Question #10539
4 days ago
30
I usually feel energetic and not sleepy - #10539
Ankita Tiwari
Hii I am student and I usually feel fatigue even after good amount of sleep . My body always have pain , sometimes headache , sometimes pain in shoulders.I never feel energetic . I always feel like crying and frustrated .
Age: 19
Chronic illnesses: No
“ fatigue ” “ headache ” “ dizziness ” “ emotional outburst ” “ shoulders pain ”
200 INR (~2.35 USD)
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Doctors’ responses
Hello dear
Please be aware
I think just need to go following things for improvement
Do regular exercise
Take multivitamin zincovit once a day for 2 months
Some hobbies for mental health
Hope there will be marked improvement
Regards
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Test advised
CBC (for anemia)
Vitamin D3
Vitamin B12
Thyroid (TSH, T3, T4)
Iron + Ferritin
Fasting Blood Sugar
Change
Correct Your Diet for Energy & Mood
Start your morning with warm lemon water and 5 soaked almonds + 1 date.
Eat protein in every meal: eggs, paneer, dal, sprouts, or chana.
Add fresh veggies daily: spinach, beetroot, bottle gourd, carrots.
Snack on roasted chana, peanuts with jaggery, or buttermilk.
Drink 2.5 to 3 litres of water daily.
Sit in sunlight 15 mins daily – boosts Vitamin D and mood naturally.
You're not weak—this is burnout, and it can be healed.
Do deep breathing for 5–10 minutes daily (YouTube: “box breathing” or “anulom vilom”).
Try guided meditation
Talk to someone you trust. If you can, speak with a college counselor or therapist
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Hi, thank you for opening up. What you're describing — constant fatigue despite rest, body aches, headaches, shoulder pain, emotional heaviness, and a constant sense of frustration or urge to cry — can be signs of chronic stress, depression, anxiety, or even underlying physical conditions like vitamin deficiencies, thyroid issues, or chronic fatigue syndrome.
Here’s what you should consider doing:
1. Medical Checkup:
Get some basic tests done to rule out physical causes:
Vitamin B12 and D levels
Thyroid (TSH, T3, T4)
Iron levels and CBC
Blood sugar
A general physician can guide you with these.
2. Mental Health Support:
Your emotional symptoms — feeling like crying, frustration, lack of energy — strongly point towards depression or emotional burnout. These are medical conditions, not personal failures. You should consider:
Talking to a therapist or psychiatrist
If therapy is not accessible, try talking to a trusted adult, teacher, or friend.
3. Lifestyle Tips:
Nutrition: Try to include fruits, vegetables, and protein in your meals. Junk food and lack of nutrients worsen mood and fatigue.
Routine: Even light morning exercise or walking helps improve energy levels and mood.
Sleep Hygiene: Maintain a regular sleep schedule and reduce phone/screen time before bed.
4. You're Not Alone:
Many students feel overwhelmed due to studies, pressure, loneliness, or emotional wounds (including unresolved personal pain or past trauma). You’re not weak for feeling this way.
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Investigation
1) CBC
2) Vitamin D3
3) Vitamin B12
3) ferritin
4) TSH
4) Fasting sugar
RX
1) Tab uprise D3 60k
1 tab weekly for 8 weeks
2) tab flumod 10mg
1 tab after breakfast for 4 weeks
Rest treatment will be decided after the reports done.
Please follow up soon
Thank you
333 answered questions
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Hello Ms. Ankita Tiwari. The symptoms of feeling dull, less energetic and easy fatiguability, headache, crying spells, emotional dysregulation and sleep issues that you mentioned may point towards possible Depression. And sometimes, vitamin B12 and Vitamin D3 deficiencies can also mimic Depression. Please seek psychiatric help either online or in-person for detailed evaluation.
Regards,
Dr. Charan Kumar Pottem,
MD Psychiatry (NIMHANS)
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