[19M] Experiencing persistent fatigue and weakness

Patient Description

A 19-year-old male has been experiencing persistent fatigue and moderate weakness for over a week, which is not alleviated by rest or distraction. The patient reports that these symptoms are particularly pronounced during exercise and even when inactive. Although there has been no recent weight change, the patient has a history of mononucleosis and is currently experiencing night sweats. There is no reported fever, severe headaches, shortness of breath, or swelling in the neck, armpits, or groin areas. However, the patient describes mild, dull aches in the collar bones and armpits that have been present for the same duration as the fatigue. The symptoms have remained relatively constant throughout the week.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible causes for your symptoms include:

  • Infectious Mononucleosis (Mono): Mono is a viral infection often caused by the Epstein-Barr virus. The symptoms can include fatigue, body aches, and night sweats. Although you've had mono before, it's possible to have a similar set of symptoms due to another viral infection.

    • Treatment typically involves rest, hydration, and over-the-counter remedies to manage symptoms.
  • Overtraining Syndrome: This condition occurs when the body doesn't have enough time to recover between intense exercise sessions. Symptoms can include persistent fatigue, decreased performance in sports or exercise, and aches and pains.

    • Treatment involves rest and recovery, adequate nutrition, and a balanced exercise regimen.
  • Chronic Fatigue Syndrome (CFS): This is a complex disorder characterized by extreme fatigue that can't be explained by any underlying medical condition. The fatigue worsens with physical or mental activity but doesn't improve with rest.

    • Treatment usually focuses on symptom relief.

Please note, these are only possibilities and not a definitive diagnosis. It's important to consult with a healthcare professional for an accurate diagnosis.

What you can do

  1. Rest and hydrate: Ensure you're getting enough sleep and drinking plenty of fluids. This can help your body recover if you're fighting off an infection or if you've been overtraining.

  2. Balanced diet: Eating a balanced diet can provide your body with the nutrients it needs to function properly.

  3. Over-the-counter remedies: Over-the-counter pain relievers can help manage your aches and pains.

  4. Monitor your symptoms: Keep track of your symptoms and how they progress. This can be helpful information to provide to your healthcare provider.

What you should look out for

Please seek immediate medical attention if you experience:

  • Severe pain or discomfort
  • High fever (temperature over 100.4°F)
  • Difficulty breathing
  • Severe headache
  • Any new or worsening symptoms

Remember, it's important to consult with a healthcare professional for an accurate diagnosis and treatment.

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10 mo ago

People Also Ask


Can mononucleosis recur or cause similar symptoms after initial infection?

Mononucleosis is typically caused by the Epstein-Barr virus, and once infected, the virus remains in the body for life. While you usually don't get mono again, the virus can reactivate and cause similar symptoms, or another viral infection might mimic mono symptoms.


What are the common symptoms of overtraining syndrome?

Common symptoms of overtraining syndrome include persistent fatigue, decreased performance, mood changes, increased susceptibility to infections, and muscle soreness. It occurs when the body doesn't have enough time to recover between intense exercise sessions.


How is chronic fatigue syndrome diagnosed?

Chronic fatigue syndrome is diagnosed based on a thorough medical history and physical examination, as there is no specific test for it. Doctors look for persistent fatigue lasting more than six months that is not improved by rest and is accompanied by other symptoms like sleep problems, memory issues, and muscle pain.


What lifestyle changes can help manage persistent fatigue?

To manage persistent fatigue, it's important to ensure adequate rest, maintain a balanced diet, stay hydrated, and manage stress. Gradually increasing physical activity and avoiding overexertion can also help. Consulting with a healthcare provider for personalized advice is recommended.


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