Feeling tired? Shall we talk about this constant fatigue?

Feeling tired? Shall we talk about this constant fatigue?

It's normal for all of us to feel tired and exhausted from time to time. It's very normal to feel tired in the evening after working or playing hard all day. But the extreme fatigue we're talking about today, or the medical term `Fatigue`, is completely different. This is the kind of fatigue that makes you feel like you can't even get out of bed in the morning, you don't feel like going to work, and you feel like you're exhausted all day.

What is Fatigue? Is it different from normal tiredness?

Simply put, normal fatigue is something that goes away with a good night's sleep and some rest. But in a state called `Fatigue`, you constantly feel sleepy and lifeless. Also, no matter how much sleep or rest you get, that fatigue doesn't go away. That's the main difference.

This extreme fatigue can be accompanied by several other symptoms. Think about whether these are familiar to you.

Symptom Description
Things that are felt mentally Loss of interest in doing anything, not even wanting to do things you used to enjoy, restlessness, irritability, and difficulty concentrating.
Things that feel like your body Muscle pain and weakness, tired eyes, tired legs, stiff shoulders, and a feeling of lifelessness throughout the body.
Strength and motivation Having very low energy and motivation to do something.

Why do we feel so tired?

There can be many reasons for this. Sometimes it can be temporary. That is, it can be fixed with a few changes in our lifestyle. But sometimes, it can be a chronic condition that lasts for more than 6 months. In that case, we need to look for an underlying medical condition.

Let's look at a few main categories of reasons.

1. Our lifestyle habits

Some habits in our daily lives can directly affect this excessive fatigue.

  • Unhealthy diet: It's not uncommon to feel tired when your body isn't getting the proper nutrition it needs.
  • Alcohol and drug use: These disrupt the body's normal functioning and cause fatigue.
  • Stress and Burnout: When you work under constant pressure, both your mind and body become tired.
  • Lack of exercise: When the body is not active, energy levels decrease and fatigue increases.

2. Sleep Disorders

Good sleep is essential for a healthy life. If there are any sleep-related illnesses, it is a major cause of `Fatigue`.

  • Insomnia: If you don't sleep well at night, it's common to feel tired the next day.
  • Sleep Apnea: This condition, in which breathing stops during sleep, deprives the brain and body of the oxygen it needs. This can make you feel tired no matter how much sleep you get.
  • Other sleep disorders: Conditions like `Narcolepsy` (sudden falling asleep).

3. Some medications and treatments

This fatigue can also occur as a side effect of some medications you take for a medical condition.

  • Some medications given for mental illnesses: Benzodiazepines, Antipsychotics.
  • Some medications for high blood pressure include: `(Beta-blockers)`.
  • Allergy medications (Antihistamines)
  • Cancer treatments: You may feel extremely tired after treatments like chemotherapy.

The most important thing is, even if you think you're feeling tired because of a medication you're taking, never stop taking it without asking your doctor.

4. Underlying Medical Conditions

Most of the time, persistent fatigue is caused by some underlying medical condition. This is what we need to be most concerned about.

Category of Illness Examples
InfectionsInfections such as influenza, COVID-19, dengue, pneumonia, and HIV.
Heart and lung diseases Heart disease, congestive heart failure, COPD.
Mental health conditions Depression, Anxiety, Post-Traumatic Stress Disorder (PTSD).
Immune system diseases (Autoimmune) Type 1 Diabetes, Lupus, Rheumatoid Arthritis.
Hormonal imbalances Hypothyroidism is a very common cause of fatigue.
Other chronic diseases Cancer, Chronic Fatigue Syndrome, Fibromyalgia, Kidney disease, Type 2 Diabetes.
Nutritional deficiencies Anemia caused by iron deficiency, vitamin D or vitamin B12 deficiency, dehydration.

How can the doctor help you?

If you continue to feel this tired, the best thing to do is to see a doctor. The doctor will ask you about your lifestyle, the medications you take, and how you've been feeling since the symptoms started. Then, they'll do a physical exam.

Often, blood tests are needed to find the cause.They may ask you to do things like. For example, a complete blood count, thyroid hormone levels, vitamin levels, and tests to check for diabetes. These tests can help you find the exact underlying cause.

