Weakness in the body: causes. Expert advice

Nature initially laid in the human body a huge reserve of forces. But the oversaturation of modern life with information, new opportunities, the frequent solution of various problems leads to the rapid depletion of this resource.

However, a person, as a rule, does not constantly monitor his health, and pays attention to it when unusual symptoms begin to bother him - weakness and drowsiness, excessive loss of strength. The causes of such conditions in an adult can be completely different.

The first signal of the beginning of the problem is daytime weakness and drowsiness, loss of strength, the occurrence of diseases due to the weakened health of a person, the causes of which are quite numerous.

When weakness and drowsiness are observed, the causes in an adult can be very different.

Symptoms of loss of strength and weakening of health, among others, are:

• Weakness, drowsiness, frequent headaches.
• Frequent insomnia. Despite the fact that a person feels tired and sleepy, a quick night falling asleep does not occur. There is also no activity in the evening.
• Low body resistance to seasonal viruses. More often than usual, a person falls ill with acute respiratory infections and acute respiratory viral infections.
• Lack of joy. A person suddenly notices that nothing pleases him. This is the main signal of mental fatigue.
• Irritability, depression. This sign indicates overwork of the nervous system.

The causes of each individual health disorder are strictly individual. However, experts identify a number of common causes, eliminating which can significantly improve the quality of life:

• Imbalance in diet and fluid intake.

A chronic lack of essential vitamins and microelements leads to a rapid depletion of the energy reserve of body cells. This reason can be attributed to unbalanced and poor-quality food.

• Lack of regular rest.

It is generally accepted that a twenty-day vacation compensates for all the loads received by the body in a year. This is mistake. On the contrary, a sharp transition from overexcitation to rest will provoke additional stress on the nervous system.

• Chronic diseases.

Many diseases have in their symptoms such a sign as a breakdown. Experiencing weakness and drowsiness caused, for example, by diabetes, you need to take appropriate therapy. A simple rest in this case will not help.

• Emotional stress.
• Bad ecology.

In large cities and metropolitan areas, a breakdown accompanies about 70% of its inhabitants. This is due to polluted air.

Below is a detailed description of the most common causes of weakness and loss of strength, ways to eliminate them, will help balance all aspects of life, improve well-being, become active and enjoy life.

Physical and psycho-emotional stress

A life deprived of physical and emotional activity leads to rapid aging of the body. Without developing the energy potential inherent in nature, a person becomes lethargic, apathetic, and quickly gets tired.

With excessive physical and emotional stress, which manifests itself in long-term sports or hard work, with prolonged mental stress, emotional stress, a significant decrease in the supply of internal forces is noticeable, and, as a result, rapid aging.

With an absolutely healthy way of life, the first sign of overexertion is weakness, drowsiness. b (the reasons for an adult and a child are almost the same) occurs as a signal from the body that rest is required.

Irrational and unbalanced nutrition

The lion's share of the energy that a person spends during his life, he receives from food. Untimely and poor-quality nutrition leads to malfunctions in the work of all body systems, and to a deterioration in the quality of life.

The following factors can be attributed to irrational and unbalanced nutrition:

• The number of calories received from food is insufficient or, on the contrary, exceeds the required rate for an active life.
• Product compatibility. Many vitamins are absorbed by the body only in a certain form.

For example, eating fats and proteins at the same time will lead to poor absorption of vitamins necessary for life, and even with a large amount of seemingly healthy food, the positive effect of it will be minimal.

Lack of fluid in the body

When weakness and drowsiness, causes in an adult may indicate dehydration, lack of fluid for balanced biological processes.

In hot weather, it is recommended to drink up to 3 liters of clean water. to prevent heat stroke and ensure the good functioning of all internal organs. The question of the amount of fluid you drink should be approached strictly individually, observing your well-being.

Coffee, alcohol, sugary carbonated drinks cannot be considered a source of liquid. These products, on the contrary, contribute to the rapid dehydration of the body.

Magnetic storms and organism susceptibility

A change in solar activity affects the electromagnetic impulses of a zone of the human cerebral cortex. Deterioration of well-being occurs during the period of violation or loss of magnetic balance. If the human body is weakened and reacts to space processes, the meteorological dependence syndrome develops.

Signs of meteorological dependence:

• Dizziness.
• Weakness and drowsiness.
• Weakened perception of everyday life situations.
• There is a feeling of heaviness in the head and dispersal.

To avoid or significantly reduce the negative manifestations of magnetic storms will help:

• Yoga classes.
• Light exercises for relaxation and subsequent concentration.
• Meditation.
• Hiking in nature.

Impressive, emotional people tolerate magnetic solar emission much worse than people who are balanced and phlegmatic.

Wrong lifestyle, lack of sleep, bad habits

Many understand the definition of "wrong way of life" - smoking and drinking alcohol. But in fact, the wrong way of life is a misunderstanding of the requirements of your body, and, first of all, the neglect of good nutrition and rest.

Workaholics are welcome at work, considered the pride of the team, but a person can destroy his health with excessive stress and at the same time consider that this is normal.

The following points can be attributed to the wrong way of life:

• Lack of proper rest and adequate sleep.
• Smoking.
• Alcohol abuse.
• No exercise or walks in the park.
• Neglect of rational nutrition. Snacks on the go.

By the age of 30, the habit of an incorrect life leads to the depletion of the physical forces of the body. Initially, there is weakness, drowsiness, and serious diseases gradually begin to develop.

Hormonal changes and endocrine disruptions in women

Between the ages of 42 and 55, most women suffer from disruptions in the endocrine system. This is due to the hormonal restructuring of the female body in connection with the end of the reproductive function. Signs of a hormonal imbalance:

• Severe muscle weakness.
• Irritability.
• Fast fatiguability.
• Jumps in blood pressure.
• Cardiac arrhythmia.
• Weakness and drowsiness during the day.

Significantly reduce painful manifestations allow vitamin complexes and drugs containing plant alkaloids - atropine, hyostiamin, scopolamine.

What drugs cause weakness and drowsiness

Modern pharmacology is gradually reducing the manifestation of side effects in the development of drugs. Unfortunately, many anti-allergic complexes have in their symptoms such effects as the appearance of weakness and drowsiness.

This is due to the rapid sedative effect on the brain, which leads to weakness and drowsiness. These are first generation drugs, such as:

• Dimedrol.
• Suprastin.
• Tavegil.

Second-generation drugs, such as Erius, Claritin, Avertek, etc., act more gently and do not cause the effect of severe weakness, drowsiness and loss of strength in adults.

Diseases that cause weakness and drowsiness

Apnea

Stopping breathing during sleep is a syndrome of obstructive sleep apnea, a rather serious disease that, in its advanced form, is completely eliminated only by surgical intervention. The state of weakness, drowsiness, the cause of which lies in constant, but imperceptible stress, quickly leads to the development of chronic diseases in an adult.

Apnea danger:

• morning hypertension.
• Cardiac disorders that can lead to complete respiratory arrest and death.

Reasons for development:

• Pathological changes in the tissues of the larynx, nasopharynx.
• Enlargement of the uvula, adenoids, tongue.
• Smoking.
• Overweight.

In people who suffer from this disease, there is practically no full night's rest and recovery of the body. Each cessation of breathing that occurs after inhalation and exhalation has an exciting effect on the cerebral cortex. There is no deep sleep phase, during which the body recovers. As a result - morning fatigue, daytime sleepiness, loss of strength.

With primary sleep apnea, you need to consult a sleep doctor who will conduct an examination of night sleep and prescribe appropriate therapy. At the beginning of the disease, this is a strengthening gymnastics of the throat and medication components. This will avoid surgery in the future.

Anemia

This disease is associated with an insufficient number of red blood cells. They contain iron - hemoglobin and carry out the filling of all cells of the body with oxygen. Anemia develops when there is not enough iron in the blood.

Signs of the disease:

• Daytime weakness, drowsiness.
• Periodic increased heart rate, shortness of breath.
• Brittleness of nails and hair.
• Changes in the skin, its lethargy, sagging.

To diagnose this disease, a general blood test is performed, which determines the number and density of red blood cells (i.e., the level of hemoglobin), the amount of seretenin protein, which has an iron reserve in its composition.

Causes of anemia:

• The first reason is the lack of iron in the body or its indigestibility.
• Chronic diseases such as lupus erythematosus or celiac disease.
• Diseases of the kidneys, thyroid gland.

With a simple lack of iron, meat products such as veal meat and beef liver will help. Vitamin C will help in the absorption of iron by the body. Therefore, it is useful to drink citrus juices after eating meat.

Avitaminosis

Seasonal declines in body activity are usually associated with a lack of vitamins. Indeed, the autumn-spring blues, weakness and drowsiness, a decrease in the body's resistance to colds directly depend on the saturation of the body with certain vitamins.

Common symptoms of seasonal beriberi:

• Lowering the general emotional background. Apathy.
• Change in skin color.
• Unreasonable daytime sleepiness.
• With a lack of vitamin C, bleeding gums appear.
• With a long-term lack of vitamin D, osteoporosis develops.
• In the absence of vitamin B12, anemia and polyneuropathy develop.

Seasonal intake of vitamin complexes will help to fill the lack of a vitamin., such as, "Vitrum", "Complevit". An exception is the lack of vitamin D, this beriberi is treated only with prescription drugs. The course of treatment is determined by the doctor.

hyperpersonia

Daytime sleepiness, which occurs for no apparent reason, without excessive stress on the body is called hypersomnia. The reasons for this phenomenon are social and physiological in nature. Share the main violations in the body:

• Social.

Social refers to the conscious decision of a person to limit his nighttime sleep, for example, to increase the working day. The harm is obvious. Depriving your body of proper rest, a person only reduces his performance.

• Physiological.

With enough time for a night's rest, sleep does not contribute to the full recovery of the body. The reason is the lack of deep, fourth phase sleep. It is during this period that the renewal of nerve cells occurs.

The physiological causes of hypersomia are determined using tests. The following sleepiness scales have been developed by doctors:

• royal,
• Stanford,
• Effordskaya.

They determine the degree of the disorder and allow you to correct the work of the body without the use of medications.

Depression (anxiety disorder)

Symptoms of depression can be similar to those of obstructive sleep apnea:

• Superficial, restless night sleep, and as a result daytime sleepiness.
• Irritability, tearfulness.
• Tired after a night's sleep.
• Depression.
• Decreased mood background.

An accurate diagnosis of "depression" is possible only after examining the cerebral cortex during a night's sleep. Since the causes of these two health disorders are different, it is important to correctly identify them for effective treatment.

Depression can cause weakness and drowsiness, the causes in an adult may be in the distant past. For example, severe fright in childhood may manifest as depression in adulthood.

With depression that causes lethargy and drowsiness, it is possible to prescribe antidepressants with an active effect, which eliminate the cause of the anxiety state, and as a result, night sleep improves and daytime sleepiness is eliminated.

Hypothyroidism

This inflammatory disease is caused by a malfunction of the immune system, which destroys thyroid cells. The hormone-producing function of the organ falls, the body feels an acute shortage of thyroid hormones, which leads to symptoms such as:

• Violation of the heart rhythm.
• Chronic fatigue.
• Weakness, drowsiness in the early stages of the disease in adults.

Hypothyroidism mainly affects the body of middle-aged women. This is due to hormonal disorders in the body, which accompany the extinction of the reproductive function.

