[28F] Experiencing fatigue, headache, and kidney filtration issues

Patient Description

A 28-year-old female reports suffering from constant fatigue that has been gradually worsening over the past four months, with activities like walking up stairs exacerbating the condition. She also experiences a constant, aching headache at the base of her head and behind her eyes, which at times reaches a severity of 7 out of 10. Additionally, she has been dealing with constant body aches and muscle pain all over her body for the past three years, rating the pain at a severity of 5 out of 10. The patient has a history of kidney disease diagnosed at 2 years old, currently indicated by high creatinine levels and a low glomerular filtration rate (GFR). She is taking Zyrtec, Wellbutrin, Celexa, and Lutera (Latin FE) and has an allergy to Bactrim. The patient also reports difficulty sleeping and concentrating, joint stiffness, and muscle weakness.

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Arora's Assessment

What might be happening

Based on the information you've provided, the following conditions could be contributing to your symptoms:

  • Chronic Kidney Disease (CKD): You've mentioned that you were diagnosed with kidney disease at a young age. CKD can cause a variety of symptoms, including fatigue, headaches, and body aches. The high creatinine levels and low GFR you mentioned are also indicative of kidney disease.

    • Treatment for CKD typically involves managing the underlying causes and complications, slowing the progression of the disease, and replacing kidney function when end-stage kidney disease occurs.
  • Anemia: This is a condition where your body lacks enough healthy red blood cells to carry adequate oxygen to your body's tissues. Fatigue is a common symptom of anemia. Anemia can be a complication of CKD.

    • Treatment for anemia often involves taking iron supplements or medications to stimulate your body to produce more red blood cells.
  • Depression: You've mentioned that you're taking Wellbutrin and Celexa, which are medications typically used to treat depression. Depression can cause physical symptoms such as fatigue and body aches, as well as difficulties with sleeping and concentrating.

    • Treatment for depression often involves a combination of medication, psychotherapy, and lifestyle changes.

What you can do

  1. Continue taking your prescribed medications as directed by your healthcare provider.
  2. Try to maintain a healthy lifestyle. This includes eating a balanced diet, getting regular exercise, ensuring you get enough sleep, and avoiding alcohol and tobacco.
  3. Stay hydrated. This is particularly important for individuals with kidney disease.
  4. Monitor your symptoms and report any changes to your healthcare provider.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

  • Severe headache or a headache that is different from your usual headaches
  • Difficulty breathing or shortness of breath
  • Chest pain
  • Severe abdominal pain
  • Swelling in your legs, ankles, or feet
  • Changes in your urine, such as blood in your urine or a decrease in the amount of urine you produce

Please remember that while I strive to provide accurate information, I am not a doctor. It's important to consult with your healthcare provider for a formal diagnosis and treatment plan.

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1 yr ago

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People Also Ask


What are the common symptoms of chronic kidney disease?

Common symptoms of chronic kidney disease include fatigue, headaches, body aches, swelling in the legs or feet, changes in urine output, and high blood pressure. As the disease progresses, symptoms may become more severe.


How does anemia relate to chronic kidney disease?

Anemia is a common complication of chronic kidney disease because the kidneys produce a hormone called erythropoietin, which helps the body make red blood cells. When kidney function declines, erythropoietin production decreases, leading to anemia.


Can depression cause physical symptoms like fatigue and body aches?

Yes, depression can cause physical symptoms such as fatigue, body aches, headaches, and sleep disturbances. These symptoms can sometimes be mistaken for other medical conditions, so it's important to address both mental and physical health.


What lifestyle changes can help manage chronic kidney disease?

Lifestyle changes that can help manage chronic kidney disease include maintaining a balanced diet low in sodium and protein, staying hydrated, exercising regularly, avoiding smoking and excessive alcohol consumption, and managing blood pressure and blood sugar levels.


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