🕷️ Crawler Inspector

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Direct Parameter Lookup

Raw Queries and Responses

1. Shard Calculation

Query:

Response:

Calculated Shard: 110 (from laksa164)

2. Crawled Status Check

Query:

curl -X POST \
  'http://laksa110.int.ahrefs:8124/' \
  -H 'Content-Type: text/plain' \
  -H 'X-ClickHouse-Database: crawler3' \
  -H 'Authorization: Basic YXBpOg==' \
  -d 'SELECT getAhrefsURLFromUnparsed(src_unparsed) AS found_url, ifNull(toUnixTimestamp(download_stamp), 0) AS crawl_time, ifNull(toUnixTimestamp(props_url_first_seen), 0) AS first_indexed_time, download_http_code AS http_code, src_unparsed AS src_unparsed, src_root_hash AS src_root_hash, history_drop_reason AS history_drop_reason, meta_title AS meta_title, meta_descriptions AS meta_descriptions, attrs_boilerpipe_text AS attrs_boilerpipe_text, attrs_markdown AS attrs_markdown, attrs_readable_markdown AS attrs_readable_markdown, meta_canonical AS meta_canonical FROM crawler3.page_info_local FINAL PREWHERE (src_root_hash, src_unparsed) IN ((getAhrefsRootHashFromUnparsed(getAhrefsUnparsedNoserviceFromURL(\'https://www.medicalnewstoday.com/articles/248002\')), getAhrefsUnparsedNoserviceFromURL(\'https://www.medicalnewstoday.com/articles/248002\'))) FORMAT JSONEachRow'

Response:

{"found_url":"https:\/\/www.medicalnewstoday.com\/articles\/248002","crawl_time":1775022809,"first_indexed_time":1524711048,"http_code":200,"src_unparsed":"com,medicalnewstoday!www,\/articles\/248002 s443","src_root_hash":"5853625527623639710","history_drop_reason":null,"meta_title":"Fatigue: Why am I so tired, and what can I do about it?","meta_descriptions":["Fatigue refers to a common mental or physical state of extreme tiredness and lack of energy. Learn more about the causes and treatments here."],"attrs_boilerpipe_text":"Fatigue can result from a mental or physical health condition, medication use, or chronic pain, among other reasons. Treatment involves managing the underlying cause.\nPhysical and mental fatigue are different, but they often occur together. Repeated physical exhaustion can lead to mental fatigue over time.\nWhen fatigue affects safety, it becomes a public health concern. People with severe fatigue may act similarly to those who are intoxicated.\nInsufficient sleep, particularly when it occurs for a long time, can also lead to fatigue. Officials recommend that adults get\n7 to 8 hours\nof sleep each night, but as many as\n1 in 3 Americans\ndo not get this much.\nEating a balanced diet and getting regular physical activity can help reduce fatigue for many people. Treating the underlying cause of fatigue, whether this is not enough sleep or a health condition, also helps.\nThere are two main types of fatigue: physical and mental.\nSomeone with physical fatigue may find it physically hard to do the things they usually do, such as climbing the stairs. Symptoms include\nmuscle weakness\n, and diagnosis may involve completing a strength test.\nWith mental fatigue, someone may find it harder to concentrate and focus. They may feel sleepy or have difficulty staying awake while working.\nSleepiness\ncan occur when someone does not get enough good-quality sleep or when they lack stimulation. It can also indicate a health condition that interferes with sleep, such as\nsleep apnea\nor\nrestless legs syndrome\n.\nSleepiness is more likely to be short-term than fatigue. It is usually treatable with regular and consistent sleep.\nHowever, healthcare professionals typically associate fatigue — especially when it is chronic — with a health condition or problem. It may also be its own chronic condition, called\nchronic fatigue syndrome\n, or myalgic encephalomyelitis.