Weakness that fluctuates during the day
Fluctuating weakness is muscle weakness that changes over the course of the day, often worse in the evening or after repeated use of the muscles. Morning strength may be relatively normal, but muscles tire more quickly than expected. This pattern is characteristic of specific neuromuscular conditions.
Conditions that commonly cause weakness that fluctuates during the day
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Common Causes of Weakness that fluctuates during the day
- Myasthenia gravis
- Lambert-Eaton syndrome
- Chronic fatigue syndrome
- Multiple sclerosis (fatigue-related)
- Metabolic myopathies
When to Seek Urgent Medical Care for Weakness that fluctuates during the day
These signs may indicate a serious problem — don't wait, seek medical care right away:
- Weakness affecting eye muscles (drooping eyelids, double vision), difficulty swallowing or speaking that worsens through the day, weakness that progresses to new muscle groups, weakness with breathing difficulty, any new pattern of fluctuating weakness
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