Im so tired_.ppt by shenreng9qgrg132

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									I’m so tired!
Migun USA Corp.
The fatigue won’t go away.
 Tiredness is such a common complaint that
 it’s easy to overlook it as a possible warning
 sign that something else is wrong.

 If you’re always tried and your fatigue
 doesn’t vanish after plenty of rest, it may be
 alerting you to an undiagnosed illness.
Anemia
 This potentially life
 threatening condition
 occurs when the amount
 of oxygen carrying
 hemoglobin in red blood
 cells falls below normal.
 The body is forced to
 work harder to get oxygen
 to vital organs, straining
 the heart. When it’s
 severe, anemia can lead to
                              Iron rich red meat is one Rx
 heart attack.
Anemia
 Possible causes include deficiencies of iron, folate
 (a B vitamin), or vitamin B12; blood loss from
 surgery or heavy menstrual periods; chemotherapy
 treatments; and chronic disease, such as kidney
 disease, diabetes, and hepatitis C.
 What the fatigue feels like. You tire easily, feel
 lethargic, and notice that tasks you used to do with
 ease- such as shopping for groceries or taking out
 the garbage- now require effort.
Anemia
 Other symptoms. Chest pain, shortness of breath, pale
 complexion, rapid heart rate, feeling cold.
 Do this now. Depending on what’s causing your anemia,
 your doctor may recommend supplements, healthier food
 choices, prescription medication, or other treatments or
 tests. Women who have heavy menstrual flows might
 benefit from birth control pills, which can reduce blood
 loss.
 Best test. A blood test measuring total blood count,
 hemoglobin, and serum ferritin (a measure of the iron
 stored in our body).
Depression

 One of the most
 common mental
 illness, depression
 affects more than 19
 million Americans
 each year.
Depression
 What the fatigue feels like. For some, it’s a
 debilitating, all-day fatigue, for others, it’s a
 sluggish feeling that never leaves, even after
 plenty of rest. It may be more noticeable in the
 morning. You may find yourself sleeping too
 much or too little.
 Other symptoms. Changes in eating habits; lack
 of motivation; lethargy’ irritability; hopelessness;
 not finding pleasure in activities, hobbies, sex, or
 friendship.
Depression
 Do this now. Contact a mental-health
 professional such as a psychologist,
 psychiatrist, social worker, or pastoral
 counselor. If you need help finding one,
 ask our family doctor for a referral.
 Best test. A depression screening test is
 available online at www.depression-
 screen.org.
Kidney disease
 This condition occurs
 when your kidney’s
 don’t filter enough
 waste from your
 blood, causing toxins
 and fluid to build up
 and make you feel
 sick.
Kidney disease
 Diabetes and high blood pressure are the
 two most common causes of kidney disease.
 The condition itself can cause high blood
 pressure, as well as anemia, thinning bones,
 nerve damage, and poor nutritional health.

 Kidney disease also increase your risk of
 heart and blood vessel disease.
Kidney disease
 What the fatigue feels like. You’re easily tired
 and feel like you’re constantly out of breath,
 especially at the end of the day. The fatigue is
 caused by anemia, which people with kidney
 disease develop.

 Other symptoms. Weight loss, itching, loss of
 appetite, nausea, vomiting, swelling or numbness
 in hands or feet, frequent urination.
Kidney disease
 Do this now. Ask your doctor about the GFR
 (glomerular filtration rate) test, especially if you
 have diabetes, high blood pressure, or a parent or
 sibling with kidney disease. An early screening is
 critical because you can lose up to 70% of your
 kidney functions before symptoms appear.
 Best test. The National Kidney Foundation
 recommends three simple test to screen for kidney
 disease: blood pressure, urine test for protein, and
 a calculation of GFR when you have your blood
 drawn.
Chronic fatigue syndrome

 Chronic fatigue
 syndrome is difficult
 to diagnose and is
 characterized by a
 persistent or relapsing
 fatigue of 6 or more
 consecutive months.
Chronic fatigue syndrome
 What the fatigue feels like. Profound exhausting
 and poor stamina that aren’t alleviated by bed rest.
 Symptoms may worsen for days following even
 minor physical or mental exertion.
 Other symptoms. Poor concentration and short
 term memory; flu like symptoms, including
 muscle and joint pain, tender lymph nodes, and
 headache; blurring and other vision problems;
 irritable bowel.
Chronic fatigue syndrome
 Do this now. Find a primary care doctor or
 specialist who is knowledgeable about CFS and
 make an appointment. Your own doctor may
 know very little about the disease.

 Best test. CFS is a diagnose of exclusion- a doctor
 must first rule out other medical conditions that
 have the same symptoms before he can make a
 definite diagnosis.
Hyperthyroidism
 When the thyroid
 gland produces too
 much thyroid
 hormone, it’s called
 hyperthyroidism.
 Untreated, it may lead
 to osteoporosis or a
 dangerously irregular
 heartbeat, which can
 be life threatening.
Hyperthyroidism
 What the fatigue feels like. Muscle weakness,
 which is especially noticeable when you are
 exercising.

