Encyclopedia Symptoms / / May 16, 2016
Alternative names: lethargy
Fatigue is the consequence of a lack of energy or lack of physical strength.
Fatigue is different from drowsiness.When drowsiness people feel the need or the need for sleep.Fatigue is a lack of energy and motivation.Drowsiness and apathy (when a person does not care about anything that happens) can be symptoms that go along with fatigue.
Fatigue can be a normal and important response to physical exertion, emotional stress, boredom or lack of sleep.However, it can also be a sign of a more serious mental or physical condition.When fatigue does not go away by enough sleep, good nutrition or environment with low levels of stress, this condition of the person should be evaluated by your doctor.Fatigue is a common symptom, which is usually not associated with serious diseases.
Picture fatigue may help your doctor determine its cause.For example, if the patient wakes up in the morning rested, but his activities with rapidly developing fatigue, it may be, for example, decr
There are many possible fatigue of reasons, including the following:
- anemia (including iron deficiency anemia - a group of clinical and hematological syndrome, a common point which is a decrease in hemoglobin concentrationblood, often while reducing the total volume of red blood cells does not specify a particular disease, anemia should be considered as one of the symptoms of the various pathological conditions);
- depression or sadness (a mental disorder characterized by "depressive triad":... Depressed mood, loss of ability to experience pleasure, impaired thinking - a negative judgment, pessimistic view of what is happening, and so on - and motor retardation in depression reduced self-esteem,there is loss of interest in life and usual activities);
- medicines - such as sedatives or antidepressants;
- persistent pain;
- sleep disorders - such as insomnia, obstructive sleep apnea syndrome or narcolepsy;
- disease of the thyroid gland, causing reduced activity or holds, on the contrary, hyperactivity;
- drug addiction and alcoholism.
Fatigue can also occur when the following diseases:
- Addison's disease (a rare endocrine disorder in which the adrenal glands lose their ability to produce sufficient amounts of hormones, primarily cortisol);
- anorexia (complete lack of appetite syndrome with the objective needs of the body in the diet, accompanied by most of the metabolic diseases, infections, diseases of the digestive system - in particular, parasitic infections, as well as arising from other causes, can lead to protein-energy malnutrition), or othereating disorders;
- arthritis, including juvenile rheumatoid arthritis (or: Still's disease, a children's chronic arthritis, juvenile chronic arthritis - arthritis, which affects children under the age of 16 - is characterized by inflammation and restricted movement of the joints, a systemic disease of the connective tissue, mainly affecting the small jointsthe type of erosive and destructive polyarthritis of unknown etiology with a complex autoimmune pathogenesis);
- autoimmune diseases - such as systemic lupus erythematosus (SLE, a disease Libman-Sacks - diffuse autoimmune connective tissue disease characterized by systemic immune complex lesions of the connective tissue and its derivatives, with the affect of microvasculature vessels; in this disease produced by the immune human antibody systemdamage the DNA of healthy cells, and mostly damaged connective tissue with the obligatory presence of a vascular component);
- any type of cancer;
- heart failure;
- fibromyalgia (diffuse symmetrical musculoskeletal pain, wearing a chronic, characterized by: a symmetrical pain throughout the body, with a few exceptions - depression, poor sleep, irritable bowel syndrome, chronic fatigue syndrome, stiffness, increased sensitivity, restless leg syndrome,often apnea, etc.).;
- infection, especially one that takes a long time to recover from it or cure - such as bacterial endocarditis (inflammation of the heart muscle or valves), parasitic infections, AIDS, tuberculosis, mononucleosis;
- kidney disease;
- liver disease;
Some medications may also cause drowsiness or fatigue, including - antihistamines for allergies, blood pressure medicine, sleeping pills, steroids (or corticosteroids - medical drugs) and diuretics (agents that hinder in the renal tubule reabsorption of water and salt and increasingtheir urinary excretion, increasing urine production rate and thereby reduce the liquid content in the tissue and serous cavities).
Chronic fatigue syndrome (CFS) is a condition that starts with flu-like symptoms and lasts for 6 months or more.It is diagnosed after all other possible causes of fatigue are excluded.Most people with CFS do not get help from other people, including the doctors.
treatment and home care
few tips for reducing fatigue:
- get enough sleep each night;
- eat a healthy, well-balanced diet and drink plenty of water throughout the day;
- Exercise regularly;
- Learn the best ways to relax.Try shallow meditation;
- Maintain a reasonable work and personal schedule mode;
- get rid of stress, if possible.For example, switch from work, take, if possible, leave, and solve problems in a relationship;
- take a multivitamin.Talk to your doctor about what is best for you;
- Avoid alcohol, nicotine and drugs.
If the patient has chronic pain or depression, treatment often helps with fatigue.However, some antidepressants can cause or worsen fatigue.Medications may have to adjust in order to avoid this problem.No need to stop taking any medications or change them without first talking to your doctor.
tone stimulants (including caffeine) - not effective treatments for fatigue.In fact, they can only make the problem worse.Sedatives also tend to enhance fatigue in the long run.
patient should contact your doctor if:
- he is confused or has vertigo;
- he had blurred vision;
- had virtually no urine or has recently been swelling and weight gain.
patient should contact your doctor if:
- he has an inexplicable weakness, or fatigue, especially if you also have fever or unintentional weight loss;
- he - constipation, dry skin, weight gain, or he can not stand the cold;
- the patient wakes up many times during the night;
- patient - headaches;
- the patient takes any medications, prescription or non-prescription, or uses drugs, which can cause fatigue or drowsiness;
- the patient feels sad or depressed;
- the patient has insomnia.
doctor will perform a complete physical diagnostic examination, paying special attention to the heart, lymph nodes, thyroid, abdomen and nervous system of the patient.He will be asked questions about medical history, symptoms and lifestyle, habits and feelings.Questions can be such:
- how long the patient has fatigue;it develops recently or had some time ago;
- whether the patient's fatigue in the past;if so, to what extent it regularly;
- how many hours the patient is asleep every night;
- if he had any trouble falling asleep;if he wakes up during the night;
- the patient wakes up in the morning with a sense of relaxation or - fatigue;
- whether the patient snores;
- anyone noticed the patient during sleep breathing stops for short periods of time;
- whether the patient feels tired during the day;it usually increases with the continuation of the day - or remains the same, unchanged;
- whether the patient believes that he is bored, he was unhappy or frustrated;
- how are his relationships with other people, everything is safely in his life, especially personal;
- whether in his life, the recent heavy losses;
- whether the patient more activity (mental or physical) in recent years;
- what is the diet of the patient, as well as what he eats;
- whether the patient does regular exercise;
- whether the patient's other symptoms - such as for example pain, headaches, nausea and other;
- whether the patient any recent change in appetite (better or worse than usual) or weight gain (greater than or less than usual);
- whether the patient takes any medications without a prescription;if so, what - what.
tests that can be done:
- blood tests to check for anemia, diabetes, inflammation and possible infection;
- tests for kidney function;
- liver function tests;
- thyroid function;