Get Rid Of Tiredness and Sleep Less
Your feelings of fatigue may be worsened by underlying depression. Depression is recognized as a symptom of MS and can also occur if life becomes very difficult when you are dealing with the day-to-day challenges of the disease. If so, feelings of overwhelming tiredness or lassitude may be unrelated to your level of activity and more to your mood. In addition, depression can affect sleep, appetite, motivation, and participation in activities. Such feelings can occur in the morning, afternoon, or evening. They do not appear to occur at any particular time of day in fact, when you are depressed, you may wake up feeling tired. If you feel that your fatigue is related to depression, ask your physician to discuss what medications you can take to improve your mood. In addition, psychotherapy, stress management, relaxation training, and support groups can help you deal with the complexities of your disease and the symptoms it can cause. Neuromuscular fatigue. Neuromuscular...
Approximately 15 per cent of youths with Down's syndrome have AAI. Almost all are asymptomatic. The neurological manifestations of atlantoaxial instability include tiredness, difficulty in walking, abnormal gait, neck pain, limited neck mobility and head tilting to one side (torticollis), poor coordination, clumsiness, and sensory deficits. Nearly all of the individuals who have experienced serious injury to the spinal cord have had a long history reflecting the above outlined clinical picture. There is no evidence that participating in sporting activities increases the risk of cervical spine injuries (Department of Health 1995). In the event of an individual's requiring general anaesthesia, nursing and medical staff should be alerted to the possibility of atlantoaxial instability so as to provide the necessary support when moving and handling the unconscious patient (Casey et al. 1995). In a few instances, this may be severe enough to traumatise the spinal cord, with resultant...
The symptom cluster approach refers to assessment methods in which fatigue has been conceptualized as a multidimensional phenomenon. Although the specific dimensions that characterize fatigue in cancer patients remain a topic of debate (Winningham et al. 1994 Richardson 1995), at least two independent teams of investigators (Smets et al. 1996 Stein et al. 1998) have identified similar clusters of symptoms. These clusters include general symptoms (for example tiredness), physical symptoms (for example feelings of weakness or heaviness), and mental symptoms (for example difficulty concentrating). Self-report measures reflecting this conceptualization of fatigue include the Multidimensional Fatigue Inventory (MFI) (Smets et al. 1996) and the Multidimensional Fatigue Symptom Inventory (MFSI) (Stein et al. 1998). Overlap can be identified between this approach to measuring fatigue and both the symptom cluster and clinical syndrome approaches to measuring depression. For example, both...
Adverse Reactions Hypotension, hypersensitivity, rash, erythema and blisters may occur when applied topically. 26 Therapeutic dosages could bring about melancholic moods, sleep disorders, tiredness, dizziness and spasms. 27 Misuse as an abortive during pregnancy can lead to vomiting, epigastric pain, kidney damage, depression, sleep disorders, feelings of vertigo, delirium, fainting, tremor, spasm and sometimes may end up with fatal outcome. 8
If a pregnant woman develops the infection, she may experience fever, tiredness, headache, sore throat, dry cough, or back pain. After a few days she will feel better but notice that the fetus is not moving she may miscarry up to the sixth month or go into labor prematurely some infants may be stillborn.
The clinical manifestations are non-specific and variable, ranging from the complete absence of symptoms to hepatic failure. When present, the typical symptoms include right upper quadrant or epigastric discomfort or pain, weight loss, and weakness. Less common symptoms at initial presentation include jaundice, fever, and tiredness. Raised levels of serum alkaline phosphatase (AP) are found in approximately 70 of patients. Occasionally, rupture with hemoperitoneum may be present 41, 58 . Hepatomegaly and abdominal pain are present in 50 to 70 of cases.
Meticulous care using sterile techniques is very important to reduce the risk of infection. The dressing exit site should be changed every week, or if it becomes wet or exposed to the air. Injection caps must also be regularly changed using sterile techniques when the line is not in use, and the line must be flushed on a regular basis. Signs of infection include redness, swelling, pain, drainage, or warmth around the exit site. Fever, chills, tiredness, and dizziness may also indicate that the line has become infected. You should notify the doctor if any of these signs are present or if your child has a fever above 101 F (38.5 C).
The work undertaken by Hockenberry and colleagues has led to an appreciation of fatigue as a debilitating, functionally limiting problem for children and adolescents with cancer, which has a negative impact on the ability to participate in normal daily activities. Descriptions and reports of fatigue found in this group were similar to those identified by children with chronic fatigue syndrome (CFS) (Walford et al. 1993 Carter et al. 1995, 1996, 1999), as well as by adults with cancer (Knoff 1986 Aistars 1987 Pickard-Holley 1991 Cimprich 1992 Winningham et al. 1994 Irvine et al. 1994). Like children with CFS and adults with cancer, the children and adolescents described limitations in daily activities, lack of energy, and feelings of extreme tiredness. In the focus group discussions with children and adolescents with cancer, fatigue is described as having both physical and mental (psychological) characteristics (Hockenberry-Eaton et al. 1998). All participants discussed changes in...
