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Is extreme fatigue a precursor to a relapse or is it an issue of its own?

Hi Terry,
Fatigue is so widespread in MS, and the course of the disease so varied, that I suspect only you can answer your own question. Over time you learn to read your own body's signals and recognise the feelings that historically have presaged an attack – for instance, it might be that you are fatigued all the time, but notice a significant worsening in the period before an attack, conversely I have heard of people even feeling better than normal beforehand.
I've always had progressive MS, so I'm not really fit to say, but I always used to be able to predict when I was going down with an infection, because my hands would begin tingling two or three days before… This doesn't seem to happen so much nowadays,

I have bouts of extreme fatigue periodically when the only way to get past it is to sleep. I'll sleep a 10 to 12 hour night, take a 2 or so hour nap, then sleep another 10 to 12 hour night. After a few days of this I seem to get over it. I sometimes think that if I fight it and don't give in to the sleep, that I will have an exacerbation.

I am currently in one of these spells and am sleeping and napping much more than usual. I don't believe it is the start of an exacerbation but I don't want to take any chances so sleep it is.

I hope all you need is sleep and it doesn't progress any further.

Yep I can relate to the tired part but as I have only recently been dx am unsure if it is generally ms or relapses. I am on Betaferon shots and have got into the hang of it. I gave up on the auto injector and just do them myself. I was finding it hard to push the button. I know it sounds stupid and I know it's not going to hurt really bad but the just the sound was enough to scare me off.

It seems to me by looking at the threads that not that many people are on Betaferon outside Australia but is anyone was and can help. A day or so after I inject I come up in these red welts not a bruise just welts, though some of them do feel like a bruise. I have put a cold pack on prior and after injecting with no help. It is summer here aand it is embarassing wearing short sleeves or shorts. I look like I have been attacked by a lovesick octopus. Any ideas on how to alleivate the problem.

Thanks

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Thanks Bob

However I do find it hard to take advice from Darth Vader LOL

I will try the different remedies and will not attempt to enter the Miss World contest well at least not the swimsuit entry till my welts disappear

Thanks again

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Leis8 said:

I know it sounds stupid and I know it's not going to hurt really bad but the just the sound was enough to scare me off

Doesn't sound stupid to me at all-that's why I stopped autoinjecting Rebif. I have nightmares about that snapping sound.

Terry, I have only experienced extreme fatigue when I was already in a full-blown relapse. It isn't a pre-cursor for me. I have however suffered for a day or even a few hours with fatigue when I wasn't in a relapse. I think it can be one of those symptoms that flares up occasionally for me. Try not to stress too much on if it means that you are going to have a relapse. Sometimes they are just isolated symptoms that reappear now and then.

fatigue is one of my most my most troublesome symptoms (i have RRMS) but i have noted that prior to the last 3 flare ups the fatigue has become a lot worse eg to the point that even sitting upright is darn near impossible so for me it is a bit of both but if its more severe than ususal it seems to indicate either i am coming down with some kind of infection or viral illness (makes all symptoms worse) or a relapse is brewing. Everyone is different so i think we have to learn how MS effects each of us as individuals