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Home Disease Index Kinds of Fatigue

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FATIGUE

Overview

Causes
Considerations
Home Care

CHRONIC FATIGUE SYNDROME

Alternative Names

Informations
Symptoms
Compications

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Overview

 


Fatigue as a concept is extremely hard to define, since everybody has their own idea of what being tired means. Everybody is tired once in a while - the most common reason is, of course, lack of sleep.

Fatigue can also be caused by a wide range of illnesses and diseases. In such cases, a person usually finds they suddenly (or even gradually) need more rest and sleep. This may affect their performance at work.

Fatigue is also common when you are feeling down.



What causes fatigue?

 


There are a number of conditions that cause fatigue - some of the most common are listed below.

Anaemia
Anaemia due to a lack of iron is most often seen in women who have prolonged or heavy periods. Blood is lost every month, which means more iron is needed in the diet.

Other conditions that can give rise to anaemia include:

pregnancy.
any cause of bleeding from the stomach or intestines, eg ulcers, polyps or piles (haemorrhoids).
a lack of folic acid or vitamin B12.

In times of rapid growth in children, iron deficiency anaemia can be caused by certain small-intestinal diseases or syndromes, which lower the amount of nutrition the body is able to absorb, such as gluten-intolerance or Crohn's disease.

Infections
It is quite normal for fatigue to be brought on by various infections. After a bout of flu, for instance, you can feel tired for a couple of weeks.

Sometimes you may only notice a disease or illness because you have fatigue. This can be true of glandular fever, Lyme disease and AIDS.

Depression
You can easily become tired if you are depressed or experiencing emotional stress. Depression that requires medical help often shows itself through heavy fatigue.

A specific tendency towards fatigue during the winter can be a sign of winter depression (known as seasonal affective disorder), which nowadays can be treated successfully.

Cancers
Most forms of cancer cause fatigue to a certain degree. Therefore, it is extremely important to visit a doctor if you experience fatigue that seems to have no specific cause (eg insomnia).

Cancer can also manifest itself as lack of appetite and weight loss.

Metabolism
For people with a low metabolism rate (when the body is slow to turn food into energy), fatigue and an increased need for sleep can become extreme. If you suspect your metabolism rate is too low, you should see a doctor, because there are effective treatments available.

A high metabolism rate can also cause fatigue. In such cases, a high pulse rate makes it difficult to rest and leads to profound tiredness and a feeling of being unfit. There are also readily available treatments for this disorder.

Diabetes
Diabetes is another illness that can cause fatigue. Diabetes must be diagnosed and treated to stop it getting worse. A diagnosis can usually be made from a simple blood test.

Chronic fatigue syndrome
Chronic fatigue syndrome is a condition that causes exhaustion and fatigue without explanation.

There is no hard and fast test for this syndrome, but it is diagnosed 'by exclusion'. This means that if doctors have tested for everything else without success, this is the only possibility left.

Chronic fatigue is nonetheless a real condition. Although it is not directly treatable, it can be managed well enough to allow people to return to good health in time.



Considerations

 

Fatigue is different from drowsiness. In general, drowsiness is feeling the need to sleep, while fatigue is a lack of energy and motivation. Drowsiness and apathy (a feeling of indifference or not caring about what happens) can be symptoms of 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 nonspecific sign of a more serious psychological or physical disorder. When fatigue is not relieved by enough sleep, good nutrition, or a low-stress environment, it should be evaluated by your doctor. Because fatigue is a common complaint, sometimes a potentially serious cause may be overlooked.

The pattern of fatigue may help your doctor determine its underlying cause. For example, if you wake up in the morning rested but rapidly develop fatigue with activity, you may have an ongoing physical condition like an underactive thyroid. On the other hand, if you wake up with a low level of energy and have fatigue that lasts throughout the day, you may be depressed.



Home Care

 


Here are some tips for reducing fatigue:

Get adequate, regular, and consistent amounts of sleep each night.
Eat a healthy, well-balanced diet and drink plenty of water throughout the day.
Exercise regularly.
Learn better ways to relax. Try yoga or meditation.
Maintain a reasonable work and personal schedule.
Change your stressful circumstances, if possible. For example, switch jobs, take a vacation, and deal directly with problems in a relationship.
Take a multivitamin. Talk to your doctor about what is best for you.
Avoid alcohol, nicotine, and drug use.

If you have chronic pain or depression, treating either often helps address the fatigue. However, some antidepressant medications may cause or worsen fatigue. Your medication may have to be adjusted to avoid this problem. DO NOT stop or change any medications without instruction from your doctor.

Stimulants (including caffeine) are NOT effective treatments for fatigue, and can actually make the problem worse when the drugs are stopped. Sedatives also tend to worsen fatigue in the long run.

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Overview

 


Chronic fatigue syndrome is a condition of prolonged and severe tiredness or weariness (fatigue) that is not relieved by rest and is not directly caused by other conditions. To be diagnosed with chronic fatigue syndrome, the tiredness must be severe enough to decrease ability to participate in ordinary activities by 50%.



What causes fatigue?

 


The exact cause of chronic fatigue syndrome (CFS) is unknown. Some researchers suspect it may be caused by a virus, such as Epstein-Barr virus or human herpes virus-6 (HHV-6). However, no distinct viral cause has been identified.

Recent studies have shown that chronic fatigue syndrome may be caused by inflammation of pathways in the nervous system, and that this inflammation may be some sort of immune response or autoimmune process. CFS may occur when a viral illness is complicated by an inadequate or dysfunctional immune response. Other factors such as age, prior illness, stress, environment, or genetic disposition may also play a role. CFS most commonly occurs in women ages 30 to 50.



Symptoms

 


Symptoms of CFS are similar to those of most common viral infections (muscle aches, headache, and fatigue), often developing within a few hours or days and lasting for 6 months or more.

Main symptoms:

Fatigue or tiredness, never experienced to this extent before (new onset), lasting at least 6 months and not relieved by bed rest
Fatigue that is severe enough to restrict activity (serious fatigue develops with less than one-half of the exertion compared to before the illness).

Other symptoms:
Fatigue lasting more than 24 hours after an amount of exercise that would normally be easily tolerated
Mild fever (101 degrees F or less)
Sore throat
Lymph node tenderness in the neck or armpit
Muscle weakness, all over or multiple locations, not explained by any known disorder
Muscle aches (myalgias)
Feeling unrefreshed after sleeping an adequate amount of time
Headaches, different from previous headaches in quality, severity, or pattern
Joint pain, often moving from joint to joint (migratory arthralgias), without joint swelling or redness
Forgetfulness or other similar symptoms including difficulty concentrating, confusion, or irritability.



Complications

 

Social isolation caused by fatigue
Lifestyle restrictions (some people are so fatigued that they are essentially disabled during the course of the illness)
Depression (related both to symptoms and lack of diagnosis)
Side effects and adverse reactions to medication treatments .

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