Typically, the patient is a normal-weight woman of 20-50 years whose main complaint is of vague feelings of distress occurring predominantly mid morning, about 11.00 a.m.-12.00 noon, but occasionally mid afternoon or evening and never before breakfast. In between attacks, characterized by feeling of faintness, anxiety, nervousness, irritability, inner trembling, rapid heart beat, headache, and sweatiness, either alone or in combination, they may be completely well. More often they describe themselves as suffering from increased tiredness, lacking in zest for life, and apathetic much, or all, of the time symptoms often associated with depression or chronic alcohol abuse.
Physicians who have studied in this subspecialty can administer and interpret a sleep study. Sleep studies are critical for patients with signs or symptoms suggestive of sleep apnea (a disorder characterized by pauses and gasps while breathing during sleep) or narcolepsy (a neurological condition characterized by extreme tiredness and or falling asleep during the day at inappropriate times). Symptoms of sleep deprivation may include extreme daytime sleepiness, going to sleep while driving, loud snoring with pauses between breaths, and waking with an occipital headache (pain in the back of the skull and radiating down the neck). Sleep medicine physicians may or may not be interested in treating chronic insomnia. Some are comfortable with providing a long-term prescription of controlled substance sleep agents others will rely instead on sleep hygiene, tricyclic or SSRI medications, and referral for cognitive behavioral therapy.
Side effects are reactions to drugs that are not therapeutic or helpful, and they are therefore unwanted. The most common side effects from taking benzodiazepine are drowsiness and tiredness, and they are most marked within the first few hours after large doses. Other complaints of this type include dizziness, headache, blurred vision, and feelings of unsteadiness. The elderly are particularly sensitive to tranquilizers and may become unsteady on their feet or even mentally confused.
Red blood cells (erythrocytes or RBCs) contain hemoglobin, a protein that picks up oxygen in the lungs and transports it throughout the body. RBCs that contain oxygen give blood its red color. When leukemia cells in the bone marrow slow down the production of red cells, the child develops anemia. Anemia can cause tiredness, weakness, irritability, pale skin, and headache all due to decreased oxygen being carried to the body tissues.
It is common to want to try to self medicate with caffeine in order to attempt to improve fatigue symptoms. Be cautious of doing so, as it can lead you into a vicious cycle of poor sleep habits. If a person is feeling fatigued in the afternoon or evening and then has caffeine, it can keep the person from entering their deep sleep at night, which then results in increased tiredness (and need for sleep) the next day. This cycle can be perpetuated over time with gradual decreases in function caused by inadequate sleep. This can increase fibromyalgia symptoms and should be avoided.
Considering that low dietary intakes of selenium have been linked with greater incidence of anxiety, depression and tiredness, several research groups have investigated whether higher dietary intakes or selenium supplementation will elevate mood and or reduce anxiety. Currently, results are equivocal however, it appears that selenium-replete individuals are most likely to respond to supplementation, if a response is observed. An early double-blind, crossover, study showed that short-term selenium supplementation (100 g day for 5 weeks) significantly elevated mood and decreased anxiety, depression and tiredness, with effects most marked in people with low dietary intake (Benton & Cook 1991). A study of 30 selenium replete men who were fed either a low (32.6 g day) or a high (226.5 g day) selenium diet for 1 5 weeks found that the mood of those with the higher selenium intake increased whereas mood worsened with low intake (Finley & Pen land 1998 as reported in Rayman 2005)....
Consumers typically engage in a high level of self-administered treatment for various health problems. Segall and Goldstein (1989) inquired about treatment preference for a variety of physical ailments using a randomly selected community sample of 524 adults. Participants were asked What type of treatment would you use if you experienced this condition The conditions included feelings of dizziness, bowel irregularity, constant tiredness, frequent headaches, rash or itch, shortness of breath, unexplained loss of weight, difficulty sleeping at night, loss of appetite, and stomach upset indigestion. Respondents indicated that they were more likely to use self-administered treatment with stomach upset, bowel irregularity, and difficulty sleeping, while for weight loss, shortness of breath, and frequent headaches they were more likely to choose to visit a physician. Being younger, unmarried, and female were associated with the intention to engage in self-administered treatment for common...
