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Fatigue in Scleroderma
This page was written by Janey Willis , and has not yet been medically edited. Scleroderma (SD) affects everyone differently. Just because something is listed here does not mean that it is due to scleroderma or that an individual patient will ever experience it. See Disclaimer.
Overview of Fatigue
Causes of Fatigue
Coping with Fatigue
Scleroderma Complications and Fatigue
Treatments for Fatigue
Personal Stories
Related Links
Overview of Fatigue
Mild to extreme fatigue is a common symptom of scleroderma. It affects your daily activities and overall quality of life. Fatigue is not in your head. It is caused by physiological problems as well as psychological problems associated with the disease or other symptoms of the disease.
Fatigue. Fatigue can refer to a subjective symptom of malaise and aversion to activity or to objectively impaired performance. British Medical Journal (BMJ).
Fatigue. A condition characterized by a lessened capacity for work and reduced efficiency of accomplishment, usually accompanied by a feeling of weariness and tiredness. Fatigue can be acute and come on suddenly or chronic and persist. MedicineNet.com
Fatigue "Just because you can't see the wind does not mean you doubt it exists. Because you can both see and feel the effects of the wind, you know the wind is reality. The fatigue often associated with lupus can easily be compared with the properties of the wind. Although fatigue itself is invisible, it exists, and its effects are a reality." Anne H Lootens & Rachel Rossiter, Reprinted with thanks to the Lupus Lantern, Kingsport TN by HAPS (Hunter Area Pathology Service) New South Wales, Australia.
Causes of Fatigue
Fatigue Causes. Heart disease, lung disease, connective tissue disease, electrolyte disturbances, GERD and many other disorders. eMedicineHealth.com.
Reduced exercise capacity in systemic sclerosis (SSc) patients without pulmonary involvement. SSc patients without pulmonary impairment have reduced exercise capacity. Abnormal vascular response to exercise may account for this finding, as the vascular system is one of the major target organs in this pathological condition. Scandinavian Journal of Rheumatology, Volume 36, Issue 6 2007 , pages 458 - 461. (InformaWorld) (Also see: Vasculitis)
Coping with Fatigue
Cancer-Related Fatigue. This articles provides a list of ways to combat cancer-related fatigue. These suggestions can be applied to combating fatigue due to chronic illness such as scleroderma. The Cleveland Clinic.
Your Guide to Never Feeling Tired Again, Read on for some simple, recharging changes that can help you tackle all of the energy stealers in your life. WebMD. (Redbook December, 2007).
Scleroderma Complications and Fatigue
Biliary Cirrhosis Symptoms. Symptoms include chronic fatigue, intense and unrelenting skin itching, gradual darkening of the skin, small yellow or white bumps under the skin (usually around the eyes), dry eye syndrome, thyroid problems, and arthritic aches and pains. ISN
Cardiac Involvement. Diffuse scleroderma can cause arrhythmias, pericardial effusion, and heart failure. Formation of scar tissue in the heart and lungs has recently been recognized as a general pattern probably contributing to overall fatigue. ISN.
Sjorgren's Syndrome. Hallmark symptoms of Sjögren's include dry eyes, dry mouth, dry vagina. Sjögren's can also cause fatigue, and it can affect the skin, lungs, heart, kidneys, muscles, and central nervous system. ISN.
Treatments for Fatigue
Is there any evidence to support the use of antidepressants in painful rheumatological conditions? Systematic review of pharmacological and clinical studies. Certain anti-depressant drugs have analgesic effects in chronic rheumatic painful states in which analgesics and NSAIDs are not very efficient. In inflammatory rheumatic diseases, anti-depressants may be useful for managing fatigue and sleep disorders. S. Perrot. Rheumatology Access Online. April 29, 2008. (Also see: Pain Management)
The Effect of Modafinil on Fatigue and Cognitive Function in Patients with Sjögren’s Syndrome (SS). Modafinil may represent a new and effective approach to treating two of the most debilitating clinical problems faced by SS patients. Thomas C. Namey. 1097/329. ACR 2007. (Also see: Sjogren's Syndrome)
Low impact aerobic exercise reduces fatigue in autoimmune conditions says multi-study review. A review of research shows that low impact aerobic exercise, such as walking and cycling, can effectively reduce fatigue in adults with chronic autoimmune conditions. PressZoom.com. 11/30/06.
Personal Stories: Cognitive, Headaches and Vestibular Disorders
Carrie Maddoux: Diagnosis, a Work in Progress I was overwhelmed with a general feeling of nausea, sweats, fever and fatigue...
D.M. Hoffe: Progressive Systemic Sclerosis (Scleroderma CREST) After an endoscopy it was discovered I had a Watermelon Stomach...
Jaci: MCTD and Autoimmune Hepatitis Out of fear of going back to the doctors, I tried just to live with it, whatever it was. What I found strange was that nobody seemed to noticed how terrible I was feeling, not even the doctors...
Janice E: CREST/Fibromyalgia At some point I came to the realization that what I was feeling just could not be normal. By this time my hands were swelling...
Kerrie: CREST Syndrome with Limited Scleroderma If I was not stressed before I went in, I certainly was then. I am going to get referred on to see someone different. Hopefully, I will be luckier second time around...
Krisha S: Multiple Autoimmune Condition I have multiple sclerosis (MS), fibromyalgia, and Stiff Person Syndrome...
Rosie: Limited Systemic Sclerosis (Australia) Some of my symptoms may not be due to limited scleroderma, however most of these symptoms have appeared since my diagnosis...
Related Links
Chronic Fatigue Syndrome. Chronic fatigue syndrome, or CFS, is a debilitating and complex disorder characterized by profound fatigue that is not improved by bed rest and that may be worsened by physical or mental activity. ISN.
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