Tiredness and fatigue (2024)

It's normal to feel tired sometimes. But if you're tired all the time and do not know why, it could be a sign of a problem.

Causes of tiredness and fatigue

Common causes of tiredness and fatigue include:

  • not getting enough sleep or finding it hard to get to sleep (insomnia)
  • an unhealthy lifestyle (such as having an unhealthy diet and not getting much exercise)
  • stress, depression and dealing with life challenges, such as bereavement or looking after a new baby
  • hormonal changes (such as during puberty, pregnancy or the menopause)
  • some illnesses, like glandular fever and COVID-19
  • some medical treatments and medicines, like chemotherapy, which can cause drowsiness for a while

But if you cannot explain why you're tired and it's been going on for a while and not getting any better, it may be a sign of a medical condition.

Your symptoms might give you an idea of what's causing your tiredness or fatigue. But do not self-diagnose – see a GP if you're worried.

Conditions that can cause tiredness and fatigue
Symptoms Possible cause

Tired during the day because of waking up at night, making gasping, snorting or choking noises at night and loud snoring

Sleep apnoea

Lack of energy, noticeable heartbeats (heart palpitations), shortness of breath and pale skin

Iron deficiency anaemia

Very tired, feeling very thirsty, peeing more often than usual (particularly at night), weight loss

Diabetes

Tired all the time, finding it hard to stay still, feeling nervous, anxious and irritable, muscle weakness

Overactive thyroid (hyperthyroidism)

Extreme fatigue for at least 3 months (making it very hard to do daily activities), problems with thinking, memory and concentration, flu-like symptoms

Myalgic encephalomyelitis or chronic fatigue syndrome (ME/CFS)

Things you can do to help with tiredness or fatigue

There may be things you can do to help with your tiredness or fatigue.

Do

  • have a healthy diet and exercise regularly

  • try to stick to the same sleep times and aim for 6 to 9 hours of sleep

  • try to relax a couple of hours before your sleep time (read, or listen to music or a podcast)

  • have a relaxing sleeping area (not too bright, noisy or warm)

Don’t

  • do not smoke

  • do not drink too much alcohol

  • do not eat, have caffeine or exercise in the couple of hours before sleep

  • do not use smartphones or screens in the hour before sleep

More information

Non-urgent advice: See a GP if:

  • you've been feeling tired for a few weeks and you're not sure why
  • your tiredness affects your daily life
  • you feel tired and have other symptoms, such as weight loss or mood changes, or you've been told you're making gasping, snorting or choking noises when you're asleep

Treatment for tiredness or fatigue

Treatment for tiredness or fatigue depends on the cause.

Possible treatments include:

A GP may refer you to a specialist if they do not know the cause of your tiredness or fatigue.

You may need tests, such as blood tests to check for anaemia, diabetes or hyperthyroidism.

Page last reviewed: 02 June 2023
Next review due: 02 June 2026

Tiredness and fatigue (2024)

FAQs

Why am I always tired and fatigued? ›

Medical causes– unrelenting exhaustion may be a sign of an underlying illness or condition (such as flu, glandular fever, chronic fatigue syndrome, thyroid disorders, heart disease or diabetes). Lifestyle-related causes – alcohol or drugs or lack of regular exercise can lead to feelings of fatigue.

What are the red flags for fatigue? ›

Red flags, which may point towards serious underlying pathology, include constitutional symptoms (unintentional loss of weight, loss of appetite, fever), recent onset in a previously well older patient, unexplained lymphadenopathy and abnormal bleeding.

What is the difference between fatigue and tiredness? ›

People use these terms interchangeably, but tiredness usually refers to short-term lack of energy that gets better with rest or sleep. Fatigue, on the other hand, is more of a constant mental or physical exhaustion that impacts your work, social life, or ability to do everyday things.

Why is my energy level so low? ›

Fatigue can be a normal and important response to physical exertion, poor eating habits, emotional stress, boredom, or lack of sleep. In some cases, however, fatigue is a symptom of an underlying medical problem that requires medical treatment.

What are three warning signs of fatigue? ›

Fatigue often occurs along with other symptoms, such as:
  • Depression and lack of desire to do the activities you once enjoyed.
  • Trouble concentrating or focusing.
  • Very low energy and motivation.
  • Nervousness, anxiety and irritability.
  • Muscle pain and weakness.

