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Last Updated: Nov 11, 2019
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Fatigue - Symptom, Treatment And Causes

What is Fatigue? What are the different types of fatigue? What are the first signs of fatigue? What causes fatigue? Diagnoses: What is the best treatment for fatigue? What is the best medicine for fatigue? Home remedies for fatigue :

What is Fatigue?

Fatigue is the lack of motivation or energy (both mental and physical). Fatigue is different from drowsiness (the urge to sleep). Usually fatigue and drowsiness is diagnosed by a healthcare professional as it can be difficult to tell the difference between drowsiness and fatigue.It is usually difficult for the patient to describe fatigue it is characterized by feelings of exhaustion, lethargy and tiredness. Sometimes, fatigue can also be an underlying symptom of a much fatal disorder such as various sleep disorders, hear diseases, COPD, thyroid diseases, diabetes and anemia. In severe cases, fatigue can also result to Chronic fatigue syndrome.

What are the different types of fatigue?

There are different types of fatigue like physical fatigue and mental fatigue in general terms whereas chronic fatigue, transient fatigue and cumulative fatigue representing some medical conditions. Physical fatigue can be described as fatigue occurring as a result of continuous work for a longer period of time or any other type of excess physical excursion.

Fatigue can be considered as mental fatigue when sleepiness and reduced attention and ability to perform any complex or even simple task are observed or noticed. On the other side, extreme fatigue experienced by a person is called a chronic fatigue state while fatigue causing restriction of sleep for one or two days is called acute fatigue or transient fatigue.

What are the first signs of fatigue?

Fatigue is a condition where a person feels or experiences a lack of energy, unexplained exhaustion at mental and/or physical levels. This condition is affecting normal well-being at emotional as well as psychological levels. Signs that are indicators of fatigue are tired eyes and legs, the problem in concentration, difficulty in breathing, severe and sudden headaches, unrefreshing sleep or feeling sleepy after regular sleep, muscle pain and lethargic condition, and impaired hand-to-eye coordination.

Some other symptoms like weakness in muscles, blurry vision, reduced motivation, memory problems for short term, irritability, stiffness in the shoulder and slowed reflexes and responses of extremities, a sudden feeling of anxiety, nervousness, or impatience are also associated with fatigue.

What causes fatigue?

  • Metabolic/Endocrine- Diseases like Cushing’s disease, liver disease, kidney disease, electrolyte abnormalities, diabetes, hypothyroidism and anemia can cause fatigue.
  • Infections- Many infections such as malaria, influenza (flu), HIV infection, cytomegalovirus, tuberculosis, hepatitis and infectious mononucleosis contributes to fatigue.
  • Heart and lung diseases- A lot of pulmonary and cardiac disorders such as pneumonia, asthma, COPD, valvular heart disease, coronary artery disease and congestive heart failure are also leading causes of fatigue.
  • Medications- Some medicines like blood pressure medicines, steroids, antistamines, drug withdrawal medicines and antidepressants can also give rise to fatigue.
  • Vitamin deficiencies- Certain inadequacy of vitamin D, vitamin B12, iron and folic acid can cause fatigue.
  • Psychiatric health- Bereavement, grief, alcohol abuse and depression can also cause fatigue.
  • Other issues- Illnesses such as fibromyalgia, systemic lupus, rheumatoid arthritis, cancer and rheumatology contributes to fatigue. Sometimes radiation therapy and chemotherapy can also cause excessive fatigue.

Diagnoses:

Sometimes, fatigue can be serious and should be diagnosed as soon as possible. The doctor or the healthcare professional usually includes tests like CBC (complete blood count test), electrolytes test, blood sugar test (electrolytes test), thyroid hormone, CPK (illnesses which cause muscle inflammation), erythrocyte sedimentation rate (ESR), electrocardiogram (ECG, EKG), CT scans and X-rays.

What is the best treatment for fatigue?