\nIt can be challenging to diagnose fatigue as it is a nonspecific symptom with multiple potential causes. This means it can take quite a long time for a healthcare professional to diagnose the underlying cause.\nMental health issues\nFatigue is a\nmain symptom\nof clinical\ndepression\n, either due to the depression itself or associated problems, such as\ninsomnia\n.\nStress\nis another\ncommon cause\nof fatigue. Fatigue can also result from the following mental health issues:\nbereavement and\ngrief\neating disorders\nanxiety\nboredom\nemotional exhaustion\nor\nburnout\nlife events, such as moving home or getting a\ndivorce\nEndocrine and metabolic reasons\nHealth conditions and other factors that affect hormones may cause fatigue. These\ninclude\n:\nCushing’s syndrome\nkidney disease\nelectrolyte problems\ndiabetes\nthyroid conditions\npregnancy\nhormonal contraception\n, including\nbirth control pills\nand the\nimplant\nDrugs and medications\nCertain drugs and medications\ncan cause\nfatigue, including:\nsome\nantidepressants\nanxiety medications\nantihypertensives\nstatins\nsteroids\nantihistamines\nsedatives\nMedication withdrawal or changes in dosage can also cause fatigue until the body adjusts.\nHeart and lung conditions\nHeart and lung conditions can affect blood flow in the body or cause inflammation and may lead to fatigue. These include:\npneumonia\narrhythmias\nasthma\nchronic obstructive pulmonary disease (COPD)\nvalvular heart disease\ncoronary heart disease\ncongestive heart failure\nSleep problems\nThe following sleep factors can also lead to fatigue:\nworking late\nworking shifts\njet lag\nsleep apnea\nnarcolepsy\ninsomnia\nreflux\nesophagitis\nChemicals and substances\nVitamin deficiencies\n, mineral deficiencies, and poisoning can all affect sleep and cause fatigue.\nConsuming caffeinated drinks or alcohol\ncan also\ndisrupt sleep, especially close to bedtime. Using products containing\nnicotine\ncan also disrupt sleep.\nMedical conditions\nSeveral medical conditions can cause fatigue,\nincluding\n:\nanemia\nhigh blood pressure\nfibromyalgia\nsystemic\nlupus\nrheumatoid arthritis\ninflammatory bowel disease\ncancer\nand cancer treatments, including\nchemotherapy\nand\nradiation therapy\nmassive blood loss\nFatigue can also be a symptom of infection. Some infections that cause extreme tiredness include:\nmalaria\ntuberculosis\ninfectious mononucleosis\ncytomegalovirus\nHIV\nflu\nhepatitis\nChronic pain\nPeople with chronic pain may wake up frequently throughout the night. They may also wake up feeling tired and poorly rested, having been unable to get good-quality sleep.\nThe combination of chronic pain and a lack of sleep can cause persistent tiredness and fatigue.\nA 2024 review suggests that around\n21%\nof people with obstructive sleep apnea also have fibromyalgia, which contributes to fatigue.\nBeing overweight or underweight\nExcess body weight increases the risk of fatigue by\nincreasing the risk\nof conditions that cause fatigue, such as diabetes or sleep apnea.\nCarrying more weight and experiencing joint or muscle pain can lead to or exacerbate fatigue.\nSimilarly, people who are underweight may tire easily, depending on the cause of their condition.\nEating disorders\n, cancer, chronic diseases, and an overactive thyroid can all cause weight loss, as well as excessive tiredness and fatigue.\nToo much or too little activity\nFatigue can make it challenging to exercise, and a lack of exercise may cause further fatigue. A lack of exercise may eventually cause\ndeconditioning\n, making it harder and more tiring to perform a physical task.\nFatigue can also affect people after prolonged, intense mental or physical activity.