Extreme Sleepiness And Fatigue

Dr. Sushil Kumar SompurMBBS, MD - Psychiatry, MBA - HealthcarePsychiatrist

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I'm sorry to hear about the difficulties you're facing with your health. Managing multiple chronic conditions like dysthymia, anxiety, insomnia, chronic fatigue syndrome, and overactive bladder, along with the side effects of various medications, can be extremely challenging. Here are some points to consider based on the information you've shared: medication side effects and interactions: it's clear that you've experienced a range of side effects from different medications. This is not uncommon, especially when dealing with multiple medications for complex conditions. Each person's response to medication can vary greatly. Impact on health conditions: certain medications, especially psychiatric drugs like antipsychotics, mood stabilizers, and some antidepressants, can contribute to metabolic changes. These changes can potentially lead to conditions like prediabetes and fatty liver. It's important to monitor your physical health regularly while on these medications. Consulting healthcare professionals: given the complexity of your situation and the range of medications you've tried, continued consultation with healthcare professionals is crucial. If access to a psychiatrist is limited in your area, consider telemedicine options, which can connect you with specialists remotely. Medication choices: duloxetine: often used for depression, anxiety, and certain types of pain. It can have side effects like nausea, drowsiness, and sexual dysfunction. Bupropion (bupran): an antidepressant that's sometimes preferred for its lower risk of sexual side effects and sleepiness. However, it needs to be used cautiously in individuals with a history of seizures or heavy alcohol use. Zolpidem (zolfresh): a sedative used for short-term management of insomnia. It can be effective for sleep, but it's not typically recommended for long-term use. Melatonin: a supplement used for sleep problems. Headaches can be a side effect for some people. Lifestyle modifications: in addition to medication, lifestyle changes can play a significant role in managing these conditions. Regular exercise, a healthy diet, good sleep hygiene, stress reduction techniques, and avoiding alcohol can all contribute positively to your health. Therapy and support: psychological therapies, such as cognitive-behavioral therapy (cbt), can be very effective for mood and anxiety disorders, and even for insomnia (cbt-i for insomnia). These therapies can be accessed in person or via online platforms. Regular monitoring and follow-up: regular follow-up with your healthcare provider is important, especially if you're considering changes to your medication regimen. This will help manage your conditions safely and monitor for any side effects or complications. Remember, it's crucial to work closely with healthcare professionals who can provide personalized advice and treatment based on your specific health needs. Don't hesitate to reach out for support or a second opinion if you feel your current treatment plan isn't working well for you. 

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Dr. Karuna ChawlaBHMSHomeopathy Doctor

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Get your thyroid profile, cbc, blood sugar fasting checked from some lab. Since when r you having this?What r other symptoms that you r experiencing? By doing what like walking, exertion, eating or empty stomach- it increases or decreases in intensity. For how much time it remains? Is there stiffness also? How is your appetite?R you constipated or having loose stools? Any problem in urine?I need details of the case.in the meanwhile follow this 1. Take your breakfast every day. Don't skip it. U should eat whatever your mother or grandparent eat in bfast. I mean to say whatever is your traditional food. If punjabi eat paratha, if belongs to south then take idli/ dosa etc. 2. Don't overeat3. Don't take tea empty stomach. Eat something like a banana (if you are not diabetic) or any seasonal fruit or soaked almonds and a glass of plain water first thing in the morning (preferably within 10 mins of waking up). No only biscuits or rusk will not do. 4. Have light meals every 2 hours (in addition to your breakfast, lunch n dinner) e.g. Nariyal paani, chaach, a handful of mixed dry fruits, a handful of peanuts, any fresh n seasonal fruit (eat whole fruit not juice), a cup of curd/milk etc 5. Take simple food like rice n dal in dinner. Finish your dinner at least 2 hours before going to sleep. 6. Maintain active life style7. Avoid fast foods, spicy n fried foods, carbonated beverages 8. Take a lot of green vegetables n fruit. 9. Drink lot of water.10. Everyday preferably sleep on same time 11. Take 1tsp of ghee in bfast, lunch n dinner. Exercise in the form of yoga, cycling, swimming, gym etc. Till lock down do suryanamaskar. homeopathy is a very effective for this problem n has very encouraging results. For details, consult online. 

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Dr. Rahul GuptaMD-Ayurveda, Bachelor of Ayurveda, Medicine & Surgery (BAMS)Sexologist

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Hello- postorgasmic illness syndrome (pois) is a rare condition in which a person develops flu-like and allergy symptoms after orgasm, whether with a partner, through masturbation, or spontaneously during sleep. Pois typically is reported in males (after ejaculation), but females have rarely been reported to have symptoms of pois. Symptoms may develop within seconds, minutes, or hours after orgasm, and usually last for 2 to 7 days before going away on their own. Possible symptoms vary from person to person, but more common symptoms include fatigue, weakness, headache, fever, mood changes, memory or concentration problems, stuffy nose, sore throat, and itching eyes. The good news is that it is curable. 

