[43F] Experiencing unrelieved fatigue, hair loss, and weight gain

What might be happening

Based on the information you've provided, possible diagnoses include:

• Hypothyroidism: This is a condition where the thyroid gland doesn't produce enough thyroid hormones. Symptoms can include fatigue, weight gain, hair loss, cold intolerance, constipation, dry skin, and joint pain. Mood changes, such as feeling more tearful or angry, can also occur.

  • Diagnosis typically involves a blood test to measure levels of thyroid-stimulating hormone (TSH) and possibly thyroid hormones themselves.
  • Treatment usually involves taking a daily hormone replacement tablet called levothyroxine.

• Depression: This is a mood disorder that can cause persistent feelings of sadness and loss of interest in activities. It can also cause physical symptoms such as fatigue, weight changes, and sleep disturbances.

  • Diagnosis is usually based on a detailed discussion with a healthcare provider about your symptoms and feelings.
  • Treatment can involve a combination of medication, psychotherapy, and lifestyle changes.

• 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 is severe enough to interfere with daily activities and doesn't improve with rest.

  • Diagnosis is usually a process of ruling out other potential causes and the fatigue must be present for at least six months.
  • Treatment typically focuses on symptom relief.

Please note that these are potential diagnoses based on the information you've provided and should not be used as a definitive diagnosis. It's important to consult with a healthcare provider for a formal assessment.

What you can do

1. Schedule an appointment with your primary care provider to discuss your symptoms. They may order tests, such as a blood test, to help determine the cause of your symptoms.
2. Try to maintain a balanced diet and regular exercise routine, as these can help manage symptoms of fatigue and mood changes.
3. Practice good sleep hygiene. This includes going to bed and waking up at the same time each day, avoiding caffeine and alcohol close to bedtime, and creating a quiet and comfortable sleep environment.
4. Consider seeking support from a mental health professional, such as a psychologist or psychiatrist, who can provide strategies to manage mood changes.

What you should look out for

Seek immediate medical attention if you experience:

• Thoughts of harming yourself or others
• Severe worsening of your symptoms
• New symptoms such as chest pain, shortness of breath, or severe abdominal pain

Remember, it's important to consult with a healthcare provider for a formal diagnosis and treatment plan.