Eosinophilic Granulomatosis With Polyangiitis
Formerly known as Churg Strauss syndrome, this autoimmune disease is characterized by elevated levels of white blood cells called eosinophils, which often leads to inflammation in blood vessels. That, in turn, can lead to damage in the lungs, kidney, heart and other systems in the body. Most people with this disease have asthma and allergy symptoms first.
Symptoms: Fatigue, morning stiffness, joint pain, inflamed joints
Rheumatoid arthritis , a type of inflammatory arthritis, is another cause of excessive fatigue. Because joint damage can result in disability, early and aggressive treatment is the best approach for rheumatoid arthritis.
Medications that may be used early in mild RA include:
- Nonsteroidal anti-inflammatory drugs
- Disease-modifying antirheumatic drugs
Other drugs used in more serious forms of RA include the anti-cytokine therapies , as well as shots and other forms of treatment.
Other autoimmune disorders, such as lupus and Sjogrens disease, may also cause fatigue.
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Where To Get Help
- Your doctor
- Wilson J, Morgan S, Magin P, et al. 2014, Fatigue a rational approach to investigation, Australian Family Physician, vol. 43, no. 7, pp. 457-461, The Royal Australian College of General Practitioners. More information here.
- Fatigue, 2013, MedlinePlus, US National Library of Medicine. More information here.
- Fatigue in the workplace, WorkSafe Victoria. More information here.
Shift Work Sleep Disorder
Shift work can wreak havoc on your body’s 24-hour internal clock, or circadian rhythm. When you work nights or rotate shifts, your body doesn’t know when to be awake and when to sleep, which causes fatigue.
Daylight is often a cue to be awake. If you must sleep during the day, try to make your sleeping area as dark, cool, and quiet as possible. If you must work at night, keep your workplace brightly lit. Try to work night shifts all in a row and avoid frequently rotating shifts. Stay away from caffeine, and stick to a regular sleep-wake schedule as much as possible on days off.
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What Is The Treatment For Fatigue
The treatment for fatigue depends upon the cause. Some treatments for conditions that cause fatigue include medications, antibiotics, vitamins, and exercise. Medical treatment of fatigue depends on the treatment of its underlying cause. Fortunately, many causes of fatigue may be treated with medications, for example, iron supplements for anemia, medications and machines to help sleep apnea, medications to control blood sugar, medications to regulate thyroid function, antibiotics to treat infection, vitamins, and/or recommendations for dietary changes and a sensible exercise program. Again, treatment of the underlying cause is the key to treatment of the symptom of fatigue.
What Causes Chronic Fatigue Syndrome
Scientists have been researching chronic fatigue syndrome for many years, but they still don’t know for sure what causes it.
Many doctors believe that the way some conditions interact within the body and mind might leave some people at risk for CFS. For example, if someone has a and is under a lot of stress, the combination of these two things might make them more likely to develop CFS.
These things are believed to interact with each other in this way, putting some people at risk for CFS:
- infections. Experts have wondered if infections like measles or Epstein-Barr virus might increase the risk for CFS. The role Epstein-Barr plays in CFS is not clear because studies have not confirmed it as a cause.
- problems with the immune system or the nervous system
- hormone imbalances
- low blood pressure
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Why Am I So Tired What Am I Lacking
If your tiredness isnt caused by something obvious such as a lack of sleep and you dont suspect an underlying condition such as diabetes or an underactive thyroid, its sometimes worth looking at what youre eating and what nutrients you may be lacking.
There are a handful of vitamin deficiencies that might be the cause of your fatigue. If youre deficient in iron , vitamin B12 , or vitamin D , tiredness and consistent fatigue can occur.
Think this may be the case for you? You can check in on your vitamin levels from the comfort of home with LetsGetCheckeds range of at-home vitamin and mineral tests which test for some of the most common vitamin deficiencies.
Fatigue can be a result of a number of different health conditions or illnesses. If you feel as if youre always tired and its not a result of any lifestyle changes such as an increase in physical activity, its important to find out more. You can do this by visiting your doctor and keeping a close eye on your health and wellbeing with LetsGetCheckeds range of at-home health tests.
Myth: Only Old People Fall Asleep At The Wheel
More than half of fatigue-related crashes are caused by drivers younger than 25. Others who are at the highest risk: men, people with sleeping disorders, adults with children, commercial drivers, drivers with jet lag, and shift workers. Working the night shift increases your risk by nearly six times. Rotating shifts that disrupt your sleep cycle and working more than 60 hours a week can also set you up for fatigued driving.
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Psychological Causes Of Fatigue
Studies suggest that psychological factors are present in at least 50 per cent of fatigue cases. These may include:
- Depression this illness is characterised by severe and prolonged feelings of sadness, dejection and hopelessness. People who are depressed commonly experience chronic fatigue.