A systematic review of the safety of St. John's wort (19) pooled all relevant data from case reports, clinical trials, postmarketing surveillance, and drug-monitoring studies. Collectively this evidence suggested that St. John's wort is well tolerated with an incidence of adverse effects similar to that of placebo. The most common adverse effects were gastrointestinal symptoms, dizziness confusion, and tiredness sedation. A potentially serious adverse effect is photosensitivity, but this appears to occur extremely rarely. Since the publication of this review we have learned much about the interactions between St. John's wort and other drugs (20). Extracts of St. John's wort activate enzymes of the cytochrome P450 system, namely CYP3A4. It can therefore lower the plasma levels of a range of drugs given concomitantly cyclosporin, oral contraceptives, phenoprocoumon, warfarin, amitriptyline, indinavir, and digoxin. When used with other SSRIs it can cause a serotonin syndrome.
This question I believe is personal to you. Thus I can only answer it from my own perspective. Communication brought our family unit closer together. Emotions such as tiredness, exhaustion, depression, fear, frustration and pain have been laid to rest. One could say that we grew strong together. We realised one of life's paradoxes. We are all individuals, yet our unity and family wholeness stems from our love for each other, helping each other and enjoying our differences. The children stopped comparing themselves to each other. Instead they are looking at ways of helping each other and furthering their own individuality and interests. As a mother I can delight in watching the children laugh together and I laugh with them (including at the old days). Life tastes good again. We travel together and include in our plans the contingencies for what can go wrong. We are better prepared.
The opportunity to connect with new people may come at any time, even if you are feeling tired, withdrawn, or all set. Try to be receptive to the unexpected chance to make a new friend. One woman told me that she met her best friend as a stranger in a drugstore. The stranger noticed that she was bald and inquired about her illness. Both women had been through similar experiences, and the stranger-now-friend, a long-term cancer survivor, was a source of great inspiration and encouragement to this woman.
A number of psychological interventions have been implemented to relieve patients' psychological reactions to cancer, and these have been evaluated in literature reviews (Watson 1983 Trijsburg et al. 1992 Burish and Tope 1992) and meta-analyses (Smith et al. 1994 Devine and Westlake 1995). These interventions were not aimed specifically at reducing fatigue, but they resulted in higher energy levels and reduced feelings of tiredness. Forester et al. (1985) evaluated weekly individual psychotherapy sessions for patients receiving radiotherapy and reported significantly reduced emotional and physical symptoms, including fatigue. They proposed that this serendipitous finding occurred either because symptoms like fatigue are essentially of emotional origin, or because emotional state influences perception and reporting of them.
What I hope for is that after he communicates with you, you will discover and enjoy his 'added' ability that only autism brought about. Until then, autism is cruel to both of you. Autism in itself doesn't hurt your child and it doesn't hurt you. The lack of meaningful communication, your guilt, your tiredness and his frustration do.
If you think that your child or adolescent may have fibromyalgia, what sort of symptoms should you be watching out for, and how is juvenile FMS different from, or the same as, adult fibromyalgia In many cases, fibromyalgia in children is pretty much the same as FMS in adults. But as in Tommy's case, many pediatricians may dismiss muscle aches and pains and tiredness, perceiving them as normal unspecific pains, or they may ignore other common fibromyalgia symptoms, such as trouble getting to sleep.
Trying to stop the use of appetite suppressants may be difficult for abusers, because of withdrawal symptoms such as tiredness, dysphoria (discomfort), or frank depression. These problems and growing doubts about sustained effectiveness (for their original dietary purposes) have led many doctors to cease prescribing them.
The National Comprehensive Cancer Network (NCCN) defines CRF as 'a common, persistent, subjective sense of tiredness related to cancer or cancer treatment that interferes with usual functioning' (Mock et al. 2003). CRF is a multidimensional, subjective experience that is characterized by a cluster of diverse physical, psychological, and cognitive symptoms. Assessment of CRF involves evaluating these various symptoms systematically (Naughton and Homsi 2002 Mock et al. 2003).
The relief of debilitating and distressing symptoms is described as an essential feature of quality cancer and palliative care, and has been shown to be crucial to an individual's ability to cope with the challenges of a caregiving role (Stetz and Hanson 1992). Unrelieved symptoms are not only known to induce patient reports of reduced quality of life, but are also increasingly recognized as having profound effects on the psychological well-being of carers (Payne et al. 1999). When symptoms are regarded as being poorly defined and understood, as is the case with cancer-related fatigue (see Chapter 4), attempts at minimizing the functional and emotional impact is further complicated. The repercussions for those observing the effects of unresolved symptoms on the lives of patients may be especially stressful, particularly if they are also attempting to take on the tasks and roles that their relative is no longer able to undertake. The extent to which the resultant distress may affect...