Celiac disease (gluten intolerance)

A disease such as celiac disease very often causes weakness and drowsiness, the causes in an adult are associated with a chronic lack of nutrients, since atrophy of the walls of the small intestine occurs in celiac disease.

Celiac disease - gluten intolerance - is diagnosed at an early age. It was believed that this is a genetic disease, when the human immune system perceives gluten (a protein in cereals) as an aggressive factor and prevents its absorption by the gastrointestinal tract.

Recent studies have shown that the development of celiac disease is possible in adulthood.

Signs of gluten intolerance:

• Pain in the abdomen after eating.
• Chair disorder. Flatulence.
• General weakness.
• Skin rashes are possible.
• The chronic form of celiac disease provokes the development of diseases such as:
• Anemia.
• Type 1 diabetes.
• Osteoporosis.
• Hypothyroidism.

Gluten is found not only in cereal grains (wheat, oats, rye), but also in the shell of many medicines that are made from starch. Starch, in turn, is a gluten-containing product.

Diabetes

A disease such as diabetes mellitus has become much younger over the past 20 years. Causes of the disease in young people and children:

• Unbalanced nutrition. Mostly fast food.
• Excessive and constant stress.
• genetic predisposition.

These reasons lead to the depletion of the adrenal reserve, they stop producing the hormone cortisol. At the same time, the pancreas suffers - the production of the hormone insulin decreases.

The first symptoms that show a violation of the immune activity of the body:

• Weakness and drowsiness, the causes in an adult are not always clear.
• Constant thirst.
• Fast fatiguability.

Clinical blood tests to detect sugar will immediately show whether there is a risk of developing diabetes. It is important not to neglect the primary symptoms.

Diabetes mellitus is well diagnosed and quickly treated in the early stages.

restless leg syndrome

Despite the unusual name, this is the official diagnosis of a disease that significantly impairs the quality of life. These are painful sensations in the limbs (most often in the legs), in which it becomes necessary to walk around, massage the legs. After mechanical action, a decrease in pain is felt, for a short time.

During sleep, an involuntary convulsive contraction of the muscles of the legs occurs, this reflex activates the brain, and the person wakes up. During the night, this happens every 5-10 minutes, and as a result, a person develops chronic sleep deprivation, weakness and drowsiness during the day.

The development of restless legs syndrome is associated with damage to nerve endings in diseases such as peripheral neuropathy, diabetes mellitus, or other functional malfunctions of the nervous system.

Diagnosis is carried out by neurologists using an electromyograph, which determines the degree of damage to the nerve endings.

The causes of restless legs syndrome can be either congenital or acquired. In both cases, complex drug treatment allows you to quickly get rid of pain and improve night sleep.

chronic fatigue syndrome

Almost half of the adult population of Russia independently determines the presence of a state of chronic fatigue. The symptoms that cause people to diagnose themselves with this diagnosis are as follows:

• Weakness and drowsiness (causes in an adult are associated with hard work).
• Morning fatigue.
• Muscle weakness, heaviness in the limbs.

The reasons causing the imbalance of the body, the person also determines himself: stress, poor ecology, etc.

In fact, a medical diagnosis "Chronic fatigue syndrome" is caused by viral infections. The defeat of the Epstein-Barr virus or the presence of antibodies to it in the body leads to this diagnosis.

In this case, in addition to general strengthening procedures, medication is prescribed. General recommendations for normalizing the tone of the body include:

• Hiking.
• Balanced diet.
• Seasonal support of the body with vitamin complexes.
• Adding magnesium-containing foods to the diet, such as bran, walnuts.

How to deal with weakness and drowsiness

The first thing to determine is the causes of weakness. If these are not physiological disorders of the body associated with a specific disease, then Simple recommendations will help get rid of weakness:

1. Sleep adjustment.
2. Morning cool shower.
3. Taking enough vitamins.
4. Sufficient physical activity.
5. Lavender oil, eucalyptus help to get rid of drowsiness, it is enough to inhale it for 3-7 seconds.

Preparations for weakness and drowsiness to restore the body's strength

In addition to vitamin complexes, to overcome weakness, the drug "Vazobral" has proven itself perfectly. This complex drug affects the vessels of the brain, the vascular bed of the arteries, veins and capillaries.

The drug stimulates the cardiovascular system due to the presence of such a component as caffeine. In combination with creptin, which improves the tone of the walls of blood vessels, the activity of all organs is normalized.

In addition to Vasobral, the seasonal use of iodine and magnesium in such preparations as Iodine D, Apitonus is useful in the fight against drowsiness.

Vitamin complexes for energy and health

Vitamin complexes created on the basis of royal jelly, flower pollen and plant extracts are considered the most suitable for the human body.

The leader is the drug "Dihydroquarcetin". An acceptable price (up to 530 rubles) for 100 tablets will provide a six-month charge of natural vigor, without any negative consequences in the future.

Vitamins "Vitrum" (from 540 rubles), which, in addition to vitamins, include all mineral components to maintain high energy and human health, show their effectiveness when used seasonally in spring and autumn.

Nutrition advice for recovery

Many nutritionists note the usefulness of such products for quick recovery and further good body work:

• Oatmeal or muesli. For celiac disease, dietitians have developed gluten-free oatmeal. Oats are a slow carbohydrate and allow the body to maintain a high level of energy for a long time.
• Honey. Combined with slow carbohydrates, honey quickly raises glucose levels and stabilizes the immune system.
• Sorrel. The use of sorrel normalizes the level of iron in the body. This contributes to an increase in hemoglobin in the blood and, as a result, the body is in good shape.
• Black beans. An energy product that quickly contributes to the saturation of all tissues of the body with oxygen due to the presence of high protein and coarse fiber in beans. The presence of coarse fiber allows you to quickly absorb all the vitamins that enter the body.

Throughout life, every person experiences at times a breakdown, weakness and drowsiness. By observing and respecting your body, you can significantly shorten these periods, improve your condition qualitatively, preserve joy and increase your life.

Weakness and drowsiness are the causes in an adult of this condition:

How to overcome chronic fatigue:

General concept of symptoms of lethargy, weakness, malaise

Weakness, lethargy, malaise are extremely common complaints of patients. The reasons for the appearance of such complaints in a patient are very numerous. Since weakness, lethargy, malaise are manifestations of the general reaction of the body, they occur in a wide variety of acute and chronic, long-term or severe diseases. Similar complaints are observed in patients with infectious diseases, systemic connective tissue diseases, diseases of the kidneys, liver, intestines, oncological diseases, nervous and endocrine diseases.

Clinical characteristics of weakness, lethargy, malaise in infectious diseases

Viral hepatitis

Weakness, lethargy, malaise, decreased ability to work, sleep disturbance, headache are manifestations of asthenovegetative syndrome in viral hepatitis. Viral hepatitis is an infectious disease characterized by general intoxication, predominant damage to the liver, metabolic disorders, often with the development of jaundice. The viral nature of the disease has been proven. There are various viruses - causative agents of hepatitis: virus A - the causative agent of infectious hepatitis and viruses B, C - causative agents of serum hepatitis. Sources of infection - a person with an icteric or anicteric form of the disease, as well as people who have had serum hepatitis in the past and are virus carriers. For infectious hepatitis, the main mechanism of transmission is fecal-oral. For serum hepatitis, the parenteral route of infection is of primary importance.

Symptoms. The incubation period for infectious hepatitis ranges from 25 to 45 days. With serum - from 60 to 160 days. The duration of the preicteric period is 1–2 weeks. More often it proceeds according to the dyspeptic type (poor appetite, nausea, vomiting, dull pain in the epigastric region, sometimes stool disorders). With arthralgic syndrome, in addition to pain in the joints, there are aching pains in the bones and muscles. Pronounced asthenovegetative syndrome.

Jaundice grows gradually: at first it appears on the sclera, soft and hard palate, and finally the skin becomes yellow. In almost all patients, the liver enlarges, less often the spleen, bradycardia, hypotension, often itching of the skin, headaches, and sleep disturbance are noted. Urine becomes dark (“color of velvet beer”), feces become acholic. The icteric period lasts 2 weeks.

According to clinical manifestations, viral hepatitis can occur in the form of four forms:

1) icteric;

2) erased;

3) anicteric;

4) subclinical.

Among the icteric forms, light, moderate and severe are distinguished. The latter, with the progression of the disease, can give a picture of liver failure with the development of a pre-coma and coma.

Diagnosis of viral hepatitis is based on clinical and epidemiological data, as well as on the results of biochemical studies (an increase in the blood level of bilirubin, especially direct, activation of serum enzymes, especially alanine aminotransferase and asparataminotransferase, the appearance of urobilin, pigments in the urine). An important diagnostic criterion is the detection in the patient's blood of antigens of pathogens of viral hepatitis or specific antibodies.

Typhoparatyphoid diseases

With the onset of general weakness, lethargy, malaise, headaches, loss of appetite, sleep disturbances, typhoid fever and paratyphoid fever A and B begin. apparatus, especially the small intestine. The causative agents of typhoid fever and paratyphoid A and B belong to the genus Salmonella, which are stable in the external environment, but quickly die from the action of disinfectant solutions, direct sunlight, and boiling. Sources of infection are a sick person and a bacteriocarrier. The infection can be introduced into the body of a healthy person from hands contaminated with the feces of a patient or a carrier.

Symptoms. The incubation period lasts 7–20 days (usually 10–14). The disease begins gradually, within 3–5 days the phenomena of intoxication intensify, the temperature reaches a maximum (39–40 ° C) and remains at a high level for 14–18 days. There are lethargy of patients, a sharp pallor of the skin and visible mucous membranes. In severe cases, loss of consciousness, hallucinations and delirium (status typhosus) are possible. The tongue is dry, covered with a grayish-brown coating, thickened. Hyperemia of the mucous membrane of the pharynx. The abdomen is swollen (“air cushion”), rumbling is noted on palpation, some patients have stool retention, others have diarrhea. Some patients have a shortening of percussion sound in the right iliac region (Padalka's symptom). By the end of the 1st week, the liver and spleen are enlarged.

On the 8-10th day of illness, a rash appears, which looks like small single pink spots (roseola). The rash is not abundant, localized on the skin of the abdomen, less often on the chest, back. There are also muffled heart sounds, relative bradycardia, lowering blood pressure. Respiratory organs are often affected (diffuse bronchitis, rarely pneumonia). Sometimes protein and leukocytes appear in the urine. At the height of the disease, the number of leukocytes in the peripheral blood decreases, the ESR remains normal or slightly increased.

Distinctive features of the paratyphoid A clinic: a shorter incubation period (8–10 days), the disease begins acutely, more often with a runny nose, cough, fever, often accompanied by chills, and its decrease is accompanied by profuse sweat, the rash appears on the 4th–5th day and differs in polymorphism, intoxication, as a rule, is moderate, the course is usually not severe.

With paratyphoid B, the incubation period lasts 5-10 days. The disease begins acutely and is accompanied by severe chills, muscle pain and sweating. Symptoms of intoxication are mild and often combined with symptoms of acute gastroenteritis. The rash occurs on the 2-3rd day, has a polymorphic character, is abundant.

The diagnosis of typhoid fever and paratyphoid A and B is made taking into account epidemiological data, the clinical picture of the disease and the results of laboratory tests (blood cultures from the first days of the disease and during the entire febrile period, agglutination reaction and indirect hemagglutination from the 8th–10th day of illness in dynamics). An immunofluorescent method is used, which makes it possible to detect microbes in the blood 10–12 hours after inoculation.

