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I'm 22 years old and male. Was training for a triathlon (used to be a competitive swimmer) up until about 3 months ago. Been diagnosed with Costochondritis and I get recurring sore throats.

I'm thinking I feel constantly tired or lacking energy because of the chest tightness I feel. I've read that stress could be a part of this and that my chest is tight because my muscles are constantly "bracing."

"So far, the only known cause of this persistent tension of the intercostal muscles is chronic stress-effect storage in the hypothalamus. (The hypothalamus is a region of the brain that controls an immense number of bodily functions)."

Is this true/ possible? Is there some sort of muscle relaxant i can take? I've tried naproxen, chiropractic/ massage therapy, and heat treatments with limited improvement. What are my options?

Blood work, chest xray, and spirometry tests are all normal.

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replied January 16th, 2010
Chronic Fatigue Syndrome Answer A9228

Welcome to the ehealthforum and I am really glad to help you out. What you seem to be talking about is chronic fatigue syndrome. It is a chronic condition causing extreme fatigue. It is thought to be associated with part of the endocrine system called the “HPA Axis”, standing for the Hypothalamus-Pituitary-Adrenal gland system. It is due to slower release of the hormones that come from these endocrine glands. There is no specific test to diagnose this condition but investigations may be directed at exclusion of other causes of fatigue.

I would suggest that you discuss this possibility with your treating physician so that appropriate treatment can be started. It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided. For an exact diagnosis, you are advised to consult your doctor. I sincerely hope that helps. Take care.

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