PBC
&
Fatigue
Fatigue affecting people with liver disease
Why do people with liver disease become
fatigued and what can they do about it? One of the
most
common and debilitating symptoms among people with liver
disease
is fatigue. It is a symptom of all varieties of liver diseases
and
Primary Biliary Cirrhosis is one of those diseases. In some
patients,
fatigue begins several years after the diagnosis of liver disease
is made. In others, it was the main reason for seeing their doctor.
In such individuals many visits are made to
a variety of doctors in search of a cause of their extreme
fatigue. Some people even seek psychiatric evaluation, as an
accompanying
symptom is often depression. Fatigue may occur at any time of day but
is
most common in the morning, Many describe weakness and a lack of
energy
throughout the entire day. Their usual "pep"
is now gone and even little tasks become more trying and harder to do.
A search for all other potential causes
should be made, as some are easily treated. Thyroid disease and
anemia's
commonly coexist with liver disease and can worsen any existing
lethargy.
Nutritional deficiencies as well as disturbances in fluid
balance
also contribute to exhaustion. Primary depression from causes other
than
liver disease lead to fatigue and may require
pharmacological
control. Finally, all medications that the patient is taking must be
reviewed
and the unnecessary ones eliminated.
If all of the above conditions are
corrected,
and fatigue continues to persist, there are a few simple measures that
may be of help. A healthy, low fat, well balanced diet, cessation of
smoking,
alcohol intake in moderation, and a daily exercise routine are all
essential
lifestyle adjustments. The demands of a hectic job or home life
may
need to be modified, as an overworked, overwhelmed person even without
liver disease may suffer from fatigue.
We have to learn how to adjust to a new
lifestyle
and only do what you are capable of doing when you feel well, but
remember
to take plenty of rest periods when you need them.
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