Brucellosis

Patients in the initial period of acute brucellosis complain of weakness, lethargy, malaise, depressed mood, sleep disturbance and working capacity. Brucellosis is an infectious-allergic disease that has a tendency to a protracted, often chronic course, characterized by prolonged fever, damage to the musculoskeletal, nervous, cardiovascular, urogenital and other systems. Brucellosis is a zoonotic infection.

The source of human disease is small and large cattle, pigs, and in some places reindeer. Infection of people occurs through the alimentary route through milk or dairy products, through contact with animals or animal products (when caring for livestock, especially assistance with calving, carcass processing, etc.).

Acute brucellosis

Acute brucellosis often begins suddenly. Some patients report headache, irritability, muscle and joint pain. The phenomena of general intoxication are characteristic: fever, chills, sweat. The liver, spleen, lymph nodes are enlarged. Hemorrhagic manifestations often develop: bleeding gums, nosebleeds, prolonged menstruation. Painful dense formations (fibrositis, cellulitis) may appear in the subcutaneous tissue. The urinary tract is often affected.

Subacute brucellosis

With subacute brucellosis (approximately 3 months after the onset of the disease), in addition to intoxication, focal lesions appear in the form of arthritis, neuritis, plexitis, etc. The body becomes more sensitized.

Chronic brucellosis

Chronic brucellosis (after 6 months from the onset of the disease) is characterized by a further restructuring of the body's reactivity with the involvement of new organs and systems in the pathological process, the phenomena of general intoxication in these cases are usually absent. The course of chronic brucellosis is long, with frequent relapses and exacerbations.

The diagnosis of brucellosis is made taking into account epidemiological anamnesis (workers of farms, meat processing plants, veterinary personnel are most often ill), a characteristic clinical picture and laboratory data (Wright, Heddilson, RSK reactions and Burke tests).

Tuberculosis

Patients with tuberculosis, especially small forms of tuberculosis, such as focal pulmonary tuberculosis, complain of weakness, lethargy, and malaise. Tuberculosis of the respiratory organs is an infectious disease characterized by the formation of foci of specific inflammation in the affected tissues and a pronounced general reaction of the body. The causative agent is Mycobacterium tuberculosis (MT), mainly human, less often bovine and avian types. The main source of infection is sick people or domestic animals, mainly cows.

They are usually infected by the aerogenic route when inhaling the smallest droplets of sputum secreted by the patient with air, which contain MT. It is possible that infection can enter the body when drinking milk, meat, eggs from sick animals and birds.

Focal pulmonary tuberculosis refers to small forms of tuberculosis, covering no more than 1-2 segments. Focal processes include processes with a focus diameter of not more than 1 cm. Clinically, it proceeds without pronounced symptoms. Patients complain of general weakness, lethargy, malaise, fatigue, decreased performance, irritability, sleep and appetite disorders, increased sweating, dry cough, prolonged subfebrile body temperature, and sometimes chest pain. With the accumulation of foci, percussion can reveal a slight shortening of the sound, auscultatory - hard or vesicular-bronchial breathing, with the collapse of the foci - breathing with moist, finely bubbling rales. From the side of hemogram and ESR deviations from the physiological norm are not observed. With repeated examination of sputum or bronchial washings by the bacteriological method in focal pulmonary tuberculosis, only in 15–25% of cases it is possible to detect mycobacterium tuberculosis. In the diagnosis of focal pulmonary tuberculosis, a decisive role is played by the X-ray method of investigation. Recently emerged fresh foci on the radiograph are represented by rounded small foci of darkening of low intensity with blurry contours. With the exacerbation of old foci around them, a zone of perifocal inflammation is visible. X-ray changes are detailed by tomographic examination of the lungs. In this case, up to 80% of small decay cavities are detected, which are invisible on the survey and even sighting radiographs.

Clinical characteristics of weakness, lethargy, malaise in blood diseases

Leukemia

Weakness, lethargy, malaise are observed in patients with acute and chronic leukemia. Acute leukemias include tumor diseases of the blood system, the main substrate of which are blast cells: myeoloblasts, lymphoblasts, monoblasts, erythroblasts, promyelocytic and undifferentiated blasts. Chronic leukemias include tumor diseases of the blood system, in which the main tumor mass of the bone marrow and blood consists of maturing or mature cells (lymphocytes - with chronic lymphocytic leukemia, young stab and segmented - with chronic myeloid leukemia, erythrocytes - with erythremia, etc.) .

Clinically common to all acute leukemias are increasing "causeless" weakness, lethargy, malaise, sweating, dizziness, bleeding, fever, bone pain. In varying degrees, peripheral lymph nodes, liver, spleen can be enlarged, gum hyperplasia is noted. The diagnosis is based on the detection of blast cells in the blood and bone marrow. Hemogram - anemia, thrombocytopenia may be noted. The white blood cell count may be high, low, or normal. In the leukocyte formula, lymphocytosis, blasts, according to the cytochemical characteristics of which, a variant of acute leukemia is established. Myelogram - blast cells make up from 20 to 90%. In doubtful cases, an additional trepanobiopsy is done for cytological and histological examination of the bone marrow.

Chronic myeloid leukemia

In chronic myeloid leukemia, at the beginning of the advanced stage of the disease, the patient has no complaints or there is a decrease in working capacity and pain in the left hypochondrium. Objectively - neutrophilic leukocytosis, shift to the left, enlarged spleen, sometimes eosinophilic-basophilic association. The number of leukocytes gradually increases, a left shift, relative lymphopenia, thrombocytosis are noted, anemia increases, the spleen reaches a significant size, bone pains, hepatomegaly appear. Bone marrow - rejuvenation of the white germ, often megakaryocytosis, an increase in the leuko-erythrocyte index. Trepanobiopsy - almost all adipose tissue is replaced by myeloid. In the terminal stage, a high constant fever appears, cachexia progresses, severe weakness, bone pain, severe spleno- and hepatomegaly, swollen lymph nodes, and hemorrhagic diathesis are noted. Hemogram - pancytopenia: anemia, leukopenia, thrombocytopenia or leukocytosis, an increase in the number of blast cells. Myelogram - blasts from 25 to 95%, aneuploid cells.

Chronic lymphocytic leukemia

In chronic lymphocytic leukemia, the first symptoms may be weakness, lethargy, malaise, sweating, and increased fatigue. Chronic lymphocytic leukemia is a benign tumor of the immunocompetent system, the morphological substrate of which is composed of mature and maturing lymphocytes, which are predominantly functionally defective, but with a long lifespan of B-lymphocytes.

Patients have weight loss, an increase in peripheral (cervical, axillary, inguinal) lymph nodes, enlarged spleen, liver, mediastinal, abdominal, retroperitoneal lymph nodes. Due to the reduced resistance to bacterial infections, patients often suffer from bronchitis, pneumonia, tonsillitis, etc. Skin lesions (Cesari's syndrome), erythroderma, eczema, psoriatic rashes, etc., are often noted, shingles - Herpes zostep. Hemogram - leukocytosis, less often the number of leukocytes is normal or low, relative and (or) absolute lymphocytosis due to mature lymphocytes; shadows of Gumprecht (nucleus of destroyed lymphocytes). Anemia, thrombocytopenia, increased ESR appear with the progression of chronic lymphocytic leukemia. Sometimes a positive Coombs test. The number of immunoglobulins is reduced. Myelogram - a sharp increase in lymphocytic (more than 20–90%) metaplasia and narrowing of other areas of hematopoiesis.

Clinical characteristics of weakness, lethargy, malaise in rheumatism

Weakness, lethargy, malaise, fatigue, palpitations, any prolonged temperature reaction after suffering a sore throat, pharyngitis, acute respiratory infections are alarming regarding the diagnosis of rheumatism. Rheumatism is a systemic inflammatory lesion of the connective tissue with a predominant localization of the process in the cardiovascular system and the musculoskeletal system. A convincing connection of streptococcal nasopharyngeal infection (serological group A streptococcus) with rheumatism has been established. In the development of the rheumatic process, 3 periods are distinguished.

The first period (from 1 to 3 weeks) is usually characterized by an asymptomatic course or mild malaise, arthralgia.

There may be nosebleeds, pallor of the skin, subfebrile body temperature, an increase in ESR, streptococcal antibody titers (ASL-0, ASG, ASA), ECG changes. This is the pre-disease, or pre-clinical stage of the disease. During this period, an immunological restructuring of the body occurs after a streptococcal infection.

The second period is characterized by the formation of the disease and is manifested by polyarthritis or arthralgia, carditis or damage to other organs and systems. During this period, there are changes in laboratory, biochemical and immunological parameters, mucoid swelling or fibrinoid disorders.

The third period is a period of various clinical manifestations of recurrent rheumatism with latent and continuously relapsing forms of the disease.

The diagnosis of rheumatism is based on the diagnostic criteria of Kisel - Jones - Nesterov.

The main criteria for rheumatism are:

1) carditis;

2) polyarthritis;

4) subcutaneous nodules;

5) annular erythema;

6) rheumatic history;

7) proof of diagnosis ex juvantibus.

Additional (general) criteria:

1) increase in body temperature;

2) adynamia;

3) fatigue, weakness, pallor of the skin;

4) vasomotor lability;

5) increased sweating;

6) epistaxis;

7) abdominal syndrome.

Laboratory Criteria:

1) leukocytosis;

2) dysproteinemia;

3) increase in ESR;

4) hyperfibrinogenemia;

5) the appearance of S-RB;

6) increase in the level of alpha and gamma globulins;

8) capillary permeability;

9) detection of streptococcal antigen.

Identification of two main or one main and two additional criteria in a patient makes it possible to make a diagnosis of rheumatism with great certainty.

Clinical characteristics of weakness, lethargy, malaise in somatic diseases

chronic hepatitis

Chronic hepatitis is manifested by a variety of pain sensations in the right hypochondrium, dyspeptic disorders (loss of appetite, nausea, belching, poor fat tolerance, a feeling of fullness and pressure, flatulence, unstable stools), general weakness, arthralgia, subfebrile condition, bleeding gums, skin itching, dark urine , light feces; hepatomegaly, splenomegaly, jaundice of the skin and sclera; extrahepatic signs - palmar erythema, gynecomastia, trophic changes in the skin, decreased hairiness, vascular "asterisks".

In a laboratory study in the blood, an increase in the activity of AST, ALT, LDH4, LDH5, fructose-1-phosphate aldolase, sorbitol dehydrogenase, aldolase, etc .; increased activity of serum alkaline phosphatase, increased levels of beta-lipoproteins, cholesterol.

Diagnosis of chronic hepatitis is based on the patient's complaints, detection of liver changes, functional test data, puncture liver biopsy and instrumental research methods.

Already in the initial stage of chronic renal failure, patients begin to feel weakness, lethargy, malaise, decreased performance, fatigue, there is a violation of sleep and appetite. Chronic renal failure is a chronically developed disorder of the body's homeostasis, caused by an irreversible impairment of renal functions. Chronic renal failure develops gradually, usually after a period of compensatory polyuria with low urine gravity. Gradually, there is an aversion to food, nausea, rare vomiting, and sometimes instability of the stool. Skin itching appears, caused by the excretion of nitrogenous excretions of the kidneys by the sweat glands of the skin. Violations of the nervous system are expressed in increasing drowsiness, and sometimes in unmotivated excitement. There are single, but often recurring twitches in individual muscle groups, hypercreatininemia reaches 0.88-1.32 mmol / l, serum urea - 33.3-49.9 mmol / l. Depending on the degree of anuria, hyperkalemia increases, causing the corresponding symptoms. The final stage of chronic renal failure is characterized by the appearance of a sharp weakness, a tendency to decrease diuresis. Increased disorders of the nervous system. With pronounced arterial hypertension, manifestations of heart failure are superimposed. Severe anemia, leukocytosis with a neutrophilic shift are observed. Fibrinous pericarditis and pleurisy are typical.

