One of the most common complaints that I hear when taking a history from a patient of a current illness is that the patient says, almost as an afterthought "... and I don't know why I am so tired." Changes in dosage can also be a cause. People-pleasing often comes at the expense of your own energy and happiness. Updated: May 22, 2018 11:52 AM ET | Originally published: June 8, 2014 2:00 PM EDT, TIME Replaced Its Logo on the Cover For the First Time in Its Nearly 100-Year History. Alcohol initially depresses the central nervous system, producing a sedative effect, says Allen Towfigh, MD, medical director of New York Neurology & Sleep Medicine, P.C., in New York City. They will also ask about lifestyle habits, including the person’s diet, caffeine use, drug use, alcohol consumption, and work and sleep patterns. Eat small, frequent meals throughout the day. When fatigue affects safety, it becomes a public health concern. Fatigued (tired) describes a lack of energy and motivation, not feeling sleepy (although both can occur together). Good choices include chicken (baked, not fried) and brown rice, salmon and sweet potato, or salad with chicken and fruit. Skip it, and you’ll feel sluggish. Sensitivity to the digital glow of tech toys can vary from person to person, but in general it’s a good idea to avoid all technology for one to two hours before bedtime, he says. But, after a good night's sleep, most people feel refreshed and ready to face a new day. People with severe fatigue may act similarly to those who are intoxicated. The key is for the doctor, with the patient's help, to discover the underlying cause of fatigue. The main symptom of fatigue is exhaustion with physical or mental activity. Heart and lung conditions can affect blood flow in the body or cause inflammation and may lead to fatigue. If you have a primary physician, that doctor should already have most of these questions partly or fully answered. Consume plenty of fresh fruits and vegetables. So what are some common questions you may hear your doctor ask that gives clues to the underlying causes of fatigue? The Centers for Disease Control and Prevention (CDC) urge people to familiarize themselves with the warning signs of drowsiness on the road. Consequently, the answer to the person who asks "Why am I so tired?" The doctor may ask questions relating to: A person can aid their diagnosis by keeping a record of the total hours they sleep each night and how often they wake up each night. Chronic problems like fatigue, inflammation, and others may be solved or maximally reduced by the approach. “It makes you tired because less oxygen travels to the muscles and cells,” says Goodson. So, when you wake up in the morning, you need to refuel with breakfast. Fatigue is associated with many health conditions and lifestyle factors. See additional information. Striving to be perfect—which, let’s face it, is impossible—makes you work much harder and longer than necessary, says Irene S. Levine, PhD, professor of psychiatry at the New York University School of Medicine. Treating the underlying cause of fatigue, whether this is poor sleep or a health condition, also helps. Some infections that cause extreme tiredness include: People with chronic pain may wake up frequently throughout the night. Fatigue is mainly a symptom and not a disease in itself. is given when the underlying … In time, you’ll realize that the extra time you were taking wasn’t actually improving your work. The average American doesn’t drink enough water at just about four cups a day, according to research. In a University of Georgia study, sedentary but otherwise healthy adults who began exercising lightly three days a week for as little as 20 minutes at a time reported feeling less fatigued and more energized after six weeks. These include: Certain drugs and medications can cause fatigue. When patients describe longer-lasting fatigue or fatigue with otherwise normal activity, then it may be telling the patient and their doctor there is an underlying cause of their tiredness. What are the best foods to eat for energy? Does any recent work change like extended hours or night shifts? Dr. Towfigh recommends stopping all alcohol three to four hours before bedtime. The glaring light of a tablet, smartphone, or your computer’s backlit screen can throw off your body’s natural circadian rhythm by suppressing melatonin, a hormone that helps regulate sleep and wake cycles, says Dr. Towfigh. As bedtime approaches, try to slow down both physically and mentally. Caffeine blocks adenosine, the byproduct of active cells that drives you to sleep as it accumulates, he explains. Exhaustion has become so common that it’s earned its own nickname: TATT, or “tired all the time.” The vast majority of Americans now report feeling tired … “Try it alone in your car,” she says. If fatigue and sleepiness are affecting a person’s daily life and none of the tips in this article work, they should see a doctor for advice. Getting regular physical activity can help reduce fatigue and improve sleep. Keep blood sugar steady by having a lean protein along with a whole grain at every meal, says Goodson. Learn more about the best things to eat and…. Getting outdoors, meditating, exercising, or sharing your concerns with a friend may help you better cope and become more realistic. This article originally appeared on Health.com. However, the primary care doctor may not have these answers if you see multiple physicians, have not seen your doctor "...in quite a while..." or you are seeing a physician for the first appointment. However, many times our patients and we doctors don't think of the cumulative effects of lifestyle, minor changes in health, medication effects, and aging on one's overall health; we focus on a specific symptom and assume a single cause ant treatment. Lack of sleep isn’t the only thing sapping your energy (though recent data shows over a third of U.S. adults sleep less than seven hours a night). Avoid eating shortly before going to bed. Energy-boosting examples include bananas, avocados, apples, and coffee. Urine tests, imaging scans, mental health questionnaires, and blood tests may be necessary depending on other symptoms. In fact, according to the American Sleep Association, between 50 and … What is your surgical history (neck, kidney. "I feel so tired. The symptoms of fatigue may be physical, mental, or emotional. Diagnostic tests can help diagnose the underlying cause of the fatigue. This requires your heart to pump less efficiently, reducing the speed at which oxygen and nutrients reach your muscles and organs. Learn about the link between depression fatigue and diet, sleep, exercise…, Do you often feel sluggish and would like to give your energy levels a boost? A study into the benefits of yoga found some improvement in symptoms of fatigue and sleep quality in cancer survivors. Physical and mental fatigue are different, but they often occur together. Sign Up for MedicineNet Newsletters! You have a glass of wine (or two) before bed. Common symptoms associated with fatigue can include: Symptoms tend to get worse after exertion. A survey they carried out found that around 1 in 25 drivers aged 18 years and above had fallen asleep while driving in the previous 30 days. After making a diagnosis, a doctor will be able to suggest some appropriate symptoms. Diet can affect how tired or energetic a person feels. Aim to go to bed and wake up at the same time each day, even on days off.
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