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Photo courtesy of Brandpoint

When it comes to health, women’s intuition isn’t just a hunch – it’s practically a superpower. According to recent research from MD Live by Evernorth, more than two-thirds of women say they have a sixth sense when it comes to their health. This “ill-tuition” is the innate ability to sense when something may be wrong with your body – and 81% of women trust it. Yet, despite this trust, most women hold off on seeking care until their symptoms interfere with their daily lives, instead of being proactive at the first sign that something is off. This delay can lead to unnecessary worsening of symptoms.

“Many common symptoms can be early warning signs of an underlying health condition. Ignoring your body’s signals can prevent timely diagnosis and treatment,” explains Dr. Vontrelle Roundtree, Associate Chief Medical Officer for MD Live by Evernorth. “Trusting your intuition and acting on it early can make all the difference in managing your health.”

Roundtree discusses five common symptoms that women tend to dismiss, according to the research, what conditions they may point to and why it’s important to seek timely medical care when your intuition sounds the alarm.

1. Itching that doesn’t go away

Itching may seem like just a minor annoyance, but if it’s persistent, it may point to various underlying health issues. Itching could signal hormonal fluctuations, skin conditions like eczema, or even liver or kidney problems. Itching without a visible rash can be a sign of broader health issues because it often indicates that the root cause lies beneath the surface of the skin rather than on it. For pregnant women, persistent itching may be a symptom of cholestasis, a liver condition that requires immediate medical attention.

2. Persistent bloating

Bloating is normal after eating a big meal or when experiencing the occasional digestive issue. But, when bloating occurs frequently, it could be a sign of gastrointestinal disorders such as irritable bowel syndrome (IBS). Bloating that gets worse over time could be a symptom of stomach inflammation or certain cancers. In fact, bloating is one of the more common early warning signs of ovarian cancer, caused by the buildup of fluids in the stomach.

3. Fatigue

Feeling tired is often unavoidable, especially for women balancing work, family and other responsibilities. However, when that tiredness becomes persistent and starts affecting your quality of life, it might point to fatigue, a debilitating condition that significantly impacts your daily life. Fatigue is often a symptom of an underlying chronic condition, such as diabetes, heart disease, depression or thyroid disorders. If a good night’s sleep or taking time to rest doesn’t make a noticeable difference in your energy levels, it’s time to consult a doctor to explore the potential causes.

4. Unexplained weight fluctuations

It’s not uncommon for a woman’s weight to naturally fluctuate, especially during their menstrual cycle. However, unexpected weight gain or loss can indicate hormonal imbalances, thyroid problems or metabolic disorders. When weight changes are sudden and not resulting from changes in your diet or exercise routine, it’s important to rule out any larger health issues, like cancer or chronic illness.

5. Chronic anxiety

Although anxiety is commonly associated with mental health disorders, its presence can also point to underlying physical health issues. If you’re feeling anxious without a clear reason, or your anxiety is constant, it’s important to explore whether a physical condition could be contributing. Anxiety is often linked to cardiovascular diseases and endocrine problems, like hyperthyroidism. Regardless of whether it stems from something physical or mental, early intervention is critical.

Your first call: A doctor

These symptoms may not always seem urgent, but it’s important not to ignore them, especially if they become persistent or chronic. “If you feel something is off with your health, trust your intuition and seek medical advice promptly,” Roundtree advises. “Doctors are here to help you get to the bottom of your symptoms – no matter how big or small they may seem.” When your instincts tell you something is off, you can schedule a virtual visit with an MD Live board-certified doctor to get an expert medical opinion without unnecessary delays.

Remember, it’s always better to address a potential health concern when it’s small rather than wait until it becomes more serious. The next time your ill-tuition kicks in, trust it. (BPT)

The decision to take a statin is an important one. Stock photo
Fatigue and cataracts are downsides

By David Dunaief, M.D.

Dr. David Dunaief

Statins are one of the most commonly prescribed medications in the United States. Yet, some in the medical community believe that more patients should be on this class of drugs while others think it is one of the most overprescribed medications. Suffice to say, this is one of the most polarizing topics in medicine — probably rightfully so.

The debate is over primary prevention with statins. Primary prevention is treating people with high cholesterol and/or inflammation who may be at risk for a cardiovascular event, such as a stroke or heart attack.

Fortunately, most physicians would agree that statins have their place in secondary prevention — treating patients who have had a stroke or heart attack already or have coronary artery disease.

