Post # 1
So I know this is a wedding forum and has nothing to do with health and wellness, but everyone here always has good advice and with SO many members I’m hoping to find a few that have experience with this.
I feel like I’m tired ALL the time. I’ve been this way for years now – at least three. I’m a pretty good sleeper. It doesn’t usually take me long to fall asleep and I don’t usually wake up in the night. I generally fall asleep before midnight and get up around 8 in the morning, but if I don’t use an alarm I’d happily sleep until 10, 11, even noon. I usually let myself do that once or twice a week because I am just SO tired.
I’ve tried different sleeping schedules. Tried going to bed and getting up at set times. Tried sleeping only 7 or 8 hours in case I’m getting too MUCH sleep. But none of that has really made a difference. Even if I let myself sleep for as long as my body wants, I’m still tired within a few hours.
I have been checked for anemia and had my thyroid checked for weight reasons, negative for both. Aside from having asthma, I’m pretty healthy.
I live abroad but will be visiting the United States in a few months and am on my last year of my parents’ insurance so I won’t to take advantage of it. But I’m not even sure what kind of doctor to go to and what to expect? I don’t have a general doctor anymore so I’d have to find one.
Are there any specific tests I should request? Anyone else ever talked to a doctor about fatigue? I’d appreciate any and all advice or suggestions. Thanks! 🙂
Post # 3
You said you live abroad…are you in a dark area? Does this fluctuate seasonally at all? When I moved from California to the northern US, suddenly I became very, very tired. It was seasonal affective disorder. I bought a happy light, and every day during the winter, popped it on for a few hours. Cured!
The other thing that comes to mind is depression. Any chance that applies to you? Symptoms of depression vary greatly, but fatigue can be very common, especially if it’s impacting your ability to perform activites of daily living.
If you’ve had your basic labs run (CBC, Chem Panel, Thyroid Studies), I can’t imagine suggesting anything more specific, since you don’t have any other real symptoms…If you do, let us know what they are and maybe I’ll think of something 🙂
These are (very) long shots, but a good idea nonetheless, just for peace of mind- ever been tested for HIV or Hep C? Not that I necessarily think you have them based on fatigue, but it’s a common symptom for almost everything out there- and if you haven’t been tested for the two big scary viruses out there, it may be a good excuse to get it done 🙂 If you are embarrassed to ask for these tests at your doctor’s, you can purchase them online. (http://www.amazon.com/Home-Access-HIV-Test-System/dp/B0000532NP/ref=pd_sbs_hpc_5 or http://www.amazon.com/Completely-Private-yourself-facilities-involved/dp/B00AOOXVFS/ref=sr_1_1?ie=UTF8&qid=1376920455&sr=8-1&keywords=HIV+test http://www.amazon.com/Home-Access-Hepatitis-Check/dp/B0000534CJ/ref=sr_1_1?ie=UTF8&qid=1376920520&sr=8-1&keywords=Hepatitis+C+test )
Post # 4
@Dialysate: Thanks for your reply! The Seasonal thing would make sense, but I live in South America and we enjoy warm, sunny days all year long. 🙂 I don’t think I’ve ever been in a situation where I could contract HIV, so probably not anything like that either. I think I’ve always been up to do date on Hepatitis shots – when travelling abroad they keep me pretty up to date on a number of vaccines. Depression is a plausible explanation though, so that’s something to think about. Thanks again!
Post # 5
Do you exercise at all? I’m normally tired all the time too, no matter how long I sleep. But when I’m physically active (like more than just walking to and from my car) I feel way less tired. If I work out for at least 30 minutes a day (cardio) I feel much more energized during the day!
Post # 6
@ana77: I guess you wouldn’t have any issue with SAD in bright, beautiful, sunny South America! (I have to say, I’m jealous!!!) You probably have been vaccinated against Hep A and B, but there is no vaccination for Hepatitis C, unfortunately.
Post # 7
@IzzyBear: This exactly!
