[44F] Experiencing mouth sore, fatigue, and neurological symptoms

What might be happening

Based on the symptoms you've provided, the following conditions could be considered:

• Depression and Anxiety Disorders: Your symptoms of constant worry, lack of motivation, difficulty getting up in the morning, and racing thoughts are common signs of depression and anxiety disorders. These conditions often coexist and can cause physical symptoms like fatigue and loss of appetite.

  • Treatment typically involves a combination of medication and psychotherapy. You mentioned that you're currently taking Effexor, which is often used to treat both conditions.

• Hypothyroidism: You mentioned that you have a history of low thyroid. Hypothyroidism can cause fatigue, depression, and weight changes. If your symptoms have worsened, it may be that your thyroid levels are not well controlled.

  • Treatment involves taking thyroid hormone replacement (like Synthroid, which you're currently taking) to normalize your thyroid hormone levels.

• Oral Health Issues: The sore in your mouth could be due to a variety of causes, including oral infections, trauma, or certain autoimmune conditions. If it doesn't improve soon, it would be worth having a healthcare provider examine it.

  • Treatment depends on the underlying cause and may involve oral rinses, ointments, or other medications.

• Carpal Tunnel Syndrome: The numbness and tingling in your hands, especially upon waking, could be due to carpal tunnel syndrome. This condition occurs when a nerve in your wrist becomes compressed, often due to repetitive hand movements or certain health conditions.

  • Treatment can include wrist splinting, avoiding activities that worsen symptoms, and in some cases, surgery.

What you can do

1. Continue taking your prescribed medications and follow up with your healthcare provider to discuss your symptoms. They may need to adjust your medication dosages or try different treatments.
2. Try to maintain a regular sleep schedule and engage in physical activity, which can help manage symptoms of depression and anxiety.
3. Practice good oral hygiene, including brushing and flossing daily, to help promote healing of the sore in your mouth.
4. If the numbness and tingling in your hands is bothering you, try to avoid activities that involve repetitive hand movements. Wearing a wrist splint at night might also help.

What you should look out for

Please seek immediate medical attention if you experience:

• Thoughts of harming yourself or others
• Severe pain or swelling in your mouth
• Difficulty swallowing or opening your mouth
• Worsening or new physical symptoms

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care.