way to get Answers, Recommendations & Expert Opinions.

Expert Doctors at fingertips

Recommendation on next step. Second-opinion.Multi-specialty.

Save Time

Average time for answers: 6 hours.

Save Money

$35 for typical specialist consult vs. $120 for a local appointment.

Free Follow-ups

Clarify, ask further questions for free in private conversation.

100% Satisfaction

Money back guarantee for the 1st reply. MEDNET Quality Board.

Start My Consultation

CHAT NOW

About DoctorSpring.com

Doctor Spring is a novel online Doctor consultation platform where you can get your medical questions answered by leading Doctors. Just Submit your question and rest assured that you will consult a Doctor easily. Once you submit the question, the Doctor from the concerned specialty will reply within hours. You can always ask more questions or add details with follow-up question options and make it an online doctor chat. You may use this service to consult a specialty or for getting medical second opinion. All paid services come with a MEDNET quality assurance and 100% money back guarantee.

DoctorSpring in news