According to guidelines published by the National Comprehensive Cancer Network, Cancer-related fatigue is a persistent, subjective sense of tiredness related to cancer or cancer treatment that interferes with usual functioning. The International Classification of Disease-10 defines cancer-related fatigue as significant fatigue, diminished energy, or increased need to rest, disproportionate to any recent change in activity level. This type of fatigue is often described as an overwhelming tiredness that is not relieved by rest. Normal fatigue occurs at the end of a long and busy day and is usually not overwhelming. Normal weariness is predictable and not intense. The NCCN lists seven factors that are likely to contribute to fatigue in cancer patients pain, emotional distress, sleep disturbance, anemia, nutrition, activity level, and other medical problems. The tumor itself may also be a factor. Thus, cancer-related fatigue is most likely caused by a combination of factors. Fatigue is a...
Depression has been assessed using a variety of approaches including self-report, brief screening measures, and structured clinical interviews. Common self-report measures include the Hospital Anxiety and Depression Scale (HADS),6 the Rotterdam Symptom Checklist (RSCL),7 the Beck Depression Inventory (BDI regular and short forms),8,9 the Brief Symptom Inventory-Depression scale (BSI-D),10-12 Center for Epidemiologic Studies Depression Scale (CES-D),13 and the Zung Self-Rating Depression Scale (ZSRDS both full and brief forms).14,15 A major limitation of self-report measures is that they are unable to provide a diagnosis of depression, providing instead information as to the severity of depressive symptoms. An additional limitation is that the measures often include physical symptoms that may be the result of the cancer itself (e.g., feeling fatigued), and not feelings of depression.
As a word, it seems to be unhelpful when used to ask people, whether well or ill, to describe it. People instead tend to complain of tiredness, lack of energy, general lethargy, weakness, depression, anxiety, exhaustion, inability to sustain exertion, impaired mobility, motivation and concentration span, sleepiness, drowsiness, heaviness, apathy, an inability to carry on, as well as many other sensations (Hilfinger Messias et al. 1997 Ream and Richardson 1997 Glaus 1998 van der Linden et al. 1999). Nevertheless the majority of empirical work undertaken in this area continues to use the term both for brevity and convenience, despite general agreement that as a term 'fatigue' is inadequate to capture the essence of the phenomenon (Lenz et al. 1997). For individuals with cancer it fails to capture or convey the magnitude of its impact on their lives (Krishnasamy 2000). Part of the difficulty in capturing and articulating constructs such as cancer-related...
Was identified as a core theme to emerge from a synthesis of 35 qualitative studies (involving 787 sick and healthy informants) examining meanings inherent in health and disease (Jensen and Allen 1993). Informants reported that feeling energized and vigorous were central to feeling healthy, but that illness brought with it feelings of being 'drained', 'run down', or no longer having energy or time to face responsibilities or relationships. This vitality, referred to by Herzlich (1973) as 'the capital asset' of the healthy, has latterly been reinforced by Blaxter (1990), who found that younger people had vitalistic and athletic views of health in which keeping fit was related to a greater sense of personal responsibility for health. Older people who took part in Blaxter's survey were found to stress the importance of functional capacity and sustaining independence as the basis of good health. Similar beliefs were reported by Pierret (1995), based on a study of over 100 people who took...
If dark circles under your eyes and severe tiredness due to lack of sleep accompany your other symptoms of fibromyalgia, you're definitely not alone. Most people with fibromyalgia have severe sleep problems. If you're deprived of the restorative qualities of a good night's sleep and the opportunity for your body to rest and recuperate from the day's ordeals, this lack of sleep can greatly worsen your symptoms of pain, muscle stiffness, and fatigue.
It is generally accepted that how we feel can influence what we choose to eat or drink (mood to food) what is less well known is how what we eat can affect our mental functioning (food to mood). The use of caffeine is one example of what is a complex relationship. Caffeine, found in tea, coffee, cola drinks and chocolate is probably the widest used behaviour-modifying drug in the world. We often choose to drink it if we are feeling tired and irritable because it gives us a boost and helps us to concentrate. Having a cup of coffee or tea also has a lot of positive psychological associations. We meet a friend for 'a coffee and a chat' or give ourselves a break by sitting down with a cup of tea, and these things are very important. But too much caffeine (which is a different amount for each of us) can cause symptoms such as anxiety, nervousness and depression. Any exploration into food and mood needs to take into account this two-way relationship and include the psychological aspect...
Your body is working hard this month to prepare for labor and delivery. Your baby is big and may be disturbing your sleep. Your muscles are sore from carrying this large bundle. Put it all together, and you're probably feeling tired most of the time. If you're worn out, take a break. Rest with your feet up. Fatigue is your body's way of telling you to slow down. Here's an overview of what's happening and where.