I get exhausted if I don’t exercise, but have the right amount of sleep and a pretty good diet.
The trick for me is to take part in physical activity at least 2-3 times a week, and I feel so much better in myself!
Also look into iron supplements and similar – there are a lot of off-the-shelf products that are aimed at helping to reduce tiredness (and women seem to suffer more than men)
Post # 8
@ana77: I was really, really tired all the time and they did a full blood panel on me to check my Vitamin D levels. I know you said you live in a sunny area, but I would have your Vitamin D levels checked. I would honestly have everything checked, mostly vitamin levels becuase I am guessing you are lacking something there. Some of us don’t absord those vitamins like others do.
Post # 9
Post # 10
I’m guessing they checked your B12 levels as well?
Post # 11
what about Sleep Apnea? with sleep apnea you basically “wake up” hundreds of times during the night, so you aren’t really getting a deep sleep. You might thing you’re sleeping for 8 solid hours, but you aren’t actually getting a full nights sleep. Do you snore? With sleep apnea you wake up a lot because you aren’t getting enough oxygen while sleeping. You could get an overnight sleep study to monitor your sleeping habits. Another quick test is an overnight oximetry, which measures your level of oxygen while sleeping. It’s a small little gadget that you just hook up to your finger while sleeping.
I’m not an expert or anything, but I used to work at a company where we supplied people with CPAPs, which are the machines you can use to help control sleep apnea.
Post # 12
A friend of mine had similar symptoms and her Dr. diagnosed Epstein Barr virus. Along with feeling tired all the time, there are other symptoms, like: sore throat, fever, and swollen lymph nodes, headaches when you feel particularly tired, etc…
Epstein Barr is the virus known to cause infectious Mono. Something like 97% of adults have the virus because they’ve been exposed through saliva. In most people, they have symptoms for a few weeks and then are fine. Although they carry the dormant virus for life.
Your Dr. can test for higher levels of the virus, which might indicate Epstein Barr (or chronic mono). A normal level of Epstein-Barr is generally between 1-10. An elevated level would indicate an infection.
If you have it, it’s manageable. But you might occasionally suffer “flare ups” where you’ll feel the symptoms more.
Hope that helps.
Post # 13
@Dialysate: I didn’t know that about Hep C – thanks for the info!
The exercise idea is a good one. I had been exercising every morning and feeling REALLY good afterwards. However by the afternoon the effects had passed. And after going on a week of vacation I haven’t started up again. I should do that, though.
@megz06: That’s interesting about Vitamin D. I do live in a sunny place but I work from home and often don’t get out much in the day, so I may not be getting much vitamin D.
@Ibblet: Thanks for that link. I’m from MN and I love using Mayo’s website! 🙂
@pineapplez17: The sleep apnea thing had occurred to me. I’ll ask the doctor about that. Thank you!
Thanks to everyone for your responses 🙂
Post # 14
I struggle with serious amounts of fatigue too, and actually have a diagnosis of Chronic Fatigue Syndrome, but it’s been more of an “absence” diagnosis than an actual diagnosis. I don’t have thyroid issues, vitamin d deficincies, lupus, HIV, sleep apnea, depression or other potential causes, so I’ve been left with unexplained Chronic Fatigue.
The hard part about fatiuge is that it’s hard to figure out in one doctor visit – I’ve been seeing my doc and various specialists for it for about 4 years now, which is how I’ve had all of those other possibilities eliminated. I’m actually seeing a behavior health clinic this week to see if it could be adult ADD manifesting itself in brain fog and mental fatigue from trying to keep focused on necessary tasks.
I just wanted to say I’m sorry – it blows to be so tired all the time. But be a self advocate, ask for the blood panels and tests to check for easy solutions. I was actually disappointed earlier this year when I had a sleep study done and didn’t trigger any disorders – not that I want a sleep disorder, of course, but I just wanted answers! It was that doc that recommended checking for ADD. I finally have new insurance from a new job ready to go, so now I’m going down that path.