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Dr. Sreepada Kameswara RaoDHMS (Diploma in Homeopathic Medicine and Surgery)Homeopathy Doctor

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Your bp 182/82 is quite high. It is a silent and harmful disease which affects all organs. You need personal examination and prescription medicine to be taken on long term basis. Please consult your local physician. 

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Dr. Krishnan Nair M PMBBS, DPHGeneral Physician

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Dear Lybrate customer, you have n't told your age .old age is usually associated with weakness and fatigue. Weakness and fatigue are symptoms of diabetes ---especially when untreated or not properly treated. Usually lack of sleep ; heavy exertion ; large meal; causes weakness and fatigue//.most of the infections ; inflamatory and allergic diseases are accompanied by weakness and fatigue //. Covid and post covid syndrome are accompanied by weakness and fatigue ;//.nutritional problems like anaemia ;vitamins deficiency ; kidney disease ; liver disease ; lung disease like copd; asthma ;flu ; dehydration ; extreme of climate especially hot exposures ; less of water or food ; mental problems are associated with weakness and fatigue.// kindly try to find out ---which are the factors affecting you and address those problems ---so that your weakness and fatigue will come down. 

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Dr. B NandaGeneral Physician

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You will need b12 supplements and maybe others, depending upon your other tests .please share any other reports you may have. 

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Dr. Karuna ChawlaBHMSHomeopathy Doctor

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It can be migraine or can be due to stomach issue. Need details to find out. In the meanwhile follow this follow this 1. Don't take tea empty stomach. Eat something like a banana (if you are not diabetic) or any seasonal fruit or soaked almonds and a glass of water first thing in the morning (within 10 mins of waking up). No only biscuits or rusk will not do. 2. Don't overeat 3. Take your breakfast every day. Don't skip it. U should eat whatever your mother or grandparent eat in bfast. I mean to say whatever is your traditional food. If punjabi eat paratha, if belongs to south then take idli/ dosa etc. 4. Have light meals every 2 hours (in addition to your breakfast, lunch n dinner) e.g. Nariyal paani, chaach, a handful of dry fruits, a handful of peanuts, any fresh n seasonal fruit, a cup of curd/milk etc 5. Finish your dinner at least 2 hours before going to sleep. 6. Maintain active life style7. Avoid fast foods, spicy n fried foods, carbonated beverages 8. Take a lot of green vegetables n fruit. 9. Drink lot of water.10. Everyday preferably sleep on same time exercise in the form of yoga, cycling, swimming, gym etc.Till lock down do suryanamaskar every day. Https://www.youtube.com/watch? V=wmhmazurgvsandfeature=youtu. Be for this homeopathy offers good results. Consult online. 

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It is not very dangerous to live near cellphone towers, but many people have reported sleep disturbances, fatigue and other minor complaints living within 50 meters of a cellphone tower. Cancer risk is seen in very extremely rare cases. It is not dangerous to live but it is not good living near cellphone tower either. 

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Dr. Sajeev KumarC.S.C, D.C.H, M.B.B.SCardiologist