What am I lacking if I'm always tired? ›

Deficiencies in the following nutrients have been linked to fatigue: iron. riboflavin (vitamin B2) niacin (vitamin B3)

What illness starts with fatigue? ›

Exhaustion that doesn't let up might be a sign of:
  • Adrenal insufficiency.
  • Amyotrophic lateral sclerosis (ALS)
  • Anemia — a condition in which the body doesn't get oxygen due to a lack of healthy red blood cells.
  • Anxiety disorders.
  • Cancer.
  • Myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS)

What is the body test for fatigue? ›

These measurable factors make up the Fatigue Test Panel: Complete Blood Count (CBC), Comprehensive Metabolic Panel (CMP), Hemoglobin A1c (HbA1c), Ferritin, and Thyroid Stimulating Hormone (TSH) with reflex to Free T4 (FT4).

How do you know when fatigue is serious? ›

The new onset with sudden and profound change in ability to do what one used to do can be an urgent or emergent condition. If the fatigue is associated with chest pain, shortness of breath, irregular heart rate, or sense of imminent passing out, these are urgent conditions that warrant immediate medical attention.

What does diabetes fatigue feel like? ›

Many people with diabetes will describe themselves as feeling tired, lethargic or fatigued at times. It could be a result of stress, hard work or a lack of a decent night's sleep but it could also be related to having too high or too low blood glucose levels.

What is crashing fatigue? ›

Menopause fatigue is often referred to as 'crushing'. It's a feeling of overwhelming, sudden 'crashing' tiredness, something akin to how we feel when we're coming down with a virus - a feeling of being drained, not being able to concentrate or keep your eyes open, and something that doesn't improve with sleep.

Why does my body feel weak and tired all of a sudden? ›

Sudden, extreme fatigue can occur due to various medical conditions, including diabetes, depression, and fibromyalgia. Treatment varies depending on the cause.

How to get rid of fatigue instantly? ›

Self-help tips to fight tiredness
  1. Eat often to beat tiredness. ...
  2. Get moving. ...
  3. Lose weight to gain energy. ...
  4. Sleep well. ...
  5. Reduce stress to boost energy. ...
  6. Talking therapy beats fatigue. ...
  7. Cut out caffeine. ...
  8. Drink less alcohol.

What vitamins are good for tiredness? ›

If you lead an active lifestyle, or you just need an energy boost, both Vitamin B12 and Iron can help reduce feelings of tiredness and fatigue. Or if you need to sustain your mental alertness and concentration, Ginseng can support your mental wellbeing.

At what age do you start feeling tired and old? ›

Well, this depends on a person's age, health, fitness level and lifestyle. Generally, the more years that pass, the more you'll value your beauty sleep, and its true senior fatigue is a real thing. However, most people start experiencing a decline in their energy levels by the time they reach their mid-thirties.

What are the 7 symptoms of chronic fatigue syndrome? ›

Some people with ME/CFS may also have:
  • Tender lymph nodes in the neck or armpits.
  • Frequent sore throat.
  • Digestive issues, like irritable bowel syndrome.
  • Chills and night sweats.
  • Allergies or sensitivities to foods, odors, chemicals, light and noise.
  • Muscle weakness.
  • Shortness of breath.
  • Irregular heartbeat.
May 10, 2024

Why am I always so tired even though I sleep a lot? ›

Chronic fatigue or sleepiness may result from stress, physical or mental health conditions, consistently not sleeping well, or the side effects of medications. Sometimes these factors are easy to identify, while at other times the cause is more difficult to pinpoint, as in the case of a sleep disorder.

Why do I feel tired, lazy, and unmotivated all the time? ›

The following factors can contribute to fatigue, either alone or in combination: Psychological and psychosocial – stress, anxiety, and depression. Physical – anemia, diabetes, glandular fever, and cancer. Physiological – pregnancy, breast-feeding, inadequate sleep, and excessive exercise.

What are the three types of fatigue? ›

There are three types of fatigue: transient, cumulative, and circadian: (1) Transient fatigue is acute fatigue brought on by extreme sleep restriction or extended hours awake within 1 or 2 days.

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