 Other symptoms. Restless sleep and insomnia,
 inability to concentrate, unexplained weight loss,
 feeling warm and sweaty, more frequent bowel
 movements. Menstrual periods become less
 frequent and lighter.
Hyperthyroidism
 Do this now. See your primary care doctor,
 who may refer you to an endocrinologist for
 therapy.

 Best test. A blood test for thyroid-
 stimulating hormone (TSH). A low reading
 may indicate an overactive thyroid gland.
Sleep apnea

 This sleep disorder-which
 can cause cardiovascular
 damage is characterized
 by shallow or stopped
 breathing during sleep.
 Untreated sleep apnea
 may contribute to
 cardiovascular disease,
 high blood pressure, and
 stroke.
Sleep apnea
 What the fatigue feels like. You’re overly
 tired during the day and may nod off at
 inappropriate moments or have a strong
 urge to nap.

 Other symptoms. Loud snoring, morning
 headaches, heartburn, poor concentration,
 frequent nighttime urination.
Sleep apnea
 Do this now. Ask your primary care doctor
 to refer you to a sleep specialist.

 Best test. Polysomnograhpy, which is an
 overnight sleep study at a sleep clinic.
Mononucleosis

 Caused by the Epstein
 Barr virus, mono is
 called “ the kissing
 disease” but is usually
 spread through
 coughing or sneezing
Mononucleosis
 What the fatigue feels like. It comes on
 suddenly. You feel lethargic, weak, and
 very sleep.

 Other symptoms. Fever, rash, sore throat,
 swollen lymph nodes, headache, muscle
 aches, loss of appetite.
Mononucleosis
 Do this now. See your primary physician if
 symptoms aren’t gone in a week.

 Best test. A blood test known as the
 monospot test. Positive results will not
 occur until you’ve had mono for 1 to 2
 weeks.
Multiple sclerosis
 The chronic,
 unpredictable
 autoimmune disease
 affects the central
 nervous system, and is
 most common in
 young adults.
Multiple sclerosis
 What the fatigue feels like. Ordinary activities
 such as doing laundry take so much physical effort
 that they’re exhausting. The fatigue often begins
 in the morning , even after a good night’s sleep,
 and worsens as the day goes on.
 Other symptoms. Difficulty walking, loss of
 balance, dizziness, numbness and tingling, pain,
 bladder and bowel dysfunction, vision problems.
Multiple sclerosis
 Do this now. See your primary care doctor, who may refer you to a
 neurologist, preferably one who specializes in MS. Symptoms may
 come and go, so you might have to see several doctors before you get a
 definite diagnosis.

 Best tests. No single test can identify or rule out MS. However,
 certain tests may lead your neurologist closer to a diagnosis, they
 include: an MRI scan of the brain and sometimes the spinal cord;
 evoked potential tests to measure how quickly your nervous system
 responds to certain types of stimulation; and a spinal tap, which checks
 spinal fluid for signs of the disease.
Fibromyalgia

 This chronic illness is
 marked by widespread
 musculoskeletal aches,
 pain, tenderness, and
 stiffness in any part of
 the body; fatigue; and
 sleep disturbance.
Fibromyalgia
 What the fatigue feels like. It’s as if you were hit
 by a truck. When you wake up, you feel like you
 haven’t slept. Your body is stiff, and you have
 little energy to do the simplest tasks.
 Other symptoms. Muscle and joint pain (which
 may be deep, aching, throbbing, or stabbing);
 numbness, tingling, and burning; restless legs
 syndrome; irritable bowel and bladder; heartaches
 and migraine; dry mouth and eyes; and anxiety
 and depression.
Fibromyalgia
 Do this now. Start with your primary care
 doctor, who may refer you to a
 rheumatologist (arthritis specialist).
 Best test. To get a diagnosis of
 fibromyalgia, you must have pain all over
 your body for at least 3 months and
 tenderness and pain in at least 11 of 18
 “tender point.”
Hepatitis C

 This liver disease is
 caused by the hepatitis
 C virus (HCV), which
 is spread by contact
 with the blood of an
 infected person.
Hepatitis
 What the fatigue feels like. An allover
 tiredness that makes even the simplest tasks
 feel overwhelming. You’re tired and achy
 and unable to concentrate. Getting more
 sleep doesn’t seem to help.
 Other symptoms. Abdominal pain, loss of
 appetite, nausea, fever, jaundice.
Hepatitis
 Do this now. See your primary care doctor to rule
 out other illness.
 Best test. First, an ELISA III, or EIA, blood test,
 and if it is positive, confirmation with a RIBA test.
 If you’re positive on both, you’ve been exposed to
 hepatitis C. The next test is HCV/RNA by PCR
 (polymearase chain reaction), which can detect
 very small amounts of virus.

								
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