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Fatigue - Symptom, Treatment And Causes

Fatigue is the lack of motivation or energy (both mental and physical). Fatigue is different from drowsiness (the urge to sleep). Usually fatigue and drowsiness is diagnosed by a healthcare professional as it can be difficult to tell the difference between drowsiness and fatigue. It is usually difficult for the patient to describe fatigue it is characterized by feelings of exhaustion, lethargy and tiredness. Sometimes, fatigue can also be an underlying symptom of a much fatal disorder such as various sleep disorders, hear diseases, COPD, thyroid diseases, diabetes and anemia. In severe cases, fatigue can also result to Chronic fatigue syndrome.

Fatigue is not a disease, it is a symptom. It can either be psychological or physical.

Primary complaints of individuals experiencing fatigue:

  • Lack of ability or motivation to begin any activity.
  • The person gets tired easily once the activity has started.
  • The Individual experiences difficulty concentration or mental fatigue to start or finish an activity.

What causes fatigue?

  • Metabolic/Endocrine- Diseases like Cushing’s disease, liver disease, kidney disease, electrolyte abnormalities, diabetes, hypothyroidism and anemia can cause fatigue.
  • Infections- Many infections such as malaria, influenza (flu), HIV infection, cytomegalovirus, tuberculosis, hepatitis and infectious mononucleosis contributes to fatigue.
  • Heart and lung diseases- A lot of pulmonary and cardiac disorders such as pneumonia, asthma, COPD, valvular heart disease, coronary artery disease and congestive heart failure are also leading causes of fatigue.
  • Medications- Some medicines like blood pressure medicines, steroids, antistamines, drug withdrawal medicines and antidepressants can also give rise to fatigue.
  • Vitamin deficiencies- Certain inadequacy of vitamin D, vitamin B12, iron and folic acid can cause fatigue.
  • Psychiatric health- Bereavement, grief, alcohol abuse and depression can also cause fatigue.
  • Other issues- Illnesses such as fibromyalgia, systemic lupus, rheumatoid arthritis, cancer and rheumatology contributes to fatigue. Sometimes radiation therapy and chemotherapy can also cause excessive fatigue.


Sometimes, fatigue can be serious and should be diagnosed as soon as possible. The doctor or the healthcare professional usually includes tests like CBC (complete blood count test), electrolytes test, blood sugar test (electrolytes test), thyroid hormone, CPK (illnesses which cause muscle inflammation), erythrocyte sedimentation rate (ESR), electrocardiogram (ECG, EKG), CT scans and X-rays.

How is fatigue treated?

Since fatigue is a sign of an underlying disorder, the treatment usually depends on the condition which causes fatigue. The disorder can be psychological, physical or a combination of both.

Usually self diagnosable Lab test not required Non communicable
Chronic tiredness Headache Dizziness Aching muscles Moodiness Impaired decision

Popular Health Tips

2 Simple Tests to Check the Flexibility of Your Thigh and Shoulder Muscles

Dr. Vishwas Virmani 92% (17988 ratings)
Physiotherapist, Noida
2 Simple Tests to Check the Flexibility of Your Thigh and Shoulder Muscles
For THIGH Muscles 1 Straight Leg Raise Starting Position: Lie on your back with arms at your sides and palms facing up. Movement: Raise one leg with the knee completely straight and ankle at 90 degrees.Repeat with the opposite leg. Be sure to keep your abdominal muscles contracted and the small of your back pressed into the floor throughout the movement. Stretches: Hamstring Front Leg Swing;Hamstring Rope Stretch; Standing One Leg Hamstring Stretch; Single Knee to Chest. 2 Sit and Reach Starting Position: Sit up tall on the floor with your legs straight and knees flat against the floor. Toes are pointed upward. Extendyour arms with one hand on top of the other. Movement: Slowly reach forward as far as possible while keeping your back flat and head in a neutral position. Exhale as you bend forward. Don t bounce or thrust forward to reach further. Stretches: Seated Hamstring Stretch;Double Knees to Chest; IT Band and Glute Rope Stretch. For SHOULDER Muscles I Shoulder Roll When our shoulders become tense, blood flow is slowed to the area. The less blood, the less oxygen. The less oxygen, the more fatigue. The purpose of the shoulder roll is to learn to isolate, mobilize, and ultimately relax the neck and shoulder muscles. 1.Stand tall with your feet shoulder width apart and arms relaxed.Your shoulders should be pressed downward as far as possible to start the position. 2. Begin with forward circles, raising your shoulders upward and close to the ears. Roll them forward and down as far as possible. Return to the start position with your shoulders pressed downward and then bring them forward to make a continuous circle. 3. Complete the same movement in the opposite direction by making backward circles with your shoulders.