Extreme tiredness or weakness in pregnancy is usually caused by anemia (lack of iron in the blood). If she had anemia in another pregnancy, she is likely to have it again in this pregnancy. Anemia causes problems in pregnancy and birth, but it can be prevented by eating lots of foods with protein and iron in them and by taking iron pills . (See page 116 . )
Darla says that sometimes she orders her feet to move, but they just don't go, which is especially true when she gets up in the morning. This extreme fatigue is common among people with fibromyalgia. Yet, despite such profound fatigue, few patients with FMS get a satisfactory night's sleep. Although the pain is still the worst part for most people with fibromyalgia, the bone-numbing exhaustion is also terribly distressing for many people, who say that this kind of fatigue goes far beyond simple tiredness.
What is meant by fatigue Fatigue can be defined in different ways. The term originates from the Latin fatigare, meaning tired out. The Oxford English Dictionary's main definitions of fatigue are (1) extreme tiredness after exertion and (2) a reduction in the efficiency of a muscle. One common definition is 'a subjective state of overwhelming, sustained exhaustion and decreased capacity for physical and mental work that is not relieved by rest' (Piper et al. 1989). In some medical texts fatigue is likened or considered equivalent to asthenia. Asthenia is taken from the Greek word asthenos, meaning absence or loss of strength. Fatigue can be considered as behaviour or a feeling state (see Chapter 1), and it is the latter on which we mainly concentrate. But terms such as feeling tired, feeling sleepy, lacking motivation, feeling weak or washed out are part of everyday conversation. Indeed, most people in society will have experienced fatigue at some time. Studies within family practice...
In boys you don't have such a clear indicator as loss of periods, but ongoing puberty may be arrested or slowed down, and your son may revert to a more childlike state. This is certainly what happened with Joe. As he lost weight he looked younger, he spoke more quietly and became much less physically active. Many anorexics quickly become depressed, may suffer from poor concentration and lose powers of memory. They may also become irrational and unreasonable as a result of subtle changes to the balance of chemicals within the body, and most will suffer from a feeling of low self-esteem. Some develop an unsightly fine downy hair on their back and face called lanugo. It is one of the body's ways of keeping warm. Muscles may become weak after a period of malnutrition and major nerves can become prone to pressure damage. The heart starts to pump less efficiently and this often leads to an abnormally low pulse rate and blood pressure. This in turn causes dizzy...
What Would Young People Have Liked Their Rheumatologist Or A Rheumatology Team Member To Have Told Them When They Were
To be honest, the first thing that I would have liked a rheu-matologist to say to me when I was first diagnosed in, I'm only kidding. There's nothing the matter, take these tablets, and the tiredness, lack of eating, hair loss, rash and other symptoms will go and you will be normal again.
Most people don't drink nearly enough water, and the effects are subtle but devastating to your training and fat burning efforts. Let me explain. Did you ever wake up in the morning and feel so groggy it almost felt like a hangover Maybe you didn't even want to get out of bed. Guess what You were probably dehydrated. In fact, a hangover - headache, tiredness, and fatigue is partially caused by the dehydration from the diuretic effects of alcohol.
During consultation the client should be encouraged to discuss any problems and to establish reasons for the lethargy or tiredness. There are many factors that may cause the condition stress at work or in the home feeling overburdened or overworked insufficient time for rest, relaxation or enjoyment feeling unwell, suffering with headaches, migraine, insomnia or heavy and prolonged periods. There may also be psychological problems such as unhappiness, depression, feelings of low esteem or lack of achievement etc.
Rheumatic heart disease (RHD) involves damage to the heart and heart vessels caused by rheumatic fever. A susceptible person acquires a streptococ-cal infection, which may trigger an autoimmune reaction in the heart tissue. Rheumatic fever can cause swelling (inflammation) in the heart, joints, brain, and spinal cord. Rheumatic fever produces fatigue (tiredness) and the infection can damage or weaken heart valves. Problems with the heart may be evident early, or it may occur long after the infection. RHD is characterized by heart murmurs, abnormal pulse rate and rhythm, and congestive heart failure. Acute RHD requires aggressive treatment to prevent heart failure. Chronic RHD requires continuous observation. If poor cardiac function develops, it may be treated with a low-sodium diet and diuretics. Patients with deformed heart valves should be given prophylactic antibiotics before dental and surgical procedures.
Of treatment, with the proportion of patients with fatigue increasing linearly over the course of therapy (Hickok et al. 1996). Fatigue frequency did not vary significantly by demographic variables such as age, gender, race, work, or marital status of the patients, or by disease or treatment characteristics, such as disease stage, radiation dose, and previous chemotherapy. A study of 183 men with prostate cancer (Stages 1,2, or 3), receiving external beam radiation therapy extended these findings (Morrow et al 2001). Results presented in Table 3.1 show 75 feeling fatigued during treatment, and in 50 the fatigue was described as moderate or severe. This table also shows that approximately one-third had sleeping difficulties.
