A 41 yo male patient with chronic fatigue syndrome and nervousness, irritability; sometimes he feels muscle weakness and hand tremor for three months and getting severe in ten days. Wants to check up his liver and nervous system. Abdominal ultrasound revealed nothing abnormal.

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SUGGESTIVE OF ..NEUROPATHY.. LEADING. TO ...CHRONIC. FATIGUE. SYNDROME... ADVISABLE... 1. ALL. ROUTINE. INVESTIGATION 2. BLOOD. AND. URINE. CULTURE/ SENSITIVITY 3. THYROID. PROFILE 4. S. ELECTROLYTES....S. GLUCOSE... S. PROTEINS 5. S. CALCIUM.... S. VIT. D 3........S. VIT B 12 6. RULE. OUT.....ANAEMIA

Anxiety disorder with Depression TFT Tab Ciplar 10mg bd Tab Nexito forte hs Tab Duzela 20mg daily after breakfast

Symptoms look anxiety neurosis

Thanx dr Vipin Bihari Jain
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Anxiety disorder with depression Needs further investigation and evaluation to conclude and treatment plan.

Thanks Dr Shivraj Agarwal
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Can be Hypochondriosis, Guillain Barre Syndrome or Myasthenia Gravis Can check cbc, electrolytes, thyroid. Mostly looks like Hypochondriosis can be treated homoeopathically which will remove his unnecessary anxiety and fear of diseases after complete analysis and advised lifestyle changes as may be necessary.

Thyroid profile to rule out hyperthyroidism Psychiatric assessment. Drug history, alcohol history

Thank you, Dr Vipin Bihari Jain Thank you, Friends
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Get Thyroid profile done

Minor psychological disorder

Viral infections

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