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One of the most common complaints that I hear when taking a history from a patient of a current illness is that the patient says, almost as an afterthought " In some instances, "being tired" is mentioned to physicians during a routine checkup after the patient said they have no current health concerns. So, should I as a physician treat the comment like an afterthought and concentrate on the "real reason" the patient is being seen?
Here, experts reveal common bad habits that can make you feel tired, plus simple lifestyle tweaks that will put the pep back in your step. Skipping your workout to save energy actually works against you. In a University of Georgia study, sedentary but otherwise healthy adults who began exercising lightly three days a week for as little as 20 minutes at a time reported feeling less fatigued and more energized after six weeks.
Often, it is not a medical issue but one that can be reversed by a change of lifestyle. Tiredness can negatively impact performance at work, family life, and social relationships.
Fatigue has a reputation as a vague and difficult problem for doctors to investigate, and many people with fatigue do not report it to their doctor. Doctors who are conscious of this take the problem seriously and attempt to determine an underlying cause.
There are many reasons people become tired, and, consequently, there are many ways to rectify the situation. It is generally different from the sleepy feeling of drowsiness, or the psychological feeling of apathy, although these might both accompany fatigue. Fatigue is a common experience — all humans become tired. However, this is not usually due to disease. There are numerous medical and non-medical causes of fatigue, including personal dietary and lifestyle habits.
Some types of fatigue are not normally considered a medical problem, this includes tiredness as a result of:. The National Institute on Aging lists the following lifestyle habits that can lead to tiredness and fatigue:. Some people are more likely than others to suffer from fatigue. For instance, women more often report fatigue.
People who live in poverty and those with mental or physical illness are also more likely to present with fatigue. Physical causes can lead to fatigue, along with psychological and physiological factors. There is no single treatment for fatigue — because the management approach depends on the cause of the tiredness.
If the diagnostic process unveils no underlying medical explanation for the fatigue, the following lifestyle and dietary modifications may help resolve it:. For some people with fatigue, doctors may consider offering a referral for counselling or a talking therapy known as cognitive behavioral therapy CBT. Some doctors specialize in chronic fatigue syndrome or myalgic encephalopathy services, and these may be a suitable referral even for people who do not meet the criteria for this diagnosis.
They will offer a consultant opinion for occupational reasons for fatigue, or may provide a structured, multidisciplinary approach to management, including supervised graded exercise therapy. Fatigue is a difficult issue for doctors.
It may be a physical problem rather than a psychological one. The following conclusion from a research paper on psychological fatigue highlights the need for a partnership to be developed between doctor and patient for proper diagnosis. They tend to view the problem as physical while their doctors view the problem as psychological. When patients present with fatigue, doctors will try to develop a more precise description of symptoms, typically by asking the following types of questions:.
More general questions are deed to elicit information regarding psychological or lifestyle issues.
There may be questions about relationships and any recent bereavements or upheavals related to employment or housing. These sleep history questions are deed to determine the sleep quality, quantity, patterns, and sleep routine.
The doctor may also examine a patient physically or check their mental state to find physical and mental causes. If no specific cause is indicated, there is a set of standard tests used to help narrow down the diagnosis. Any tiredness that persists for a long time can be termed chronic, but medical papers and guidelines set chronic tiredness as being fatigue that lasts at least 6 months. A diagnosis of chronic fatigue syndrome CFS, also known as myalgic encephalopathy or ME is made when tiredness persists for more than 4 months and cannot be explained by another diagnosis.
People with insomnia can face a variety of sleep challenges, such as trouble falling asleep or staying asleep. There is some evidence that CBD may…. Taking regular power naps could lead to long-term memory improvement, as well as enhanced cognitive function and creativity. Learn more. Why am I so tired, and how do I beat fatigue? Medically reviewed by Daniel Murrell, M. What is fatigue?
Paul garner: for 7 weeks i have been through a roller coaster of ill health, extreme emotions, and utter exhaustion
Share on Pinterest Fatigue and tiredness are common and can affect everyday life. Medical causes. Share on Pinterest Doctors will ask a series of questions when diagnosing fatigue to determine the cause.
Chronic fatigue syndrome. Latest news Dairy milk may lower cholesterol and reduce coronary heart disease risk. Medical myths: All about allergies. Related Coverage. Does CBD help treat insomnia? What to know about power naps. Medically reviewed by Deborah Weatherspoon, Ph.