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Anger management: 10 tips to tame your temper ANGER: There is a saying "Frustration begets anger and anger begets aggression." Direct anger, is expressed toward the object perceived as the cause of the frustration. If a machine does not work, you might hit it or kick it. If someone gets in your way, you could verbally threaten them or push them aside. If the source of the frustration is too powerful or threatening for direct aggression, displaced aggression is often used. The aggression is redirected toward a less threatening and more available object. An angry person often acts without thinking. The person has given in to the frustration and they have given up restraint. Anger can be a healthy response if it motivates us to positive action but all too often the actions we engage in when angry are destructive. Indeed, if we could see a videotape of ourselves getting angry, the humiliation might well help cure us of anger. When you feel frustration building, you have to practice learned responses that lead to healthy actions instead of destructive ones. GIVING UP: Giving up on a goal can be productive if the goal is truly out of reach. However, more often giving up (quitting or being apathetic) is another form of giving in to frustration. When repeatedly frustrated, people can drop out of school, quit jobs, or move away. Apathy is giving up all of your goals, so you cannot be frustrated by trying to reach them. We live in a difficult time and we have to be persistent in order to accomplish. Consider how many projects you began, and then gave up, because you became frustrated and lost patience. Make a list of things you started and quit because they seemed too difficult. Now calculate the disappointment and loss you suffered by not dealing with the frustration in a more healthy way. Try to remember that quitters never win, and winners never quit. Losing your temper means you're a quitter. LOSS OF CONFIDENCE: is a terrible frequent side effect of giving up and not fulfilling your goal. A loss of self-confidence and self-esteem, means that If we quit once, then the next time we plan a goal, we may not be able to accurately assess our ability to carry it out and we stop trusting ourselves and our own abilities. This became a self-fulfilling and self-destructive attitude. You need to be able to learn that when the going gets tough, you say to yourself "It is worth it!" and by following through, it not only gets the job done, but it builds self-confidence. STRESS: is the "wear and tear" our body and mind experiences as we adjust to the frustrations our continually changing environment. Too frequently, extreme or prolonged frustration and stress strains us and generates distress signals. Our body experiences distress signals in a variety of ways, often in the form of irritability, anger, fatigue anxiety, headache, depression, stomach aches, hypertension, migraines, ulcers, heart attacks, or colitis. DEPRESSION: Depression can affect almost every aspect of your life. It affects people of all ages, income, race, and cultures. Depression can affect the way you eat and sleep the way you feel about yourself, the way one thinks about things, and the way you interact with others. While we all feel depression at various appropriate times in our lives, excess or inappropriate depression cannot be easily dismissed or wished away. OTHER REACTIONS: abuse of drugs & alcohol is a self-destructive and usually futile attempt at dealing with frustration, as are many eating and weight problems and addictions Whenever the immediate effects of the addictive behaviour wear off, users find themselves back in the same, or even worse, frustrating situation. Anger is among the gamut of emotions we exhibit as a reaction to a situation, and it is a 'normal' emotion too as long as it is kept under control. Some people have the propensity to explode when pushed to the extreme. They keep swallowing their emotions until they can finally do it no more, and erupt like a volcano. Others dealing with extreme anger are like a ticking time bomb. You'll never know what you unwittingly say or do can trigger an explosion. In either case, anger that cannot be controlled comes with a physical reaction. Your heart beats faster preparing you for both action and reaction. Your breathing quickens. You may clench your fist, tighten your shoulders and go into a defensive position. The problem arises out of the fact that it is almost impossible to feel anger and empathy at the same time. An angry person is seldom sensitive to the wellbeing of his victim, and hence may lash out verbally and sometimes physically. Such things are done in the heat of the moment mostly leaves us with regrets. So here are a few ways to deal with extreme anger. 1. Approve it / Acknowledge it: The first step in solving a problem is recognizing that you have one. The fundamental problem here is that people believe they are on the right track and refuse to budge from their views. It is essential to realize that this step is not about deciding whether you are right or wrong but acknowledging the fact that your reaction to the situation can be channelled in a better way. When getting someone to acknowledge their anger problem, be careful as to not use negative words like wrong, false and shouldn't. Instead, influence with positive words like can and should. Instead of saying 'You are wrong to react like this', you can say, 'I understand what you are feeling. Is there a way we can resolve this situation?' 2. Understand/recognize the signs: Once you know that your problems exist, you can try devising ways that will work for you in dealing with the situation. You can count to 100 to calm yourself or simply decide to not speak until you can calm yourself. Knowing that you may enter into an argument in a situation, you can list down the points that you feel strongly about and discuss each of them one by one. Working your way through a finite list gives a better opportunity to reach closure at the end. 3. Free the mind/Find ways to let it go: Not all arguments end inclosure. A lot of unsaid justifications cloud our mind repeatedly leaving us seething from the inside. Research has shown that the normal or neurological anger response lasts less than two seconds. Beyond that it takes a strong will to stay angry. Once you realize how much your anger is consuming your mind, decide to free your mind with meditation and other calming exercises. Tell yourself that some people and issues simply don't deserve your anger, emotion, reaction or time. If you or someone you know is suffering from anger management issues, consult a doctor today. 

