Tiredness or asthenia

Tiredness or asthenia

Doctor, I am tired…

How much times per day, the doctors intend their patients to complain about asthenia!
It is a very frequent situation.
Sometimes as much a tiredness associated with a pathology makes it possible to explain it, as much, the doctor is sometimes stripped in front of an isolated tiredness: is this an health issue, a depression? Or stress, the concern?

When quality of life is some faded and that tiredness involves disorders of vigilance, appetite, mood, it is necessary to act.

Doctor visit

The doctor, in front of a persistent tiredness, will pose a certain number of questions to the patient and will practice a clinical examination to seek a possible disease: infectious, cardiac, digestive, pulmonary, hormonal,…. He will seek also a sleep disorder, food, a vitamin deficiency.

The consultation is held differently according to the age, the sex, the practices of life of the patient: for example, in the child, the doctor thinks readily of an infantile infectious illness or a chronic infection of sphere ORL or lungs; among women, of course, the consultation is directed differently.
The search for a fever, of a weight loss, the observation of the skin, mouth and eyes, the palpation of the abdomen and surfaces ganglionic, the pulmonary and cardiac sounding, the examination of the members and articulations belong to the usual gestures of the doctor visit.
A summary examination of the nervous system will be able to detect central nervous system disorders.
If a patient returns of voyage in a country where hygiene is rudimentary, the consultation will be directed towards a possible infectious illness.

The blood test and the medical imagery

If the clinical examination makes it possible to suspect a particular disease, complementary examinations could be required to make a more precise diagnosis or to practice an assessment,… the patient could also be addressed to a specialist.
When the clinical examination is unfruitful, a blood test could be required with at least a numeration formulates blood which will determine the number of red globules, white globules, plates. A proportioning of proteins, glucose are also required thus that a ionogramme to seek anomalies of concentration of sodium, potassium, calcium, possibly a proportioning of iron, magnesium. He will ask also a hepatic assessment and various elements being able to determine an inflammatory syndrome.
This blood test will make it possible to possibly direct towards a pathology of body and to require more pointed examinations thereafter: hormonal proportionings for example.

If a body is possibly the seat of a disease, it could be explored by the medical imagery: radiograph, scanner, IRM even endoscopy.

Often tiredness is not of a medical nature

Many situations generate tiredness. Situations which should be tried to avoid or to manage as well as possible.

A vibrating rhythm of life
Periods of lives are tiring and it is difficult to avoid the blows of pump: for example when the children are small, that one is helped little: between work, the ways, the crib or the nannies, the races, the detergents, the meals, the household, little time ago to rest, especially if the nights are intersected by insomnia with the small children. Rare are the women who do not have depressing periods resulting in a more or less persistent tiredness.

The intensive training of the sportsmen
The excess of sport causes also tiredness; it is associated with a slimming, insomnia, a muscular tiredness and an incomprehensible reduction in the performances in spite of the intensive drive.

To deal with themselves and to manage its tiredness

At the house
The rate/rhythm should be calmed, to take time to be posed, to rest; to know to say “stop” to the children, to the spouse.
It is necessary to learn how to delegate certain pieces of housework to the spouse, with the children when they are rather large, to cease being one (one) maniac of the arrangement and the household, not to be too demanding.

It is necessary to benefit from the weekends to take the air, to go with the children. It is also necessary to know to take holidays even at home, to modify the rhythm of life at this time.
The practice of a regular physical-activity allows défouler and to take a little time for oneself. Moreover, they is good for health, the heart, the weight.

With work
The pressure and the stress in the professional life, an excess of work, more than 10 hours not-stop, jumped meals, weekends without putting the nose in order to buckle a file outside, and with repetition… sometimes generate tiredness at the end of several months even years.
Certain grosses companies start to realize that these “model” employees wear prematurely. Today, some of them modify their policy and try to balance and the rest working times of their employees.

The sleep
The nights are made to sleep. When work is diurnal, it is necessary to sleep a certain number of hours the night, and we are not equal, some require for a few hours to recover, others are on the knees if they do not have their 9 or 10 hours of sleep.
One should not lie down nor to awake too late too late during the weekends.
The sleep must be repairing.
The workers of night seldom have a good sleep the day; moreover, much of these people work during the night to be able to be occupied with other occupations the day and finally sleep very little. Some end up being exhausted.
In the event of rebellious insomnia, for difficulties of drowsiness or an alarm clock in the middle of the night with impossibility of falling asleep again, it is necessary to try to find a normal rate/rhythm, so drugs are prescribed they should be taken only during a few days.

To retain

Tiredness is often due to the rhythm of life, with a bad sleep, stress with work, the house, or diseases.
It is normal to have moments of tiredness in the life. When it is usual and that it decreases quality of life, it is necessary to go to see a doctor who will seek a medical cause with this tiredness. Almost all the diseases are the source of tiredness; this one is prolonged during convalescence and it is necessary to rest