11 Tips for Management of Incoordination

Dr. Vishwas Virmani 92% (17988 ratings)
Physiotherapist, Noida
11 Tips for Management of Incoordination
11 TIPS FOR MANAGEMENT OF INCOORDINATION The management of ataxia differs based upon the causative factors;logistically speaking ataxia can either occur due to cerebellar dysfunction or due to loss of sensory information to the cerebellum. Thus the patient of cerebellar ataxia differs slightly from the ones caused due to sensory impairment.Certain principles need to be applied while treating cases of ataxia which are as follows:: Intense concentration of the patient. Active participation of the patient should be encouraged rather than making the treatment program passive. Frequent rest period needs to be given to prevent fatigue. The training room should be quite to avoid any distraction that can aggravate ataxia. Patient should be always relaxed and should be given a comfortable as well as properly supported position. . Repetition of task or sequence of task is very important for recovery. The guidance given by the therapist holds a very important significance in the treatment Certain important goals towards which the physiotherapist can work with thepatient are: Regulate the limb movements accurately during activities. . Develop postural stability and balance. Improve the tone of the muscle. Functional transfers and gait. . While exercising patients within coordination one should always progress from exercises done at a lower centre of gravity to exercises that is done at a higher centre of gravity. This consideration is necessary to prevent any chances of fear or insecurity that may interfere in the rehabilitation program.Various functional activities of the patient can be achieved by giving the following exercises to the patient. HEAD AND TRUNK CONTROL: Patient with poor head control can be treated prone with one or two pillows under the chest of the patient. Prone on elbow is not her position that can be considered to stimulate proper head control in these patients. Facilitation of neck extensors and shoulder girdle retractors can be achieved by using technique like brisk stroking, quick stretch or vibration given directly on the muscle bulk.

Super Blue Blood Moon - Any Impact On Health?

MBBS Bachelor of Medicine and Bachelor of Surgery
General Physician, Faridabad
Super Blue Blood Moon - Any Impact On Health?
Full lunar eclipse on Wednesday that is 31 January, 2018 will begin at 4:21 pm, but will only be visible at 5:18 pm as per the IST. What is so so special about this super blue blood moon is that it will also be a total lunar eclipse. In India, super blue blood moon will be visible from 5:18 PM and 6:21 PM IST and parts of West Coast & Rajasthan will be able to see it from 6:21 PM IST to 7:37 PM IST on 31 January and the partial eclipse will end at 8:41 pm. A supermoon happens when the full moon coincides with the moon s closest orbit point to earth and blood moon is when the red part of the sunlight gets least refracted, giving moon the tinge of orangish red. The average distance from the moon's center to earth is about 382,900 kilometers. At the nearest point of orbit, the moon is 60, 000 KM closer as compared to the average distance, this point is also known as 'perigee'. According to NASA, during this time the moon appears 30% brighter and 14% larger. According to a study named, 'the lunar cycle: effects on human and animal behavior and physiology', conducted by the US National Library of Medicine and National Institute of Health in 2006-07, following inferences were drawn: It can possibly disturb the sleep pattern, which can cause a feeling of lethargy and stress the following day. It can possibly cause hormonal changes both in humans and animals.
1123 people found this helpful

