Persistent Fatigue and Visual Disturbances: When to See a Neurologist? - Neurology

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Abnormal mental state, slight dizziness, and a strong desire to sleep?


Recently, I have been under a lot of stress and have had little sleep due to standardized testing.
However, after completing the exam, I have been able to sleep for over 8 hours.
Despite this, I have felt unusually fatigued and sleepy since the day after the exam.
My sleep duration is long, yet I still feel tired, and my vision has been somewhat blurry.
What could be the possible issues, and which specialist should I consult for an examination?

Wu Sir, 10~19 year old female. Ask Date: 2017/05/08

Dr. Jiang Junyi reply Neurology


Hello, there are many reasons for feeling unwell, such as sudden cessation of caffeine leading to withdrawal symptoms, nutritional deficiencies (such as B vitamins), and poor sleep quality (such as sleep apnea).
The treatment for these conditions primarily involves identifying the underlying causes.
It is advisable to consult a neurologist to discuss examination and treatment options.
Wishing you good health, peace, and happiness.

Reply Date: 2017/05/08

More Info


Persistent fatigue and visual disturbances can be concerning symptoms that warrant further investigation. Given your recent experience of high stress and lack of sleep during exams, it is understandable that you might feel fatigued and experience visual disturbances such as blurriness. However, these symptoms can also be indicative of underlying neurological or psychological issues that may need to be addressed.

Firstly, it is essential to recognize that stress and sleep deprivation can significantly impact both physical and mental health. Chronic stress can lead to a range of symptoms, including fatigue, difficulty concentrating, and visual disturbances. When the body is under stress, it releases hormones such as cortisol, which can affect various bodily functions, including those related to vision and cognition. Sleep is crucial for recovery and mental clarity; insufficient sleep can exacerbate feelings of fatigue and lead to cognitive impairments.

The visual disturbances you are experiencing, such as blurriness, could be related to several factors. One possibility is that prolonged periods of stress and fatigue can lead to eye strain, especially if you have been studying or using screens for extended periods. This condition, often referred to as digital eye strain or computer vision syndrome, can cause symptoms like blurred vision, dry eyes, and headaches.
However, it is also important to consider other potential causes of your symptoms. For instance, neurological conditions can manifest with visual disturbances and fatigue. Conditions such as migraines, which can cause visual aura and fatigue, or more serious issues like multiple sclerosis, can also present with similar symptoms. Therefore, if your symptoms persist despite adequate rest and stress management, it would be prudent to consult a healthcare professional.

In terms of which specialist to see, starting with a neurologist would be a good choice. A neurologist specializes in disorders of the nervous system and can evaluate whether your symptoms are related to neurological issues. They may conduct a thorough examination, including a neurological assessment, and possibly recommend imaging studies such as an MRI or CT scan to rule out any significant underlying conditions.

Additionally, it may also be beneficial to consult an ophthalmologist or optometrist to assess your visual symptoms specifically. They can determine if there are any underlying eye conditions contributing to your visual disturbances and provide appropriate treatment or recommendations.

In the meantime, consider implementing some self-care strategies to help manage your fatigue and visual symptoms. Ensure you are getting adequate sleep, practicing good sleep hygiene, and managing stress through relaxation techniques such as mindfulness, meditation, or gentle exercise. Taking regular breaks from screens and ensuring proper lighting while reading or working can also help reduce eye strain.

In summary, while your symptoms may be related to stress and fatigue, it is essential to seek medical advice if they persist. A neurologist can help determine if there is an underlying neurological issue, while an eye specialist can address any visual concerns. Taking proactive steps to manage your stress and fatigue will also be beneficial as you navigate this situation.

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