- Anxiety and stress a person who is chronically anxious or stressed keeps their body in overdrive. The constant flooding of adrenaline exhausts the body, and fatigue sets in.
- Grief losing a loved one causes a wide range of emotions including shock, guilt, depression, despair and loneliness.
Fatigue Due To Insufficient Or Poor Quality Sleep
Not surprisingly, if you are not getting a sufficient number of hours of sleep, you will feel tired. The National Heart, Lung, and Blood Institute recommends that adults sleep 7-8 hours each night, yet one in three of us are not getting that. You may be able to function on more or less than the recommended number of hours, but its important to get in the habit of achieving them every night.
You may also feel extreme tiredness if your sleep is of poor quality. Signs that your sleep quality needs to improve are:
- You take more than half an hour to fall asleep after getting into bed
- You tend to wake up more than once per night
- Once awake in the middle of the night, it takes you more than 20 minutes to get back to sleep
- You are asleep less than 85% of your time in bed
Generally, poor sleep is due to bad sleeping habits which can be improved. There are also medical causes of poor sleep quality, such as sleep apnea.
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How Does Chronic Fatigue Impact A Persons Life
Chronic Fatigue Syndrome or CFS is severe fatigue that lasts for six months or more. Even during resting periods, it may not treat a person diagnosed with chronic fatigue syndrome. Hence, this complex medical illness often relies on treating the symptoms rather than the disease itself. This disorder is also called Myalgic Encephalomyelitis or ME/CFS, which may disable a person altogether. There are significant consequences of overlooking the symptoms of chronic fatigue. Mostly, there are times when fatigue may look like daytime tiredness or sleepiness. Yet, the first sign of continuous pain and lethargy needs a general physician for further examination and diagnosis.
How Can My Doctor Manage Fatigue
To find out what is causing your fatigue, your healthcare provider will ask questions about your lifestyle and medications and will conduct a physical examination. They might order some lab tests to test blood and urine. If you are a woman of child-bearing age, your provider will probably order a pregnancy test.
To relieve fatigue, your provider will treat the condition or disorder thatâs causing it. Depending on your health, your treatment plan may include a combination of medication, exercise, or therapy. If youâre taking a medication that makes you feel exhausted, talk to your healthcare provider about the risks and benefits of stopping the medication or trying another one.
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What Percentage Of Patients Complain To Their Primary Care Doctor About Fatigue That Interferes With Their Daily Lives
Fatigue is one of the most common complaints in medicine, accounting for an estimated 10 million doctor office visits each year.
Because fatigue is a common feature of everyday life but also a common symptom of so many different medical conditions, it can be difficult for doctors to properly assess and treat. In many cases, the most important medical response to persistent fatigue is to get tested for potential underlying physical or psychological medical conditions.
Common Causes Of Chronic Fatigue
How does it feel to have limitations on your daily activities? It may imply a negative impact on how we perceive our lifestyle. Every day, there are habits that people often forget to recheck. Significantly, working day and night without having a good sleep can lead to one of the causes of chronic fatigue. Doctors often suggest that stretching, strength training, and anaerobic exercises can stop these causes. People that want to enhance their endurance and flexibility should go to this site . Improving your core and ensuring that your heart rate is stable defeats the chances of chronic fatigue. Yet, be careful with how you work out and read more information regarding the causes of chronic fatigue.
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What Can I Do To Manage Covid Fatigue
Fatigue can drain your energy and keep you from doing day-to-day things when youre down with a viral sickness like COVID-19 or long-haul COVID-19.
To manage your health and ease fatigue symptoms while youre sick or post-COVID, you should:
- Accept that fatigue is a real side effect of having COVID-19.
- Make sure to get a good nights sleep. This can help your body preserve energy.
- Try relaxation techniques like mindful meditation, aromatherapy, yoga, and tai chi. These can help to reduce stress and fatigue symptoms.
- Plan ahead on what you can get done with limited energy.
- Prioritize the tasks that are important. This will help you spend energy on only those things that need to be done.
- Delegate certain tasks to others who can complete them for you. This can include activities like grocery shopping or cooking.
- Try to stay active. A viral infection can knock your energy out, but moving and light exercise can energize you.
- Keep a diary on all things that either trigger your fatigue or make it worse. This will help you steer clear of energy-draining activities.
- Eat foods that give your body energy.
- Stay hydrated.
How Much Sleep Do People Need
It varies, but on average studies say we need at least 7 to 9 hours every day. Studies have reported that most night shift workers get about 5 to 7 hours less sleep per week than the day shift. Humans follow an “internal” or “biological clock” cycle of sleep, wakefulness, and alertness. Although these circadian rhythms are influenced by external clues such as the sun setting and rising, it is the brain that sets your pattern. Most cycles are 23-25 hours long and there are natural dips or periods when you feel tired or less alert – even for those who are well-rested.
