Thank you for your query at DoctorSpring. Please let me know your other associated symptoms.
Do you have difficulty in swallowing/ choking sensation/ pain while swallowing?
Are you getting menses regularly at normal interval or have some abnormality?
Are you getting lump feeling in throat while eating or after few minutes/ hours of eating?
Do you have some sort of stress?
Let me explain your query one by one.
As you have already mentioned that you have normal complete blood count, there appears to be high possibility of normal iron studies and least correlation between defined symptoms and iron studies.
There could be high possibility of perimenopausal symptoms with globus hysterics.
Perimenopausal symptoms could be associated with hot & cold feeling with multiple vague weird symptoms as you have.
There could also be possibility of few psychiatric symptoms also.
Globus hystericus is a disease in which patient may have lump feeling in throat while all relevant investigation are found to be normal.
As such there is no defined cause for excessive sleep and no particular medication is available which can reduce the sleep.
You should consult with internal medicine specialist and gynecologist (if menstrual abnormalities are present) simultaneously and should go for thorough check up.
You should also go blood sugar, serum LH & FSH level, chest x ray, electrocardiogram (to rule out heart ailment for your symptoms).
You should also go for endoscopy if lump feeling exist.
Treatment depends on exact diagnosis.
If all relevant investigation are found to be normal then you should consult with psychiatrist.
In my personal opinion, low dose tricyclic antidepressants with isoflavone may help in your condition.
Let me know your other query.
Get well soon.
Dr. Mayank Bhargava
Patient replied :
Thank you for your reply,
You asked if I have any trouble/swallowing/choking etc. No swallowing issues but intermittent tightening of the chest and throat. I have just completed a 12 k race and felt aerobically very well but a mild aching in my chest. Heart rate was normal. My menses are normal and regular. Stress levels ok. No history of psychiatric ailmennts anxiety or depression. Still have fatigue that comes and goes throughout the day. These symptoms have onset very suddenly and I am not imagining them. I am generally fit and healthy and in tune with my body and I am not functioning at 100percent. Something is not right.
Thank you for your ongoing consult and support.
With the available details, there could also be possibility of respiratory ailment i.e. silent.
Asthma which is also called as cough variant asthma.
You should also consult with chest physician.
Wishing a speedy recovery.
Dr. Mayank Bhargava