Fatigue is a subjective sensation of weakness, lack of energy, and tiredness (Stone et al. 1998). Fatigue and the term asthenia are related terms however, asthenia evokes even more clearly both the physical and mental components of fatigue sensation. The three components of fatigue perception (Barnes and Bruera 2002) are illustrated in Fig. 4.1. CRF has been reported in 70-100 of patients undergoing treatment (Morrow et al. 2002 Mock 2001) and it can persist for years after its completion (Morrow et al. 2002 Barnes and Bruera 2002). Up to 80 of all cancer patients experience fatigue (Smith and de Boer 2002). It is present in almost the same proportion of patients with cancer cachexia. Fatigue can precede weight loss, and this is probably, in a number of cancer patients, a direct consequence of treatment with chemotherapy (Servaes et al. 2002 Morrow et al. 2002 Richardson 1995 Ancoli-Israel et al. 2001), radiotherapy (Morrow et al. 2002 Richardson 1995 Visser and Smets 1998 Greenberg...
The first letters of the seven signs spell caution. People who note one or more of these signs may not have cancer, but they should report their symptoms to their doctor. Another suspicious symptom is unusual tiredness, especially when it is combined with one of the seven signs listed by the ACS.
Problems with erection may result from physical causes, for example injury or surgery to the genitals or spine from chronic illnesses such as diabetes from nervous disorders or from taking drugs, either medically prescribed or recreational, or alcohol. Erectile dysfunction may also occur because of tiredness, or a lack of appropriate stimulation. Most physical problems occur because there is an insufficient supply of blood to the penis. The stresses of modern life or anxiety about sexual intercourse may further inhibit the ability to initiate or sustain an erection. SELF-HELP To reduce the psychological problems that may accompany erectile dysfunction, try to maintain a relaxed state of mind when making love. Forget about penetrative sexual intercourse for a while and concentrate on giving and receiving pleasure in areas of the body other than the genitals. CAUTION If symptoms persist, see a doctor.
Hypothyroidism is caused by a deficiency of thyroxine - a naturally occurring hormone, secreted by the thyroid gland. It is more commonly known as an 'underactive' thyroid. It occurs because the thyroxin gland stops making sufficient thyroxine. Typical symptoms include putting on weight, increasing tiredness and lethargy, constipation and generalised aches and pains (British Thyroid Foundation 2005a). Table 8.2 outlines further clinical features.
Symptoms Symptoms usually appear quite suddenly, with a high fever, severe headache, nausea and vomiting, and stiff neck. There may be sensitivity to light and noise, sore throat, or eye infections. There also may be accompanying neurological problems, such as blurred vision. Most people recover completely within two weeks, although there may be muscle weakness, tiredness, headache, muscle spasms, insomnia, or personality changes such as an inability to concentrate for months afterward. These are rarely permanent.
Tan et al. (54) reported that irresistible sleepiness not preceded by obvious somnolence or warning was present in 14 of a Chinese PD population compared to less than 2 in controls (54). Such subjects may, therefore, be susceptible to falling asleep while driving or operating machinery. EDS needs to be differentiated from fatigue. Also, postprandial hypotension in PD may unmask sleepiness and akinesia (55). Fatigue may be present in up to 43 of PD patients and is usually associated with sleepiness, although tiredness is a key feature (56).
The first attack may not even be noticed the first infection in childhood usually causes no symptoms. However, about 10 percent of newly infected children experience a mild to fairly severe illness with fever, tiredness, and several painful cold sores in the mouth and throat.
Patients who had polio in childhood have a one in five chance of experiencing new health problems decades later. Called post-polio syndrome, the symptoms include joint and muscle pain, tiredness, and weakness. While experts are not sure what causes the problem, they do not think it represents a reactivation of the old virus. Some experts suspect the syndrome may be related to chronic overuse of muscles and joints that had appeared to be undamaged by the initial infection.
Exercise can be defined as episodic performance of repetitive bodily movements produced by skeletal muscles that requires energy expenditure. In the healthy population, exercise with a duration of 30-45 min for each episode and a frequency of at least three times a week is advocated in order to produce cardiovascular benefits. Cancer-related fatigue is characterized by a persistent, intense, and chronic sense of tiredness and exhaustion that interferes with usual functioning. Therefore the duration, intensity, and frequency of exercise aimed at managing and ameliorating cancer-related fatigue is expected to be different from that of the healthy population. To help us understand the physiological effects of exercise in populations of cancer patients a review of the physiological effects of exercise in the healthy population is outlined in Table 14.1.
I lived to witness the tiredness and confusion described by Bexxy first hand in Alexander, with my other two non-autistic children suffering from it too. Between 1991 and 2000 Alexander transformed from non-verbal and exclusive into an interactive and verbal child as well as a mainstream student. I really thought that he was overcoming his autism (a myth) until once more our world fell apart. At the end of living in the 'rat race' for three years, towards the end of year six in junior school he became unable to keep up with the pressures and became depressed.
