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Fatigue and Myoma
Aug 31, 2007

Hi Doc,

I don't know where else to post the Qs , so here goes...

I am HIV+ since 2000. Now, my CD4 is 450 , VL is <50. For a year now, I have a myoma in the uterus and a cyst in my ovary. Do these growths cause lack of energy and wind ( gas ) in the stomach ? I am asking this Qs because one of my friends ( HIV negative ) realised that she has been having a loss of energy recently. She found out that she has a myoma in the uterus.

Another of my friend ( also HIV negative ) told me that she has a lot of gas in her stomach especially during her menses. Her doctor suggested to check if she has a growth in her ovary. But there was none.

Back to my case, I have severe gas that trapped in my stomach and it causes a lot of burping , light vomitting, and going to the toilet on the first day of my menses ( for the gas to be released ). I don't know if this is due to the myoma that i have or due to HIV illness. I have this severe gas more than a year ago. I found out that I have this myoma at least a year ago.

I have a lack of energy,too. I don't know if this is caused by the myoma or HIV illness in general.

Please advise what sort of vitamines/nutrients are good to increase energy level.

p/s : My myoma is regularly checked every 6 months. It is about 2.5 cm

Please let me know as much as possible. Thanks

Response from Dr. Conway

It is unlikely that a myoma of this small size is causing the symptoms you describe. Lesions like this would cause symptoms because they are bigger and pressing on things around them (such as your bowels). They can also bleed and cause anemia and weakness in this way. Otherwise, I might think that you are having side effects of medications you are taking. If your CD4 count is low, you might also be having symptoms of HIV infection.

Dr, i went and gave the blood for HIV RNA PCR test.
do i need medications / repeat test

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