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Dr. Sajeev KumarC.S.C, D.C.H, M.B.B.SCardiologist

91% (40820 ratings)

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Anger management: 10 tips to tame your temper ANGER: There is a saying "Frustration begets anger and anger begets aggression." Direct anger, is expressed toward the object perceived as the cause of the frustration. If a machine does not work, you might hit it or kick it. If someone gets in your way, you could verbally threaten them or push them aside. If the source of the frustration is too powerful or threatening for direct aggression, displaced aggression is often used. The aggression is redirected toward a less threatening and more available object. An angry person often acts without thinking. The person has given in to the frustration and they have given up restraint. Anger can be a healthy response if it motivates us to positive action but all too often the actions we engage in when angry are destructive. Indeed, if we could see a videotape of ourselves getting angry, the humiliation might well help cure us of anger. When you feel frustration building, you have to practice learned responses that lead to healthy actions instead of destructive ones. GIVING UP: Giving up on a goal can be productive if the goal is truly out of reach. However, more often giving up (quitting or being apathetic) is another form of giving in to frustration. When repeatedly frustrated, people can drop out of school, quit jobs, or move away. Apathy is giving up all of your goals, so you cannot be frustrated by trying to reach them. We live in a difficult time and we have to be persistent in order to accomplish. Consider how many projects you began, and then gave up, because you became frustrated and lost patience. Make a list of things you started and quit because they seemed too difficult. Now calculate the disappointment and loss you suffered by not dealing with the frustration in a more healthy way. Try to remember that quitters never win, and winners never quit. Losing your temper means you're a quitter. LOSS OF CONFIDENCE: is a terrible frequent side effect of giving up and not fulfilling your goal. A loss of self-confidence and self-esteem, means that If we quit once, then the next time we plan a goal, we may not be able to accurately assess our ability to carry it out and we stop trusting ourselves and our own abilities. This became a self-fulfilling and self-destructive attitude. You need to be able to learn that when the going gets tough, you say to yourself "It is worth it!" and by following through, it not only gets the job done, but it builds self-confidence. STRESS: is the "wear and tear" our body and mind experiences as we adjust to the frustrations our continually changing environment. Too frequently, extreme or prolonged frustration and stress strains us and generates distress signals. Our body experiences distress signals in a variety of ways, often in the form of irritability, anger, fatigue anxiety, headache, depression, stomach aches, hypertension, migraines, ulcers, heart attacks, or colitis. DEPRESSION: Depression can affect almost every aspect of your life. It affects people of all ages, income, race, and cultures. Depression can affect the way you eat and sleep the way you feel about yourself, the way one thinks about things, and the way you interact with others. While we all feel depression at various appropriate times in our lives, excess or inappropriate depression cannot be easily dismissed or wished away. OTHER REACTIONS: abuse of drugs & alcohol is a self-destructive and usually futile attempt at dealing with frustration, as are many eating and weight problems and addictions Whenever the immediate effects of the addictive behaviour wear off, users find themselves back in the same, or even worse, frustrating situation. Anger is among the gamut of emotions we exhibit as a reaction to a situation, and it is a 'normal' emotion too as long as it is kept under control. Some people have the propensity to explode when pushed to the extreme. They keep swallowing their emotions until they can finally do it no more, and erupt like a volcano. Others dealing with extreme anger are like a ticking time bomb. You'll never know what you unwittingly say or do can trigger an explosion. In either case, anger that cannot be controlled comes with a physical reaction. Your heart beats faster preparing you for both action and reaction. Your breathing quickens. You may clench your fist, tighten your shoulders and go into a defensive position. The problem arises out of the fact that it is almost impossible to feel anger and empathy at the same time. An angry person is seldom sensitive to the wellbeing of his victim, and hence may lash out verbally and sometimes physically. Such things are done in the heat of the moment mostly leaves us with regrets. So here are a few ways to deal with extreme anger. 1. Approve it / Acknowledge it: The first step in solving a problem is recognizing that you have one. The fundamental problem here is that people believe they are on the right track and refuse to budge from their views. It is essential to realize that this step is not about deciding whether you are right or wrong but acknowledging the fact that your reaction to the situation can be channelled in a better way. When getting someone to acknowledge their anger problem, be careful as to not use negative words like wrong, false and shouldn't. Instead, influence with positive words like can and should. Instead of saying 'You are wrong to react like this', you can say, 'I understand what you are feeling. Is there a way we can resolve this situation?' 2. Understand/recognize the signs: Once you know that your problems exist, you can try devising ways that will work for you in dealing with the situation. You can count to 100 to calm yourself or simply decide to not speak until you can calm yourself. Knowing that you may enter into an argument in a situation, you can list down the points that you feel strongly about and discuss each of them one by one. Working your way through a finite list gives a better opportunity to reach closure at the end. 3. Free the mind/Find ways to let it go: Not all arguments end inclosure. A lot of unsaid justifications cloud our mind repeatedly leaving us seething from the inside. Research has shown that the normal or neurological anger response lasts less than two seconds. Beyond that it takes a strong will to stay angry. Once you realize how much your anger is consuming your mind, decide to free your mind with meditation and other calming exercises. Tell yourself that some people and issues simply don't deserve your anger, emotion, reaction or time. If you or someone you know is suffering from anger management issues, consult a doctor today. 

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