The diagnosis is based on anamnestic data on the presence of chronic renal disease, at the initial stage - on moderate azotemia, at later stages - is confirmed by a fairly characteristic symptom complex with severe hypercreatininemia, hyperazotemia and mineral homeostasis disorders.

Amyloidosis

Complaints about increasing weakness, lethargy, malaise, a sharp decrease in activity can be presented by patients with amyloidosis. Amyloidosis is a systemic disease, which is based on complex metabolic changes that lead to the formation and loss of a special substance in the tissues, which ultimately causes organ dysfunction. This substance was called amyloid by R. Virchow, because in the reaction with iodine it resembled starch.

The etiology of amyloidosis is unknown, although this condition is usually associated with the presence of chronic inflammation (tuberculosis, syphilis), chronic suppuration (osteomyelitis, pulmonary suppuration). This is the so-called secondary amyloidosis. In addition to it, there is primary amyloidosis (sporadic cases of amyloidosis in the absence of a "causal" disease), from which amyloidosis has been isolated in multiple myeloma and Waldenström's disease, as well as hereditary (family), senile and local (tumor-like) amyloidosis.

The clinic of amyloidosis is diverse and depends on the localization of amyloid deposits - damage to the kidneys (the most common localization), heart, nervous system, intestines, their prevalence in the organs, the duration of the disease, and the presence of concomitant complications. Kidney damage in amyloidosis is of the greatest importance. Patients with amyloidosis may not present any complaints for a long time. Only the appearance of edema, their spread, increased general weakness, decreased activity, the development of renal failure, arterial hypertension, and the addition of complications make these patients consult a doctor. Diarrhea is sometimes noted. In some cases, complaints of patients are determined by amyloid lesions of the heart (shortness of breath, arrhythmias), nervous system (sensitivity disorders), digestive organs (macroglossia, malabsorption syndrome).

The most important symptom of amyloidosis of the kidneys is proteinuria, which develops in all its forms. Prolonged loss of protein by the kidneys, as well as a number of other factors, lead to the development of hypoproteinemia and the associated edematous syndrome. A very common symptom of severe amyloidosis is hyperlipidemia due to an increase in blood cholesterol, beta-lipoproteins, triglycerides. The combination of massive proteinuria, hypoproteinemia, hypercholesterolemia, and edema, constituting the classic nephrotic syndrome, is a characteristic clinical sign of amyloidosis with a primary lesion of the kidneys. In the study of urine, in addition to protein, cylinders, erythrocytes, and leukocytes are found. In some patients, Bence-Jones protein is detected.

The method of reliable diagnosis of amyloidosis at the present time is a biopsy of the organ - primarily the kidney, then the mucous membrane of the rectum, less often the gum tissue.

Crohn's disease

The chronic form of Crohn's disease is manifested by weakness, lethargy, malaise, fatigue. Crohn's disease (regional terminal ileitis) is a recurrent disease of the gastrointestinal tract, characterized by inflammatory and granulomatous-ulcerative lesions of various parts of the digestive tract.

The etiology of the disease is unknown. Some authors consider Crohn's disease as a late stage of the tuberculous process with the development of autoimmune reactions. The disease is based on blockage of the lymphatic vessels of the mesentery with the subsequent development of inflammatory edema of the intestinal wall, the formation of a granuloma with epithelioid cells without caseosis.

There are acute and chronic forms of the disease. The acute form resembles appendicitis: pain suddenly appears in the right iliac region, nausea, vomiting, fever. Neutrophilic leukocytosis increases in the blood and ESR increases. Unlike appendicitis, flatulence, diarrhea, sometimes with an admixture of blood, are noted, there are no signs of peritoneal irritation. The chronic form is manifested by weakness, malaise, low-grade fever, decreased appetite, weight loss, polyarthralgia, then emaciation, diarrhea, moderate pain and bloating. If the colon is affected, the stool becomes even more frequent, and may contain blood. Sometimes a tumor-like formation is palpated in the right iliac region or in the central abdomen.

Crohn's disease is suspected on the basis of symptoms such as diarrhea, subfebrile temperature, abdominal pain, and polyarthralgia. Diagnosis is facilitated by the presence of fistulas, signs of chronic intestinal obstruction, palpable compaction in the right iliac region, fingers in the form of drumsticks. A characteristic x-ray sign is a narrowing of the intestinal lumen (“cord symptom”), a cellular pattern of the mucous membrane, fistulas. Colonoscopy and biopsy reveal inflammatory changes and granulomas in the submucosal layer.

Stomach cancer

Weakness, lethargy, malaise can be signs of developing stomach cancer, and often other cancers. Gastric cancer is a multifactorial disease accounting for about 40% of all malignant tumors. In the occurrence of stomach cancer, the features of life play a role (long periods of poor nutrition, the intake of very hot food, tea, etc.), genetic predisposition (A-blood group). The carcinogenic effect of a number of food products, primarily smoked, fried, meat and fatty foods, is assumed. They attach importance to nitrosamines formed in the stomach. Their synthesis is inhibited by vitamins C and E.

In the early stages, stomach cancer does not have typical signs. However, in the clinical picture of developing cancer, a certain symptom complex (“syndrome of small signs”) can be distinguished - the appearance of unreasonable weakness, decreased ability to work, fatigue, decrease or complete loss of appetite, disappearance of the physiological feeling of satisfaction from food intake, a feeling of heaviness, sometimes pain in the epigastric region , occasionally nausea, vomiting, progressive weight loss, loss of joy in life, interest in the environment, in work, apathy, alienation. Late stages of gastric cancer are manifested by dyspeptic (loss of appetite, complete aversion to food), feverish (subfebrile or febrile temperature), anemic (hypochromic anemia) clinical syndromes. These syndromes are often combined with each other and depend on the location, size, growth rate of the tumor and its metastases.

The diagnosis is based on emerging pains in the abdomen, which usually increase, dyspeptic symptoms, reduction to complete anorexia of appetite, increasing weakness, weight loss. Sometimes the first symptom is stomach bleeding.

In the epigastric region, soreness and some rigidity of the abdominal wall are often noted. In the later stages, the pale yellow or yellowish-earthy color of the skin attracts attention. Occasionally, a tumor of the stomach is palpated, an enlarged, dense, tuberous, painless liver, enlarged lymph nodes in the left supraclavicular region, ascites is noted. Anemia, neutrophilia, thrombocytosis, increased ESR are determined; positive reaction to the content of blood in the feces. X-ray signs of gastric cancer: filling defect, loss of elasticity and extensibility of the gastric wall, change in the relief of the mucous membrane, prolapse of peristalsis, breakage of the folds of the gastric mucosa before the filling defect, circular narrowing of the stomach. With the help of fibrogastroscopy, a visual examination of the gastric mucosa, a targeted biopsy of its suspicious areas are possible, which makes it possible to establish the nature of the tumor, the malignancy of the ulcer or polyp.

Clinical characteristics of weakness, lethargy, malaise in endocrine pathology

Hypothyroidism

Complaints of weakness, lethargy, malaise, fatigue, drowsiness may be presented by patients with hypothyroidism. Hypothyroidism is caused by a decrease or complete loss of thyroid function. Distinguish between primary and secondary hypothyroidism.

Primary hypothyroidism can be congenital and occurs due to aplasia, hypoplasia of the gland and acquired, which appears as a result of surgical interventions on the gland, the development of acute and chronic thyroiditis, strumitis, lack of iodine in the environment, the use of J131, antithyroid drugs, etc.

Secondary hypothyroidism occurs when the hypothalamic-pituitary region and the cerebral cortex are damaged, as a result of which the production of thyreoliberin by the hypothalamus and thyroid-stimulating hormone by the pituitary gland decreases.

The disease develops slowly, fatigue, slowness, drowsiness, chilliness, dry skin, flatulence, constipation, hair loss appear and gradually increase, especially in the outer areas of the eyebrows and eyelashes. The face is puffy, edematous, the tongue is edematous, because of which it does not turn well in the mouth, speech is slow, nasal. Puffiness extends to the trunk and extremities: the edema is dense, finger impressions do not remain when pressed. Mucinous fluid may appear in body cavities. Body temperature is low, bradycardia. On the ECG, in addition to bradycardia, there is a decrease in the voltage of all teeth, the S-T interval is below the isoelectric line and the prolongation of the P-Q interval. The development of general atherosclerosis is characteristic. Spontaneous abortions are often noted. In secondary forms, there may be neurological symptoms due to a pathological process in the central nervous system. Hypothyroidism in children leads to a lag in physical and mental development. A particularly severe degree of retardation is observed in congenital myxedema and early childhood myxedema.

In hypothyroidism, the absorption of radioactive iodine by the thyroid gland, the basal metabolism and the level of iodine associated with protein in the blood are reduced (below 3.5 μg%). It is characterized by an increase in blood cholesterol levels.

Lethargy, fatigue, muscle weakness are manifested in patients with chronic insufficiency of the adrenal cortex. Chronic adrenal insufficiency (Addison's disease, bronze disease, hypocorticism) is a severe, chronic disease caused by a decrease or loss of the function of the cortex of both adrenal glands.

There are primary adrenal insufficiency resulting from the loss of function of the adrenal cortex, and secondary, due to a violation of the functional state of the "hypothalamus - pituitary gland - adrenal cortex", i.e., a decrease in ACTH production and a secondary decrease in adrenal function and atrophy of their cortex.

The cause of primary adrenal insufficiency is often their tuberculous lesion as a result of hematogenous dissemination from other organs (lungs, genitourinary system, bones, etc.). The cause can also be an autoimmune process in the adrenal cortex, their amyloidosis, primary atrophy of the cortex.

Secondary adrenal insufficiency develops as a result of a decrease or cessation of ACTH production by the pituitary gland. The clinical picture develops gradually. Severe fatigue, muscle weakness, darkening of the skin appear due to increased formation and deposition of melanin under the influence of increased production of ACTH by the pituitary gland. The skin takes on a bronze color. Pigmentation is especially pronounced on open and rubbing areas of the skin: face, neck, areolas of the nipples, extensor surfaces of the joints, palmar folds.

Frequent dyspeptic disorders: loss of appetite, nausea, vomiting, diarrhea, weight loss. Often there is a decrease in the acidity of gastric juice. There are neuropsychiatric disorders: increased irritability or depression, headaches, insomnia. An X-ray examination of the chest reveals a decrease in the size of the heart. The ECG shows signs of hyperkalemia. Decreased exocrine function of the pancreas. All liver functions are impaired, glomerular filtration, reabsorption of sodium and chlorides are reduced, potassium is retained due to mineralocorticoid deficiency. In the blood - secondary normochromic anemia, ESR is unstable, depends on the process in the adrenal glands, leukocytosis, eosinophilia, lymphocytosis, low sugar content, high insulin sensitivity. Decreased urinary excretion of 17-hydroxycorticosteroids, 17-ketosteroids.