\nDiagnosis can be challenging, as the causes and symptoms of fatigue are varied and nonspecific.\nA doctor may ask questions about:\nthe qualities of the fatigue\nthe patterns of the fatigue\nwhether or not taking a nap helps\nthe quality of the person’s sleep\nthe person’s emotional state and stress levels\nPeople can aid their diagnosis by keeping a record of the total hours they sleep each night and how often they wake up each night.\nThe doctor will carry out a physical examination to check for signs of illness and ask the person which medications they are taking, if any.\nThey will also ask about lifestyle habits, including the person’s diet, caffeine use, drug use, alcohol consumption, and work and sleep patterns.\nDiagnostic tests\nDiagnostic tests can help determine the underlying cause of the fatigue. Urine tests, imaging scans,\nmental health\nquestionnaires, and blood tests may be necessary depending on other symptoms.\nThese tests can help rule out physical causes, such as infections, hormonal problems, anemia, liver problems, or kidney problems. The doctor may also order a sleep study to rule out a sleeping disorder.\nIf they diagnose an illness, they will suggest appropriate treatments.\nTo treat fatigue effectively, a doctor needs to find and diagnose the underlying cause.\nSleep habits\nGetting enough sleep is an important part of managing fatigue. To practice\ngood sleep hygiene\n, people should:\nAim to go to bed and wake up at the same time each day, even on days off.\nSet the bedroom temperature at a comfortable level.\nMake sure the room is dark and quiet.\nAvoid screen time an hour before sleeping, as the light and sounds from a television, computer, or phone can stimulate brain activity and affect sleep quality.\nAvoid eating shortly before going to bed.\nAs bedtime approaches, try to slow down both physically and mentally. Taking a warm bath or listening to some soothing music can help clear the mind of stressful and worrying thoughts before going to sleep.\nKeeping a sleep diary to detect patterns may also help.\nDiet\nDiet can affect energy levels. Maintaining a moderate and well-balanced diet may improve health and sleep. People can try the following:\nEat small, frequent meals throughout the day.\nEat snacks that are low in added sugar.\nAvoid highly processed food and follow a\nhealthy diet\n.\nConsume plenty of fresh fruits and vegetables.\nAvoid caffeine in the afternoon and evening.\nPhysical activity\nGetting regular physical activity can help reduce fatigue and improve sleep.\nThose who have not been physically active for some time should introduce exercise gradually. A doctor or sports therapist can help.\nPeople should exercise during the time of day that is most productive for them.\nYoga and mindfulness\nA\n2022 review\nsuggests that\nmindfulness\ncan significantly improve cancer-related fatigue, depression, and anxiety.\nA\n2023 study\nsuggests that mindfulness may help to reduce any association between fatigue and negative emotional responses at a neural level.\nSimilarly, a\n2024 study\nsuggests that movement-based mindful exercises, including\nyoga\n,\ntai chi\n, and\nqigong\n, may help reduce fatigue due to chronic fatigue syndrome or\npost-COVID syndromes\n.\nA 2023 review suggests that driver fatigue contributes to\n20%\nof motor vehicle accidents.\nIf a driver notices that they are doing any of the following, they should pull over and take a nap or change drivers:\nyawning and blinking\nnot remembering the last few miles they have driven\nmissing an exit\ndrifting across the lane\ndriving onto a rumble strip\nhaving trouble staying focused\nA range of health conditions and lifestyle factors, such as diabetes, depression, and chronic pain, among others, can cause fatigue.