I've been noticing some random bruising on my left leg and other areas of my body, and there's no pain or any injury that I can think of. They just show up without any warning. I'm also experiencing delayed periods and was wondering if these might be related in some way? On top of that, I've been diagnosed with vertigo. Could there be any connection between these symptoms? It's all starting to worry me a bit.

Dr Ranjith Darla

General Practitioner

• MBBS
• 3+ Yrs

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Burning Sole, Chronic Fatigue, and Associated Symptoms

Possible Underlying Conditions

1. Vitamin deficiencies: Vitamin B12, iron, or magnesium deficiencies can cause burning sensations, fatigue, and neurological symptoms.
2. Diabetes or prediabetes: Nerve damage (neuropathy) can cause burning sensations in the feet.
3. Thyroid disorders: Hypothyroidism (underactive thyroid) can cause fatigue, hair loss, and cognitive impairment.
4. Anemia: Iron-deficiency anemia can cause fatigue, hair loss, and cognitive impairment.
5. Neurological conditions: Conditions like peripheral neuropathy, multiple sclerosis, or fibromyalgia can cause burning sensations, fatigue, and cognitive impairment.

Recommended Tests

1. Complete Blood Count (CBC): To check for anemia, vitamin deficiencies, and infection.
2. Blood glucose and HbA1c: To check for diabetes or prediabetes.
3. Thyroid Function Tests (TFTs): To check for thyroid disorders.
4. Vitamin B12 and iron levels: To check for deficiencies.
5. Nerve conduction studies (NCS) and electromyography (EMG): To check for nerve damage.

Treatment and Management

1. Address underlying conditions: Treat any underlying conditions, such as vitamin deficiencies or thyroid disorders.
2. Pain management: Use pain-relieving medications or alternative therapies like acupuncture or physical therapy.
3. Lifestyle modifications: Maintain a healthy diet, exercise regularly, and manage stress.

Consult a Specialist

1. Neurologist: For evaluation and management of neurological symptoms.
2. Endocrinologist: For evaluation and management of thyroid disorders or diabetes.
3. Primary care physician: For ongoing monitoring and management of your condition.

Answered 04/07/2025