Self-Assessment: 8 Questions for Growth & Improvement

by Archynetys Health Desk
Dr. Kotaro Nakata, internal medicine physician and supervisor of the work Recovering From Internal Fatigue (visceral fatigue recovery), “pas d’édition française”, a expliqué au magazine Women’s Health that “internal fatigue” corresponds to a signal indicating that the organs are overloaded and need rest. It does not have a strict medical definition, but generally manifests as disturbances in organ function, such as bloating and constipation related to gastrointestinal problems, as well as fatigue due to suboptimal organ function.
A study published in 2016 in the journal BMC Medicine revealed that fatigue reduces life expectancy. The researchers conducted a 16-year follow-up survey of 18,101 men and women aged 40 to 79. The results showed that the all-cause mortality rate and that linked to cardiovascular disease were respectively 1.4 times and 1.45 times higher in individuals with the highest levels of fatigue, compared to those with the lowest levels. Even after accounting for all confounding factors and hypothesized mechanisms, the all-cause mortality rate among the most fatigued individuals remained 1.26 times higher than among the least fatigued individuals.
Dr. Shiro Kotake, director of a clinic in Japan and an exercise expert, pointed out on a Japanese health television show that consuming iced drinks and cold foods reduces blood flow to the stomach and small intestine, leading to indigestion and abdominal pain. In addition, this increases bacterial toxins in the intestine which, upon entering the bloodstream, deplete the detoxification capacity of the liver, causing general fatigue in the body.

How to self-evaluate in the face of internal fatigue

How to determine if you have internal fatigue? Dr. Shiro Kotake suggests asking yourself the following questions to self-assess:

Do you frequently feel physical fatigue?

Do you have rough skin and recurring pimples around your mouth?

Do you suffer from persistent constipation or diarrhea?

Are you prone to frequent colds?

Do you have a loss of appetite and frequent bloating and indigestion?

Are you tired even after getting enough sleep?

Do you feel depressed, with brain fog or slowed mental reactions?

Do you regularly consume cold foods and drinks?

If you answered yes to one to three of these questions, your organs may start to show signs of fatigue. If four to six signs match your situation, you already have internal fatigue. If seven or more signs apply, prompt consultation with a healthcare professional is recommended.

Improving organ function starts with breathing

Doctor Shiro Kotake suggests a breathing exercise to improve internal fatigue.

Method

1. Sit on a chair without a back, maintain an upright posture and take a deep breath.

2. Make a “peko” sound as you exhale and allow the abdomen to deepen. This contracts the diaphragm and lifts the internal organs upward.

3. Continuing to exhale, make a “poko” sound, then allow the abdomen to expand. This relaxes the diaphragm and causes the internal organs to descend.

4. Again, make a “peko” sound while using your hands to squeeze and then release the abdomen, expelling all the air.

Repeat this exercise in three sets every day.

Important note: Do not inhale until you have completely exhaled all the air.

The Taichung Veterans General Newsletter (pdf), published by the Taichung Veterans General Hospital from Taiwan, states that incorrect breathing patterns can cause stress to build up in the body, leading to various internal changes and dysfunctions. Modern lifestyles, marked by prolonged sitting and reduced physical activity, lead to a reduction in the capacity of the respiratory and circulatory systems (heart and lungs).

Additionally, many people tend to slouch, which compresses the abdomen and reduces the effectiveness of diaphragmatic (abdominal) breathing. This can lead to replacing this breathing with the use of the muscles of the thorax and neck, called “thoracic breathing”, the cause of chronic pain in the shoulders and neck.

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