\nIf fatigue and sleepiness affect a person’s daily life and none of the tips in this article work, they should see a doctor for advice.\nTo help with diagnosis, people can keep a diary of their sleep habits and symptoms. After making a diagnosis, a doctor will be able to suggest some appropriate treatment options.","attrs_markdown":"- Health Conditions\n  Health Conditions\n  \n  - [Alzheimer's & Dementia](https:\/\/www.medicalnewstoday.com\/alzheimers-and-dementia)\n  - [Anxiety](https:\/\/www.medicalnewstoday.com\/anxiety)\n  - [Asthma & Allergies](https:\/\/www.medicalnewstoday.com\/asthma-and-allergies)\n  - [Atopic Dermatitis](https:\/\/www.medicalnewstoday.com\/program\/investigating-atopic-dermatitis)\n  - [Breast Cancer](https:\/\/www.medicalnewstoday.com\/breast-cancer)\n  - [Cancer](https:\/\/www.medicalnewstoday.com\/cancer)\n  - [Cardiovascular Health](https:\/\/www.medicalnewstoday.com\/cardiovascular-health)\n  - [COVID-19](https:\/\/www.medicalnewstoday.com\/coronavirus?correlationId=2b137d5a-dcfb-464e-9ea6-72c5a54b4e92)\n  - [Diabetes](https:\/\/www.medicalnewstoday.com\/diabetes)\n  - [Endometriosis](https:\/\/www.medicalnewstoday.com\/endometriosis)\n  - [Environment & Sustainability](https:\/\/www.medicalnewstoday.com\/environment-and-sustainability)\n  - 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[Content Integrity](https:\/\/www.medicalnewstoday.com\/about\/content-integrity)\n  - [Conscious Language](https:\/\/www.medicalnewstoday.com\/about\/conscious-language)\n  \n  Find Community\n  \n  - [Bezzy Breast Cancer](https:\/\/www.bezzybc.com\/lp\/2\/?verzenio&utm_source=mnt&utm_medium=nav-bar-connect)\n  - [Bezzy MS](https:\/\/www.bezzyms.com\/?utm_source=mnt&utm_medium=nav-bar-connect)\n  - [Bezzy Migraine](https:\/\/www.bezzymigraine.com\/?utm_source=mnt&utm_medium=nav-bar-connect)\n  - [Bezzy Psoriasis](https:\/\/www.bezzypsoriasis.com\/?utm_source=mnt&utm_medium=nav-bar-connect)\n  \n  Follow Us\n\nSubscribe\n\n# What causes fatigue, and how to treat it\n![](https:\/\/i0.wp.com\/post.medicalnewstoday.com\/wp-content\/uploads\/2025\/08\/Aaron-Block-500x500_Med_Reviewer_NEW.png?w=105&h=105)\n\n[Medically reviewed]() by [Aaron R. Block, MD MPH CPH DABFM MSCP](), Menopause and Mid-Life Women's Care, Family Medicine — Written by [Yvette Brazier]() —  [Updated on July 1, 2025]()\n\n- [Types](https:\/\/www.medicalnewstoday.com\/articles\/248002#types)\n- [Sleepiness vs. fatigue](https:\/\/www.medicalnewstoday.com\/articles\/248002#sleepiness-vs-fatigue)\n- [Causes](https:\/\/www.medicalnewstoday.com\/articles\/248002#causes)\n- [Symptoms](https:\/\/www.medicalnewstoday.com\/articles\/248002#symptoms)\n- [Diagnosis](https:\/\/www.medicalnewstoday.com\/articles\/248002#diagnosis)\n- [Treatment](https:\/\/www.medicalnewstoday.com\/articles\/248002#treatment)\n- [Fatigue and driving](https:\/\/www.medicalnewstoday.com\/articles\/248002#fatigue-and-driving)\n- [Summary](https:\/\/www.medicalnewstoday.com\/articles\/248002#summary)\n\nFatigue can result from a mental or physical health condition, medication use, or chronic pain, among other reasons. Treatment involves managing the underlying cause.\n\nPhysical and mental fatigue are different, but they often occur together. Repeated physical exhaustion can lead to mental fatigue over time.\n\nWhen fatigue affects safety, it becomes a public health concern. People with severe fatigue may act similarly to those who are intoxicated.