4 Ayurvedic Remedies To Overcome Laziness!

Dr. Vd Hemal Dodia 89% (1672 ratings)
MD - Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
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4 Ayurvedic Remedies To Overcome Laziness!
You are often made the topic of all conversations and jokes in your friend circle, if you are lazy. At times, it is just brushed off by laughing. However, in reality being lazy is not a good sign at all. It hampers the growth and development of a person. Laziness is accompanied by lethargy, sleepiness and not wanting to perform any work. This might not only provide less exercise to the brain, but may also adversely affect your body mentally and physically. Ayurveda offers a great scope of medical practice, which can help you out of your lazy personality. Here, are some of the ways in which ayurveda can help you lead a normal and healthy lifestyle. Practice yoga: Yoga helps in calming your senses and rejuvenating your soul. It helps in increasing stamina and concentration so that you can go about doing your daily chores without any hindrance. In case, you do not want to practice full-fledged yoga, following only pranayama can also help. Ashwagandha and gooseberry capsules: At times, laziness is experienced right after delivery of a child. During that phase, the health of the mother needs to be carefully monitored. Hence, to reduce lethargy, ashwagandha and gooseberry or amla capsules are consumed. Both have medicinal properties and are stable ingredients. Sleep: Ayurveda focuses a lot on the sleep patterns of an individual. It is said that you need to get the adequate amount of sleep to be able to have the energy to work the next day. Sleeping on time and getting up in the morning with at least six to seven hours of sleep is necessary for an adult. Furthermore, your sleep patterns including whether or not you sleep in the afternoons, help you in combating with laziness. Tea: Ayurveda focuses that lethargy can be due to negative vibes in your body. Thus, everyday you need to consume green tea ginger tea, or lemon tea in order to get rid of the tiredness in your body. Thus, these are some of the best ways in which Ayurveda can help you get back to shape and have sound mental health, leaving laziness far behind. If you follow these rules in your daily life, then your body would be able to develop and grow properly with all the nutrition and environment that it needs for development. For more information, you can always consult an Ayurvedic practitioner.
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How To Handle Depression In Children & Young Adults?

Mrs. Rachna Mimani 94% (26 ratings)
M.A. Clinical Psychology, Diploma In Counselling, Diploma In Mental Illness
Psychologist, Kolkata
How To Handle Depression In Children & Young Adults?
Depression in children and young people affect people from ages 5 to 18. About one in four children in India suffer from childhood depression. Boys and girls up to the age of 10 and 16 respectively, are more prone to depression. As per the report released by WHO, among 10 South-East Asian countries, India has the highest suicide rate. An estimated rate of suicide per 1 lakh population of the age group of 15-29 is 35.5 percent. Definition and Signs According to Thompson (1995), depression is an overall lowering of normal functions which is not specific to any one component of the mind. Clinically, the signs and symptoms of depression have the following components: Mood Changes: sadness, irritability, sense of loss of interest even in cherished activities Cognitive changes: inefficient thinking, poor self-esteem, a feeling of hopelessness, loss of concentration, poor attention span, indecisiveness. Rarely, suicidal tendencies, delusions, hallucinations. Physical changes: low energy, apathy, tiredness, increase or decrease in appetite, disturbed sleep, low emotional responsiveness. Children in primary school stage may report of headaches and stomach aches, limb pain. Impairment in personal and/or social functioning: Self-harm, deterioration in school work without any specific reason, sudden and persistent levels of aggression and irritability. Causes: Marital or family disharmony Divorce and separation Physical and sexual abuse Domestic violence Problems at school: bullying, social isolation, exam failure Severe personal assault Children with parents suffering from depression Diagnosis of Childhood Depression Any child suffering from symptoms of depression for at least 2 weeks, should be scheduled to visit his health care provider. Parents and guardians should eliminate any physical reasons for the symptoms before visiting a mental health professional. There are no specific medical or psychological tests that can clearly diagnose childhood depression. Following measures can help to make an accurate diagnosis: Questionnaires for both the child and parents. Interviews and study of the patient's history by a mental health professional. Information from friends, teachers, and classmates can be useful to detect early symptoms of childhood depression. Treatment To alleviate depressive disorder To reduce concurrent related conditions like ADHD (attention deficit hyperactive disorder) and learning disabilities To promote normal social and emotional development and school performance Relieve family distress To prevent or reduce the risk of relapse Psychological therapy is the first line of treatment and includes: Cognitive behavioural therapy in group and individual format Interpersonal psychotherapy focuses on interpersonal issues like interpersonal conflicts, grief and loss and its effect on current feelings and problems Psychodynamic child psychotherapy where children are given a way to express their issues through playing, drawing, talking Family therapy deals with solving family-related issues and management of crisis Art therapy is an approach to vent out your negative feelings using creative expression as an outlet. Guided self-help helps you in understanding the core of the problems and finding ways to manage the same with the help of a professional. Relaxation and self-modelling can go a long way in dealing with depression. Relaxation techniques like exercising, meditating and yoga help your mind soothe and reduce stress and anxiety which in turn elevates the mood and reduces depression. Counselling has help people overcome loneliness and discuss the things that make them feel low openly. This helps in seeking a solution for that particular cause.
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Popular Questions & Answers

