First, let's check how well you are actually sleeping:
1- inadequate breathing can lead to what we call obstructive sleep apnea (blockage in the airways and as a result an interruption in respiration for a few seconds, sometimes snoring). This is usually associated with forms of allergic rhinitis and nasal blockage, large tonsils, obesity.
2- Your bedding and pillow: if they are not comfortable, you will most not likely not get refreshing sleep
3- Stress: never undermine the adverse effects of stress which can alter your sleep and induce symptoms of fatigue and lack of energy
But of course, organic causes need to be ruled out as well. In young females, we most commonly think of:
- iron-deficiency anemia (i.e., anemia resulting from low iron stores in the body and is quite common in your age group and gender due to menstrual blood losses and inadequate intake of iron in the diet). A complete blood count (CBC) and iron studies can confirm if you do have anemia due to low iron stores; treatment is with oral iron supplements AND iron-rich diet
- hypothyroidism: or poorly active thyroid gland (especially if there is family history of the disease) can produce symptoms of weakness and low energy, in addition to constipation, dry skin/hair, and cold intolerance. Blood tests (thyroid function tests) can reveal if this disorder exists; treatment is with oral thyroid hormone replacement.
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Annual Checkup
It is recommended that all individuals see a Family Doctor for a full medical examination annually. Adults should get their blood pressure checked (US Preventive Task Force), a flu vaccine (CDC) and more each year.
The American Dental Association recommends dental cleanings for adults at least twice annually. Some stains can only be removed by a professional cleaning.
It’s recommended by the American Academy of Ophthalmology that every adult between the ages of 18 and 80 does an eye examination at least once every two years.
It's recommended by the American Cancer Association that every adult between the age of 20 and 80 does an annual skin screening by a licensed dermatologist.
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