Seeing A Healthcare Provider For Fatigue
When your chief complaint is fatigue, cancer isn’t likely to be the first thing on your healthcare provider’s mind. Fatigue is related to many other conditions, and your healthcare provider will want to rule out the most common causes first.
This will be accomplished through a physical and routine blood work. Your healthcare provider will likely order a few different blood tests, especially tests to check on your thyroid function.
During your visit, your healthcare provider may ask several questions relating to your quality of life and what factors may contribute to your fatigue. Possible questions include:
- How many hours do you work? Are you stressed at work?
- Have you had any major life changes, such as marriage, birth, or death?
- How often do you exercise?
- Do you sleep well? How much sleep do you get?
- How is your diet?
- Do you have a family history of thyroid disease?
It is important to remember that fatigue is not exclusive to cancer. If you are experiencing fatigue, it may be related to a less serious condition or have a lifestyle cause.
Doctors Recommend Getting A Blood Test For Myalgic Encephalomyelitis/chronic Fatigue Syndome If You Have Experienced Fatigue For Longer Than:
There is no blood test for myalgic encephalomyelitis/chronic fatigue syndome. However, if you have experienced unexplained fatigue lasting longer than three months, you may want to see your doctor to rule out possible medical problems.myalgic encephalomyelitis/chronic fatigue syndrome may be considered if you have experienced fatigue for longer than six months — especially if you have chronic pain or other common symptoms of ME/CFS. Diagnosis is usually based on an evaluation of the patient’s history and a thorough physical and mental examination that rules out other potential causes.
Unexpected Irregular Vaginal Bleeding
Irregular bleeding, especially if its accompanied by pain during sex, could signal a serious condition like cervical cancer or uterine cancer. If your menstrual period becomes unusually heavy or irregular, occurs more often than every three weeks, or you have spotting between periods, get these symptoms checked out.
Discuss any post-menopausal spotting with your doctor. Even a little bit of bleeding after menopause is abnormal, according to the American Congress of Obstetricians and Gynecologists. Some of the common causes are polyps and either atrophy or thickening of the endometrium the lining of your uterus.
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Feeling Nauseous Or Vomiting
At some point in your life, you will feel nauseous which can be accompanied by vomiting . The reasons we feel nauseous and/or vomit are many, including motion sickness, overeating, gastrointestinal infection, or a bowel obstruction . If you or a loved one frequently feels nauseous with or without vomiting, its important to schedule an appointment with your healthcare provider.
Is Pots More Common In Certain People
There are no established risk factors for POTS. However, it is known to run in families, so it could have a genetic component. Researchers have also established a link between POTS and Ehlers-Danlos Syndrome . So if you have one of these conditions, you might also have the other.
A big group of those diagnosed with POTS is young women and teens. However, this doesnt mean they are more likely to develop this condition.
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Hypothyroidism Tends To Make People Feel Sluggish
Hypothyroidism tends to make people feel tired, sluggish, and depressed.
It is a condition in which the thyroid gland does not make enough thyroid hormone. Inflammation of the thyroid gland is the most common cause. Other symptoms may include hair loss, depression, heavier menstrual periods, weakness, unintentional weight gain and being more sensitive to cold.
Treatment Of Normal Fatigue
If one has fatigue from any of the things that cause it listed above, you don’t have to be a doctor to understand that if you eliminate the cause, then this should remedy the problem. In other words, if you are not getting enough sleep, then get enough by trying to be regular in time of retiring and getting up. If you are doing too much to too little then do the opposite. For example, moderate exercise on a regular basis is a very good treatment for couch potato syndrome. If medicines are the problem, talk to your physician about substitutions with a medicine that does not cause fatigue in you. Today there are often many good medicines that can be used for treatment of a medical problem that vary in their degree of side effects, especially drowsiness.
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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
Questions You May Be Asked
These are to help give some clues about the cause of the tiredness, and may include:
- Do you have any other symptoms?
- Sleep: Do you sleep well? Is your sleep interrupted? Do you snore? Has your partner noticed any changes to your breathing at night?
- Mood: Do you feel low, or more worried than usual? Are you under any stress? You may be asked to complete a specific questionnaire about your mood.
- Has your weight changed?
- Do you have heavy periods?
- How much alcohol do you drink?
- Are you on any medication?
- Can you remember when this started? Did it start suddenly and can you date it from a particular date, event, holiday or illness? Or did it come on more gradually?
- How is the tiredness affecting you in your everyday life?
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Does The Patient Suffer From Depression
If they also complain of tiredness and weight gain consider hypothyroidism.
If they are tired and nauseated, and describe polyuria or constipation consider hypercalcaemia.
If they have developed weight gain and thinned or red skin consider Cushings syndrome.
If they have also lost their libido, or developed erectile dysfunction consider hypogonadism, or hypopituitarism.
