### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Dont laugh. Just had my 58th bday. Had an intense bout of vertigo a few months ago. Symptoms resolved ( mild ringing in ears continues, very background, not problematic) but I have been off my game ever since. Lost quite a bit of momentum and had been doing yoga, biking prior. Tired, general all over body fatigue in way Ive never experienced before and have been athletic and fairly hyperactive my whole life. Normal weight (5 ft 8. 145 normally. 160 now) Not really pain, just physical worn outness that makes me want to sit or lie down. Something that up until now I didnt do much of. Ive always been the energizer bunny, kept late hours. Dont take any meds sedatives etc. Rarely drink even moderate alcohol. Less than 1 glass a mth. Do drink typically 2 cups, now up to 4 cups of espresso in a day ( made at home) Maybe ibuprofen 2x a mth. More lately!Have become more sedentary and gained more than 10 lbs as a result. Fatigue tends to hit early evening (7 or 8) and everything from feet to hands feel heavy. My 80+ yr old mother was recently diagnosed with Fibromyalgia. Might it be? Is this what old is? Also do feel like I am forgetting things more. I have had adhd my whole life, btw. Any advice appreciated. Thank you.

### output:

Hello! Welcome and thank you for asking on Chat Doctor! I carefully passed through your medical history and would explain that your symptoms do not seem to be related to fibromyalgia. Vertigo in your situation can be related an inner ear disorder, or a low blood flow to the brain (possibly caused by narrowing of the posterior circulation or vertebral arteries). Your actual symptoms do not seem to be related to the past episode of vertigo. A metabolic disorder or depression could be related to your actual symptomatology. I would recommend consulting with your attending physician for a careful physical exam and some tests: - a resting ECG-Doppler ultrasound of the cervical arteries-some blood lab tests (complete blood count for anemia, thyroid hormone levels for possible thyroid dysfunction, cortisol plasma levels, fasting glucose, blood electrolytes, blood lipid profile). An electromyography would help exclude possible myasthenia syn Chat Doctor.  You should discuss with your doctor on the above issues. Meanwhile, I would recommend performing a lot of physical activity (walking, yoga, swimming), which can be helpful in case of depression. Hope to have been helpful! Best wishes, 