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Neurology (Expert Forum)
why am i tired?
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why am i tired?
by tracy, Mar 29, 2000 12:00AM
I am a 25 year old female, and I graduated from grad school in May of '98. I was in school for theater, and was very physically active every day. Since then, I have been working primarily in an office with a 9-5 job. I have been physical in the evenings and in the early mornings, but I'm finding it fairly immpossible to get energy to go about my day. I am exteramly weary at the end of the day, and no matter how much I sleep, I can't seem to kick the fatigue. And often, right about 10PM when I'd really like to start thinking about sleep, I've been catching a second wind, and haven't been able to sleep for a few more hours. And then, of course, I'm exhausted again in the morning! What can I do?
Doctor's Answer
by CCF Neuro[P] MD, RPS, Mar 29, 2000 12:00AM
Dear Tracy:
Most sleep experts thing that routine is best. Try to go to bed about the same time and wake up at the same time. Stay away from caffeine several hours before bed. If thing persist even with a routine, then maybe a short trial of medications, melatonin or other agent, or a sleep study to evaluate the architecture of your sleep.
Sincerely,
CCF Neuro MD
Most sleep experts thing that routine is best. Try to go to bed about the same time and wake up at the same time. Stay away from caffeine several hours before bed. If thing persist even with a routine, then maybe a short trial of medications, melatonin or other agent, or a sleep study to evaluate the architecture of your sleep.
Sincerely,
CCF Neuro MD
Why are the drs always so quick to give you a pill and send you on your way? I would think you would want to rule out a few things before taking a med. Maybe because I deal with so many hormonally challenged people in my profession that I tend to jump to this conclusion. I know many patients suffering from exhaustion like this as a result of pituitary or thyroid problems. Women are the most commonly affected patients with thyroid problems
Tracy what other symptoms do you have?
P
CCF Neuro MD
I was diagnosed with CFIDS in 1989 and I experience all of the symtoms that you describe (and then some! CFS affects many systems in the body.) I was also diagnosed with temporal lobe epilepsy in 1998(discovered with an EEG.)
Good luck to all of you. I hope you find the answers that you are seeking. When I was finally diagnosed with CFIDS it was actually a relief. I was then able to adjust my life accordingly, instead of wasting precious energy searching for a cause for all of my mysterious symptoms.
I do think CFIDS is a possibility in my case. I have many of the symptoms listed. However, I do not have nor have I ever had the "brain fog" symptoms they seem to think is critical of a CFIDS dx. I did go to a CFIDS doctor and he said he didn't think I really fit the criteria because I had never been "bed-ridden" with it. I said, "Well I have/had three young kids at the time, no relatives nearby, a husband who is never home. How the hell could I have gone to bed short of adopting out my kids?" He got the point. Anyway, there is a good book on CFIDS called Chronic Fatigue Syndrome, A Treatment Guide written by 2 women sufferers (Verillo and Gellman, I think...). It lists benign fascics as a not uncommon symptom. In a way I'd be relieved if this turned out to be just that - as you said, you could stop the endless searching and use that energy to get better. Thanks for your comments, Lynn.
CCF Neuro MD
I hope that you get well soon.
Gary