Fatigue Caused By An Unhealthy Diet
The old adage you are what you eat is really true. By eating well-balanced meals and snacks that contain enough calories and nutrients, you give yourself sufficient energy to counteract extreme tiredness. Simply eating to stave off hunger during the day is not sufficient sugary and processed foods are counterproductive, and rob us of essential nutrients needed for energy production. Too many refined carbohydrates, such as bread, cause our blood sugar levels to spike and crash, leaving us exhausted. Make sure that your diet is made up of plenty of nutrient-rich foods such as whole grains, fresh fruit and vegetables.
Your body can function within a range of calories depending on your weight, height, age, and other factors. However, generally speaking, women should consume about 2,000 calories a day, and men 2,500 calories a day. Consuming less than 1,200 calories per day may cause your metabolism to slow down.
Conversely, if you eat too much, this can also cause fatigue. The key to healthy eating is therefore to choose certain foods that contain adequate nutrients and make sure you have meals and snacks in appropriate portions.
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What Is Pots And Why Does It Cause Fatigue
POTS is a group of symptoms resulting from dysfunction of the autonomic nervous system. This branch of the nervous system regulates functions we dont consciously control like sweating and blood circulation.
In people with POTS, more blood collects in the lower body when standing upright. The heart beats faster to pump it up to the brain, but with little success. The causes of POTS are unknown, but the problem is thought to lie in the communication breakdown between the brain and the cardiovascular system.
POTS-related fatigue is physical in nature and the mechanism behind it is not fully understood. It may have several causes, including your body working harder to move the blood.
When To Call Your Healthcare Provider
Some kinds of stomach pain need immediate attention. With others, you can call or visit your healthcare provider. It can be hard to know what you should do. Listen to your body and trust your instincts if youre not sure.
If you have any of these symptoms along with stomach pain, call your healthcare provider within a day or two:
- Excessive vaginal bleeding or blood clots
- Vaginal bleeding that lasts for longer than usual
You should also call your healthcare provider if you have stomach pain while you are being treated for cancer.
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What Causes Symptoms Of Extreme Fatigue
Causes of fatigue include:
- Lifestyle habits: Poor diet, excessive alcohol, drug use, too much stress and a sedentary lifestyle can all contribute to fatigue.
- Medical conditions: Fatigue is a symptom of a wide range of diseases, disorders and deficiencies affecting various parts of the body.
Why does COVID cause extreme fatigue?
With COVID, the immune system goes into overdrive, releasing chemicals called cytokines that trigger inflammation, fever, and tissue death, she says. After this type of stress response, your body needs to go into rest-and-recovery mode, which causes fatigue.
How Are Abdominal Pain And Unintentional Weight Loss Treated
Abdominal pain and unintentional weight loss treatments can vary because their causes vary. Your doctor will try to determine the underlying cause. However, in the meantime, they may prescribe medication to help control your symptoms.
If a virus is causing your symptoms, antibiotics wont improve your symptoms because antibiotics are not effective against viruses.
If your abdominal pain and unintentional weight loss are due to a parasite, your doctor will determine the appropriate medication to kill the parasite.
Counseling can improve symptoms caused by stress and anxiety. Getting more rest and exercise may also help.
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Can You Get Sick From Exhaustion
If your exhaustion has continued for over four months, then you may be diagnosed with chronic fatigue syndrome, per the NHS.
According to the NHS, CFS is a long-term illness with a wide range of symptoms including extreme tiredness. Sometimes it’s referred to as ME, which stands for myalgic encephalomyelitis, however, the syndrome is the same. There is no specific test for it, so a diagnosis is based on the symptoms you’ve got, and by crossing other potential issues off the list.
CFS/ME can affect anyone, including children but it’s more common in women aged between mid-20s and mid-40s.
The common symptoms include sleep problems muscle or joint pain, headaches, feeling dizzy or sick and fast or irregular heartbeats but there are many more, which can often be exaggerated by exercise.
‘Chronic fatigue syndrome occurs when energy delivery mechanisms in the body are down, or energy is being used by the immune system to, say, fight a chronic infection, is the belief of Dr Sarah Myhill, author of Diagnosis and Treatment of Chronic Fatigue Syndrome and Myalgic Encephalitis. Which means? ‘There is no energy left to live.’
‘The symptom of stress occur when the brain knows it does not have the energy to deal with the demands of life,’ Dr Myhill continues. ‘If we mask that symptom with a prop such as sugar, alcohol or caffeine then we ‘sail close to the wind’ and a minor viral infection could be all it takes to flip the body into a CFS state.’
How Is Chronic Fatigue Syndrome Diagnosed
Before diagnosing chronic fatigue syndrome, a doctor examines a person and rules out other possible causes of their symptoms.
There is no specific test that conclusively proves the existence of chronic fatigue syndrome. Instead, testing may involve physical tests of blood, urine, thyroid function, muscle enzymes, gluten tolerance, and other analyses depending on the persons symptom profile.
The doctor also asks questions and may administer questionnaires, such as the Centers for Disease Control Symptom Inventory or the DePaul Symptom Questionnaire, for a better picture of the symptoms.
