Think You’re Healthy? These Silent Signs Say Otherwise

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Dr Adrian Mondry

Physician (FRG) | MD (HHU Düsseldorf) | Specialist for Internal Medicine (ÄKNo) | Hypertensiologist (DHL) | MRCP (London)

Feeling well does not always mean your body is functioning at its best. Often, subtle changes appear before more obvious health problems develop. Recognising these early signs allows you to seek medical advice and address potential concerns before they progress.

Fatigue That Persists Despite Rest

Feeling tired despite getting enough sleep is often dismissed as stress or a busy lifestyle. However, ongoing fatigue may point to underlying health concerns that require attention:

Thyroid dysfunction: An underactive thyroid (hypothyroidism) slows your metabolism, leaving you feeling sluggish even after a full night’s sleep 

Iron deficiency anaemia: Low iron levels reduce the blood’s ability to carry oxygen, causing fatigue and weakness

Sleep apnoea: Breathing interruptions during sleep prevent restful sleep, resulting in daytime tiredness

Chronic inflammation: Some autoimmune conditions can drain your energy as the immune system remains overactive

Unexplained Weight Changes

Sudden weight fluctuations without dietary or exercise changes often signal metabolic or hormonal imbalances.

Unintentional weight loss: Losing more than 5% of your body weight over 6-12 months without trying may suggest diabetes, hyperthyroidism, or digestive disorders 

Gradual weight gain: Steady weight increase despite consistent habits could suggest insulin resistance, hormonal changes, or medication side effects 

Water retention: Persistent bloating or swelling in hands, feet, or ankles may point to heart, kidney, or liver function issues 

Abdominal weight distribution: Fat accumulation around the midsection specifically can indicate cortisol imbalances or metabolic syndrome

Skin, Hair and Nail Changes

Changes in your skin, hair, or nails can reveal underlying health issues before other symptoms develop:

Thinning hair or hair loss: May be linked to thyroid problems, hormonal imbalances, or nutrient deficiencies

Skin discolouration: Dark patches around the neck (acanthosis nigricans) can indicate insulin resistance; pale skin may suggest anaemia

Slow wound healing: Delayed healing may reflect poor circulation, diabetes, or immune system issues

Brittle nails or ridges: Nail changes may signal deficiencies in iron, protein, or vitamins

Ongoing Digestive Discomfort

Ongoing digestive discomfort should not be dismissed as normal. Persistent symptoms may indicate treatable health conditions:

Chronic bloating: Regular bloating may suggest food intolerances, bacterial overgrowth, or inflammatory bowel issues

Irregular bowel movements: Constipation lasting more than three days or frequent loose stools can indicate digestive disorders or dietary imbalances 

Persistent heartburn: Acid reflux occurring more than twice weekly may signal gastroesophageal reflux disease (GERD) or hiatal hernia 

Unexplained nausea: Ongoing nausea without a clear cause can indicate gallbladder problems or delayed stomach emptying

Subtle Signs of Circulation or Heart Problems

Heart and circulation problems often develop gradually. Paying attention to these early signs can help prevent more serious health issues:

Shortness of breath during routine activities: Difficulty catching your breath with light activity may suggest heart or lung concerns.

Cold hands and feet: Poor circulation may be related to heart conditions, thyroid issues, or other vascular problems.

Chest discomfort: Mild pressure, tightness, or unusual chest sensations should not be ignored, even if they are not severe.

Swelling in the lower legs: Persistent swelling in the ankles or calves may indicate heart, kidney, or circulation problems.

When to Get a Personalised Health Screening

A personalised health screening is recommended if you:

  • Are over the age of 40 and have not had a recent health check
  • Have a family history of high blood pressure, diabetes, heart disease, or other chronic conditions
  • Experience persistent fatigue, unexplained weight changes, or ongoing digestive discomfort
  • Notice changes in mood, mental clarity, or sleep patterns
  • Have risk factors such as high stress, sedentary lifestyle, or being overweight
  • Want to proactively assess your health, even without symptoms

Conclusion

Subtle health changes, such as ongoing fatigue, weight fluctuations, or circulation issues, should not be ignored. A personalised health screening provides clarity and peace of mind by identifying hidden risks early.

If you have noticed these signs or simply want a comprehensive health review, consider scheduling a consultation with an internal medicine and hypertension specialist in Singapore

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