We are going to look at benefits and risks for the patient population that could take statins for primary prevention. On one side, we have the statin as Rocky Balboa, coming out to fight off cancer risk, both overall and esophageal, as well as improving quality of life and glaucoma. On the other, we have the statin as Evel Knievel, demonstrating that reckless heroics don’t provide longevity, but they do increase diabetes risk, promote fatigue and increase cataracts. Let’s look at some of the evidence.

Effect on cancer

A study published in The New England Journal of Medicine involved 300,000 Danish participants and investigated 13 cancers. It showed that statin users may have a 15 percent decreased risk of death from cancer (1). This is exciting news.

However, there were major limitations with the study. First, the researchers did not control for smoking, which we know is a large contributor to cancer. Second, it was unknown which of the statin-using population might have received conventional cancer treatments, such as radiation and chemotherapy. Third, the dose of statins did not correlate to risk reduction. In fact, those who took 1 to 75 percent of prescribed statin levels showed more benefit in terms of cancer mortality risk than those who took more. We need a better-designed trial that is prospective (forward looking) to determine whether there really is an effect. I would say that Rocky Balboa came out of this fight pretty banged up.

Another study showed that statins may play a role in reducing the risk of esophageal cancer. This is important, since esophageal cancer, especially adenocarcinoma that develops from Barrett’s esophagus, is on the rise. The results showed a 28 percent risk reduction in this type of cancer. The authors of the study surmise that statins may have a protective effect. This was a meta-analysis of 13 observational studies (2).

Although there is an association, these results need to be confirmed with randomized controlled trials. Remember, aspirin has about the same 30 percent reduction in colorectal cancer, yet is not recommended solely for this use because of side effects.

Eye diseases: mixed results

In two common eye diseases, glaucoma and cataracts, statins have vastly different results. In one study, statins were shown to decrease the risk of glaucoma by 5 percent over one year and 9 percent over two years (3). It is encouraging that the longer the duration of statin use, the greater the positive effect on preventing glaucoma.

Statins also help to slow glaucoma progression in patients suspected of having early-stage disease at about the same rate. This was a retrospective (backward-looking or looking in the past) study analyzing statin use with patients at risk for open-angle glaucoma. There is a need for prospective (forward-looking) studies. With cataracts, it is a completely different story. Statins increase the risk of cataracts by over 50 percent, as shown in the Waterloo Eye Study (4). Statins exacerbate the risk of cataracts in an already high-risk group: diabetes patients.

Quality of life and longevity: a mixed bag

In a meta-analysis involving 11 randomized controlled trials, considered the gold standard of studies, statins did not reduce the risk of all-cause mortality in moderate to high-risk primary prevention participants (5). This study analysis involved over 65,000 participants with high cholesterol and at significant risk for heart disease.

However, in this same study, participants at high risk of coronary heart disease saw a substantial improvement in their quality of life with statins. In other words, the risk of a nonfatal heart attack was reduced by more than half and nonfatal strokes by almost half, avoiding the potentially disabling effects of these cardiovascular events.

Fatigue effect

Some of my patients who are on statins ask if statins can cause fatigue. A randomized controlled trial published in the Archives of Internal Medicine reinforces the idea that statins increase the possibility of fatigue (6).

Women, especially, complained of lower energy levels, both overall and on exertion, when they were blindly assigned to a statin-taking group. The trial was composed of three groups: two that took statins, simvastatin 20 mg and pravastatin 40 mg; and a placebo group. The participants were at least 20 years old and had LDL (bad) cholesterol of 115 to 190 mg/dl, with less than 100 mg/dl considered ideal.

In conclusion, some individuals who are at high risk for cardiovascular disease may need a statin, but with the evidence presented, it is more likely that statins are overprescribed in primary prevention. Evidence of the best results points to lifestyle modification, with or without statins, and all patients with elevated LDL (bad) cholesterol should make changes that include a nutrient-dense diet and a reduction in fat intake, as well as exercise.

References:

(1) N Engl J Med 2012;367:1792-1802. (2) Clin Gastroenterol Hepatol. 2013 Jun; 11(6):620–629. (3) Ophthalmology 2012;119(10):2074-2081. (4) Optom Vis Sci 2012;89:1165-1171. (5) Arch Intern Med 2010;170(12):1024-1031. (6) Arch Intern Med 2012;172(15):1180-1182.

Dr. Dunaief is a speaker, author and local lifestyle medicine physician focusing on the integration of medicine, nutrition, fitness and stress management. For further information, visit www.medicalcompassmd.com or consult your personal physician.