Symptoms of chronic fatigue syndrome can come and go, and they vary from person to person. This variability can make it difficult for diagnostic measures to capture how a person is affected by the disease, even if the effects are real and noticeable. Some experts argue that chronic fatigue syndrome should be further divided into different subtypes based on groups of symptoms.
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Viral Or Bacterial Infection And Fatigue
Symptoms: Fatigue, fever, head or body aches.
Fatigue can be a symptom of infections ranging from the flu to HIV. If you have an infection, you’ll probably have other symptoms like fever, head or body aches, shortness of breath, or appetite loss.
Infections that may cause fatigue include:
Symptoms: Chronic fatigue, deep muscle pain, painful tender points, sleep problems, anxiety, depression
Fibromyalgia is one of the more common causes of chronic fatigue and musculoskeletal pain, especially in women. Fibromyalgia and chronic fatigue syndrome are considered separate but related disorders. They share a common symptom: severe fatigue that greatly interferes with people’s lives.
With fibromyalgia, you may feel that no matter how long you sleep, it’s never restful. And you may feel as if you are always fatigued during daytime hours. Your sleep may be interrupted by frequent waking. Yet, you may not remember any sleep disruptions the next day. Some people with fibromyalgia live in a constant fibro fog — a hazy feeling that makes it hard to concentrate.
Constant daytime fatigue with fibromyalgia often results in people not getting enough exercise. That causes a decline in physical fitness. It can also lead to mood-related problems. The best way to offset these effects is to try to exercise more. Exercise has tremendous benefits for sleep, mood, and fatigue.
Which Of The Following Is Often A Symptom Of Chronic Fatigue Syndrome
Myalgic encephalomyelitis/chronic fatigue syndrome is a term used to describe a group of symptoms, with fatigue being the most prominent. Other key symptoms include muscle and joint pain, sleep disturbances, headaches, sore throat, and tender lymph nodes. These symptoms can be as disabling as multiple sclerosis, lupus, rheumatoid arthritis, heart disease, end-stage renal disease, chronic obstructive pulmonary disease , and similar chronic conditions.
Fatigue also is frequently a symptom of conditions that are distinct from chronic fatigue syndrome but are often associated with it — including some autoimmune disorders and fibromyalgia.
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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, Mayo Clinic, USA. More information here.
- Fatigue in the workplace, WorkSafe Victoria. More information here.
Feeling Sick In The Morning But Not Pregnant
Fatigue and nausea are common during the early stages of pregnancy. Doctors use the term morning sickness to refer to nausea and vomiting during pregnancy, although these symptoms may occur at any time of day. A 2014 study notes that morning sickness occurs in around 85% of pregnancies.
If there is any possibility that a person may be pregnant, they should take a pregnancy test. If they are not pregnant, they should see their doctor to determine the cause of their morning nausea.
Feeling nauseous upon waking up may simply be the result of poor sleep or an upset stomach from the night before. However, it could also signal a more chronic underlying health issue.
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Getting Adequate Rest Can Fight Short
In most cases, chronic fatigue is not substantially improved by rest. Chronic fatigue often makes it more difficult to get adequate rest. Similarly, fatigue can interfere with sleep, resulting in unrefreshing sleep, difficulty falling asleep, frequent awakening, or sleep apnea.
Rest is unlikely to relieve fatigue caused by a medical condition.
Some Illnesses Cause Fatigue
Sometimes, fatigue can be the first sign that something is wrong in your body. For example, people with rheumatoid arthritis, a painful condition that affects the joints, often complain of fatigue. People with cancer may feel fatigued from the disease, treatments, or both.
Many medical problems and treatments can add to fatigue. These include:
- Taking certain medications, such as antidepressants, antihistamines, and medicines for nausea and pain
- Having medical treatments, like chemotherapy and radiation, or recovering from major surgery
- Chronic diseases like diabetes, heart disease, kidney disease, liver disease, thyroid disease, and chronic obstructive pulmonary disease
- Untreated pain and diseases like fibromyalgia
- Sleep apnea and other sleep disorders
Managing a health problem may make the fatigue go away. Your doctor can help.
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What Is The Treatment For Tiredness
There is no specific treatment for tiredness. The days of doctors prescribing a “tonic” are over, as there is nothing which really works. The secret is to try to narrow down the cause and then do something about that.
If the cause is a medical condition then often treatment of the condition will resolve the tiredness. For example, if you have anaemia then iron supplements can treat this and the tiredness resolves as your blood count improves. It is thought that even supplementing low-range-of-normal iron levels helps with tiredness. If you are found to have an underactive thyroid gland then a pill which replaces the thyroid hormone you are missing is usually very effective and you will find you have more energy.
If you are found to have chronic fatigue syndrome, you may be referred to a specialist in this illness for help through psychological therapy, graded exercise therapy, or medication.
If you have anxiety or depression, this can be helped by talking therapy , cognitive behavioural therapy , medication or various other possible treatments.
It may seem bizarre, but physical exercise can actually be remarkably effective for treating tiredness. Any moderate exercise, such as walking, swimming or cycling, can help you feel less tired. Regular exercise is also an excellent way to stay healthy.