Insomnia describes a persistent pattern of intermittent sleep that leaves the sufferer feeling tired and unrefreshed. It may occur simply because the bedroom is too hot or airless, or because of having to get up during the night to urinate. It is more likely to be the result of being unwell or of pain to which oversensitivity may develop or of disturbed sleep patterns and exhaustion caused by regular sleep deprivation. Insomnia can also be caused by an excess of caffeine or alcohol, food allergy, overexcitement, stress, shock, anxiety (see below), or depression (seepage 212). SELF-HELP Increase the amount of exercise you take during the day, and avoid eating late in the evening. Stop work or any other activity an hour before bedtime. Drink a relaxing herbal tea or hot milk, take a warm bath, and read something light and entertaining. With all the homeopathic remedies suggested, take the dose for ten consecutive nights (unless normal sleeping patterns are restored), and repeat the dose...
Vary your approach with the age of your child. For example, if the child is up to about 8 or 9 years of age, you may want to use the analogy of a glass, giving a concrete example of you when you're spilling over with pain and tiredness. Fill the glass up in the sink and let it spill over. The glass represents you on a bad day. Then, fill it up short of the brim. This is you when you have some extra energy to give your family. Older children won't need to see a demo You can explain the spilling-over concept in words. On one of your bad days, you can tell your children, It's a spilling-over day for me today. Sorry
Being offered enough calories to meet his or her nutritional needs. Besides calorie unit of food energy impaired growth, other symptoms include tiredness, sleeplessness, irritability, lethargy, resistance to eating, vomiting, and problems with elimination. The child may be suffering from an illness, medical condition, or recurring infections taking medications or come from a poor, distressed, or socially isolated family. To attain normal growth levels, a child with this condition requires from 1.5 to 2 times the normal amount of calories. see also Infant Nutrition.
In persons with cancer, fatigue involves four prominent physical changes decreased physical performance, unusual and extreme tiredness, feeling ofweakness, and unusual need for rest (Glaus et al. 1996). Nail and Winningham (1995) differentiated the concepts of fatigue and weakness. Weakness is generally perceived in relation to neurological disorders and immobility and is a condition of decreased muscle strength or endurance from baseline level, while fatigue is a subjective sensation with multiple dimensions. When weakness causes increased energy expenditure and demands, fatigue may result. But isolated muscle weakness, as in an injured extremity after immobilization, can occur without fatigue. Muscle strength and size, generalized weakness, and limb heaviness are related to but can be differentiated from CRF (Kasper and Sarna 2000 Sadler et al. 2002). As highlighted by Ream and Richardson (1997), fatigue and weakness have discrete properties and should not be used interchangeably or...
Participating in activities that kept the adolescent busy and which helped take their mind off feeling tired were discussed as helpful in decreasing fatigue Going outside the hospital for a change of environment, receiving blood transfusions, and taking sleeping pills to combat the fatigue caused by lack of sleep were all cited as ways of coping with the tiredness. Several had participated in physical therapy while hospitalized and found that this decreased their fatigue.
The process of having to work out for oneself what the tiredness or exhaustion meant, whilst struggling with feelings an inability to protect the patient from the impact of functional limitations, and the emotional distress associated with it, were described as an unnecessary additional source of stress. As a result, carers reported that their own energy levels were diminished and their ability to sustain the caring role jeopardized. Providing practical support for patients was particularly difficult when there were other demands on the carer's time
Reviewing a person's dietary data may suggest risk factors for chronic diseases and help to prevent them. Laboratory tests may uncover malnutrition and detect problems before any side effects appear, such as the tiredness and apathy associated with iron-deficiency anemia. The strengths of a simple blood test and food intake record are that these are easy to do and are affordable and appropriate for most people.
Definition of fatigue abnormal tiredness and lack of energy mental and physical weakness depression lethargy In the West, consumption of high calorie, high glycemic, nutrient-deficient, high fat foods is the norm. High glucose levels in the blood are counteracted by insulin, resulting in a 'blood-sugar low', causing tiredness and hour or two after meals. And if stress is continuous, this condition can come on at any time, and may eventually lead to adult-onset hypo-glycemia. Moderating consumption of high glycemic foods not only reduces your chances of developing diabetes, it also reduces stored body fat and helps keep energy levels high.
You've no doubt heard how pregnant women have all sorts of signs and symptoms as soon as they conceive and how they just know that they're pregnant. These signs may be anything from tender breasts, nausea, tiredness and dizziness to needing to go to the toilet ten times every night. So, after transfer, you're looking for all these and other 'sure' signs of pregnancy. But, trust me, you can have all sorts of sure signs and not be pregnant, and you can be pregnant with no signs at all.
