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When to see a doctor
By Mayo Clinic staffOnce you face your fatigue head-on, you'll find that making small lifestyle changes or treating an underlying medical condition will go a long way toward giving you back your get-up-and-go.
Schedule a doctor's visit
Call for an appointment with your doctor if your fatigue has persisted for two or more weeks despite making an effort to rest, reduce stress, eat right and drink plenty of fluids.
Seek immediate medical attention
Get someone to take you to an emergency room or urgent care if fatigue is accompanied by:
- Abnormal bleeding, including bleeding from your rectum or vomiting blood
- Unexplained weight loss or gain
- Severe abdominal, pelvic or back pain
- Severe headache
Call 911 or your local emergency medical service
Get emergency help if your fatigue is related to a mental health problem and your symptoms also include:
- Thoughts of harming yourself or of suicide
- Concern that you may harm someone else
Also get emergency care if your fatigue is accompanied by any of the following:
- Chest pain
- Shortness of breath
- Irregular or fast heartbeat
- Feeling that you might pass out
- LeGrand SB. Fatigue. In: Walsh D, et al. Palliative Medicine. Philadelphia, Pa.: Saunders Elsevier; 2009. http://www.mdconsult.com/das/book/body/205836455-3/0/2038/166.html?tocnode=57251146&fromURL=166.html#4-u1.0-B978-0-323-05674-8..50165-1_2909. Accessed June 15, 2010.
- Gonzales R, et al. Common symptoms. In: McPhee SJ, et al. Current Medical Diagnosis & Treatment 2010. New York, N.Y.: McGraw-Hill Medical; 2010. http://www.accessmedicine.com/content.aspx?aID=193. Accessed June 15, 2010.
- Rosenthal TC, et al. Fatigue: An overview. American Family Physician. 2008;78:1173.
- LeBlond RF, et al. Non-regional systems and diseases. In: LeBlond RF, et al. DeGowin's Diagnostic Examination. 9th ed. New York, N.Y.: McGraw-Hill Medical; 2009. http://www.accessmedicine.com/content.aspx?aID=3659313. Accessed June 15, 2010.
- Fosnocht KM, et al. Approach to the adult patient with fatigue. http://www.uptodate.com/home/index.html. Accessed June 16, 2010.
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