Strange symptoms?
My problem is that I have been feeling fatigued lately.
I go to bed around 11 or 12 PM and sleep for 12 hours, but after a few hours of being awake, I start yawning and experience dizziness and headaches (this happens every day).
When I look at the computer, watch TV, or even sing karaoke, my eyes become very uncomfortable after a while (reading also causes this).
I feel a strong urge to close my eyes and I am constantly lethargic, unable to concentrate.
I wake up feeling groggy every morning.
These symptoms were not present before, and I don't understand why they have changed now.
I have had a peptic ulcer for some time and have been continuously taking medication.
I am unsure if this is a side effect of the medication or if I have an underlying condition.
If it is a condition, which specialty should I consult?
Ahao, 20~29 year old female. Ask Date: 2008/11/18
Dr. Li Zhengfeng reply Psychiatry
Hello: First of all, thank you for your letter.
Based on the symptoms you described, it is not possible to provide a clear diagnosis through the online consultation system.
I recommend that you first consult a family medicine physician to rule out any physiological factors.
Once physiological factors are excluded, we can then consider the possibility of psychosomatic issues.
Wishing you a speedy recovery, thank you.
Reply Date: 2008/11/18
More Info
Your concerns about sleep issues and mental health are quite valid and deserve careful consideration. Based on your description, it seems you are experiencing a combination of sleep disturbances, physical symptoms, and possibly emotional stressors that could be contributing to your overall condition.
Firstly, the fact that you are sleeping for 12 hours yet still feel tired and experience symptoms like yawning, dizziness, and headaches suggests that the quality of your sleep may not be sufficient, even if the quantity appears adequate. Sleep quality can be influenced by various factors, including sleep disorders, stress, and even the medications you are taking for your gastric ulcer.
Sleep disorders such as insomnia, sleep apnea, or restless leg syndrome can significantly impact how restorative your sleep is. Insomnia can lead to difficulties in falling asleep, staying asleep, or waking up too early, while sleep apnea can cause interruptions in breathing during sleep, leading to fragmented sleep and daytime fatigue. If you suspect that your sleep might be disrupted in this way, it would be wise to consult a sleep specialist.
Moreover, the symptoms you describe, such as difficulty concentrating, feeling mentally foggy, and experiencing discomfort in your eyes after prolonged screen time, could be indicative of a condition known as digital eye strain or computer vision syndrome. This is increasingly common in our digital age and can lead to symptoms like dry eyes, blurred vision, and headaches. Taking regular breaks from screens and ensuring proper lighting and distance from screens can help alleviate these symptoms.
Your ongoing gastric ulcer treatment may also play a role in your overall well-being. Some medications can have side effects that include fatigue, dizziness, and headaches. It’s essential to discuss these symptoms with your healthcare provider to determine if your current medication regimen is appropriate or if adjustments are needed.
In terms of mental health, the feelings of fatigue and inability to concentrate can also be linked to anxiety or depression. Stressful life events, changes in routine, or unresolved emotional issues can manifest physically and affect your sleep and overall health. It may be beneficial to speak with a mental health professional who can help you explore these feelings and provide coping strategies.
Given your symptoms, I recommend the following steps:
1. Consult a Healthcare Provider: Discuss your symptoms with your primary care physician or a gastroenterologist regarding your gastric ulcer and the medications you are taking. They can evaluate whether your symptoms are side effects of your medication or if further investigation is needed.
2. Sleep Evaluation: If sleep disturbances persist, consider seeing a sleep specialist who can conduct a sleep study to assess for any underlying sleep disorders.
3. Mental Health Support: If you feel overwhelmed or anxious, seeking support from a psychologist or counselor can be beneficial. They can provide strategies to manage stress and improve your mental well-being.
4. Lifestyle Adjustments: Implement good sleep hygiene practices, such as maintaining a consistent sleep schedule, creating a comfortable sleep environment, and limiting screen time before bed. Additionally, consider incorporating relaxation techniques such as mindfulness or meditation to help reduce anxiety.
5. Regular Breaks from Screens: Follow the 20-20-20 rule: every 20 minutes, look at something 20 feet away for at least 20 seconds to reduce eye strain.
In conclusion, your symptoms warrant a comprehensive evaluation to rule out any underlying medical conditions and to address potential mental health concerns. Taking proactive steps to seek help and make lifestyle changes can significantly improve your quality of life and overall well-being.
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