A severe and formidable complication of adrenal insufficiency is the Addisonian crisis (acute insufficiency of the adrenal cortex), which occurs with insufficiently active treatment of chronic insufficiency and concomitant injuries, infectious diseases, operations, childbirth, abortion, i.e. in any stressful situation. Addisonian crisis can develop slowly, over several days, or acutely, over several hours. At the same time, general weakness and adynamia increase, all manifestations of adrenal insufficiency increase, up to the occurrence of collapse.

In making the diagnosis, the most important of the laboratory tests are a decrease in the level of 17-hydroxycorticosteroids, 17-ketosteroids in daily urine, a decrease in the level of 17-hydroxycorticosteroids in plasma, a decrease in fasting blood sugar, and a flattened sugar curve. Normally, the content of 17-hydroxycorticosteroids in plasma according to the Porter-Silber method in the modification of Yudaev and Pankov is 50–200 μg / l (5.0–20.0 μg / 100 ml).

In the urine, according to the Porter-Silber method, the content of 17-hydroxycorticosteroids ranges from 2.5 to 5.5 mg; 17-ketosteroids for women - 6-13 mg per day and for men - 9-23 mg per day. Outside the crisis in the general blood test, anemia, a relative increase in lymphocytes and eosinophils, and a slow ESR are observed.

Simmonds disease

General weakness, lethargy, drowsiness manifests adrenal insufficiency in Simmonds disease. Simmonds' disease (hypothalamic-pituitary cachexia) is manifested by progressive depletion and a decrease in all functions of the anterior pituitary gland. With Simmonds disease, the functions of all tropic hormones of the pituitary gland fall out. The main etiological moment is a septic condition and, above all, postpartum sepsis.

A tumor and surgical removal of the pituitary gland can also lead to Simmonds disease. Characterized by extreme exhaustion, manifestations of hypofunction of the adrenal glands, thyroid and gonads.

Adrenal insufficiency is manifested by severe weakness, adynamia, lowering blood pressure, blood sugar levels up to the development of hypoglycemic coma. A decrease in thyroid function is characterized by a decrease in basal metabolism, body temperature, dry skin, hair loss, brittle nails. A decrease in the function of the gonads leads to menstrual disorders, atrophy of the mammary glands in women, a decrease in sexual feelings and atrophy of the genital organs in men and women.

There are changes in the gastrointestinal tract: lack of appetite, nausea, vomiting, diarrhea, abdominal pain. The defeat of the hypothalamus is manifested by insomnia, diabetes insipidus. The course of the disease can be acute and chronic.

Itsenko-Cushing's disease

Patients with Itsenko-Cushing's disease complain of general weakness, lethargy, fatigue, drowsiness. The disease is based on increased production of adrenocorticotropic hormone in the pituitary gland and hyperproduction of glucocorticoids and male sex hormones in the adrenal glands. Excessive production of adrenocorticotropic hormone (ACTH) in the pituitary gland can occur as a result of damage to the hypothalamus (hypothalamus) and the stimulating effect of the corticotropin-activating factor on the anterior pituitary gland or in the presence of basophilic pituitary adenoma. Symptoms of Itsenko-Cushing's disease are observed with a cancerous tumor in the lungs, pancreas, ovaries, and uterus. These tumors produce an ACTH-like substance that increases the function of the adrenal cortex.

Itsenko-Cushing's disease is more often observed in women, mainly between the ages of 20 and 40 years. Patients complain of general weakness, fatigue, headache, drowsiness, thirst, pain in the bones, and especially in the spine, in the legs.

Characteristic appearance of the patient. There is a redistribution of fat: its deposition in the face, neck, abdomen, torso, shoulders. The legs and arms become thin, the buttocks are smoothed, striae in the abdomen, inner thighs, shoulders, and mammary glands. The face is rounded, purple-red with a cyanotic tinge (matronism). The skin is thin, a lot of pustules, boils.

In women, facial hair growth is observed, the menstrual cycle is disturbed, in men, libido and potency decrease.

The leading symptoms of the disease are arterial hypertension and heart damage (electrolyte steroid cardiopathy). Perhaps the development of steroid diabetes. Changes in the psyche are observed: irritability, euphoria or, conversely, a depressive state appear, sometimes a reactive state occurs.

The greatest diagnostic value has an increase in the level of 17-hydroxycorticosteroids in the blood and 17-hydroxycorticosteroids and 17-ketosteroids in the urine.

X-ray examination of the Turkish saddle, thoracic and lumbar spine can detect pituitary adenoma and osteoporosis.

Clinical characteristics of weakness, lethargy, malaise with neurasthenia

Complaints of weakness, lethargy, malaise, fatigue, decreased performance can be presented by patients with neurasthenia.

Neurasthenia is the most common neurosis, which is manifested by irritable weakness. Neuroses include psychogenic disorders of higher nervous activity that have developed as a result of its overstrain in connection with a difficult life situation. There are four types of neurosis: neurasthenia, hysteria, psychasthenia and obsessive-compulsive disorder.

Patients with neurasthenia are irritable, quick-tempered, but quickly exhausted. They complain of headaches, sleep disorders (difficulty falling asleep, sleep is superficial), decreased performance, increased fatigue, a tendency to conflict with others, decreased appetite, pain in the heart, palpitations, discomfort in the abdomen, accompanied by rumbling, constipation or diarrhea, bloating stomach, belching with air, etc.

Often they have vasomotor lability, sweating, sexual dysfunction (weak erection or premature ejaculation), etc. The abundance of various complaints is a characteristic feature of neurasthenia. There are no signs of organic damage to the nervous system.

Treatment of diseases accompanied by weakness, lethargy, malaise

Treatment of weakness, lethargy, malaise in infectious diseases by traditional methods

Viral hepatitis

Patients with viral hepatitis are subject to hospitalization. The main treatment is general regimen and nutrition. During the entire acute period, strict adherence to bed rest is recommended, which only changes to semi-bed rest during the convalescence period. In the acute period, table number 5 (liver) is prescribed, excluding fried, fatty and spicy foods, smoked meats, and strong broths. Recommended boiled meat and fish, vegetable soups, cottage cheese, oatmeal, buckwheat and semolina, compotes, jelly, honey. Assign fluid up to 2-3 liters per day. A good effect is the use of alkaline mineral waters, 5% glucose solution, green tea. In moderate forms of hepatitis, fluids are administered parenterally.

The appointment (in severe forms) of vitamins C and E is pathogenetically justified.

Hepatoprotectors are widely used, i.e., drugs that affect the membrane of the liver cell (membrane stabilizers) - Essentiale and legalon. Essentiale is administered in moderate and severe forms for the first 2 weeks intravenously, 5–10 ml in a 5% glucose solution and simultaneously orally in capsules (1–2 capsules 3 times a day). Over the next 2 months, they switch only to oral capsules. Legalon is administered orally for 2–3 months (3–4 tablets per day). In severe forms, glucocorticoid hormones are included in complex therapy.

Typhoparatyphoid diseases

Patients with typhoid and paratyphoid diseases are subject to mandatory hospitalization. Strict bed rest and diet are prescribed. Of the antibiotics, levomycetin turned out to be the most effective, which is used 0.5 g 4 times a day until the temperature returns to normal, and another 2-3 days after that. Then the antibiotic dose is reduced to 0.5 g 3 times a day - and it is given for another 7-10 days. If it is impossible to use levomycetin orally (frequent vomiting), levomycetin sodium succinate is prescribed intramuscularly (2-3 g per day). Ampicillin (2-4 g per day) has been successfully used. To eliminate intoxication, polyglucin, gemodez, 5% glucose solution, albumin, etc. are prescribed. Vitamins are widely used: ascorbic acid, rutin, B 1, B 6. When the disease is complicated by intestinal bleeding, rest, cold on the stomach, blood transfusion in small doses, vikasol, aminocaproic acid, with intestinal perforation - surgery.

Brucellosis

Patients with acute forms of brucellosis are prescribed antibiotics (levomycetin or tetracycline, 2–3 g per day). The duration of the course is 2-3 weeks. A second course of treatment is carried out after 10-15 days. In chronic forms, the main methods of treatment are vaccine and hormone therapy, local diathermy, sollux, UHF, paraffin and mud applications, as well as blood and plasma transfusions are widely used. With residual forms, massage, therapeutic exercises, spa treatment are recommended.

Tuberculosis

Treatment of patients with pulmonary tuberculosis is carried out strictly individually, depending on the nature of the tuberculosis process and the general condition of the patient. Chemotherapy is the leading method of treatment. Desensitizing agents, hormonal preparations and vitamins, tuberculin therapy, hygienic-dietary and spa treatment are also used. When indicated, collapse therapy and surgical treatment are used.

All anti-tuberculosis drugs are divided into 3 groups. Group 1 drugs include isoniazid (tubazid), ftivazid, metazid, saluzide soluble, rifampicin. Treatment of a newly diagnosed patient with tuberculosis usually begins with three antibacterial drugs (streptomycin + isoniazid + PAS). Streptomycin is administered intramuscularly at a dose of 1 g once a day for 3-4 months. In the future, treatment is continued for up to 12 months with isoniazid orally at 0.6-0.9 g per day in 2-3 doses and PAS orally at 9-12 g per day in 2-3 doses.

Preparations of the 2nd group (ethionamide, protionamide, cycloserine, terivalidine, pyrazinamide, ethambutol, streptomycin, kanamycin, viomycin) are mainly used in the treatment of patients with destructive and chronic forms of tuberculosis.

Group III drugs include PASK and tibon (thioacetazoc), which are characterized by moderate efficacy. Rifampicin (rifadin, benemycin) and ethambutol (diambutol) have been successfully used. Rifampicin is a semi-synthetic antibiotic, available in capsules of 0.15 and 0.3 g. The daily dose of 0.45 g is taken once 1 hour before meals. The drug has a hepatotoxic side effect, it should be prescribed with caution to patients who have had liver disease. Ethambutol is available in tablets of 0.1-0.2-0.4 g and is administered orally at the rate of 25 mg / kg of body weight, but not more than 2 g per day. The drug has a side effect on the optic nerve, therefore, during the period of its administration, the patient should consult an ophthalmologist every month.

Methods of intravenous administration of some anti-tuberculosis drugs and aerosol therapy with antibacterial drugs under the influence of direct current are effective.

Treatment of patients with tuberculosis should be comprehensive, i.e., along with anti-tuberculosis drugs, pathogenetic therapy should also be used: some physical methods of treatment, rational nutrition, tuberculin therapy, steroid hormones, ultrasound.

Treatment of weakness, lethargy, malaise in blood diseases by traditional methods

Leukemia

In acute myeloblastic, lymphoblastic and all other forms of acute leukemia in adults, the VAMP regimen is effective (8-day course: methotrexate - 20 mg / m 2 intravenously on the 1st and 4th days, vincristine - 2 mg / m 2 daily on the 2nd day of treatment intravenously, 6-mercaptopurine - 60 mg / m 2 daily from the 1st to the 8th day, prednisolone - 40 mg / m 2 daily from the 1st to the 8th day in tablets). Repeat the course of treatment after a 9-day break. In acute promyelocytic leukemia, rubomycin and prednisolone, cytosar and rubomycin with contrical and heparin are combined (under hemostasiogram control), stopping DIC. During the period of remission in these forms of acute leukemia, maintenance therapy is carried out once every 2–3 months according to the scheme that caused remission. Clinical examination of patients - 1 time in 1-2 months.

