jrtlover wrote:well blood came back normal so i have no idea what's wrong. it's getting very depressing. argh.
Interesting, I wonder what type of blood work they did. Did they check TSH & T4?
There are only two causes of SOB, a blood disorder or a cardiopulmonary disorder. Do you get SOB going up small flights of steps?
I think it is irresponsible of the doc to offer you an Rx w/o finding out the root cause of your symtoms. There is obviously something wrong. The fatigue could possibly be depression but I haven't heard an explanation for the SOB.
It is important to be your own advocate and not rely on a doc to solve your problems. I have had some experiences w/docs that were just too busy to do a proper job. Don't make the mistake of thinking that just because he can't identify what the prob is, that there is no prob. He just may not be looking hard enough or in the right place.
I would have the doc check my heart and lung function. I would ask him to schedule a pulmonary function test and an ECG and an echo. The PFT will look at the lungs ability to circulate oxygen to the body and ECG/echo will look at heart function. I always advise an echo for women because their ECGs may be normal but there could still be an underlying problem. Heart disease in women is very often missed because it is difficult to detect.
I have seen many patients with heart disease. Most often they were unaware of any problem. I would hold off on any stimulants as if there is an underlying cardiac issue, it could induce an MI.
One other explanation for your fatigue is either Fibromyalgia (FMS) or Chronic Fatigue Syndrome (CFS). These are also often missed or misdiagnosed.
Symtoms of FMS are pain in the muscles, soft tissues, back, or neck, headaches, morning stiffness, trouble concentrating, irritable bowel syndrome, as well as sleep problems. Many people get so fatigued that they become weak. Fibromyalgia is diagnosed by the presence of up to 18 specific trigger points on the body. These are painful only when you press directly on them.
If you are having these symptons, I would see a rheumatologist to rule out FMS.
If you have CFS, you may feel such devastating tiredness or fatigue that you can't perform all of the normal, daily activities you used to. You may be depressed and have problems sleeping. It may be harder for you to think clearly, to concentrate, and to remember things. You may also have a fever, headaches, muscle and joint pain, sore throat, and tender glands in your neck or armpits. Your symptoms may flare up after a mental or physical activity that used to be no problem for you. Fatigue lasting 6 months or more is the main symptom. Unfortunately, there are no tests that can confirm a diagnosis of CFS.
Don't give up! The answer is out there. There is a new med for FMS but there is no cure for CFS. But, having some answers can help the mental attitude and give you a place to work from.