\n\nInsufficient sleep, particularly when it occurs for a long time, can also lead to fatigue. Officials recommend that adults get [7 to 8 hours](https:\/\/www.nhlbi.nih.gov\/health\/sleep-deprivation\/how-much-sleep) of sleep each night, but as many as [1 in 3 Americans](https:\/\/www.nhlbi.nih.gov\/health\/sleep-deprivation) do not get this much.\n\nEating a balanced diet and getting regular physical activity can help reduce fatigue for many people. Treating the underlying cause of fatigue, whether this is not enough sleep or a health condition, also helps.\n\n## [Types of fatigue]()\n![the feet of a man with fatigue sticking out the end of a bed](https:\/\/i0.wp.com\/post.medicalnewstoday.com\/wp-content\/uploads\/sites\/3\/2020\/05\/feet-bed-fatigue-header-1024x575.jpg?w=1155&h=1528)\n\n[Share on Pinterest](https:\/\/www.pinterest.com\/pin\/create\/button\/?url=https%3A%2F%2Fwww.medicalnewstoday.com%2Farticles%2F248002&media=https%3A%2F%2Fpost.medicalnewstoday.com%2Fwp-content%2Fuploads%2Fsites%2F3%2F2020%2F05%2Ffeet-bed-fatigue-header-1024x575.jpg&description=Fatigue%3A%20Why%20am%20I%20so%20tired%2C%20and%20what%20can%20I%20do%20about%20it%3F \"Share on Pinterest\")\n\nNick Bondarev\/Stocksy\n\nThere are two main types of fatigue: physical and mental.\n\nSomeone with physical fatigue may find it physically hard to do the things they usually do, such as climbing the stairs. Symptoms include [muscle weakness](https:\/\/www.medicalnewstoday.com\/articles\/325876), and diagnosis may involve completing a strength test.\n\nWith mental fatigue, someone may find it harder to concentrate and focus. They may feel sleepy or have difficulty staying awake while working.\n\n## [Is it sleepiness or fatigue?]()\n[Sleepiness](https:\/\/www.medicalnewstoday.com\/articles\/326807) can occur when someone does not get enough good-quality sleep or when they lack stimulation. It can also indicate a health condition that interferes with sleep, such as [sleep apnea](https:\/\/www.medicalnewstoday.com\/articles\/178633) or [restless legs syndrome](https:\/\/www.medicalnewstoday.com\/articles\/7882).\n\nSleepiness is more likely to be short-term than fatigue. It is usually treatable with regular and consistent sleep.\n\nHowever, healthcare professionals typically associate fatigue — especially when it is chronic — with a health condition or problem. It may also be its own chronic condition, called [chronic fatigue syndrome](https:\/\/www.medicalnewstoday.com\/articles\/184802.php), or myalgic encephalomyelitis.\n\n## [Causes of fatigue]()\nIt can be challenging to diagnose fatigue as it is a nonspecific symptom with multiple potential causes. This means it can take quite a long time for a healthcare professional to diagnose the underlying cause.\n\n### Mental health issues\nFatigue is a [main symptom](https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK430847\/) of clinical [depression](https:\/\/www.medicalnewstoday.com\/articles\/8933), either due to the depression itself or associated problems, such as [insomnia](https:\/\/www.medicalnewstoday.com\/articles\/9155.php).\n\n[Stress](https:\/\/www.medicalnewstoday.com\/articles\/145855) is another [common cause](https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC8579431\/) of fatigue. Fatigue can also result from the following mental health issues:\n\n- bereavement and [grief](https:\/\/www.medicalnewstoday.com\/articles\/stages-of-grief)\n- [eating disorders](https:\/\/www.medicalnewstoday.com\/articles\/326266)\n- [anxiety](https:\/\/www.medicalnewstoday.com\/articles\/323454)\n- boredom\n- [emotional exhaustion](https:\/\/www.medicalnewstoday.com\/articles\/323441) or [burnout](https:\/\/www.medicalnewstoday.com\/articles\/burnout-symptoms)\n- life events, such as moving home or getting a [divorce](https:\/\/www.medicalnewstoday.com\/articles\/life-after-divorce)\n### Endocrine and metabolic reasons\nHealth conditions and other factors that affect hormones may cause fatigue. These [include](https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC8579431\/):\n\n- [Cushing’s syndrome](https:\/\/www.medicalnewstoday.com\/articles\/172744)\n- [kidney disease](https:\/\/www.medicalnewstoday.com\/articles\/172179)\n- [electrolyte problems](https:\/\/www.medicalnewstoday.com\/articles\/electrolyte-imbalance)\n- [diabetes](https:\/\/www.medicalnewstoday.com\/articles\/323627)\n- [thyroid conditions](https:\/\/www.medicalnewstoday.com\/articles\/323196)\n- [pregnancy](https:\/\/www.medicalnewstoday.com\/articles\/38302)\n- [hormonal contraception](https:\/\/www.medicalnewstoday.com\/articles\/162762), including [birth control pills](https:\/\/www.medicalnewstoday.com\/articles\/290196) and the [implant](https:\/\/www.medicalnewstoday.com\/articles\/birth-control-implants)\n### Drugs and medications\nCertain drugs and medications [can cause](https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC8579431\/) fatigue, including:\n\n- some [antidepressants](https:\/\/www.medicalnewstoday.com\/articles\/248320)\n- [anxiety medications](https:\/\/www.medicalnewstoday.com\/articles\/323666)\n- [antihypertensives](https:\/\/www.medicalnewstoday.com\/articles\/323724)\n- [statins](https:\/\/www.medicalnewstoday.com\/articles\/8274)\n- [steroids](https:\/\/www.medicalnewstoday.com\/articles\/246373)\n- [antihistamines](https:\/\/www.medicalnewstoday.com\/articles\/antihistamines)\n- [sedatives](https:\/\/www.medicalnewstoday.com\/articles\/sedatives)\n\nMedication withdrawal or changes in dosage can also cause fatigue until the body adjusts.\n\n### Heart and lung conditions\nHeart and lung conditions can affect blood flow in the body or cause inflammation and may lead to fatigue. These include:\n\n- [pneumonia](https:\/\/www.medicalnewstoday.com\/articles\/151632.php)\n- [arrhythmias](https:\/\/www.medicalnewstoday.com\/articles\/8887.php)\n- [asthma](https:\/\/www.medicalnewstoday.com\/articles\/323523)\n- [chronic obstructive pulmonary disease (COPD)](https:\/\/www.medicalnewstoday.com\/articles\/141287)\n- [valvular heart disease](https:\/\/www.medicalnewstoday.com\/articles\/237191.php)\n- [coronary heart disease](https:\/\/www.medicalnewstoday.com\/articles\/184130.php)\n- [congestive heart failure](https:\/\/www.medicalnewstoday.com\/articles\/156849.php)\n### Sleep problems\nThe following sleep factors can also lead to fatigue:\n\n- working late\n- [working shifts](https:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJMra1802337)\n- [jet lag](https:\/\/www.medicalnewstoday.com\/articles\/165339.php)\n- [sleep apnea](https:\/\/jamanetwork.com\/journals\/jama\/article-abstract\/2764461?utm_source=openevidence&utm_medium=referral)\n- [narcolepsy](https:\/\/www.medicalnewstoday.com\/articles\/155244.php)\n- [insomnia](https:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJMcp1412740)\n- reflux [esophagitis](https:\/\/www.medicalnewstoday.com\/articles\/9274.php)\n### Chemicals and substances\n[Vitamin deficiencies](https:\/\/www.medicalnewstoday.com\/articles\/signs-of-vitamin-deficiency), mineral deficiencies, and poisoning can all affect sleep and cause fatigue.\n\nConsuming caffeinated drinks or alcohol [can also](https:\/\/www.nhlbi.nih.gov\/health\/sleep-deprivation\/healthy-sleep-habits) disrupt sleep, especially close to bedtime. Using products containing [nicotine](https:\/\/www.medicalnewstoday.com\/articles\/240820) can also disrupt sleep.