Treatment of chronic myeloid leukemia

Treatment of chronic myeloid leukemia begins with the progression of the process. To normalize the blood count and the number of leukocytes to 7–20 g/l, myelosan is used - 2–6 mg per day, then they switch to maintenance therapy - 2–4 mg myelosan per week. Monitoring the state of the blood is carried out 1 time in 10-14 days, then - 1 time per month. Patients are observed on an outpatient basis once every 1–2 months. Treatment can be started on an outpatient basis.

If myelosan is ineffective, myelobromol is prescribed - 0.25 g 1 time per day, the course is up to 2–6 g. In severe splenomegaly, R-irradiation of the spleen (3–7 hChR) is advisable. In the terminal stage, treatment regimens used for acute leukemia are prescribed; VAMP, cytosar and rubomycin, vincristine and prednisolone.

Treatment of chronic lymphocytic leukemia

In a benign course of the disease, it is necessary to refrain from specific therapy, even if leukocytosis reaches 100–200 × 10 9/l, and the number of lymphocytes is 80–95%. Patients are recommended a rational regime of work and rest, vitamin therapy, a milk-vegetable diet. It is necessary to avoid cooling, insolation, stop smoking and drinking alcoholic beverages. Leukocytosis (more than 150 g/l) without significant lymphoid metaplasia of organs can be corrected by lymphocytapheresis (4–5 sessions of blood exfusions of 400–500 ml each with the return of erythrocyte mass and plasma to the patient). Weakness, sweating, rapid enlargement of the lymph nodes, spleen and liver, anemia, thrombocytopenia are indications for active cytostatic, radiation, hormonal and replacement component therapy. Cyclophosphamide is used (with a tumor form - up to 7-12 g per course, 200-400 mg intravenously or intramuscularly every other day or daily), chlorbutine (leukeran) - with leukemic variants - 10-15 mg per day, up to 200-300 mg to the course. Effective degranol (with severe splenomegaly and lesions of the abdominal lymph nodes) - 50-100 mg intravenously, up to 10-20 injections per course, fotrin - 7-10 mg intravenously. To reduce autoimmune reactions and cytopenic complications, glucocorticoids are prescribed (prednisolone - 30-60 mg per day). Radiation therapy is indicated for splenomegaly, compression of the lymph nodes of organs (up to 3–15 hChR per course, 0.5–1 hChR per day or every other day). With severe hypersplenism, splenectomy is performed.

Treatment of weakness, lethargy, malaise in rheumatism with traditional methods

For the treatment of rheumatism are used:

1) etiopathogenetic, antiallergic therapy: antibiotics, non-steroidal anti-inflammatory drugs (salicylates, pyrazolone derivatives, brufen (ibuprofen), voltaren, indomethacin, mefenamic acid), glucocorticoids, immunosuppressive drugs (quinoline, cytostatics, antilymphocyte globulin);

2) means of antidystrophic action;

3) symptomatic remedies for circulatory failure, impaired water-salt metabolism, etc.

Treatment of weakness, lethargy, malaise in somatic diseases by traditional methods

Chronic hepatitis

In chronic hepatitis, the diet should be rich in vitamins, animal fats should be moderately limited, partially replaced with vegetable oils, the content of proteins and carbohydrates should be increased. It is desirable to use cottage cheese, cheese, cod, legumes, lean meats and fish, milk and dairy products, oatmeal, sweet varieties of berries and fruits, vegetable and fruit juices and purees, oatmeal and bran broths.

Basic therapy includes agents whose action is aimed at improving metabolic processes, normalizing regeneration and increasing the resistance of hepatocytes. This includes vitamins: pyridoxine, thiamine, nicotinic and pantothenic acids 50–100 mg per day, ascorbic acid, vitamin E in capsules containing 0.05–0.1 g of tocopherol acetate, orally or 5% -, 10% -, 30% solution of 1 ml intramuscularly. Basic therapy drugs also include Essentiale (5-10 ml intravenously) or Essentiale-forte (1 capsule 3 times a day inside); legalon (1-2 tablets 3-4 times a day for a long time); liv-52 (2 tablets 3 times a day for 1-2 months); lipoic acid, which performs coenzymatic functions in oxidative decarboxylation and is a detoxifying factor, 0.025 g 3-4 times a day, course - 1-2 months.

With a pronounced activity of hepatitis, especially if the participation of autoimmune mechanisms in its development is proved, drugs with an immunosuppressive effect (steroids, imuran, D-penicillamine) are used.

In low-active forms of hepatitis, hepatic hydrolysates are recommended - sirepar, progepar, ripason 5-10 ml intramuscularly. For skin itching, cholestyramine is used - 8–12 g per day, antihistamines (suprastin, pipolfen, diazolin, 2–3 tablets per day), bilignin, 1–2 tablets per day.

Chronic renal failure

In the treatment of chronic renal failure, a certain success can be achieved by treating the underlying disease causing chronic renal failure. The diet is aimed at reducing the formation of urea and acidic products of interstitial metabolism. In the diet, the amount of protein is reduced to 22–25 g, of which 10 g is a complete animal protein, preferably egg or cottage cheese, and at the same time the calorie content of food is sharply increased (up to 3000 kcal) due to carbohydrates and fats. Food for patients with hypertension is prepared without the addition of table salt. It is recommended to wash the stomach daily on an empty stomach with 1–1.5 liters of a 2% sodium bicarbonate solution.

Compensation of renal function is possible by program hemodialysis. The most radical are short sessions of 4-5 hours 2-3 times a week. This is possible only if known dietary restrictions are observed: daily protein intake in the amount of 0.75-1 g / kg, significant salt restriction, the use of natriuretics in malignant hypertension, as well as the dosed administration of sodium, partly in the form of chloride, and partly in the form of bicarbonate in absence of arterial hypertension.

Dialysis involves regular visits by patients to a special center throughout their lives. Recently, cadaveric kidney transplantation from an immuno-compatible donor has been increasingly used.

Amyloidosis

In the treatment of amyloidosis, it is important to actively treat the disease that led to the development of amyloidosis. Patients are shown a long-term (8-10 months) intake of raw liver (100-120 g per day).

At the initial stages of the disease, drugs of the 4-aminoquinoline series are prescribed, for example, delagil 0.25 g 1 time per day, for a long time, under the control of the number of leukocytes in the blood (leukopenia!) And the refractive media of the eyes (possibility of deposition of derivatives of the drug).

Unitiol is also used (6–10 ml of a 5% solution daily intramuscularly in repeated courses of 30 days with intervals of 1.5–2 months), dimethyl sulfoxide (5–8 g of the drug per day for many months).

The volume of symptomatic therapy is determined by the severity of clinical manifestations (diuretics with significant edematous syndrome, antihypertensives, etc.). Treatment of patients in the stage of chronic renal failure is carried out according to the same principles as in renal failure caused by glomerulonephritis.

Crohn's disease

Treatment is mostly conservative: a high-calorie, protein-rich diet with limited dietary fiber, milk, and dairy products.

Of the medications, sulfasalazine is recommended in combination with glucocorticoids, semi-synthetic penicillins for purulent complications, sedatives, anticholinergics and antispasmodics, and vitamins. Carry out general strengthening and detoxifying therapy. In case of perforations, stenoses, fistulas and failure of conservative treatment, surgical intervention is performed.

Stomach cancer

Surgery remains the only radical treatment for stomach cancer, but only its early diagnosis and form determine the success of treatment. For inoperable tumors, 5% 5-fluorouracil is used - 5 ml in 500 ml of a 5% glucose solution intravenously daily or every other day, course dose - 3-5 g; 4% solution of fluoroafur - 10 ml intravenously 1-2 times a day; for a course of treatment - 30–40 g.

Assign full nutrition within the limits of diet No. 1 and symptomatic detoxifying therapy, if indicated - drugs.

Treatment of weakness, lethargy, malaise in endocrine pathology by traditional methods

Hypothyroidism

Treatment is with thyroid medications and hormones. Apply thyroidin at a dose of 0.05-1 g in the morning and afternoon inside, 3-iodothyronine (liothyronine - Hungary; tibon - Germany; cintamol - USA; trithyron - France) inside at 25-100 mgk per day, starting with small doses, under control over the state of the cardiovascular system. The dose of drugs should be individual.

Chronic adrenal insufficiency

With a mild form of the disease, a potassium-poor diet with sufficient protein, fat, carbohydrates, sodium salts, vitamins C and group B is recommended (meat is limited). Peas, beans, nuts, bananas, potatoes, cocoa and other foods rich in potassium are excluded from the diet. Additionally, up to 10 g of table salt per day and up to 0.5–1 g of ascorbic acid are prescribed. In moderate and severe forms, replacement therapy with glucocorticoids and mineralocorticoids is carried out.

Apply hydrocortisone 25-50 mg 2-3 times a day intramuscularly, 0.5% oily solutions of deoxycorticosterone acetate (DOXA) - 1-2 ml intramuscularly 1 time per day. Upon reaching compensation, prednisolone is prescribed - 5-15 mg per day, dexamethasone - 1-2 mg / day, increasing the dose of these drugs by 1.5-2 times in stressful situations. In the presence of a tuberculous process, anti-tuberculosis treatment is carried out simultaneously.

In an addisonian crisis, 2-3 liters of a 5% glucose solution in a sodium chloride solution are intravenously dripped with the addition of 125-250 mg of hydrocortisone or 75-150 mg of prednisolone and up to 50 ml of a 5% solution of ascorbic acid. To increase blood pressure, 3-4 ml of norepinephrine or 2-3 ml of mezaton are added to the dropper. At the same time, 125 mg of hydrocortisone and prednisolone are administered intramuscularly every 4 hours. When the process is compensated, patients are transferred to oral administration of glucocorticoids.

Simmonds disease

Treatment should be pathogenetic, aimed at eliminating the underlying cause of the disease. Substitution therapy is carried out aimed at eliminating adrenal insufficiency, insufficiency of the thyroid gland, etc. Apply prefison 1–2 ml intramuscularly daily, corticotropin 40 IU intramuscularly 1 time per day, glucocorticoids in doses that eliminate the symptoms of adrenal insufficiency, thyroidin according to 0.05 g 2 times a day, thyrocomb 1-2 tablets per day, 3-iodothyronine 25 mcg 2 times a day, gonadotropins, sex hormones.

Itsenko-Cushing's disease

In mild and moderate forms of the disease, X-ray and telegamma therapy is performed on the interstitial pituitary region (2500–3500 rad and 4000–5000 rad, respectively) in repeated courses.

In a severe form of the disease, surgical treatment is indicated - bilateral adrenalectomy followed by the administration of adrenal cortex hormones. There are drugs (chloditan, elipten) that block the synthesis of glucocorticoids in the adrenal cortex.

Treatment of weakness, lethargy, malaise with neurasthenia by traditional methods

When treating a patient with neurasthenia, it is necessary to find out the cause of the neurosis and the possibility of either minimizing its impact or eliminating it altogether.

It is useful to conduct a calming, reassuring and encouraging psychotherapy. It is necessary to give recommendations on streamlining the daily routine, normalizing relations at home and at work, and on employment.

Drug treatment depends on the characteristics of complaints and the patient's well-being.

With general weakness, lethargy, decreased performance and fatigue, it is useful to take various stimulants of the central nervous system (pantocrine and tinctures from ginseng root, magnolia vine, leuzea, zamanikha, sterculia or aralin, 15-30 drops per dose).