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Underactive Thyroid And Fatigue
Symptoms: Extreme fatigue, sluggishness, feeling run-down, depression, cold intolerance, weight gain
The problem may be a slow or underactive thyroid. This is known as hypothyroidism. The thyroid is a small, butterfly-shaped gland that sits at the base of your neck. It helps set the rate of metabolism, which is the rate at which the body uses energy.
According to the American Thyroid Foundation, about 17% of all women will have a thyroid disorder by age 60. And most won’t know it. The most common cause is an autoimmune disorder known as Hashimoto’s thyroiditis. Hashimoto’s stops the gland from making enough thyroid hormones for the body to work the way it should. The result is hypothyroidism, or a slow metabolism.
Blood tests known as T3 and T4 will detect thyroid hormones. If these hormones are low, synthetic hormones can bring you up to speed, and you should begin to feel better fairly rapidly.
Is It Possible That I Have Pots And Was Incorrectly Diagnosed
This is entirely possible. Given how common POTS symptoms are and how unfamiliar many doctors are with this condition, diagnostic mishaps happen. POTS is frequently misidentified as chronic fatigue syndrome, fibromyalgia, myofascial pain syndrome, anxiety disorder, ADHD, irritable bowel syndrome, myositis, etc. It is also possible that you have both POTS and one of these conditions, which may complicate the diagnosis. Sometimes people with POTS are told that its all in your head, implying that the cause of their symptoms is psychological. If you feel like something is physically wrong, dont hesitate to seek a second, and even a third or fourth opinion.
COVID-19 and POTS: Is There a Link?
Although many people recover quickly from COVID-19, the disease caused by the coronavirus, others who recover may continue to experience symptoms for months. Researchers are still determining the cause of these extended symptoms, but some COVID-19 “long-haulers” may actually be dealing with POTS.
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A Vitamin Or Nutrient Deficiency
A vitamin deficiency, such as not getting enough vitamin D or vitamin B12, could cause you to feel severely tired, per the Cleveland Clinic. Dehydration can have the same effect.
You could also feel suddenly exhausted if you’ve recently started a high-protein diet. It’s not the protein itself making you tired, but the lack of carbohydrates. Severely restricting carbs causes your body to enter ketosis, where it breaks down fat for energy, per the Mayo Clinic. The side effects of ketosis include fatigue as well as headache, weakness and bad breath.
These side effects are usually temporary, but if ketosis is causing your sudden energy crash, you may want to add more fiber-rich, complex carbohydrates to your diet, such as fruits, vegetables and whole grains like oatmeal and brown rice. The Dietary Guidelines for Americans recommend carbs make up 45 to 65 percent of your total daily calories.
Similarly, skipping meals or following a very low-calorie diet could sap your energy. Keep in mind that people assigned female at birth should avoid eating fewer than 1,200 calories per day, and people assigned male at birth should eat at least 1,500 calories per day, according to Harvard Health Publishing.
What Causes ‘your’ Fatigue
Many physical and mental illnesses, as well as lifestyle factors, can cause your fatigue, and that can make it hard to diagnose. In some cases, it might be something simple and easy to fix, like having caffeine at bedtime. But other causes, like heart disease or COPD, are serious, and you may need to start long-term treatment right away.
Your doctor can help you sift through your health issues, as well as diet, exercise, and other lifestyle habits, in order to zero in on the cause and help you on the road to recovery.
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What Does Fatigue Have To Do With It
I just had a blood test to check my iron levels and it got me thinking about an often overlooked issue in autoimmune diseaseFATIGUE!
Have you ever felt the fatigue of autoimmunity, but havent received answers or options to manage and improve your symptoms?
Fatigue in autoimmunity means symptoms of tiredness and exhaustion that do not improve with rest. Symptoms of fatigue can interfere with everyday life. You might experience brain fog, exercise intolerance, and headaches.
I was first diagnosed with inflammatory arthritis over 12 years ago. I was happy to finally have a reason to explain all of the random joint pain I was experiencing. I was not, however, prepared for the fatigue and brain fog that would follow me as a constant reminder of my disease.
When I asked my medical team about it, I received the frustrating response that it was just part of life with an autoimmune disease. Fatigue can be a confusing and often overlooked aspect of your disease, but it shouldnt have to be!
When we dig deep, there are several root causes we can uncover for fatigue that actually have solutions!
When I talk about fatigue, Im not talking about Chronic Fatigue Syndrome. This is an autoimmune disease that can lead to debilitating exhaustion and a host of other symptoms. This deserves mention, because its something to have ruled out as a root cause of your fatigue with your medical practitioner.
When To See A Healthcare Provider
If youre worried you may be experiencing symptoms of an autoimmune condition, be sure to see a healthcare provider for a comprehensive evaluation, which will include a thorough physical examination, blood tests, and possibly imaging tests.
If your primary care or family healthcare provider suspects an autoimmune process, you will likely be referred to a specialist, such as a rheumatologist , an endocrinologist , or a gastroenterologist .
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