About Tiredness

Tiredness or Fatigue is a common complaint. Tiredness All The Time(TATT) is not common and help should be sought. There are several reasons for tiredness which needs to be investigated before treatment can be initiated.

Common causes of tiredness include:

  • Diabetes mellitus
  • Anaemia
  • Infection
  • Under active thyroid
  • Anxiety/depression
  • Sleep disorders
  • Post viral illness
  • Restless legs

Some of the uncommon causes of tiredness include:

  • Cancer
  • Auto immune conditions
  • Heart failure
  • Liver failure
  • COPD (Chronic Obstructive Pulmonary Disease)
  • Inflammatory Bowel disease and other GI problems
  • Myasthenia Gravis and other neurological problems
  • Psychiatric illness

Before a diagnosis of Chronic Fatigue Syndrome (CFS), Fibromyalgia or ME (Myalgic Encephalomyelitis) is made, it is important to rule out endocrine or hormonal cause.

Endocrine cause for tiredness includes:

  • Hypothyroidism
  • Hyperparathyroidism
  • Electrolyte disturbance (Calcium, sodium, Magnesium, Potassium)
  • Adrenal problems including Addison’s disease
  • Growth hormone deficiency
  • Hyperthyroidism(Apathetic)
  • Gonadal problems (Erectile dysfunction, Menopause)

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