[31F] Experiencing extreme fatigue and insomnia

Patient Description

A 31-year-old female reports experiencing extreme fatigue and lack of motivation, which has worsened over time. The fatigue is present every day, all day, and significantly impacts her ability to get out of bed. The patient also experiences insomnia and occasional mood changes. She reports headaches and changes in vision, but no nausea or vomiting. The patient has a history of endometriosis, pseudotumor cerebri, and hydrocephalus. She is currently taking Ozempic and Diamox, with no known drug allergies. Recent weight changes are attributed to Ozempic use. The patient has not experienced any recent changes in medications or lifestyle that coincide with the worsening of symptoms. No recent imaging studies have been conducted to evaluate her condition.

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Arora's Assessment

What might be happening

Your symptoms of extreme fatigue, lack of motivation, insomnia, headaches, and changes in vision could be related to several underlying conditions. Here are some possibilities:

  1. Chronic Fatigue Syndrome (CFS): This condition is characterized by severe, persistent fatigue that doesn't improve with rest. It can also cause sleep disturbances and cognitive difficulties.

  2. Pseudotumor Cerebri and Hydrocephalus: These conditions can lead to increased intracranial pressure, which might explain your headaches and vision changes. Fatigue and sleep disturbances can also be associated with these conditions.

  3. Depression or Mood Disorders: Fatigue, lack of motivation, and sleep issues can sometimes be linked to mood disorders such as depression. These conditions can also affect your overall energy levels and interest in activities.

It's important to consult with a healthcare professional to determine the exact cause of your symptoms. They may recommend tests such as blood work or imaging studies to help diagnose your condition.

What you can do

Extreme Fatigue and Lack of Motivation:

  • Prioritize rest and try to maintain a regular sleep schedule.
  • Engage in light physical activity, such as walking, to help boost your energy levels.
  • Consider using MDandMe to journal your symptoms and track any patterns or triggers.

Insomnia:

  • Establish a bedtime routine to improve your sleep quality.
  • Limit caffeine and screen time before bed.
  • Discuss with your doctor whether your current medications might be affecting your sleep.

Headaches and Vision Changes:

  • Monitor your symptoms and note any changes or triggers.
  • Schedule an appointment with your healthcare provider to discuss these symptoms, as they may require further evaluation.

What you should look out for

Seek medical attention if you experience any of the following:

  • Sudden or severe headaches
  • Significant changes in vision
  • Any new or worsening symptoms

Remember, it's important to consult with a healthcare professional for a formal diagnosis and appropriate treatment. They can provide personalized recommendations based on your specific situation.

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27 d ago

People Also Ask


What are the common symptoms of Chronic Fatigue Syndrome (CFS)?

Common symptoms of Chronic Fatigue Syndrome (CFS) include severe fatigue that doesn't improve with rest, sleep disturbances, cognitive difficulties, muscle or joint pain, headaches, and sore throat. It's important to consult a healthcare provider for a proper diagnosis.


How can pseudotumor cerebri and hydrocephalus affect vision?

Pseudotumor cerebri and hydrocephalus can lead to increased intracranial pressure, which may cause symptoms such as blurred vision, double vision, or even temporary vision loss. These conditions require medical evaluation and management.


Can Ozempic cause fatigue or insomnia as side effects?

Ozempic, a medication used for managing type 2 diabetes, can cause side effects such as nausea, vomiting, and fatigue. Insomnia is not a common side effect, but individual reactions can vary. It's important to discuss any concerns with your healthcare provider.


What lifestyle changes can help manage symptoms of depression or mood disorders?

Lifestyle changes that can help manage symptoms of depression or mood disorders include maintaining a regular sleep schedule, engaging in regular physical activity, practicing mindfulness or meditation, and seeking support from friends, family, or mental health professionals. It's also important to follow any treatment plans prescribed by a healthcare provider.


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