\n\n**»Learn more:**[What does caffeine do to the body?](https:\/\/www.medicalnewstoday.com\/articles\/285194)\n\n### Medical conditions\nSeveral medical conditions can cause fatigue, [including](https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC8579431\/):\n\n- [anemia](https:\/\/www.medicalnewstoday.com\/articles\/158800.php)\n- [high blood pressure](https:\/\/www.medicalnewstoday.com\/articles\/159283.php)\n- [fibromyalgia](https:\/\/www.medicalnewstoday.com\/articles\/147083.php)\n- systemic [lupus](https:\/\/www.medicalnewstoday.com\/articles\/323653)\n- [rheumatoid arthritis](https:\/\/www.medicalnewstoday.com\/articles\/323361)\n- [inflammatory bowel disease](https:\/\/www.medicalnewstoday.com\/articles\/316395)\n- [cancer](https:\/\/www.medicalnewstoday.com\/cancer) and cancer treatments, including [chemotherapy](https:\/\/www.medicalnewstoday.com\/articles\/158401.php) and [radiation therapy](https:\/\/www.medicalnewstoday.com\/articles\/158513.php)\n- massive blood loss\n\nFatigue can also be a symptom of infection. Some infections that cause extreme tiredness include:\n\n- [malaria](https:\/\/www.medicalnewstoday.com\/articles\/150670.php)\n- [tuberculosis](https:\/\/www.medicalnewstoday.com\/articles\/8856.php)\n- [infectious mononucleosis](https:\/\/www.medicalnewstoday.com\/articles\/167390.php)\n- [cytomegalovirus](https:\/\/www.medicalnewstoday.com\/articles\/173811.php)\n- [HIV](https:\/\/www.medicalnewstoday.com\/articles\/17131.php)\n- [flu](https:\/\/www.medicalnewstoday.com\/articles\/15107.php)\n- [hepatitis](https:\/\/www.medicalnewstoday.com\/articles\/145869.php)\n### Chronic pain\nPeople with chronic pain may wake up frequently throughout the night. They may also wake up feeling tired and poorly rested, having been unable to get good-quality sleep.\n\nThe combination of chronic pain and a lack of sleep can cause persistent tiredness and fatigue.\n\nA 2024 review suggests that around [21%](https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC11144865\/) of people with obstructive sleep apnea also have fibromyalgia, which contributes to fatigue.\n\n### Being overweight or underweight\nExcess body weight increases the risk of fatigue by [increasing the risk](https:\/\/www.niddk.nih.gov\/health-information\/weight-management\/adult-overweight-obesity\/health-risks) of conditions that cause fatigue, such as diabetes or sleep apnea.\n\nCarrying more weight and experiencing joint or muscle pain can lead to or exacerbate fatigue.\n\nSimilarly, people who are underweight may tire easily, depending on the cause of their condition. [Eating disorders](https:\/\/www.medicalnewstoday.com\/articles\/signs-of-an-eating-disorder), cancer, chronic diseases, and an overactive thyroid can all cause weight loss, as well as excessive tiredness and fatigue.\n\n### Too much or too little activity\nFatigue can make it challenging to exercise, and a lack of exercise may cause further fatigue. A lack of exercise may eventually cause [deconditioning](https:\/\/www.medicalnewstoday.com\/articles\/325316), making it harder and more tiring to perform a physical task.\n\nFatigue can also affect people after prolonged, intense mental or physical activity.\n\n## [Symptoms of fatigue]()\nThe main symptom of fatigue is exhaustion with physical or mental activity. People do not feel refreshed after resting or sleeping. It might also be hard for them to carry out their daily activities, including work, household chores, and caring for others.