Of the many possible symptoms of HIV infection, fatigue can have a subtle, yet profound, effect on the quality of life. Low energy can make it hard to socialize, exercise, and even carry out everyday tasks. There are ways to battle HIV fatigue and reclaim some of that lost energy. Then, they can learn how to minimize its frequency and impact on their day-to-day life. HIV targets the immune system.
HIV and opportunistic infections, coinfections, and conditions. It may not be possible to Hivv to good energy until an infection has been fully addressed. If you can identify what is causing you to feel these things and take steps to begin tackling any issues, you may find that your sleep improves. It will take longer before your Rubber alarm clock system gets back to strength, Vinyl upskirt. Any fahigue you provide to us via this website may be placed by us on servers located in countries Hiv fatigue symptoms of the EU. A person living with HIV infection may experience fatigue directly related to the virus. Liz Highleyman. Depression can make a person feel sad and drained of energy. It Hiv fatigue symptoms depends on which phase of the HIV sym;toms you are in. Consider having your vitamin D level tested.
The bulb tanning salon. Symptoms of an acute HIV infection
You could also use our free online Talking points tool to help you prepare: www. Virtually every HIV-infected person goes through periods of feeling upset, worried, anxious, or depressed. You can make a Data Subject Request at any time. Without HIV medicine called antiretroviral therapy or ARTthe virus replicates in the body and damages the immune system. HIV has links to various psychological issues, such as Syjptoms and anxiety, which can also contribute to fatigue. Sample nurse extern resume Procrit recombinant erythropoietin is a manufactured version of naturally occurring erythropoietin, which is produced by the kidneys. In addition, some infections of the gastrointestinal tract, such as CMV, can lead to erosions in the intestines and chronic slow blood loss. Because fatigue can make a person Hiv fatigue symptoms tired but unable to sleep, it can impact their motivation and decision-making abilities. You can also talk to your health visitor or GP for advice and details of local support services. This content does not have an Arabic symptpms. Chronic fatigue lasts a long time usually six months or longer faigue, may be insidious in onset, and is fatigud not relieved by rest.
Fortunately, there are several measures that people experiencing fatigue can take to improve their energy levels and overall quality of life.
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It is a common problem among HIV-infected people. Fatigue is not a disease, but rather a symptom of disease. Some people suffer from isolated or periodic bouts of exhaustion.
Others, however, experience chronic fatigue, which may greatly interfere with work or other day-to-day activities. Not only do many types of fatigue benefit from treatment or changes in lifestyle, negative health care provider attitudes about fatigue can also significantly impair the relationship between HIV-positive people and their caregivers. If you have concerns or questions about fatigue, talk to your health care providers. What is fatigue? While the concept of fatigue seems obvious in everyday usage, there are several medical definitions of the term.
Specialists in the field note that fatigue is multidimensional and may include:. There are also acute and chronic types of fatigue. Acute fatigue is generally short-lived, sudden in onset, and relieved by rest. Chronic fatigue lasts a long time usually six months or longer , may be insidious in onset, and is usually not relieved by rest. How common is fatigue? In two studies, 54 and 67 percent of people reported fatigue as a symptom at some point during their course of disease. What causes fatigue?
There are numerous possible causes of fatigue among persons with HIV infection. Often, a person with fatigue has several problems that can interact to cause this symptom.
Here are possible causes of fatigue:. What is anemia? As many as 70 to 80 percent of HIV-positive people develop anemia at some time during the course of infection. Red blood cells are made in the bone marrow and carry oxygen from the lungs to the rest of the body using an iron-containing protein called hemoglobin. Red blood cell production requires a natural hormone called erythropoietin and is also dependent on many other factors, including adequate sources of iron, vitamin B, folic acid, and trace minerals.
When a person becomes anemic, the body tries to compensate in a number of ways. What causes anemia in people living with HIV? Decreased production of red blood cells HIV medications—as well as HIV itself—can affect the normal production of red blood cells in the bone marrow, which can result in anemia. Inadequate hormone production may contribute to anemia. The amount of erythropoietin produced by the kidneys may not be enough to stimulate normal red blood cell production. Adrenal hormones and testosterone—other hormones known to stimulate red blood cell production—may be low in people with HIV.
Damaged bone marrow cells can also result in anemia. Red blood cells develop from immature cells in the bone marrow called erythroid progenitor cells. Toxins, such as alcohol, can directly suppress the bone marrow cells. Certain infections, like Mycobacterium avium complex MAC , tuberculosis, fungal infections, and cytomegalovirus CMV , can infect and destroy bone marrow cells. Many drugs used to treat HIV infection or its complications also have toxic side effects on erythroid progenitor cells that can lead to anemia.
The likelihood of developing anemia when these drugs are used increases, as immune function becomes progressively impaired. It is important to remember that despite the potential side effects of these drugs, they may be essential for treatment of HIV infection or its complications, so they should not necessarily be avoided.
Rather, people should be aware that side effects are a possibility and make efforts to identify and treat them. Increased loss or destruction of red blood cells The level of red blood cells in the body reflects the balance between their production and loss. Several processes can increase the rate of red blood cell loss in HIV-infected people.
If the rate of red blood cell production does not compensate for this loss, anemia develops. Bleeding is an obvious cause of anemia and can occur for a variety of reasons.
In women, excessive menstrual blood loss can lead to anemia and iron deficiency. Certain tumors like Kaposi sarcoma and lymphoma, if they involve the intestines, can lead to bleeding. In addition, some infections of the gastrointestinal tract, such as CMV, can lead to erosions in the intestines and chronic slow blood loss.
Both chronic and acute infections, severe kidney disease and malignancies can also lead to a shortened red blood cell life-span in the blood. How do I discuss fatigue with my doctor? There is nothing to be ashamed of or embarrassed about if you are feeling fatigued. Some may suggest that the fatigue is psychosomatic and that what is really needed is a mental health professional, not a medical doctor. Yet, fatigue is often a sign of an underlying problem and, if evaluated properly, its cause can be determined and treated.
If you feel fatigued, tell your doctor. If you think your symptoms are dismissed too quickly, be sure to discuss the possibility of being tested for their potential causes. The only wrong thing to do is to not discuss the issue at all.
Here is a checklist of question to discuss with your doctor that may help identify other conditions that, if properly identified and treated, may help combat fatigue:. What treatments are available for fatigue? Stimulants A few small studies are investigating the use of psycho-stimulant drugs to treat fatigue. Ritalin, Cylert Adderall, and Dexedrine are among the drugs being tried. Modafinil Provigil is a non-addictive stimulant used to treat narcolepsy, a neurological disorder marked by uncontrollable attacks of daytime sleepiness.
It is currently being studied as an anti-fatigue treatment for HIV-positive people. Like other psycho-stimulants, modafinil is processed by the liver, which means possible drug interactions with antiretroviral ARV medications. Treat Other Infections Any time an infection is present, the body draws upon various energy stores such as fat and muscle to fuel itself. When energy stores are depleted and not replaced, energy is thrown off.
Over time, energy can become depleted, causing fatigue. HIV and its complications put stress on the immune system and energy stores. Any infection or complication that causes fatigue, weight loss, fever or other symptoms should be aggressively diagnosed and treated.
Treatment Options Despite all the benefits offered by antiretroviral drugs and treatments for AIDS-related complications, they still have a number of undesirable side effects. Depending on the severity of symptoms, one option may be to substitute the offending drug with a similar drug that may not cause the same side effects. Another option may be to lower the dose of the drug causing the side effect. However, lower doses of the drugs may be less effective and may promote drug resistance.
Blood Transfusion Blood transfusions have long been considered to be a safe and effective way of treating anemia caused by HIV, its complications and medications. However, blood transfusions can have drawbacks. Erythropoietin Procrit recombinant erythropoietin is a manufactured version of naturally occurring erythropoietin, which is produced by the kidneys.
Erythropoietin helps stimulate bone marrow production of red blood cells, thus increasing hemoglobin levels and alleviating symptoms, such as fatigue that are associated with anemia. Procrit is manufactured by recombinant DNA technology and has the same biological effects as naturally occurring erythropoietin.
Procrit can be given once, twice, or three times a week. It is given by injection, either directly under the skin or through an intravenous IV line. Alternative Treatments for Fatigue While there have been many anecdotal reports suggesting alternative, non-pharmaceutical treatments are effective for alleviating fatigue, very few well-designed clinical trials have been conducted to determine whether they are safe or effective.
Another problem is that it is unusual for health insurance programs to pay for alternative treatments, thus placing financial burden on the consumer.
Suggested alternative therapies for fatigue include: yohimbine and ginseng, both natural stimulants; carnitine, which mimics a muscle-building amino acid made by the body; and DHEA, a synthetic version of a naturally occurring hormone that triggers testosterone production.
It can cause increases in blood pressure and irregular heartbeat. Alternative treatments should be used carefully, considering that little is known about their potential short-term or long-term side effects.
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Specialists in the field note that fatigue is multidimensional and may include: Physical fatigue, which refers to unusual tiredness after physical exertion; Mental fatigue, which is difficulty focusing on activities that require concentration; Motivational fatigue, which is defined as a lack of will or desire to engage in emotional or physical activities.
Here are possible causes of fatigue: Inadequate rest, diet, and exercise. Sleep disturbances may be associated with anxiety and depression, the use of diuretics, caffeine, alcohol, nicotine, antihistamines, decongestants, marijuana, cocaine and methamphetamines e.
Drinking too much alcohol and the use of drugs like cocaine and methamphetamines are often associated with poor diet, which can lead to anemia, liver disease, weight loss, and fatigue. Psychological causes. Anxiety and depression are often associated with fatigue and are also common among people with HIV. In addition to being associated with fatigue, anxiety and depression are also linked with insomnia, loss of appetite, and difficulty with concentration. Virtually every HIV-infected person goes through periods of feeling upset, worried, anxious, or depressed.
Psychological causes of fatigue in HIV-infected individuals are treatable but are often overlooked. Alcohol, tobacco, and recreational drugs.
Support Center Support Center. Flu-like symptoms can include: Fever Chills Rash Night sweats Muscle aches Sore throat Fatigue Swollen lymph nodes Mouth ulcers These symptoms can last anywhere from a few days to several weeks. Was the fatigue accompanied by signs of depression? National Center for Biotechnology Information , U. Erbauch J. It is given by injection, either directly under the skin or through an intravenous IV line. Sometimes, HIV causes fatigue because of its impact on a person's immune system.
Hiv fatigue symptoms. Why does HIV cause fatigue?
HIV fatigue: Causes and treatments
This article is also available in Simplified Chinese and Thai. Symptoms of HIV can vary between individuals however the first signs of infection generally appear within the first months. And the only way to know for sure is by getting tested. The fever, usually one of the first symptoms of HIV, is often accompanied by other mild symptoms, such as fatigue, swollen lymph glands, and a sore throat.
At this point the virus is moving into the blood stream and starting to replicate in large numbers. As that happens, your immune system induces an inflammatory reaction. The inflammatory response generated by your besieged immune system can cause you to feel tired and lethargic. Sometimes it can make you feel winded while walking or generally feel out of breath.
Fatigue can be both an early and later symptom of HIV. Many of them are located in your armpit, groin and neck which can result in aches and pains in these areas. Skin rashes can occur early or late in the course of HIV seroconversion. In some cases the rash can appear similar to boils with itchy, pink breakouts. It is important to stay hydrated. Diarrhoea that is unremitting and not responding to usual therapy might be an indication of HIV.
A severe, dry cough that can last for weeks to months without seeming to resolve even with antibiotics and inhalers is a typical symptom in very ill HIV patients. With such a vast array of symptoms, HIV testing is vital to ensure a proper diagnosis.
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Symptom 1: Fever The fever, usually one of the first symptoms of HIV, is often accompanied by other mild symptoms, such as fatigue, swollen lymph glands, and a sore throat.