To select suitable treatment for fatigue, primarily the underlying cause of it should be identified. A person taking treatments for other diseases or conditions may cause fatigue such as medications like antibiotics, immunity boosters, vitamin supplements, hormone influencers, etc. Some fatigue can be treated with prescribing iron supplements, medicine for sleep disorders, controlling blood sugar levels, for treating mental health, etc.

Fatigue is one type of symptom itself and it is not a condition or disease that is indicating some other underlying medical complication. There is no single medication or treatment is described or mentioned for it. To treat fatigue, people should change their lifestyle, can try acupuncture, cognitive therapy.

What is the best medicine for fatigue?

There is no specific medication available in the market to treat fatigue, however many medications are resulting in fatigue like symptoms. Some drug therapies like bupropion, sertraline, and other anti-depressant drugs can be used to overcome or reduce the effect of chronic fatigue syndrome and treats sleep, pain and psychological problems. Fatigue is caused by different causes and its symptoms are also varying from one person to another.

It is better to coordinate with a team of health care providers to make a suitable treatment plan accordingly. Other medications that might be prescribed by medical practitioners are anemia medicines, some vitamin supplements, some sleep aids like eszopiclone, lorazepam, zolpidem, etc.

Home remedies for fatigue :

Fatigue can occur due to many reasons like lifestyle-related causes such as lack of sleep, sleep disturbance, consumption of alcohol and drugs, poor diet, lack of regular exercise and sedentary behavior), psychological causes such as depression, anxiety, and stress, grief, etc.

To fight with such fatigue, people should manage stress and include some relaxation techniques, stop consumption of excessive caffeine and alcohol, create a sleep routine, avoid napping in between day time and try to sleep at night time only, check and confirm the current medications about the effect as fatigue, add healthy diet in daily plan, and perform daily any type of physical activity.

Popular Questions & Answers

Hello doctor. I have pcos for 2 years now. menstrual cycle is very irregular. Sometimes it's for 4-5 continuous months for every day and sometimes not happens for 5 months. I have started losing allot of hair and overweight by 6 kgs. I had lot of acne but now it's in control as I started taking methi paani. Please suggest something. Thank you.

MBBS, M.D., Dip.in pelvic surgey,
Gynaecologist, Kottayam
Your symptoms are typical of pcos, like obesity, hair loss and acne with menstrual irregularities. First of all, your weight has to be by 10 kg. By morning walk for one hour.& diet control: 2 chapathies with minimum potato mash curry for breakfast...
1 person found this helpful

Thought no. 1:sab kuch khata ho gaya. Thought no. 2:mere chehre par muskurahat hain jab me 100 saal ka zindagi, 20 saal me jeena chahta hoon. And when I completed any assigned task, then I feel laziness. It's like when a batsman make century in 2006, and after that he is saying, that I would not play further because I made a century 15 years ago and now I will not do any productive things much. Thought no. 3:i enjoy thinking suicidal thoughts because it gives me pleasure. In the sense, I listen and read to suicide news, suicide documentaries, suicide stories, I watch tv shows in which a person is committing suicide and when I watch all these, it makes me very alert and I don't get bored. Suppose, I feel restless thus taking a nap in bed. But when my mind tells me to search for an episode related to suicide, then this brings me out of bed (comfort zone) and I become enthusiastic. Thought no. 4: I used to imagine my pillow to be my girlfriend and I used to talk to it. In my imaginary world, she (imaginary girlfriend - pillow) used to slap me and I caught her while having affair with another guy. This makes me think that in real life, I will get divorce. Plus, minor suicidal thoughts may occur. Thought no. 5: from more than one year, I feel that my colleagues will commit mass suicide during the pandemic. Therefore, not to get the suicidal neck message in my whatsapp group, I left all the whatsapp groups. Thought no. 6: I feel that in future, a virus will come which will affect psychological health thus greater chance/prone to suicide. So, I am feeling anxiety of that. Thought no. 7: I don't pick up the calls because, I feel that if I pick up/accept/answer the call, then the person (incoming call), will hypnotised me (via phone) to make me jump from the balcony. For your kindly information: previously I was diagnosed with: 1) major depressive affective disorder, single episode, unspecified. 2) adjustment disorder with mixed anxiety and depressed mood. 3) anxiety disorder in conditions classified elsewhere. 4) cluster b traits. 5) bipolar I disorder, most recent episode (or current) manic 6) mild trichotillomania. 7) obsessive compulsive disorder. And the symptoms were: 1) feeling low, mood swings, anger issues, aggression, disturbance in sleep, duration: years 2) anxiety, palpitations, poor concentration, duration: 1 month 3) feeling sad, low mood, poor concentration, body pain, palpitations, duration: 7 to 8 months 4) non pervasive low mood, worries about semen and masturbation practice, difficulty in social situation (more with girls), anger outburst towards family member, anhedonia premorbid- rigidity, odd eccentric belief, decreased social interaction 5) compulsive hair plucking - details: grandiose delusions, believes I am incarnation of god. Social anxiety. History of low mood and suicidal thoughts in dec 2020 treatment history: antidepressant: escitalopram 10 mg then 20 mg antipsychotic: olanzapine 2.5 mg then 5 mg duration: 46 days (2 january 2021 - 18 february 2021) note: stopped the treatment by tapering as advised by psychiatrist.

