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General Health
Question #11499
215 days ago
292

forgetfulness brain fog sleeping too much - #11499

Ano

I am 21 years old with a history of heavy alcohol for 3 years I quit recently. I was too okay 2 months ago doing well suddenly something bad happened in my life i went under extreme thinking and guilt and now , I have symptoms like: • Sleeping 12-14 hours a day but still tired • Forgetfulness, poor focus, brain fog • No motivation or interest in activities • Loss of appetite (on/off) • Weird dreams, sometimes head feels shaky, occasional blurred vision My liver, kidney, and cholesterol tests are normal (though bilirubin was high 5 months ago). I have no pain or fever. I want to know if this could be from alcohol effects, vitamin deficiency, thyroid, or neurological/ psychiatric causes

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Doctors' responses

Dr. Perambalur Ayyadurai Rohith
I am a general physician with more than 10 yr of clinical experiance, and in this time I worked with patients from all age groups, from young kids to elderly with multiple chronic issues. My practice has been wide, but I gradually developed deeper intrest in diabetology. I spend much of my day focusing on prevention, early diagnosis and management of diabetes, using lifestyle modification, medical therapy and regular monitoring. Many patients come worried about complications, and I try to explain things in simple language, whether it is diet, excercise, or understanding lab reports, so they dont feel lost. I also conduct detailed diagnostic evaluation and use evidence based protocols to make sure treatment is reliable and updated, even if sometimes I double check myself when results dont match the clinical picture. Apart from regular OPD practice, I gained strong experiance in occupational health. Over years I worked with multiple companies handling pre employment checks, annual medical exams, workplace wellness programs, and ensuring compliance with industrial health and safety standards. It is diffrent from hospital practice, but equally important, because healthy workers mean safe and productive workplace. I run medical surveillance programs and health awareness sessions in collaboration with corporates, and this also gave me exposure to preventive strategies on a large scale. For me, patient care is not just treatment but building trust. My career revolve around preventive medicine, ethical clinical practice, and continuous learning. I keep myself updated with modern medical protocols, but I also value listening to patient worries, since medicine is not only about lab values but also about how a person feels in daily life. I make mistakes in words sometimes, but in my work I try to be very precise. At end of day, my aim is to provide care that is accessible, evidence based and truly centered on patient well being.
214 days ago
5

our symptoms (sleeping too much, brain fog, poor focus, low motivation) can occur after heavy alcohol use, especially if there are vitamin B1, B12, or vitamin D deficiencies.

Stress, overthinking, and guilt can also trigger depression/anxiety, which worsens tiredness and poor concentration.

Other possibilities include thyroid imbalance, anemia, or neurological causes, so tests like thyroid profile, vitamin B12, vitamin D, and CBC are needed.

For now, take regular sleep, balanced meals, avoid alcohol completely, and consider vitamin supplements (after tests).

Please consult a physician or psychiatrist soon for proper evaluation with timely treatment, both physical and mental health can improve greatly.

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Considering your symptoms and recent history of heavy alcohol use, it’s possible that your current issues could be linked to withdrawal effects, nutritional deficiencies, or even stress-induced changes in mood. Alcohol abuse can lead to vitamin deficiencies, particularly B vitamins like B1 (Thiamine), B6, or B12, which can cause neurological symptoms like fatigue, brain fog, and mood disturbances. Both acute and prolonged stress can also impact your cognitive function and mood, possibly contributing to your symptoms. Thyroid dysfunction could also play a role given that it can lead to fatigue, changes in weight, mood disturbances, and cognitive issues; testing for thyroid function would be a pragmatic step. Neurological causes like anxiety or depression could be an underlying factor, especially following a period of heavy stress or life changes, leading to fatigue, sleep disturbances, and lack of motivation. While neurological diseases are less common at your age, if there are any progressive or worsening symptoms, it’s important not to rule it out without further assessment. Given that your primary organ functions are normal per tests, a comprehensive evaluation including complete blood count, vitamin levels, thyroid function tests, and a mental health assessment could help pinpoint the cause. It might be beneficial to meet with your healthcare provider to prioritize these evaluations. Lifestyle adjustments like regular exercise, a balanced diet, and counseling can also support recovery. Don’t hesitate to seek help if you feel overwhelmed or if symptoms persist, as early intervention is key in management and recovery processes.

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