Hello Doc, I have a in my ankles. After running 4.52 km in the morning or getting up from the bed after having some rest my ankle pains a lot for 1 or 2 mins. Its like pinching pain and hurts a lot will walking. Can you help me with this. I have searched online. It says it's Planar fatigue I do not the exact word. Please help me with this.

Tarun 88% (31 ratings)
Bachelor of Physiotherapy, PGDEI, FNR, FSR
Physiotherapist, Zirakpur
Dear user your condition can be plantar fascitis. Normally who walk and stand alot or sports person suffer from this problem. You can do contrast bath I.e dipping your foot in hot and cold water alternatively, start and end with hot water for 10 to 15 mins twice a day. Kindly consult a nearby Physiotherapist if your pain is not subsiding.

Sir I suffer from positional vertigo and my BP is also on the higher side. I walk a lot due to which I control my BP. However I find myself to be fatigued and tired by the second half of the day. What should I do to stay fit and active?

Dr. Col V C Goyal 94% (8868 ratings)
CCEBDM, PG Diploma In Clinical cardiology, MBBS
General Physician, Ghaziabad alcohol 2. Reduce body wt 3. No smoking/ tobacco 4. Diet - no ghee/ butter, have mix of vegetable oils - mustard, til, ground nut, olive oil, have more green vegetables and fruits, have whole grain atta, no fried. Fast. Spicy / processed/ junk food. Less sugar, potato, rice 5. 30 mts brisk walk daily 6. Deep breathing exercise for 10 mts daily 7. Meditation daily for 10 mts. 6-8 hrs of sleep at night 8. Expose your body to sun for 15-20 mts daily after some oil massage to get vit d. 9. Take more water- proper hydration. Write details of medicine you r taking medicine can not be advised for open question for medicine contact on private chat.

I am suffering from back pain when I sleep. And when I want to went to run I feel tiredness.

Dr. Vishwas Virmani 92% (17988 ratings)
Physiotherapist, Noida
Extension Exercises x 15 times x twice daily - lying on tummy, take left arm up for 3 seconds, then bring it down, right arm up for 3 seconds, bring down. Bring right leg up, hold for 3 seconds, bring it down. Then right leg up and hold for 3 seconds and bring it down. Repeat twice a day- 10 times.

I am suffering frm obesity and I am doing morning walk as well as surya namaskar then pranayam after that full day I feel tiredness and drain so can you please suggest me some energy food or energy supplement to avoid tiredness whole day.

Dt. Vishal Wadi 93% (1217 ratings)
Diploma In Human Nutrition, Certified Diabetes Educator, Diploma in Holistic Nutrition, Diploma in Sport & Exercise Nutrition, Lifestyle Medicine, BSc
Dietitian/Nutritionist, Bangalore
If you do only physical activity without paying attention to food, this will happen. It is not about taking any energy supplement, it is about whole food. Unless you change your food habits, weight will not reduce just by exercising. For weight loss you should be avoiding all packed and market foods, take less cooked food, avoiding all kinds of stuff having white sugar, reduce intake of milk and milk products, increase intake of fruits, raw vegetables, nuts, seeds and sprouts. All the best.

Hi, I generally feel tired especially fatigue pain below my knees / calf muscles. I take thyronorm 100 mcg. My latest tests show TSH at 0.5.

Dr. Akanksha Tayal 93% (2154 ratings)
Homeopath, Delhi
Your thyroid level is normal .so you can decrease the mg of tablet .or you can start taking half tablet .and for this pain you can take arg nit 30 three times a day for a week .after that consult online for follow up.

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