Hello doctor, I have back pain, tiredness, more sleepy feeling, and inflammation on the foot.
Hi. I can understand your concern. According to your statement, you have been suffering from back pain, tiredness, more sleepy feeling, and inflammation on foot. I have gone through your investigations (attachment removed to protect patient identity) result and found that your Vitamin D3 level is below normal, GGT (gamma-glutamyl transferase) level slightly high, HDL (high dentisy lipoprotein) level below normal, TG (thyroglobulin) and VLDL (very density lipoprotein) level significantly high, TSH (thyroid-stimulating hormone) level normal at the upper limit. Total leucocyte count with lymphocytes count slightly high, eosinophil count are significantly high. So your back pain, tiredness, more sleepy feeling with inflammation of foot may result from vitamin D3 deficiency. Clinical features of vitamin D3 deficiency are repeated infections, tiredness, back pain, depression, bone pain, muscle pain, fatigue, delayed wound healing, feeling sleepy, etc. Again high TG levels may cause abdominal pain, loss of appetite, nausea or vomiting, tiredness, fatigue, etc. Your high eosinophil count indicates that you may suffer from allergies. As your TSH level is normal at a higher limit, so you should repeat the thyroid function test within three months. For your vitamin D3 deficiency, you should need more exposure to sunlight for vitamin D3 synthesis as well as take vitamin D3 enriched foods and supplements. For your high TG level, you should continue Fenofibrate along with Omega-3 fatty acid for low HDL level and repeat your lipid profile test after three months. For your low back pain, you can take Naproxen with Esmoprazole combination with Baclofen and calcium supplements.