Fatigue

Introduction Weakness is a non-specific symptom that can be an early symptom of liver disease, or an early warning sign of other diseases, such as tumors, or even physiological, such as overwork. Susceptibility is mainly the patient's self-feeling, and has certain subjectivity. It is mainly based on the daily activities compared with the usual activities. For example, you can go up to three floors, and now you will feel asthma and your legs are soft. Lazy and so on. In general, the degree of fatigue in patients with liver disease ranges from mild fatigue to severe fatigue, consistent with the severity of liver disease.

Cause

1. The manual worker's diet is too light to cause fatigue, because the sodium in the salt can strengthen the excitability of the nerves and muscles.

2, lack of sleep can make people feel weak, but neurasthenia, such as long-term use of sleeping pills, will feel weak.

3, hobby drinkers often have a sense of fatigue, hungry people are also weak due to lack of protein and potassium deficiency, fatigue is sometimes a precursor of vitamin B1 deficiency, alcoholics are susceptible to the disease.

4. The fatigue of physical or mental workers is a normal physiological phenomenon, but it is necessary to pay attention to it after a little labor.

5, frequent vomiting and diarrhea and a large number of diuretics due to low blood potassium caused by general weakness, but patients with hyperkalemia are also weak, it is necessary to identify blood.

6. Diabetes is the most common cause of fatigue. Due to abnormal glucose metabolism, high-energy phosphate bond reduction, negative nitrogen balance, water loss and electrolyte imbalance, it is easy to be fatigued, weak and weak, and has symptoms such as thirst, weight loss, polyphagia and polyuria.

7, anemia often causes fatigue, severe chronic anemia, sudden onset of iron deficiency anemia, acute blood loss anemia, acute hemolytic anemia, etc., these patients have fatigue.

an examination

Related inspection

Blood routine urine routine cerebrospinal fluid neuropeptide bone marrow nucleated cells total

1. According to the course of fatigue, predisposing factors, the duration and duration of each episode; the daily routine of the patient's daily life, family, marriage and working conditions, understanding of the history of the disease and medication, past physical conditions, fatigue accompanying symptoms, etc. Physical examination.

2. Auxiliary examination, first of all to complete blood routine, urine routine, stool routine, blood electrolytes, blood biochemistry (including liver and kidney function, blood sugar, etc.), thyroid hormone spectrum, pregnancy test and other tests. When necessary, it is necessary to perform examinations on tumor-related indicators, such as tumor markers, breast development, and colonoscopy.

3. According to the medical history and physical examination results, carry out targeted examinations, such as cardiogram, chest X-ray, virological or bacteriological examination, immunological indicators.

4. According to the preliminary examination results, further implementation of other more specific or able to determine the cause of the examination, such as anemia, liver disease, hormonal abnormalities, tumors and other related diseases, including bone marrow puncture, liver function and hormone spectrum determination, ultrasound, Nuclide and CT or MRI.

Differential diagnosis

1, psychogenic diseases

These diseases are often accompanied by fatigue, but patients with typical schizophrenia, anorexia nervosa, anxiety mania, etc., can help identify. However, for patients with depression, fatigue may be the first manifestation or the most important symptom. For such patients, on the one hand, it is necessary to rule out the depression caused by thyroid dysfunction. On the other hand, it is necessary to combine the characteristics of the medical history to determine whether fatigue is timely. Due to the inherent depression of the patient. In general, there is no obvious abnormality in the auxiliary examination.

2, infection

All types of infections can be fatigued, but patients are often accompanied by obvious infection characteristics such as fever and leukocytosis. It is worth noting that for some occult infections, such as periodontitis, otitis media, tuberculosis, viral infections, patients may have no other clinical manifestations, but fatigue is the main feature.

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