Chronic Fatigue: Causes, Tests, and Treatment Options

Q: Chronic Fatigue: Causes, Tests, and Treatment Options

Hello： Your issue of fatigue and drowsiness may be related to mental health problems or medication side effects, but it is also important to consider the possibility of physiological diseases, such as anemia, electrolyte and blood sugar imbalances, liver and kidney dysfunction, o

The reasons for fatigue and the desire to sleep can vary widely. To investigate these symptoms, several tests can be conducted, including: 1. Complete Blood Count (CBC) - to check for anemia or infection. 2. Thyroid Function Tests - to assess for hypothyroidism or hyperthyroidism. 3. Blood Glucose Levels - to rule out diabetes. 4. Sleep Studies (Polysomnography) - to evaluate for sleep disorders such as sleep apnea. 5. Vitamin and Mineral Levels - to check

Hello, Doctor.
I would like to ask you some questions that have been very troubling for me.
Currently, I feel tired and sleepy all day long.
I previously took some medications for mental health issues and noticed some side effects related to drowsiness.
However, after stopping the medication, I did not see any improvement.
The doctor told me that the effects of the medication would be metabolized within one or two days, and the side effects would disappear.
Although I have been off the medication for a month, I have taken sulpiride 50 to 100 mg a few times daily due to indigestion, but this shouldn't cause me to feel so fatigued every day, right? My constant sleepiness and lack of energy should not be related to the medication anymore, correct? I would like to know which specialty I should consult for my persistent fatigue and lack of energy.
What tests can I undergo? In the past few weeks, I have returned for follow-up visits due to sleep issues and psychosomatic symptoms.
The side effects of the medication often include drowsiness, but the doctor mentioned that these would mostly resolve within a week.
The medication helps me sleep better, but it hasn't made me feel more energetic.
What should I do?

kevin, 20~29 year old female. Ask Date: 2024/04/02

Dr. Lin Zhebin reply Family Medicine

Hello: Your issue of fatigue and drowsiness may be related to mental health problems or medication side effects, but it is also important to consider the possibility of physiological diseases, such as anemia, electrolyte and blood sugar imbalances, liver and kidney dysfunction, or hormonal disorders, among others.
It is recommended that you first consult a family medicine physician.

Reply Date: 2024/04/02

More Info

Chronic fatigue is a complex and often misunderstood condition that can significantly impact an individual's quality of life. It is characterized by persistent and unexplained fatigue that does not improve with rest and can be exacerbated by physical or mental activity. Understanding the causes, diagnostic tests, and treatment options is crucial for managing this condition effectively.

Causes of Chronic Fatigue
Chronic fatigue can stem from various factors, including:
1. Medical Conditions: Conditions such as hypothyroidism, anemia, diabetes, and sleep disorders can lead to fatigue. Chronic Fatigue Syndrome (CFS) is a specific diagnosis that may not have a clear cause but is characterized by debilitating fatigue lasting more than six months.

2. Mental Health Issues: Anxiety, depression, and stress can contribute to feelings of fatigue. The interplay between mental and physical health is significant, and emotional distress can manifest as physical symptoms.

3. Lifestyle Factors: Poor diet, lack of exercise, and inadequate sleep can exacerbate fatigue. A sedentary lifestyle can lead to muscle weakness and decreased stamina, making one feel more tired.

4. Medications: Some medications, particularly those used to treat mental health conditions, can have side effects such as drowsiness and fatigue. It’s essential to discuss any concerns about medication side effects with a healthcare provider.

Diagnostic Tests
While there is no definitive test for chronic fatigue, several assessments can help rule out other conditions:
1. Blood Tests: Comprehensive blood work can check for anemia, thyroid function, vitamin deficiencies, and other underlying medical issues.

2. Sleep Studies: If sleep disorders are suspected, a sleep study (polysomnography) can help diagnose conditions like sleep apnea.

3. Psychological Evaluation: A mental health assessment can determine if anxiety, depression, or other psychological factors are contributing to fatigue.

4. Functional Assessments: Questionnaires and scales, such as the Fatigue Severity Scale (FSS) or the Chalder Fatigue Scale, can help quantify fatigue levels and its impact on daily functioning.

Treatment Options
Managing chronic fatigue often requires a multifaceted approach:
1. Lifestyle Modifications: Regular physical activity, a balanced diet, and good sleep hygiene can significantly improve energy levels. Gradually increasing physical activity can help build stamina.

2. Cognitive Behavioral Therapy (CBT): This therapeutic approach can help address negative thought patterns and behaviors associated with fatigue and improve coping strategies.

3. Medication Adjustments: If medications are contributing to fatigue, discussing alternatives or adjustments with a healthcare provider is essential. Sometimes, a medication review can lead to finding a more suitable treatment plan.

4. Stress Management Techniques: Mindfulness, meditation, and relaxation techniques can help manage stress and improve overall well-being.

5. Support Groups: Connecting with others who experience similar challenges can provide emotional support and practical coping strategies.

Conclusion
If you are experiencing persistent fatigue, it is essential to consult a healthcare provider who can guide you through the diagnostic process and develop a personalized treatment plan. Chronic fatigue is a legitimate medical concern, and addressing it holistically can lead to significant improvements in your quality of life. Remember, it’s crucial to advocate for your health and seek the support you need to manage this condition effectively.

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