The drugs are taken twice a day (in the morning and in the afternoon, but not in the evening), on an empty stomach or a few hours after a meal. Sidnocarb has a more pronounced stimulating effect (5-10 mg in the morning and afternoon). A positive effect in the general complex of therapeutic measures for neurotic conditions is exerted by electrosleep, acupuncture and some physiotherapeutic procedures.

Treatment of weakness, lethargy, malaise in tuberculosis by non-traditional methods

The remedy of Russian village healers for consumption is made up of the following substances: linden honey - 1.2 kg, finely chopped aloe - 1 cup (this is a strong remedy, it should not be given to patients with a weak heart), Provence oil - 100 g, birch buds - 150 g, lime blossom - 50 g, water - 2 cups. Method of preparing the medicine: melt honey in a saucepan, then add aloe to honey and boil the mixture well. Separately, in 2 glasses of water, brew birch buds and lime blossom, boiling them for 1-2 minutes. Squeeze juice from birch buds and lime blossom and pour it into honey. Pour the mixture into two bottles, adding Provencal oil equally to each. Shake before use. Dose - 1 tbsp. l. 3 times a day.

Many doctors of Russian folk medicine, among other means against consumption, successfully used dog fat (bear fat is much better than dog fat, but it is not always possible to get it). Koumiss was widely used for the treatment of tuberculosis patients. Healers often advised increased nutrition for tuberculosis, recommended the use of lard, milk, eggs, and lard.

Feeling of constant fatigue, lack of strength, drowsiness, depressed mood - an alarm signal.

There are many factors that “oppress” our body: bad habits, constant stress, lack of sleep, hormonal failure, and even anemia.

It should be understood that fatigue, weakness, both emotional and physical, is not a disease, but only a symptom of a specific ailment.

Severe fatigue can occur due to overwork, lack of exercise, depression, insomnia, etc.

First of all, you should consult a doctor to rule out health problems and start looking for the cause in external factors.

Constant fatigue. Possible reasons

There are many reasons for constant fatigue. Lack of energy at the end of the working day is considered the norm and it will be enough to get enough sleep here. But it happens that even after a good sleep you feel overwhelmed, tired.

Here are some possible reasons why you feel weak and lethargic:

• Lack of vitamins and vital elements. First of all, we are talking about vitamins of the category B, D, C, potassium, iron, magnesium, iodine, etc. To determine what exactly your body lacks, you should take tests and undergo an examination. and biological trace elements are found in food, which means that if they are deficient, the organization of the diet can be the right solution. In any case, you should consult with a specialist.
• Hormonal imbalance. Failure of the hormonal background in women and men can have external and internal signs. Lethargy and fatigue is one of its most harmless manifestations. If headaches, frequent menstrual irregularities (in women), increased sweating, mood changes, sudden weight changes, etc. occur along with fatigue, you should consult a specialist and in no case self-medicate. Most often, hormonal failure is due to a violation of the thyroid gland.
• Depression. The symptomatic picture of a depressive state is varied and may have signs of serious diseases: a feeling of heaviness in the chest, nausea, irritability, lack of appetite, or, conversely, a tendency to overeat. A person suffering from depression is haunted by negative thoughts, a decrease in self-esteem, a feeling of uselessness and a lack of interest in life.
• Vegetovascular dystonia. This is a whole complex of serious symptoms, among which there is dizziness, interruptions in the work of the heart, insomnia, indigestion, etc.
• Colds, flu. Accompanied by high fever, joint pain and general malaise. Body aches are one of the signs of the presence of inflammatory processes in the body.
• Problems with heart. At home, this symptom is difficult to diagnose. Constant weakness, coupled with pain in the heart, is a clear reason to go to see a cardiologist.
• Diabetes. To identify this disease, consultation with a specialist and a comprehensive examination are also required. Diabetes mellitus is, in a sense, the plague of our time, and the sooner the diagnosis becomes known, the more likely it is to avoid serious consequences.
• Anemia. This disease is characterized by a decrease in hemoglobin, as a result of which it develops.

Weakness in arms and legs

A feeling of weakness in the limbs, which is not due to fatigue from physical exertion, can occur for the following reasons:

• neurological pathologies,
• spine diseases,
• endocrine disorders,
• poisoning,
• oncology,
• pregnancy,
• inflammatory processes.

Most often, after listening to a patient complaining of weakness in the limbs, the therapist makes a preliminary diagnosis and writes out a referral to a narrower specialist, prescribes a list of tests and examination.

It happens that the general weakness of the arms and legs is associated with overwork. In this case, there is no special treatment, the patient is advised to reconsider his lifestyle and learn how to properly combine work, physical activity and rest.

Muscle weakness in the limbs is also observed with VVD (vegetovascular dystonia).

Anemia

Anemia (anemia)- a condition characterized by a deficiency of red blood cells and a decrease in hemoglobin in the blood. Hemoglobin is an iron-rich protein that gives blood its red color. It helps cells carry oxygen from the lungs to the rest of the body.

The body of a person suffering from anemia simply does not receive enough oxygen, which causes general weakness, fatigue, mood swings and “fog” in the head.

Common Symptoms of Anemia

Here are some of the most common symptoms of anemia that adults commonly experience:

• fatigue, lethargy, lack of energy;
• pale skin;
• fast or irregular heartbeat;
• chest pain;
• dizziness or loss of stability;
• decreased concentration;
• decrease in body temperature;
• headache.

Anemia treatment

First of all, the cause of regular fatigue should be clarified together with your doctor. People tend to self-medicate, which is absolutely not worth doing.

Anemia can be treated medically or surgically. Therefore, you should not delay the visit to the doctor and close your eyes to the general malaise.

Feeling weak after eating

Food is a source of energy and it is logical that after eating we should feel full of energy and strength. However, weakness after eating is not uncommon. Why is this happening?

Most often, weakness after dinner is manifested by a desire to take a nap for about 20 minutes. Agree, this feeling is familiar to many?

Causes of afternoon fatigue

• junk food and overeating
• increase in blood glucose,
• diseases of the gastrointestinal tract,
• diabetes,
• pregnancy,
• wrong diet,
• unhealthy food,
• disruption of the day.

Some experts believe that after eating is nothing but a natural manifestation that depends on our circadian rhythms. However, there is no scientific confirmation of this fact.

chronic fatigue syndrome

Chronic fatigue syndrome is a chronic disease characterized by extreme fatigue that lasts more than six months and is difficult to diagnose.

The symptoms of CFS are:

• joint pain that moves from one place to another;
• muscle pain;
• poor concentration;
• memory loss;
• enlarged lymph nodes;
• headache;
• chills;
• high sweating;
• digestive disorders (eg, irritable bowel syndrome);
• insomnia;
• psychological disorders;
• decrease in immunity.

The list of signs of chronic fatigue syndrome does not end there.

As a rule, chronic fatigue affects people in the age group from 25 to 45 years, as well as adolescents who are stressed due to experiences on the eve of exams. At risk are people who experience frequent stress in the professional and personal spheres.

Chronic fatigue syndrome is also called white collar disease.

The feeling of stuffiness and lack of air is another problem for residents of large cities and often the cause of weakness, loss of strength and the development of chronic fatigue syndrome.

Do you often open windows to ventilate the room where you work or live? Usually, even after thorough ventilation, after a couple of hours, the CO 2 concentration returns to its previous value, and again we can experience all the delights of stuffiness and lack of air.

Keeping the windows open at all times would be ideal, but due to adverse weather conditions and poor ecology, we cannot do this.

Compact supply ventilation with air purification. The device will help those who want to breathe fresh and clean air. Breezer ventilates the room with closed windows, purifies the air from harmful impurities and dust.

Treatment of chronic fatigue syndrome

As a rule, chronic fatigue syndrome is manifested by a complex of symptoms. If even after a good rest, the signs of chronic fatigue do not go away: you feel a breakdown, weakness in the body, weakness, then in order to avoid complications, you should urgently consult a doctor.

There is a possibility that the therapist will not be able to prescribe the necessary treatment due to the large list of symptoms adjacent to signs of other diseases. The final diagnosis and, possibly, treatment will be carried out by a narrow specialist after a complete examination of the patient.

Help to cope with chronic fatigue syndrome can:

• psychologist. If the illness is associated with constant stress, worries and anxiety, a psychologist or psychotherapist will help to cope with emotional overload;
• neuropathologist- if the syndrome is caused by an overexertion of the nervous system;
• endocrinologist. If fatigue is associated with disorders in the endocrine system or hormonal failure, the endocrinologist will refer you for a more detailed examination;
• immunologist. Weak immunity, frequent colds and exacerbations of chronic diseases can also take away vitality.

Constant weakness in women and men

With good health, you can stay alert, active and productive at work for a long time. However, for various reasons, men and women experience fatigue, drowsiness and weakness. Let's understand why this is happening.

Causes of constant fatigue and weakness in men

Contrary to the belief that lethargy, headaches and stress are inherent in women, men also suffer from supposedly imaginary ailments.

Constant fatigue in men develops against the background of the following reasons:

• psychophysical fatigue,
• insomnia,
• lack of oxygen
• lack of vitamins and minerals,
• taking sedatives and antihistamines,
• viral diseases,
• depression,
• low testosterone,
• non-compliance with the regime of the day and the wrong way of life.

Causes of constant fatigue in women

A feature of the female body is the ability to procreate, which is associated with many changes in the body of a woman.

First of all, severe fatigue is felt during premenstrual syndrome, menstruation and.

As a rule, there is no specific way to treat fatigue that has arisen against the background of habitual changes in the female body. Here it is possible to correct pain, if any.

Also, severe fatigue and weakness in women can be associated with gynecological diseases and hormonal imbalance. In order to prevent the development of serious women's health problems in time, it is worth visiting a gynecologist every six months.

How to overcome fatigue?

When the body is faced with oxygen starvation, which happens due to circulatory and metabolic disorders, we feel powerless. The head is spinning, pain in the temples is noted, concentration and productivity decrease. If this happens, contact your doctor immediately. As they say - take care of your health from a young age, and it is rightly said.

But if we are not talking about pathological changes in the body, but about a functional disorder, then here are some tips on how to cope with fatigue and feel cheerful for the whole day.

• Sleep at least 7-9 hours a day. Try to accustom yourself to the correct daily routine: go to bed and wake up at the same time every day. Remember, healthy sleep is the key to good health. During sleep, our body recovers and gains strength.
• Cool shower. Water procedures in the morning can both invigorate and normalize the functioning of the cardiovascular system.
• Evening exercise. Walking before bed is very helpful, especially if you spent most of the day in a sitting position.
• Fitness. You can go in for sports even at home, it is not necessary to go to the gym and pay for the services of a personal trainer. Regular 15-minute warm-up in the morning or during the day improves blood circulation and restores vascular tone.
• Rejection of bad habits. Alcohol and smoking often cause serious disorders in the body, at least cause vasospasm and poor health
• Healthy diet. Overeating and passion for fast food can also be attributed to bad habits. To avoid problems with being overweight, start eating right. Eat other beneficial micronutrients as well.
• Phytotherapy. If the work is associated with regular stress and severe overwork, there is nothing wrong with drinking soothing or tonic infusions or teas from chamomile, lemon balm, mint, valerian, rose hips, ginseng, strawberries, etc. This habit will help strengthen the immune system and, perhaps to cope with nervous overload.

Conclusion

Feeling weakness and all of the above symptoms, you should not postpone going to the doctor. After all, a problem detected in time can not only relieve weakness and poor health, but also save a life.

