![]() How often do you use the bathroom at night?ĭoes the patient develop the urge to urinate within a few minutes of waking up, or does the urge awaken the patient?ĭoes the patient have conditions, such as arthritis or muscle cramps, that could be better controlled? Television and radio programs are intended to be stimulating and keep viewers and listeners awake.Īfter falling asleep, what time do you first wake up? What awakens you?ĭoes the patient wake up due to pain or the urge to urinate? This time is known as sleep latency the duration reflects sleepiness or anxiety at bedtime.ĭo you leave the television or radio on as you are attempting to fall asleep? ![]() Many patients read or watch television in bed before falling asleep.Īfter you lie down, how long does it take you to fall asleep? Regular bedtimes are associated with better sleep patterns. Scheduling regular follow-up visits, rather than sporadic urgent appointments, is recommended for effective long-term management. Patients with chronic fatigue may respond to cognitive behavior therapy. Selective serotonin reuptake inhibitors, such as fluoxetine, paroxetine, or sertraline, may improve energy in patients with depression. Short naps are proven performance enhancers. Caffeine and modafinil may be useful for episodic situations requiring alertness. Treatment of all types of fatigue should include a structured plan for regular physical activity that consists of stretching and aerobic exercise, such as walking. ![]() Results of laboratory studies affect management in only 5 percent of patients, and if initial results are normal, repeat testing is generally not indicated. The history and physical examination should focus on identifying common secondary causes (e.g., medications, anemia, pregnancy) and life-threatening problems, such as cancer. Fatigue can be classified as secondary to other medical conditions, physiologic, or chronic. ![]() The differential diagnosis of fatigue includes lifestyle issues, physical conditions, mental disorders, and treatment side effects. Fatigue, a common presenting symptom in primary care, negatively impacts work performance, family life, and social relationships. ![]()
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |