{"id":462,"date":"2017-03-26T14:25:26","date_gmt":"2017-03-26T14:25:26","guid":{"rendered":"http:\/\/papergp.com\/index.php\/endocrinology\/tired-all-the-time\/"},"modified":"2023-01-24T11:25:25","modified_gmt":"2023-01-24T11:25:25","slug":"tired-all-the-time","status":"publish","type":"page","link":"https:\/\/papergp.com\/index.php\/endocrinology\/tired-all-the-time\/","title":{"rendered":"Tired all the time"},"content":{"rendered":"<div class=\"content-box-blue\">\n<h4>Differential diagnosis<\/h4>\n<ul>\n<li>Malignancy &#8211; haematological, other<\/li>\n<li>Anaemia<\/li>\n<li>Diabetes<\/li>\n<li>Hypothyroidism<\/li>\n<li>Chronic Fatigue Syndrome<\/li>\n<li>Mood<\/li>\n<li>Lifestyle<\/li>\n<li>Sleep<\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n<div class=\"content-box-blue\">\n<h4>Data gathering<\/h4>\n<ul>\n<li>Red flags &#8211; weight loss, night sweats<\/li>\n<li>Others &#8211; passing urine, thirst, sleep, bowel changes, snoring, mood<\/li>\n<li>Examine &#8211; BMI, anaemia<\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n<div class=\"content-box-blue\">\n<h4>Clinical management<\/h4>\n<ul>\n<li>Investigations\n<ul>\n<li>Bloods &#8211; FBC, U+Es, LFTs, TFTs, CRP, ESR<\/li>\n<li>Urine dip<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Explanation\n<ul>\n<li>Tiredness is a common problem &#8211; we will try to eliminate any medical causes for tiredness e.g. diabetes, anaemia, underactive thyroid, sleep problems, anxiety\/low mood, lifestyle &#8211; alcohol<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Treatment\n<ul>\n<li>Sleep hygiene &#8211; avoid day naps, increase exercise<\/li>\n<li>Lifestyle &#8211; reduce alcohol, increase water, regular small meals, weight loss<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Differential diagnosis Malignancy &#8211; haematological, other Anaemia Diabetes Hypothyroidism Chronic Fatigue Syndrome Mood Lifestyle Sleep &nbsp; Data gathering Red flags &#8211; weight loss, night sweats Others &#8211; passing urine, thirst, sleep, bowel changes, snoring, mood Examine &#8211; BMI, anaemia &nbsp; Clinical management Investigations Bloods &#8211; FBC, U+Es, LFTs, TFTs, CRP, ESR Urine dip Explanation Tiredness &hellip; <a href=\"https:\/\/papergp.com\/index.php\/endocrinology\/tired-all-the-time\/\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">Tired all the time<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":456,"menu_order":74,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-462","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/462","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/comments?post=462"}],"version-history":[{"count":5,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/462\/revisions"}],"predecessor-version":[{"id":1928,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/462\/revisions\/1928"}],"up":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/456"}],"wp:attachment":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/media?parent=462"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}