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

### input:
Hi,I have a unusual issue that causes muscle fatigue, general fatigue, and slightly elevated blood pressure. I have been to the E.R. once, and they checked my blood, but said everything came back perfect . I know the doctor said something about checking for sodium potassium and thyroid stuff. I don t know what else though. I ve had this issue for about 3 months now, and it started simply with slight weakness in my upper legs, then as the the day would progress, it would move into calfs, neck and shoulders, etc. Now, anytime I try and walk up stairs,my legs burn, I have out of breath, and it s just very uncomfortable.

### output:

Hi, I understood that you have a concern about recently started muscle ache and fatigue. Also, You have high blood pressure. Muscle fatigue is a very vague symptom. There are various causes from simple vitamin deficiency to complicated as muscle disorder as myopathy or neuropathy. Not to get worried, simple things to do is the consultation with your family physician. Discuss your test with him and decide which test you need to get it done. I recommend the Thyroid function test, vitamin D levels, ECG and A 2D echo gram initially.  If your blood pressure remains high then you need to start medication and restrict your salt intake to 2 gm per day.  I am worried about your shortness of breath if it is frequent and troublesome then it should be ad Chat Doctor.  Some muscle disorder such as myasthenia graves or endocrine disorder Cushing disease also should be considered. By the time you get all work up done, you can start some simple yoga meditation and adopt a healthy lifestyle.  Hope I have answered your query. Let me know if I can assist you further. 