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I have been tired for the last 2 years.But the last few months it has been getting worse.I struggle to function.cant manage housework and permanently feel hungover[ I rarely drink alcohol}. I am getting to the point where I know there is something wrong with me,but am frightened to see my doctor. I had a smear test 6 months ago and it was clear ,but they noticed an erosion.I was told to return if any problems.I have just started to bleed here and there from it.I look a picture of health,though a little pale. I am Not depressed as I am happy in everything except this awful lethargy. I could sleep 12 hours,awake,have food and could sleep again.I am worried.Please help me.


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replied January 27th, 2010
Chronic Fatigue Syndrome Answer A9555
Hi, welcome to the ehealth forum and I am glad to help you.

You seem to be concerned by the chronic fatigue or tiredness for the past 2 years which has increased over the last few months. You might be plagued by a condition called chronic fatigue syndrome(CFS) which is a diagnosis of exclusion and requires the fatigue symptoms to be present for 6 or more months. Untreated hypothyroidism, sleep apnea, narcolepsy, drug abuse, and adverse effects of medication need to be ruled out among others to establish the diagnosis of CFS. As you are having anxiety disorder for which you are taking Cipralex but you still need a thorough evaluation by a psychiatrist to rule out depression as well. You may be helped by cognitive behavioral therapy(CBT) and graded exercise therapy if the diagnosis of CFS is established by your doctor.

Hope this helps. Take care.

Note: This post is not to emphasize a final diagnosis as the same cannot be made online and is just to provide medical information and that no treatment suggested above be taken without a face-to-face consultation with a health care professional.



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