Reparenting Technique, BA, BEd, Transactional Analysis
Psychologist, Bangalore
You have a merry mix of various symptoms and that is why there is a variety of diagnosis. However, one thing is very clear that there is a lot of anger, probably from childhood, which is the underlying cause of your symptoms. The closest diagnosis...
1 person found this helpful

I am 21 years old unmarried girl i'm suffering from pcod before 6 months ago only I was diagnosed and my doctor gave me dronis 30 for 6 months as 6 months are over now she takes my usg test and after that she said I don't need to take medicine and also told me to lose weight that's it what does it mean is she is correct.

MBBS, M.S Obstetrics & Gynaecology, F.MAS FELLOWSHIP IN MINIMAL ACCESS SURGERY, D. MAS Dipolma in MINIMAL ACCESS SURGERY, FICRS, Fellowship in COSMETIC GYNAECOLOGY, Diploma in advanced Laparoscopy for Urogynaecology & Gynaec oncology, Basic training course in minimal invasive surgery in Gynaecology, Basics of Colposcopy, Fellowship in Cosmetic Gynaecology, Certificate course in diagnostic ultrasound imaging, Certificate of hands on training in hysteroscopy, Certificate course in diabetes, Fellowship in assisted reproductive technology, Certificate program in aesthetic Medicine, Certificate of operative Hysteroscopy, Certificate course in clinical embryology
Gynaecologist, Chennai
Yes of course doctor is 100% correct because of the weight gain which you have the polycystic ovary syndrome is getting worse sir you need to reduce your weight and it gets normal.

I am 30 having pcod and high bp due to which I regularly take meprate and telma 40. Recently I have observed abnormal and excessive hair fail since last one month. What can be the possible reason for this abnormal hair fall?

MBBS, M.S Obstetrics & Gynaecology, F.MAS FELLOWSHIP IN MINIMAL ACCESS SURGERY, D. MAS Dipolma in MINIMAL ACCESS SURGERY, FICRS, Fellowship in COSMETIC GYNAECOLOGY, Diploma in advanced Laparoscopy for Urogynaecology & Gynaec oncology, Basic training course in minimal invasive surgery in Gynaecology, Basics of Colposcopy, Fellowship in Cosmetic Gynaecology, Certificate course in diagnostic ultrasound imaging, Certificate of hands on training in hysteroscopy, Certificate course in diabetes, Fellowship in assisted reproductive technology, Certificate program in aesthetic Medicine, Certificate of operative Hysteroscopy, Certificate course in clinical embryology
Gynaecologist, Chennai
If you observe that the hair fall is because of using of hormone pills to not worry once you stop the medicine you can have the hair grow again.

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