The change of seasons and sharp jumps in atmospheric pressure, ailments and unreasonable fatigue will stop bothering you if you are on the “you” with the body.

Each of us knows these sensations: fatigue, loss of strength, weakness, lethargy, when the body refuses to function normally. I don’t want to do anything, there is only one desire: to lie on the sofa and think about nothing. Other negative symptoms often join: aches, pain in the joints and muscles, dizziness, drowsiness and lack of appetite. This condition is referred to by the general term - malaise.

There can be many reasons for this phenomenon - from banal fatigue to dangerous diseases. Therefore, if poor health does not leave you for a long time, it is better to find out its cause. Visit a doctor and get tested.

Why there is a feeling of general weakness, malaise, symptoms, treatment, causes of this phenomenon, what could be? How to improve your well-being? Let's talk about it today:

Malaise, general weakness of the body - the causes of poor health

Let's take a quick look at the most common causes of general weakness and malaise:

Intoxication, food poisoning. These pathological conditions, in addition to other symptoms, are accompanied by malaise, general weakness and lethargy.

Anemia. A person feels weakness, loss of strength, dizziness, due to a reduced level of hemoglobin.

Such negative feelings are often experienced by women before menstruation, especially when menstruation is difficult and painful.

If increased drowsiness, weight gain, chills, menstrual irregularities join the negative sensations, thyroid insufficiency can be suspected.

Heart and lung diseases. With these pathologies, pain in the chest and shortness of breath join the described symptoms.

Stress, nervous experiences, as well as severe fatigue from hard work without sufficient rest, also very often cause negative symptoms.

Often a person feels a strong malaise before an approaching illness. First, weakness, lethargy appear, working capacity decreases, and after a while the first symptoms of the disease appear.

The same negative symptoms are inherent in beriberi. With a prolonged lack of vitamins, in addition to those listed, additional signs are observed. Avitaminosis can occur with a monotonous, irrational diet, in particular, with long-term or frequent mono-diets.

In addition, weather-dependent people often experience general malaise, during a sharp change in the weather and pregnant women, whose body is subjected to serious stress.

Symptoms of general weakness of the body

General weakness, malaise is characterized by a breakdown. If these symptoms are harbingers of an infectious disease, they always appear suddenly and increase gradually, depending on the speed of the infection.

If they appear in a healthy person from severe overwork, fatigue, nervous experience, their intensity is associated with the amount of physical, mental and nervous overload. Usually they gradually increase, accompanied by a loss of interest in your favorite pastime, work, loved ones. There are additional symptoms - loss of concentration, inability to concentrate, absent-mindedness.

Malaise, weakness caused by beriberi, are about the same character. Additional signs are: pale skin, brittle nails, hair, frequent dizziness, darkening of the eyes, etc.

Prolonged malaise for unknown reasons

In this case, the listed symptoms haunt a person for many months, there is cause for alarm. It is imperative to consult a doctor and undergo a thorough examination to determine the exact cause of this condition. The fact is that prolonged malaise can be a symptom of the onset of very serious diseases, in particular, cancer, viral hepatitis, HIV, etc.

How to get rid of malaise and fatigue? Treatment of general weakness

Treatment is always based on identifying and eliminating the cause that caused negative symptoms.

For example, if a disease is diagnosed, drug therapy is carried out, measures are prescribed to improve the state of the immune system, and a course of vitamin-mineral complexes is prescribed.

Poor general health in a person due to overwork, nervous experience disappears without a trace after proper rest and normalization of sleep. Rest is necessary to restore strength, improve the state of the nervous system of the body.

Patients are advised to observe the daily routine, normalize the mode of work and rest, avoid negative emotions, irritating factors. Restoration of strength is greatly facilitated by massage, swimming, the use of herbal medicine, which I will talk about a little later.

In many cases, diet correction is required: you need to eat more fresh plant foods rich in vitamins and minerals. It is also recommended to increase the intake of protein foods. It is better to reduce the amount of carbohydrates.

For example, for breakfast, eat porridge, preferably buckwheat. If there is no time to cook it for breakfast, cook it in a thermos. In the evening, pour the cereal with boiling water or hot milk. In the morning the porridge will be ready. Oatmeal porridge is prepared in the same way in 5 minutes. That is, it makes no sense to cook it in the evening.

Replace bread for sandwiches with bread. Instead of sausage, make a sandwich with a slice of fresh soft cheese or eat a soft-boiled egg. Instead of instant coffee, drink a cup of green tea. Now you can buy tea with additives or add them yourself by buying rosehip berries, hibiscus tea and mint at the pharmacy separately in the supermarket. Replace soda with pure mineral water without gas. Snack not on chips, but on an apple or prunes. In the evening, before going to bed, drink a cup of bio-kefir or eat natural yogurt.

Significantly reduce, if not completely give up alcohol consumption and stop smoking. Go to the forest more often, to fresh air, or just make it a habit to walk in the park several times a week.

Folk recipes

Very effective for severe fatigue, weakness and malaise baths in which fir essential oil is added. Such procedures relax, soothe, help the body recover. Fill the bath with water at a temperature that is comfortable for you, pour out half a pharmacy vial of fir oil, mix. Even after the first procedure, you will feel a surge of strength and energy. The duration of the bath is 20 minutes.

To strengthen the immune system, increase the body's resistance to various infections, collect birch sap in early spring. The healing properties of birch sap are such that just 2-3 cups a day are enough to feel much better in a week, and in a month it’s generally excellent.

If you have recently had a disease, or if the body is weakened for other reasons, oatmeal jelly will help. Pour 1 tbsp of grains (not flakes!), Add half a liter of water into the pan. Cook at low temperature until the grains are soft. Then push them a little with a pusher, strain the broth. Drink one glass a day, between lunch and dinner, for 2 weeks.

To improve well-being, eliminate lethargy, apathy, use an aroma lamp, where add a few drops of orange essential oil or ylang-ylang essential oil. Inhaling these aromas improves mood, improves tone.

If the tips and recipes listed above do not help, if negative symptoms haunt you for a long time and the condition continues to worsen, do not hesitate to visit a doctor. Be healthy!

Weakness and fatigue is a subjective feeling, in which there is a lack of energy in ordinary everyday situations. Patients begin to complain of rapid fatigue and loss of strength - the actions that were habitual up to this time suddenly begin to require more effort than before. Often this condition is accompanied by such phenomena as dizziness, drowsiness, sweating, absent-mindedness, muscle and headaches.

If a person feels tired at the end of a hard day or after a difficult and big job has been done, then this state cannot be considered weakness, because this fatigue is natural for our body.

As a rule, this fatigue disappears after rest. Healthy sleep and a well-spent weekend will help cheer up.

However, in the case when a long sleep does not bring cheerfulness, and a person feels lethargy and severe weakness immediately after waking up, this may be a reason to see a doctor.

Causes of severe weakness

1. Avitaminosis. In many cases, fatigue is caused by a lack of vitamin B12, which is necessary for the production of red blood cells, in medicine they are called erythrocytes. This vitamin is also essential for preventing anemia and cell growth. If there is a lack of vitamin B12 in the body, this condition can lead to anemia, and this is the most common cause of fatigue. There is another vitamin, the lack of which leads to the development of weakness - this is vitamin D. As you know, it is produced in the body under the influence of sunlight. That is why in winter and autumn, when daylight hours are short and the sun appears infrequently, vitamin D deficiency can cause sudden weakness.
2. State of depression.
3. Thyroid disease. Severe fatigue and weakness develops with hyperthyroidism - this is an increased function of the thyroid gland, and also with hypothyroidism - this is a reduced function. If the patient is diagnosed with hypothyroidism, then the patient complains of weakness in the legs and arms. The patient describes his condition with the phrases "everything falls out of hand" and "legs give way." And with hyperthyroidism, general weakness is also accompanied by a number of other symptoms, for example, nervous excitability, hand trembling, fever, heart palpitations, weight loss with the same appetite.
4. VSD (vegetative-vascular dystonia).
5. Chronic fatigue, indicating that the reserves of vitality are already running out.
6. celiac disease, in medicine it is called gluten enteropathy - this is a condition in which the intestines are not able to digest gluten. If a person suffering from this disease eats bakery products, for example, pastries, bread, pizza, etc., then his digestive tract is disturbed, diarrhea, flatulence appears, and increased fatigue develops against the background of this condition.
7. Diseases of the cardiovascular system.
8. Diabetes .
9. Diseases from the field of oncology, while weakness is accompanied by a low temperature.
10. Lack of fluid in the body. Many patients note that severe fatigue comes in the hot season, when a lot of fluid leaves the body, which is not always restored in a timely manner.
11. There are pharmaceuticals drugs that also cause lethargy are beta-blockers, antidepressants, and antihistamines.

Weakness throughout the body can be felt in other conditions:

• injuries accompanied by large blood loss;
• brain injury in combination with other neurological symptoms;
• during menstruation and pregnancy in women;
• with intoxication of the body, including infectious diseases, such as influenza.

If weakness is accompanied by drowsiness

Fatigue is often accompanied by drowsiness and dizziness. Such symptoms can be observed in such conditions:

• anemia;
• circulatory disorders in the brain;
• a sharp decrease or increase in blood pressure;
• oncological diseases;
• stress;
• in women - during menopause.

Severe weakness during pregnancy - what to do?

During pregnancy, almost 100% of women experience lethargy and fatigue, especially in the early stages.

These symptoms may be the result of hormonal changes in the body. This is normal during pregnancy.

In addition to this, women may experience nausea, dizziness, and drowsiness. On average, this condition lasts 12 weeks.

To exclude dangerous diseases, it is necessary to be registered for pregnancy and take all the necessary tests in a timely manner.

1. If the tests are normal, then food can help to cope with this condition. During pregnancy, food should be varied and nutritious. It is necessary to take it in small quantities, but often. Also, during pregnancy, you need to sleep at least 9-10 hours. If possible, daytime sleep is also very useful.
2. Fatigue and dizziness during pregnancy are one of the causes of unrest. Do not worry and think only about the good. Hiking in the fresh air will help get rid of lethargy during pregnancy.

If a pregnant woman is diagnosed with anemia, she will complain of dizziness and fatigue.

Be sure to eat foods that contain iron:

• red meat;
• nuts;
• liver;
• legumes;
• seafood.

During pregnancy, the cause of fatigue is hypotension - this is low blood pressure. In this state, lethargy is complemented by shortness of breath, nausea, dizziness, weakness in the arms and legs, sweating of the palms and feet, semi-consciousness.

To increase the pressure, you need to drink strong tea with sugar in the morning, the food should contain a large amount of protein, arrange daily walks and take a contrast shower, while avoiding sudden changes in temperature.

So, fatigue and sweating during pregnancy occur as a result of hormonal changes, which is the norm for women carrying a child, especially in the early stages, and also due to the presence of anemia and hypotension - these are quite dangerous diseases during pregnancy and require specialist advice.

What to do with increased fatigue

If fatigue is not complemented by other dangerous symptoms, you can improve your well-being by following simple recommendations:

1. Night sleep should last at least 8 hours a day;
2. Decide on a daily routine, go to bed and wake up at the same time every day;
3. Avoid stressful situations;
4. Provide yourself with physical activity, if it is not contraindicated for you;
5. Frequent walks in the fresh air;
6. Regular and proper nutrition, food should not be greasy and monotonous;
7. Get rid of excess weight;
8. Drink at least two liters a day;
9. Stop smoking and drinking alcoholic beverages.