Another interesting difference from OSAS is that UARS patients do not present neuropathological lesions in the upper airway (Friberg 1998 Guilleminault 2002a Boyd 2004), which could explain why these patients tend to respond more rapidly to treatment and do not develop OSAS over the long-term. Early studies did not seem to reveal differences in sleep architecture between UARS and OSAS (Loube & Andrada 1999). However, today UARS patients are considered to have unstable sleep, characterized by a cyclic alternating pattern in nonREM sleep (Guilleminault 2005a), which predisposes to the occurrence of arousals. These findings correlate with symptoms such as tiredness and fatigue, for which these patients are often referred to sleep labs. The cyclic alternating pattern has been described in many other situations (Ferr 2006), such as fibromyalgia, chronic fatigue syndrome, and OSAS (Terzano 1996). Current research suggests that nearly 50 of fibromialgia syndrome patients experience intrusive...
Chewing betel nut produces immediate effects that in some ways resemble those of NICOTINE, but which are likely to continue for hours. These include euphoria and feelings of general arousal and activation, perceived by the user as a decrease in tiredness and a blunting of feelings of irritability.
It was a warm fall day, I walked along the dirt road from my dorm, past the football field, to the white, wooden health center. Dizzily, I opened the door and held onto the edge of the nurse's desk. I listened to another student who was describing her symptoms achy head, sore throat, and tiredness. The nurse explained to the student that there was a cold going around and then dispensed a travel pack of Tylenol. I didn't have an achy head or a sore throat, but I was tired, so I asked the nurse if blurred vision is a symptom of the cold.
Most community studies which have asked about fatigue report it as being among the top ten most common symptoms. In the UK a recent study on the prevalence of psychiatric symptoms found fatigue (measured on the Revised Clinical Interview Schedule (Lewis et al. 1992)) was the most common symptom present in one-third of women and a fifth of men (Meltzer et al. 1995). The Health and Lifestyles Survey (Cox et al. 1987) asked 9003 subjects 'within the last month have you suffered from any problems of feeling tired ' Tiredness was the second commonest symptom after headache, with a prevalence of approximately 20 for men and 30 for women. Similar prevalence rates have been derived in the USA from the Epidemiologic Catchment Area Study (Kroenke and Price 1993). This survey also estimated that in at least 60 of subjects with significant fatigue the cause was unexplained by medical disease.
HIV (human immunodeficiency virus) was identified in 1983 by the French scientist Luc Montagier and his staff at the Pasteur Institute in Paris. Ever since that discovery, scientists have been searching for ways to treat those infected with HIV, and to produce a vaccine to prevent its spread. While new antiviral treatments have been developed, a vaccine has yet to be found. HIV causes AIDS (acquired immunodeficiency syndrome), an unpredictable condition that may progress over many years and is characterized by a slow deterioration of the immune system. Once an individual becomes infected (HIV has infected the target cells) it takes a week or more before the virus is spread throughout the body's blood and lymph system. The immune system responds by turning out HIV antibodies in about six to eighteen weeks. The progression of HIV infection to AIDS may take several years. In the initial period, prolonged (2-4 weeks) flu-like symptoms may appear. This is followed by an asymptomatic period...
Despite the time elapsed since its initial description, UARS remains controversial as it has yet to be accepted as its own entity. However, the literature continues to reflect interest in this disorder. Perhaps SAHS and UARS share the same pathophysiological mechanism, although their clinical expression and pathophysiologic consequences are different. We could say that UARS and OSAS are distinct entities in the spectrum of sleep-disordered breathing. SAHS is one of the most common sleep disorders in clinical practice. It is associated to cardiovascular morbidity, and has become regarded as a public health problem. UARS is an underdiagnosed disorder with low prevalence of sleep units. It has special implications on sleep structure, especially sleepiness and tiredness, and is associated to chronic somatic diseases such as chronic fatigue syndrome, fibromialgia, irritable bowel syndrome, and tension headache. The correct diagnosis of this syndrome is essential to allow the best choice of...
Fatigue, too, is common and debilitating. The term cancer-related fatigue (CRF) has been recognized and is defined by the National Comprehensive Cancer Network as a persistent, subjective sense of tiredness related to cancer or cancer treatment that interferes with usual functioning. 23 It can persist over time and can interfere with usual activities. As was discussed in the chapter on fatigue mechanisms, this fatigue is different from that of everyday life, which is usually temporary and relieved by rest. Cancer-related fatigue is more severe and more distressing, and rest doesn't always relieve it. Fatigue was the most common symptom experienced by almost half of all patients we surveyed at the TBCC in 2003.3 Over 43 of nearly 1400 survivors at the center for follow-up visits still reported fatigue as a problem. In fact, 30-75 of all cancer survivors report fatigue continuing for months or years after completing active treatment,23 and 45 of patients believed that nothing could be...
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