Fatigue: Could It Be a Sign of Brain Tumors? - Surgery

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Is there a tumor in the brain?


I have been feeling very fatigued lately.
Recently, I was worried about being ill, so I went to the hospital for a check-up and found out that there was nothing seriously wrong.
However, after returning home, I felt unusually tired and a bit dizzy.
The fatigue manifests as frequent moments of distraction, and my vision feels unfocused, although I can focus when I concentrate.
Currently, I do not have any balance issues or headaches.
The feeling of fatigue persists, and I have tried to rest often, but I still feel fatigued shortly after resting.
I can raise both arms simultaneously without any drooping of my face.
Could you please help me understand the possible reasons for this and how to improve it? Additionally, what symptoms would indicate a brain tumor? Thank you, doctor.

Ju, 10~19 year old female. Ask Date: 2021/11/16

Dr. Chen Bingze reply Surgery


Hello, fatigue is not solely an issue related to the brain; it can also be related to the entire body.
It may simply be caused by recent dietary habits, sleep patterns, or stress.
If fatigue persists, it is advisable to consult a physician for an evaluation.

Reply Date: 2021/11/16

More Info


Feeling fatigued can be a concerning symptom, especially when it persists despite adequate rest. While it's understandable to worry about serious conditions like brain tumors, it's important to consider a range of potential causes for your symptoms.
From your description, it seems that you are experiencing chronic fatigue, occasional dizziness, and difficulty focusing your eyes, but you do not report significant headaches, balance issues, or other neurological deficits. These symptoms can be attributed to various factors, including stress, anxiety, sleep disturbances, or even lifestyle factors such as diet and exercise.
Fatigue is a common symptom that can arise from numerous conditions, both physical and psychological. For instance, anxiety about health can lead to a cycle of stress and fatigue, where the worry itself contributes to feelings of tiredness. Additionally, sleep disorders, such as sleep apnea, can cause significant fatigue during the day, even if you believe you are getting enough sleep.
In terms of neurological concerns, brain tumors can present with a variety of symptoms, depending on their size, location, and the extent to which they affect surrounding brain tissue. Common symptoms associated with brain tumors include:
1. Headaches: These may be persistent and worsen over time, often described as different from typical headaches.

2. Nausea and Vomiting: This can occur due to increased intracranial pressure.

3. Cognitive Changes: Memory issues, difficulty concentrating, or changes in personality can be indicative of brain involvement.

4. Neurological Deficits: Weakness in limbs, changes in vision, or difficulty with coordination can occur if the tumor affects specific brain areas.

5. Seizures: New-onset seizures can be a sign of a brain tumor, especially in adults.

Given that you have undergone medical evaluations and found no significant issues, it is likely that your symptoms are not due to a brain tumor. However, if you continue to experience fatigue and other symptoms, it may be beneficial to explore further evaluations. A comprehensive assessment by a healthcare provider, including a detailed history, physical examination, and possibly imaging studies like an MRI, could help rule out any serious conditions.

To improve your fatigue, consider the following strategies:
1. Sleep Hygiene: Ensure you are getting quality sleep by maintaining a regular sleep schedule, creating a restful environment, and avoiding stimulants before bedtime.

2. Stress Management: Techniques such as mindfulness, meditation, or yoga can help reduce anxiety and improve overall well-being.

3. Physical Activity: Regular exercise can boost energy levels and improve mood. Even light activities like walking can be beneficial.

4. Nutrition: A balanced diet rich in fruits, vegetables, whole grains, and lean proteins can support energy levels. Staying hydrated is also crucial.

5. Limit Caffeine and Alcohol: These substances can disrupt sleep patterns and contribute to fatigue.

If your symptoms persist or worsen, it is essential to follow up with your healthcare provider. They can help determine if further investigation is needed or if a referral to a specialist, such as a neurologist, is appropriate. Remember, while it's natural to worry about serious conditions, many factors can contribute to fatigue, and addressing lifestyle and psychological aspects can often lead to significant improvement.

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