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Dehydration - it cannot be over emphasised how important it is to ensure that you are not dehydrated – dehydration, is loss of water and important blood salts such as potassium and sodium, vital organs such as the kidneys, brain, and heart require a certain minimum of water and salt. When compromised the drop in their efficiency contributes to the fatigue pattern.

Water (H2 0)

Malnutrition you may not be getting enough energy from your food – loss of appetite may occur if depression and anxiety has become a problem. As you eat less you will feel weak and tired.

Loss of appetite due to disease will mean that you have much less energy in reserve, all this adds to the fatigue pattern.

Small, frequent, simple meals can be more benificial than large plates of rich food.

Foodstuffs Digestion & Absorbtion

Malabsorbtion leading to malnutrition may also be caused by factors outside of the disease itself.

Candida

Leaky Gut

Coeliac Disease

Insomnia A poor sleeping pattern will greatly contribute to the fatigue pattern.

Infections - Add to the fatigue pattern

Medications - Side effects and combinations of drugs add to the fatigue pattern.

Elimination of Toxins - will add to the fatigue pattern.

The reaction has been attributed to liberation of endotoxins-like substances or of antigens (a substance which causes an immune reaction) from killed or dying microorganisms.

Herxheimer Reaction

Note.

Stimulants mask the symptoms of tiredness, they do nothing about the condition itself.

Once any causes of disruption to the fatigue  pattern, other than disease and disorder, has been rectified, attention may be better directed towards the fatigue pattern of the disease.

National council for palliative care www.ncpc.org.uk.

Fatigue

Is not an uncommon symptom more so amongst people with any debilitating disease or disorder.

Fatigue is an overwhelming tiredness for no apparent reason, not the tiredness associated with robust exercise or physical work, but the unexplained fatigue that appears when a person is struggling with the additional problems caused by disease and disorder.

Understanding problems surrounding fatigue then managing them is no easy task. It is one of the most prevalent symptoms in people afflicted with serious disease and disorder.

Identifying the intensity and frequency of fatigue is crucial for the application of palliative therapy.

Fatigue may be regarded as a multidimensional phenomenon, and measurements are based upon self report.

Palliative and supportive care extends to all chronic diseases and fatigue  affects not only patients but carer's as well.

Disease and disorder add to the fatigue pattern - as do other factors, these need to be identified and rectified so lessening their influence on the fatigue pattern caused by  disease and disorder.

Anaemia - a shortage of Haemoglobin in the blood. Haemoglobin (found in red blood cells) is the chemical that carries oxygen around the body, as red blood cells circulate throughout the body they carry oxygen to all the cells to give energy.

If the number of red blood cells are low, they cannot carry enough hemoglobin around the body, therefore insufficent oxygen reaches the cells.

Anemia is a common cause of fatigue. People who have Anaemia may also find that they; are breathless - feel dizzy and light-headed - have difficulty sleeping -have aching in the muscle and joints - have a worsening of angina (chest pain due to heart problems).

A simple blood test will determine if aneamia is a problem. (It is not always a lack of iron that causes anemia.)

Depression anxiety, stress and tension will contribute to a fatigue pattern.

It is common for people to have anxiety or depression when they are diagnosed with any disease or disorder, for some these feelings may become easier to manage as they come to terms with what is happening to them. Others initially go into denial when they are first diagnosed with a disease – it is not uncommon – this may cause them to be unable to understand the problems surrounding the fatigue pattern.