Fatigue blog updated 3-24-13
-
Upload
thecfim -
Category
Health & Medicine
-
view
92 -
download
0
description
Transcript of Fatigue blog updated 3-24-13
![Page 1: Fatigue blog updated 3-24-13](https://reader034.fdocuments.in/reader034/viewer/2022052601/5596f2061a28ab1b348b45ef/html5/thumbnails/1.jpg)
Dr. Marie Tholl-Pappas
Dr. Dino Pappas
FATIGUE
![Page 2: Fatigue blog updated 3-24-13](https://reader034.fdocuments.in/reader034/viewer/2022052601/5596f2061a28ab1b348b45ef/html5/thumbnails/2.jpg)
Adrenal Fatigue “Bible”
• Scope of the Problem– “It is estimated that 80%
of adult Americans suffer some level of adrenal fatigue at some time during their life, yet it remains one of the most under-diagnosed illnesses in the US.” – James Wilson, ND, DC, PhD (Adrenal Fatigue Expert)
• Patient Friendly Text on the Topic
![Page 3: Fatigue blog updated 3-24-13](https://reader034.fdocuments.in/reader034/viewer/2022052601/5596f2061a28ab1b348b45ef/html5/thumbnails/3.jpg)
Key Organs That Respond To Stress
![Page 4: Fatigue blog updated 3-24-13](https://reader034.fdocuments.in/reader034/viewer/2022052601/5596f2061a28ab1b348b45ef/html5/thumbnails/4.jpg)
General Adaptation Syndrome
• Phase 1 = Acute Stress• Phase 2 =Coping,
Resistance & Adaptation
• Phase 3 = Exhaustion (body can’t cope)– Fatigue Sets In– Open Window Theory
• An open window for chronic disease (Diabetes, Fibromyalgia, Chronic Fatigue Syndrome, Thyroid Disease, Cancer, Etc.)
![Page 5: Fatigue blog updated 3-24-13](https://reader034.fdocuments.in/reader034/viewer/2022052601/5596f2061a28ab1b348b45ef/html5/thumbnails/5.jpg)
The Importance of Kidney & Adrenal Hormone Balance
• Role of Kidney & Adrenal Hormones (Cortisol, Steroid Hormones & Epinephrine)– Control swelling & inflammation– Treat allergy symptoms– Cancer treatment & prevention– Assist with infection management– Immune & Auto-immune Disorders– Affect use & storage of carbs, proteins & fats– Assist with blood sugar regulation– Blood pressure regulation– Electrolyte Balance– Anti-oxidant function– Assist with sex hormone production (ex: menopausal women)– Sex Drive– Performance (Athletic, Academic, Recreational, Etc.)
![Page 6: Fatigue blog updated 3-24-13](https://reader034.fdocuments.in/reader034/viewer/2022052601/5596f2061a28ab1b348b45ef/html5/thumbnails/6.jpg)
Overwhelmed Stress Response
![Page 7: Fatigue blog updated 3-24-13](https://reader034.fdocuments.in/reader034/viewer/2022052601/5596f2061a28ab1b348b45ef/html5/thumbnails/7.jpg)
End Result of Chronic Stress = Disease
• Other Conditions– PMS– Severe Menopause
Symptoms– Insomnia
– Frequent Infections– Hypoglycemia– Alcoholism
![Page 8: Fatigue blog updated 3-24-13](https://reader034.fdocuments.in/reader034/viewer/2022052601/5596f2061a28ab1b348b45ef/html5/thumbnails/8.jpg)
Signs & Symptoms of Adrenal Fatigue• Difficulty getting up in the
morning• Fatigue not relieved by sleep• Craving salty foods, sugary
foods or stimulants (caffeine)
• Lack of energy
• Increased effort to do every day tasks
• Decreased sex drive
• Decreased ability to handle stress
• Increased time to recover from illness, injury or trauma– *** Key Tip Off: Chronic
respiratory infections with a longer recovery period ***
• Mild depression• Increased PMS
• Increased symptoms with skipped meals
• Less focused thoughts
• Hard time remembering things
• Decreased tolerance
• Don’t wake up till 10:00 AM or later
• Afternoon (after lunch) “blues”• Feel better after evening meal• Decreased productivity
• Light headed when getting up
![Page 9: Fatigue blog updated 3-24-13](https://reader034.fdocuments.in/reader034/viewer/2022052601/5596f2061a28ab1b348b45ef/html5/thumbnails/9.jpg)
Steps to Identification & Recovery• Step 1: Adrenal
Fatigue Questionnaire http://www.canhealyourself.com/adrenaltest.pdf
• Step 2: Comprehensive Exam – Physical– Orthopedic– Neurological – Special Tests (Postural
Blood Pressure & Pupil Contraction)
• Step 3: Lab Testing (As Needed)– Saliva Hormone Testing
– Urinalysis– Blood Work
• Step 4: Formulate a Treatment Plan
• Step 5: Implement Specific Recommendations
• Step 6: Re-evaluate
![Page 10: Fatigue blog updated 3-24-13](https://reader034.fdocuments.in/reader034/viewer/2022052601/5596f2061a28ab1b348b45ef/html5/thumbnails/10.jpg)
Step 3: Laboratory Testing As Needed
• Saliva Hormone Testing – Can be used to measure cortisol, steroid & sex
hormones – Best single lab test for adrenal fatigue– Indicative of the actual hormone in the cell where
reactions take place & not the bloodstream– Easy to perform & Non-invasive– Can be used to test & retest– Recommended at least 4 Tubes (Morning, Noon,
Afternoon & Night)• Date & time of collection are written on all tubes & kept
in a journal• More tubes may be used to measure “lows” & “highs”
![Page 11: Fatigue blog updated 3-24-13](https://reader034.fdocuments.in/reader034/viewer/2022052601/5596f2061a28ab1b348b45ef/html5/thumbnails/11.jpg)
Saliva cortisol levels are low in the morning and high at night. This person has trouble waking up, is just fine in the middle of the day and can’t sleep at night.
![Page 12: Fatigue blog updated 3-24-13](https://reader034.fdocuments.in/reader034/viewer/2022052601/5596f2061a28ab1b348b45ef/html5/thumbnails/12.jpg)
Saliva cortisol levels are just fine in the morning, fine in the afternoon and high at night. This patient has trouble falling asleep at night.
![Page 13: Fatigue blog updated 3-24-13](https://reader034.fdocuments.in/reader034/viewer/2022052601/5596f2061a28ab1b348b45ef/html5/thumbnails/13.jpg)
Saliva cortisol levels are fine in the morning, dip middle of the day and return to normal at night. This patient has the afternoon blues.
![Page 14: Fatigue blog updated 3-24-13](https://reader034.fdocuments.in/reader034/viewer/2022052601/5596f2061a28ab1b348b45ef/html5/thumbnails/14.jpg)
Saliva cortisol levels are low in the morning, low middle of the day and normal at night. This patient has trouble getting up, has the afternoon blues, low energy in the evening and goes to sleep exhausted.
![Page 15: Fatigue blog updated 3-24-13](https://reader034.fdocuments.in/reader034/viewer/2022052601/5596f2061a28ab1b348b45ef/html5/thumbnails/15.jpg)
Questions
• Contact Info– 9442 W. 179th Street –
Tinley Park, IL 60487– Office: 708-532-CFIM
(2346)– Email:
• Office: [email protected]• Dr. Marie:
[email protected]• Dr. Dino: