My whole body is sore and weak, and I feel like I haven't woken up. What's going on? Listen to the doctor's analysis
Many people often feel sore and weak all over the body, just like people who haven't slept well, feel that they don't have enough rest, their physical strength is declining, and they don't seem to wake up all day long.
Among them, muscle soreness is one of the most painful symptoms that people often complain about.
01
How does muscle soreness feel?
After people exercise (muscle activity), especially after some strenuous exercise or persistent muscle contraction exercise, the oxygen demand of muscle cells increases, but they cannot get sufficient oxygen supply. The way oxygen respires, breaking down glucose to produce energy.
During the process of glycolysis and the conversion of pyruvate to lactate, a large amount of lactate is produced, which accumulates in the microenvironment in which the muscle cells are located, and can stimulate nerve endings to produce a feeling of soreness and bloating.
People who exercise often have a feeling of muscle soreness after weight-bearing and confrontation training, or after running. Most people have good liver and kidney metabolism, and lactic acid can be metabolized in a timely manner. This feeling of soreness can gradually gradually disappear in a short time.
02
Muscle soreness is a common symptom in many patients
Muscle soreness or pain is a subjective and objective uncomfortable feeling that many patients, or those who have not been to the hospital, often complain.
Almost everyone experiences muscle soreness at some point in their life. This kind of muscle soreness may be systemic or localized; it causes some people to feel exhausted, and some people only to a certain muscle or a certain piece of muscle soreness.
03
Common causes of body aches
Soreness all over the body is a general feeling, and when the patient pays attention to one area, he finds that other areas are also sore. There are many reasons for this, the most common of which are overwork, trauma (or trauma) and viral infections.
In most cases, these causes tend to be temporary, as some people's conditions are self-limiting. Occasional muscle soreness or pain may be a precursor to certain infectious diseases, also known as "prodromal symptoms."
04
How to analyze a patient's symptoms
The symptoms described by a friend are soreness, fatigue, and the feeling of not waking up. At first glance, it seems to be a manifestation of lack of sleep or fatigue.
When analyzing the symptoms, it is very important to first distinguish whether his symptoms are muscle soreness all over the body, or some muscle diseases or inflammation of the muscles.
Muscle diseases (diseases) and inflammation of muscles require a professional doctor in immunorheumatology to perform some specific tests from a professional point of view to diagnose, we will not cover this issue today.
05
Specific causes of body aches
People with these symptoms should first review the history of all their symptoms, and narrow down the potential causes of this condition to a certain small range, so as to avoid blind doubts without a direction.
Infectious disease
Systemic infectious diseases, pathogens include viruses, bacteria, spirochetes, etc.
For example, dengue fever, which is more common in summer, is caused by the dengue virus. One of the main symptoms of this disease is pain in the muscles, joints and bones of the whole body; it is commonly known as "broken bone fever" because people usually cannot determine the specific location of the pain.
For some people who have been vaccinated, the antigenic components of pathogens in the vaccine may also cause short-term systemic muscle soreness, such as muscle soreness symptoms after a flu shot.
immune, rheumatic diseases
With people's vigilance and awareness of immune rheumatic diseases, more and more rheumatic diseases have been diagnosed; the more common rheumatic diseases related to systemic muscle pain are polymyalgia rheumatica, inflammatory diseases, rheumatoid Arthritis and more.
non-inflammatory disease
Chronic fatigue syndrome is the most common cause of general fatigue and soreness. It is a group of persistent or recurrent fatigue, accompanied by a variety of neuropsychiatric symptoms, but not characterized by organic and psychiatric diseases. syndrome.
At present, the cause of chronic fatigue syndrome is not clear, some people think that it may be related to the chronic infection state of certain viruses.
effects of drugs
General muscle pain caused by drugs is gradually being recognized in modern life. Because in modern life, there are too many kinds of diseases, and when you get sick, you need to take all kinds of medicines.
The adverse reactions of some drugs are gradually recognized in the process of use.
Statins are one of the most widely used drugs for middle-aged and elderly people or other patients with cardiovascular and metabolic diseases. Many systemic muscle aches are related to the use of statins. In this case, some patients will have elevated creatine kinase, and some may not, so more attention should be paid.
Other drugs that can cause generalized muscle soreness include ciprofloxacin, bisphosphonates for osteoporosis, aromatase inhibitors for breast cancer, and more.
Sometimes body aches and pains may also occur after antidepressant treatment is stopped suddenly.
nutrient metabolism
The diet and lifestyle of modern people can lead to a wide variety of nutritional and metabolic diseases.
For example, scurvy caused by vitamin D deficiency and vitamin C deficiency, etc., may cause muscle pain and fatigue in the whole body.
liver disease
The most common symptom of chronic hepatitis B, hepatitis C, fatty liver, autoimmune liver disease, metabolic liver disease, etc. is fatigue.
Some people's symptoms of fatigue, which can manifest as muscle soreness, seem to be related to the liver's inability to metabolize some toxins in the body.
endocrine disease
Thyroid disease, adrenal insufficiency, diabetes, etc. in endocrine diseases often cause systemic muscle aches.
Long-term use of glucocorticoids may also induce painless muscle weakness or muscle atrophy in some people.
mental and psychological factors
Systemic muscle soreness caused by psychological and spiritual factors is not recognized by patients. Many patients have a misconception that mental illnesses such as depression should not have real clinical symptoms.
However, according to clinical observations, depression does have real physical symptoms, and these symptoms can be relieved quickly after antidepressant treatment.
In short, among the above reasons, there are not only the influence of external factors, but also the induction effect of psychological factors, and some organic diseases will cause body aches and fatigue. These symptoms may worsen without good rest.
06
Warm reminder from Dr. Long
For many patients with some unexplained body aches and fatigue symptoms, it is necessary to have some knowledge of coping.
To identify whether there are complex diseases, such as certain infectious diseases, these diseases can present symptoms such as chills, fever, diffuse myalgia, arthralgia, fatigue, back pain and so on.
Polymyalgia rheumatica is a relatively common disease that causes systemic muscle pain. It is more common in older adults. The symptoms are acute attacks of muscle pain in the neck, shoulders, upper arms, buttocks and thighs.
If you suspect that it is related to the drug, you can stop the drug or change the drug after weighing the pros and cons. However, it can sometimes take weeks or months to know if symptoms are drug-related.
People who are sore all over need to do some symptomatic treatment. For example, heat therapy such as hot compresses and infrared rays; secondly, rest, avoid staying up late, and do some health care that relaxes the muscles of the whole body; finally, some drugs can be used to fight symptoms, including the use of acetaminophen, non-steroidal Anti-inflammatory drugs and muscle relaxants, among others.
Diet and nutrition. Diet should be balanced and comprehensive, eat more vegetables and fruits, ensure protein intake, drink more water, and drink some sports drinks when sweating a lot. When necessary, vitamin D and vitamin C can be supplemented appropriately, or multivitamin preparations can be taken.
I am a clinician who loves popular science, seeing a doctor, consulting, answering questions, solving doubts, popularizing medical knowledge, and experiencing the power of warm words in the rush of clinical work!
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