9. Fatigue and Weakness: The Subtle Shadows of PHG
Fatigue and weakness, though commonly associated with numerous conditions, have a unique connotation in the realm of PHG. They aren’t a direct result of the disease but emerge from the myriad of changes it induces in the body.
The reduced appetite and potential malnutrition, the blood loss leading to anemia, and the overall stress on the body’s systems collectively lead to an overwhelming sense of tiredness. This isn’t the usual end-of-day fatigue; it’s a persistent drain, often not alleviated by rest.
However, there’s more to this symptom than meets the eye. Fatigue, in this context, might also stem from reduced oxygen supply. With anemia setting in due to gastrointestinal bleeding, the reduced red blood cell count means less oxygen reaches the body’s tissues. This deprivation manifests as fatigue and general weakness.
Another layer to consider is the mental aspect. The constant discomfort, pain, and other symptoms can take a toll on mental well-being, further amplifying feelings of exhaustion. It’s a cyclic issue, with physical symptoms exacerbating mental strains and vice versa. (9)