Fatigue (either physical, mental or both) is a symptom that may be difficult for the patient to describe and words like lethargic, exhausted and tired may be used.
weariness from bodily or mental exertion. a cause of weariness; slow ordeal; exertion:
the fatigue of driving for many hours.
Physiology. Temporary diminution of the irritability or functioning of organs, tissues, or cells after excessive exertion or stimulation.
What about fatigue in Multiple Sclerosis? The above MS website has this to say.
People with MS may become more easily worn out after physical activity than usual. In addition to experiencing physical fatigue from doing simple things, people with MS may also experience mental fatigue from depression. There is also a type of fatigue called “lassitude” or “MS fatigue” that many believe to be unique to people with MS, which is generally more severe than normal fatigue. This type of fatigue may happen almost every day and could start early in the morning after a good night’s sleep. Lassitude also often worsens with heat and humidity.
Here is what fatigue means, not a quantified version of what fatigue is.
When you wake up, whether it’s in the morning or in the middle of the night, you are going to feel tired. That’s true, but tired and fatigue are two different things. Tired is due to all of the above, so is fatigue, but fatigue is so much more than that.
You want to go back to bed, but you don’t. I know. It’s a conundrum. It’s habit forming to stay up once you wake up.
Another reason is that you’re too “tired” to go back to bed. I know, it doesn’t make sense, but those in the know—know. It takes too much energy to crawl into bed again and go through the whole process of trying to sleep. This part is fatigue.
It’s easier to just stay up and walk to the computer with coffee in hand than to go through the nightmare of the sleeping process. However, once you’re at the computer, or watching TV, you fall asleep with your coffee in hand. You wake up with scalding coffee dripping down you.
You jump awake and you hold your nightgown away from your body to stop the burning, but you don’t go change into something clean. You wait until everything cools down and you continue doing whatever you were doing until you fall asleep again.
The day becomes a nightmare.
You try to listen to conversations but you feel yourself falling asleep. You snap awake, but you find yourself sliding down again. You can’t control it. If you’re doing something physically active, it’s easier to stay awake, but I’ve found myself falling asleep standing by the sink doing dishes. You have a form of narcolepsy.
You have no desire or very little desire to do anything. You force yourself to do things, nonetheless. At least I do.
I am blessed with artistic abilities in various forms, so that can keep me busy—for a while—then I fall asleep.
You feel compelled to say yes to friends and family to do things with them and yet you have this deep-seated desire to say no. When it comes time to do this activity, you bail out or you go and try your best to be “there” in the moment.
Fatigue to me is this overwhelming desire to stay in my jammies, which I do anyways most days, and do nothing. My head is too heavy to lift, so are my arms and legs. I want to lie prone. I want to do nothing and think about nothing. I don’t care about anything. I am neither here nor there about every conceivable subject. However, what I just wrote is the last thing I want to do. I don’t want to lay prone and do nothing. It’s impossible for me to lay and thing about nothing. I do care about everything. I am here and there.
Once again, I’ve written things that may be confusing to people.
I’m not explaining this very well, but I’m here to tell you, yes you, who think that you know what fatigue is, you don’t know anything!!!
You are tired and sometimes feel fatigue. That’s it.
We are fatigued and sometimes feel tired. Another ball of wax entirely.
Nothing has happened to me to cause me to write on this subject except that I’m feeling fatigued. My mind has gone on a hiatus. It requires rest and quiet. Not rest in the way of sleeping, but a slowing down of the world at large and being in a place where decisions belong to someone else. Unfortunately, my world does not slow down.
People think that when you are disabled and a stay-at-home person, that you have all this time on your hands to just do whatever you want or do nothing at all. To a certain extent, this is true for some. This is not the description for others.
I will talk about this in my next blog because if I start it here, this blog will be ten pages long.
Hugs to all who read this. I sincerely appreciate your eyes that touch upon the words written by my shaking hands, the heart that takes to heart the words of confusion and yet cohesive linear paths to what it is I need to say. Well maybe not so linear.