A Practical Approach to Fatigue Patients in Tertiary Care Hospitals- Aprospective Study
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 9
Abstract
Fatigue is a subjective feeling of tiredness which is distinct from weakness, and has a gradual onset. Unlike weakness, fatigue can be alleviated by periods of rest. Fatigue can have physical or mental causes.Fatigue is a symptom that may be difficult for the patient to describe and words like lethargic, exhausted and tired may be used. 250 Patients attending OP with a complaint of fatigue in various Medical College Hospitals are taken in for study. After getting consent a questionnaire was used to evaluate the patients. Study period was between 1st June to 30th June of 2017.33% of patients reported that they skip breakfast, regularly. 63% never expose them to sunlight for at least 20 minutes a day,32% of them are anaemic mainly iron deficiency anaemia,22% never drink 2 litres of water per day, 18% are diabetic ,8%are obese,4% are hypertensive on diuretics,3% are clinical hypothyroid and 2% have chronic renal failure .Taking a careful and complete history is the key to help making the underlying diagnosis of the cause for the symptom of fatigue. In our study not a single cause but multiple causes are present in 38% of the patients hence a holistic approach is required to evaluate the patients with fatigue However, in about one fourth of patients the cause is not found and the diagnosis is not clear
Authors and Affiliations
Dr. S. Sureshkanna M. D, Dr. S. Dharmalingam M. D, Dr. A. Muruganathan M. D, Dr. T. Ravikumar M. D, Dr. P. Saravanan M. D, Dr. Sopna Jothi M. D, Dr. Sumathi M. D, Dr. A. Abdul Rahman M. D
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