“Tiredness is the cornerstone of 8 out of 10 citizens’ consultations to their primary care doctor. In most cases it is the main reason for the visit, although in others it is part of another different reason that leads the patient to consultation, and in the end add a ‘And I am also tired‘to his complaint. “With these statements, Dr. Lorenzo Armenteros, spokesman for the Spanish Society of General and Family Physiciansbegins to explain the possible causes behind fatigue.
Who has not felt tired during a time of his life without an apparent or justified reason? Why with the passing of the years do we feel more physically exhausted? What is the emotional fatigue and how much did the pandemic had to do With it? The expert answers these questions and suggests five probable causes that could cause that feeling, beyond lack of sleep or stress.
The difference between physical tiredness and asthenia
Dr. Armenteros wants to begin by differentiating the causes and manifestation of real fatigue and asthenia, “which is not the same. Tiredness is what resembles what happens to us when we perform a high activity. Astenia occurs when we feel the inability to perform any activity physics. That is, one thing is to be tired because we have a lot of activity, and another that we do not want to do anything because we start from exhaustion. “
“In consultation, doctors see that fatigue is an extremely frequent reason for consultation. After the pandemic, I would even say that it has chronified in an extraordinary way. The ideal would be for medicine to value the organic mechanisms that cause it, But since it is not usually an alarming pathology, it is not too much case. “
And the expert adds: “The phrase that is repeated again and again in consultation is ‘but mine is not a normal tiredness, it is much more than tired.’ In this context, it should be explained that in fatigue there are a physical and emotional affectation, Because you don’t have the ability to do the things you did before. From that symptom, and discarding that it is not for lack of rest or an excess of stress, we must see what underlies. “
Distinguish between organic and emotional fatigue
A curious distinction made by Dr. Armenteros is between organic exhaustion due to excess activity and emotional, which carries different paths. “It is complicated not to have the perspective of stress or lack of sleep to which to blame the daily fatigue, but if we consider organic stress the consequence of excessive activity, the emotional is characterized by the absence of energy, Lack of motivation“
Many situations of our daily life (if not all) generate a lot of anxiety that forces us to remain active and causes us psychic fatigue. “For example, there is the concern of young people to serve social networks, and there the emotional exhaustion comes into play,” explains the doctor.
However, we must bear in mind that fatigue also occurs due to organic causes, such as a Continuous chronic pain, hypothyroidismnutritional deficits …
These are 5 possible causes of your usual exhaustion
If we discard the two large groups, such as not sleeping well or stress, we can find 5 underlying causes of our tiredness. “The first could be the anxiety caused by an excess of exerciseand is part of emotional anxiety; Then, we find hypothyroidism, which also causes exhaustion. “
Thyroid hormones are mediating in multiple functions of our body: “When they go down, this activity necessary to keep us active is reduced and tiredness comes. It is a Complex biochemical process“
The third issue that could be behind our tiredness is Vitamin deficitespecially vitamin D, as the doctor explains. Anemia also enters this section. “Spain is a country with a lot Spain; They supplement their bread, milk …“
On the other hand, Chronic pain He is also responsible for that feeling of tiredness and, although it seems paradoxical, sedentary lifestyle as well. “The lack of exercise causes our muscles to atrophy and increasingly have less resistance to the minimum physical activity. It is as if the batteries were spent and, when playing sports again, they would recharge.”
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