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VERIFIED CONTENTConsultation: dr Joanna Kacprzak, 2nd degree specialist in internal medicine

Are you still tired, sleepy, have little energy? Perhaps it's the fault of overwork. But chronic fatigue can also be a symptom of a serious illness. Lack of appetite, weakness and chronic fatigue are one of the signs of hepatitis C, diabetes, anemia and kidney failure. Therefore, be vigilant! Find out what diseases are manifested by chronic fatigue.

Chronic Fatigueis usually attributed to overwork and stress or to changes in the seasons. These are actually common causes of malaise, but constant fatigue can also be a symptom of an illness that needs to be diagnosed and treated.

Chronic fatigue: thyroid problems

The thyroid gland secretes hormones that control important chemical processes in the body, ensuring that all internal organs work properly. But when the hormonal balance is disturbed, there is an overproduction of thyroid hormones - this is hyperthyroidism or deficiency - it is hypothyroidism. Even though they are two different medical conditions, one symptom is common: feeling tired.

In hyperthyroidism, there is also insomnia, nervousness, and heart rhythm disturbances. You lose weight despite your increased appetite. You suffer from diarrhea, you have disturbances in your menstrual cycle. You are still hot, sweating, feeling short of breath.

In hypothyroidism, the metabolism slows down, so despite the lack of appetite, you start to gain weight. You are also constantly lethargic, unable to concentrate on the work at hand. The skin becomes dry and scaly. Menstrual disorders appear.

Advice for you: Visit an internist - he will refer you to an endocrinologist for consultation. You will need a blood test to determine the level of thyroid hormones: FT3 and FT4 (T3 and T4) and TSH - pituitary hormone.

Chronic Fatigue: Chronic Fatigue Syndrome

Chronic Fatigue Syndromemost often affects active, young women living in constant tension. The most important symptom of PE is a feeling of fatigue, which lasts at least six months and cannot be associated with exercise or any disease.

There are also problems with memory and concentration, headaches, muscle and joint pain, sore throat, and sleep disorders. Oftenyou feel your heart palpitations. You have digestive problems: abdominal pain, diarrhea or constipation, flatulence.

Advice for you: To reduce your symptoms, try to regulate your lifestyle: eat he althy meals at fixed times, sleep at least 8 hours a day, do not take work home - let it be your oasis of peace and tranquility.

Take time to exercise every day, such as walking, yoga or tai-chi. Try to rest actively and never give up on vacation - they are essential for maintaining mental balance. Psychotherapy may also prove beneficial. Go to your primary care physician for a referral for basic tests - you will check your he alth.

Find out the causes of chronic fatigue!

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Chronic fatigue: hepatitis C (hepatitis C)

This disease is caused by the jaundice virus - HCV, which spreads through direct contact with infected blood (e.g. during blood transfusions, surgeries, cutting birthmarks, tattooing, and even manicures and pedicures in unsanitary conditions) and while hidden it damages liver cells.

Often a symptom of viral hepatitis C (hepatitis C) is weakness, lack of appetite, nausea, vomiting. You cannot concentrate on the activities performed, your joints and muscles ache, you have low-grade fever. There is also yellowing of the skin and whites of the eyes.

Advice for you: Be sure to see a doctor - he will order a test for anti-HCV antibodies. If he is diagnosed with the disease, he will be treated.

Chronic fatigue: hypotension (hypotension)

People with low blood pressure (less than 90/60 mm Hg) tend to have inflexible arterial walls. Blood flows through them more slowly and under less pressure, which is why the body's tissues are less supplied with oxygen. As a result, various ailments appear.

Hypotension makes you feel tired and weak, and not only when the weather changes. You have a sleep disturbance and wake up tired. You can't concentrate, you have dizziness and spots in front of your eyes. Your hands and feet are constantly cold. You sometimes faint, especially when you stand longer.

Advice for you: Consult your doctor - apart from repeated blood pressure measurements, he may order additional tests (including morphology, urine analysis, ECG) to find out what is the cause of hypotension. In addition, pij about 2.5 liters of fluid per day (this increases blood volume and therefore pressure). Eat small portions more often (overeating helps to lower blood pressure) and add s alt to your food.

Start to swim regularly,do aerobics, jog or ride a bike - these sports make the blood vessels of the legs more flexible. Get plenty of rest, sleep on a high pillow (you will prevent morning hypotension).

To stimulate circulation, give cool-warm water massage in the shower. In emergency situations, you can drink a cup of coffee, cola or energy drink - they contain stimulating caffeine.

Chronic Fatigue: Kidney Failure

If the kidneys do not cleanse the blood sufficiently from metabolic substances, toxins accumulate in the body and interfere with the work of many organs. Kidney failure affects your well-being: you feel tired and weak, you are heavy, irritable, you cannot concentrate on the work you are doing.

You have no appetite, you are losing weight, you have nausea, vomiting. Hands become swollen, often numb. The swelling of the face and feet also persists. In addition, you often have a headache, and your skin is peeling and itchy.

Advice for you: Visit your primary care physician - he or she will perform a urine test for protein, as well as the level of urea and creatinine, as well as electrolytes (sodium and potassium) in your blood.

Chronic Fatigue: Diabetes

Diabetes, both type 1 (insulin-dependent) and type 2 (non-insulin-dependent) diabetes, causes too much glucose in the blood. This is due to the lack or insufficient amount of insulin, which transports glucose from the blood to the cells.

If cells are deprived of an energy source, they cannot function properly. As a result, you are tired and sleepy. You are constantly thirsty, urinate frequently, have a good appetite, and still lose weight.

In addition, the skin becomes dry and itchy, and wounds heal more slowly, and you are prone to skin infections, especially mycoses. Your gums are also bleeding, your calves cramp at night, you have vision problems and your breath may smell like acetone. You often get vaginal fungal and bacterial infections.

Advice for you: Be sure to see your doctor for a referral for blood glucose and urine analysis. If the results are not normal, your doctor will start treatment. Also take care of the correct body weight, because diabetes is favored by overweight. Avoid foods that raise blood glucose levels quickly (including sweets, white bread, bananas). Do sports regularly as it lowers your blood sugar levels.

Chronic fatigue: anemia

Anemia is caused, among others, by iron deficiency - an element necessary for the production of red blood cells (erythrocytes). When it is low, the number of red blood cells or their hemoglobin decreases(red blood pigment), which supplies oxygen to the body's cells. As a result, various internal organs are hypoxic and work less well.

You are constantly tired, sleepy, unable to concentrate. You suffer from headaches, dizziness, tinnitus. You may also feel nauseous or lose your appetite. You catch infections easily. Your beauty also suffers: skin turns pale, mouth corners crack, nails split, hair falls out.

Advice for you: Go to the internist - he will order a blood count (it determines the number of erythrocytes and hemoglobin level) and determines the level of iron in the serum. The results will confirm or rule out anemia. Also, eat foods rich in iron, incl. red meat, fish, egg yolks, liver, whole grain bread, thick groats, lettuce, parsley.

Iron contained in animal products is better used by the body, it is also good to combine it with vitamin C, which facilitates its absorption. You can also take iron preparations under your doctor's supervision.

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