Shy am i always soooooooooooo tired?!
Question: yesterday i went to bed at around 4:30 in the day and got up 4:30 this morning so that means i had around 12 hours sleep and im still aooooooooooooooooooooo tired i actually dont know how im able to write this i mean wow i just feel soooooooo tired why am i always soooooooo tired whats wrong with me? should i see a doctors????
Answers: yesterday i went to bed at around 4:30 in the day and got up 4:30 this morning so that means i had around 12 hours sleep and im still aooooooooooooooooooooo tired i actually dont know how im able to write this i mean wow i just feel soooooooo tired why am i always soooooooo tired whats wrong with me? should i see a doctors????
How often do I hear, "Doctor, why am I so tired? What can I do about
it?" In my experience, it's the most common health complaint of adults
of both sexes. Everyone is tired now and then, and the reason is usually
obvious: You may not have been sleeping well because you're depressed,
anxious, have a large prostate that makes nature call too often, or are
taking caffeine or some medication that keeps you awake. Or you're
taking a medication that sedates you during the day, such as a
tranquilizer, a blood-pressure-lowering drug or a painkiller. Or you're
suffering from jet lag. If you can identify the problem - whatever it is
- and correct it, your energy will return. Continuous fatigue for no
apparent reason is nature's signal to you that something is wrong. In
addition to the causes mentioned above, a variety of
other conditions - ranging from some that are easily managed to serious
diseases like cancer - can make you tired. You may he anemic for any one
of several reasons, or perhaps your liver, thyroid or kidneys aren't
working properly. The list is long.
However, there is one kind of fatigue unlike any other - bone-breaking
tiredness that prevents you from getting out of bed in the morning even
after a good night's sleep. You continue to feel worn out no matter how
much you rest. You can't work or play, and all you're able to do is
vegetate at home. When you tell your doctor about it, he or she performs
a thorough checkup, but the tests come back "normal." The diagnosis?
Chronic Fatigue Syndrome (CFS).
This condition was first formally characterized as a real illness by the
Centers for Disease Control and Prevention (CDC) in 1988. In 1994, with
no specific test yet available to identify the disease, the CDC expanded
and refined its criteria for Chronic Fatigue Syndrome (see box below).
Fatigue is so common in daily life that reliable statistics are
difficult to obtain, but an estimated 800,000 Americans suffer from the
profound symptoms associated with Chronic Fatigue Syndrome. Though it
can strike anyone at any age, it's three times more common in women, for
reasons unknown. Despite its acceptance as a clinical entity, some
doctors (and probably most of your friends) still view CFS as nothing
more than depression. They insist that a real "condition" would produce
some abnormalities in a physical exam or blood tests.
I too used to be skeptical about CFS. I was sure it was "all in the
head." But I've changed my mind. I'm now convinced that it is a real
disorder - probably due to some derangement of the immune system,
possibly triggered by a still unidentified infection, viral or
bacterial, or an allergy or hormonal imbalance. The bottom line,
however, is that the cause or causes of the syndrome remain a mystery.
Patients with Chronic Fatigue Syndrome are more than just profoundly
tired. They have other typical symptoms too. Most are depressed - and
who can blame them, feeling the way they do? In addition, they complain
frequently of flulike symptoms and are likely to have low blood pressure,
poor short-term memory,trouble thinking clearly and a tendency to be
irritable. From time to time they have a sore throat, and the glands in
the neck and armpit may be enlarged and tender. Some patients also complain
of joint and muscle pain and are diagnosed as having fibromyalgia
(see PARADE, July 18, 1999). Even mild exercise aggravates and prolongs their fatigue.
For you to be diagnosed with Chronic Fatigue Syndrome, your symptoms
must have persisted for at least six months, and a complete medical
evaluation must have failed to reveal any other cause. There is no
specific test for Chronic Fatigue Syndrome. It's not like diabetes or
hepatitis or heart trouble. When you describe how poorly you feel to
your doctor, he or she will take a detailed history, perform a thorough
physical exam and then obtain a battery of blood tests, looking for
clues to some other disease that might account for your symptoms. These
tests should include a careful search for microorganisms not immediately apparent in the
routine workup. In addition, you'll be checked for sleep apnea (which
leaves you very tired the next day, because sleep is so disturbed during
the night); for a major depression that is the cause-and not the result
of your fatigue; and for an underactive thyroid gland, chronic
mononucleosis, a reaction to some medication, a hidden cancer, chronic
alcohol or substance abuse, HIV infection, an autoimmune disorder or
massive obesity.
The outlook for Chronic Fatigue Syndrome varies from patient to patient.
In most studies of this illness, approximately a third of the patients
improve significantly within five years, nearly half within 10 years.
But even "recovered" patients may continue to have some symptoms.
Despite what some medical entrepreneurs would have you believe, there is
no proven treatment for Chronic Fatigue Syndrome. However, some measures
may alleviate your symptoms. For example: