I am 59 years old male. I have history of ulcerative colitis and itp. For the last 2 years, I experience an extreme bout of fatigue in the evening which lasts up to late night. This is a regular scenario. I feel extremely tired, with pain in the leg muscle and slightly feverish. This generally resolves in the day time.

Dr. Col V C GoyalGeneral Physician45yrs exp

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1.no alcohol 2. Reduce body weight if over wt 3. No smoking/ tobacco/drugs/ avoid pollution 4. Diet - no ghee/ butter, have mix of vegetable oils - mustard, til, ground nut, olive oil, have more green vegetables and fruits, have whole grain atta, no fried. Fast. Spicy / processed/ junk food. Less sugar, potato, rice 5. 30 mts brisk walk daily 6. Deep breathing exercise for 10 mts daily 7. Meditation daily for 10 mts. 6-8 hrs of sleep at night 8. Expose your body to sun for 15-20 mts daily after some oil massage to get vit d. 9. Take more water medicine can not be advised for open question ,for medicine and further advise contact on private consults. Good luck.  

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