Once the cause is found, the doctor will help you treat it.

What can you do at home to reduce this fatigue?

Unless you have a serious underlying medical condition, making small changes to your lifestyle can greatly reduce this fatigue.

  • Get a good night's sleep: Try to get at least 7-9 hours of sleep every day . Avoid drinking coffee, tea, and using your phone before bed. Get into the habit of going to bed and waking up at the same time.
  • Stay away from alcohol and drugs: These will drain your energy.
  • Eat a balanced diet: Eat a good diet that includes fruits, vegetables, and lean proteins. Drink plenty of water throughout the day.
  • Manage stress: Relax your mind through things like yoga, meditation, and breathing exercises.
  • Exercise regularly: Instead of sitting around because you're tired, start doing something like walking or running. It may be difficult at first, but after a while you'll feel the benefits. But don't overdo it. Talk to your doctor about what kind of exercise is right for you.
  • Maintain a healthy weight: Both weight gain and weight loss can cause fatigue. Ask your doctor about a healthy weight for your height.

When should I definitely see a doctor about this?

There's nothing to be afraid of when you feel tired occasionally. But there are some situations where you should definitely seek medical advice.

When to seek medical advice
If you have these symptoms, see a doctor.

  • If your fatigue lasts more than a few days, for weeks.
  • If this fatigue makes it difficult for you to go to work or do your daily tasks.
  • If you can't think of a clear reason for the fatigue (e.g., a recent fever).
  • If your body weight decreases with exertion.
  • If you are over 65 years old.

If you are tired with these symptoms, go to the hospital (ETU) immediately.

  • Difficulty breathing, chest pain, pain in the arm or upper back.
  • Abnormally fast or slow heartbeat.
  • Palpitations or irregular heartbeat.
  • Severe headache or vision changes (especially if you have recently had a head injury).
  • Nausea, vomiting, or abdominal pain.
  • Thoughts of harming oneself or others.

Take-Home Message

  • Fatigue is a condition that is more severe than normal tiredness, is persistent, and affects your life.
  • The reasons for this can range from lifestyle habits to serious medical conditions.
  • If you have unexplained fatigue that lasts for more than a few days, don't ignore it. Definitely see a doctor to find out the cause.
  • Good lifestyle changes can provide relief, but it is very important to seek medical treatment if necessary.
  • Always be aware of warning signs like chest pain and difficulty breathing. If you experience any of these, go to a hospital's Emergency Department (ETU) immediately.

Fatigue, Fatigue, Constant fatigue, Chronic fatigue, Fatigue symptoms, Causes of fatigue, Fatigue in Sinhala

👩🏽‍⚕️ Additional questions (FAQs)

💬 What is constant tiredness and fatigue?

Tiredness is a general feeling of tiredness that occurs after working/sleeping all day and goes away after a little sleep. But this 'Fatigue' is a dangerous condition that can be a warning sign of a very serious/long-term disease where you feel like your whole body is being squeezed by a heavy weight (Profound Exhaustion) even if you sleep well for 10 hours a day, do nothing, and feel tired of life!

💬 What are the main reasons for feeling tired and lifeless even after sleeping like this?

There are several main reasons for this: 1) 'Heart disease and heart failure' - when the heart is unable to pump blood, the body loses its strength. 2) 'Anemia' - when the body lacks iron and red blood cells to carry oxygen, fatigue occurs. 3) Hypothyroidism. 4) Diabetes, and the most dangerous is that if there is 'cancer/leukemia' growing inside the body, this kind of unbearable fatigue can occur!

💬 What are the 'red flags' that accompany fatigue? When should you see a doctor?

Although it may be annoying, if 1) you experience chest pain or shortness of breath with exertion, 2) you experience sudden weight loss for no apparent reason (unexplained weight loss - cancer), 3) you experience bleeding/bruising in various places along with fever, 4) you feel suicidal (severe depression), you should not stay in one place and go to the hospital immediately (Blood Tests/ECG)!

💬 අදහස් (0)

තවමත් කිසිදු අදහසක් පළ කර නොමැත. ඔබේ අදහස පළමු වරට මෙහි එක් කරන්න.

ඔබේ අදහස එක් කරන්න

කරුණාකර ගණනය කරන්න: 1 + 1 =