\n\nFatigue’s symptoms may be physical, mental, or emotional. Examples include:\n\n- aching or [sore muscles](https:\/\/www.medicalnewstoday.com\/articles\/322869)\n- [apathy](https:\/\/www.medicalnewstoday.com\/articles\/what-is-apathy) and a [lack of motivation](https:\/\/www.medicalnewstoday.com\/articles\/dont-want-to-do-anything)\n- daytime drowsiness\n- [difficulty concentrating](https:\/\/www.medicalnewstoday.com\/articles\/unable-to-concentrate) or learning new tasks\n- gastrointestinal problems, such as:\n  - [bloating](https:\/\/www.medicalnewstoday.com\/articles\/321869)\n  - [abdominal pain](https:\/\/www.medicalnewstoday.com\/articles\/318286)\n  - [constipation](https:\/\/www.medicalnewstoday.com\/articles\/150322.php \"What to know about constipation\")\n  - [diarrhea](https:\/\/www.medicalnewstoday.com\/articles\/158634.php \"What you should know about diarrhea\")\n- [headache](https:\/\/www.medicalnewstoday.com\/articles\/73936.php)\n- [irritability](https:\/\/www.medicalnewstoday.com\/articles\/325564) or moodiness\n- slowed response time\n- vision problems, such as [blurriness](https:\/\/www.medicalnewstoday.com\/articles\/sudden-blurry-vision)\n\nSymptoms may worsen after exertion.\n\n## [Diagnosing fatigue]()\nDiagnosis can be challenging, as the causes and symptoms of fatigue are varied and nonspecific.\n\nA doctor may ask questions about:\n\n- the qualities of the fatigue\n- the patterns of the fatigue\n- whether or not taking a nap helps\n- the quality of the person’s sleep\n- the person’s emotional state and stress levels\n\nPeople can aid their diagnosis by keeping a record of the total hours they sleep each night and how often they wake up each night.\n\nThe doctor will carry out a physical examination to check for signs of illness and ask the person which medications they are taking, if any.\n\nThey will also ask about lifestyle habits, including the person’s diet, caffeine use, drug use, alcohol consumption, and work and sleep patterns.\n\n### Diagnostic tests\nDiagnostic tests can help determine the underlying cause of the fatigue. Urine tests, imaging scans, [mental health](https:\/\/www.medicalnewstoday.com\/articles\/154543.php \"What is mental health?\") questionnaires, and blood tests may be necessary depending on other symptoms.\n\nThese tests can help rule out physical causes, such as infections, hormonal problems, anemia, liver problems, or kidney problems. The doctor may also order a sleep study to rule out a sleeping disorder.\n\nIf they diagnose an illness, they will suggest appropriate treatments.\n\n## [Treatment for fatigue]()\nTo treat fatigue effectively, a doctor needs to find and diagnose the underlying cause.\n\n### Sleep habits\nGetting enough sleep is an important part of managing fatigue. To practice [good sleep hygiene](https:\/\/www.medicalnewstoday.com\/articles\/sleep-hygiene), people should:\n\n- Aim to go to bed and wake up at the same time each day, even on days off.\n- Set the bedroom temperature at a comfortable level.\n- Make sure the room is dark and quiet.\n- Avoid screen time an hour before sleeping, as the light and sounds from a television, computer, or phone can stimulate brain activity and affect sleep quality.\n- Avoid eating shortly before going to bed.\n- As bedtime approaches, try to slow down both physically and mentally. Taking a warm bath or listening to some soothing music can help clear the mind of stressful and worrying thoughts before going to sleep.\n\nKeeping a sleep diary to detect patterns may also help.\n\n### Diet\nDiet can affect energy levels. Maintaining a moderate and well-balanced diet may improve health and sleep. People can try the following:\n\n- Eat small, frequent meals throughout the day.\n- Eat snacks that are low in added sugar.\n- Avoid highly processed food and follow a [healthy diet](https:\/\/www.medicalnewstoday.com\/articles\/153998).\n- Consume plenty of fresh fruits and vegetables.\n- Avoid caffeine in the afternoon and evening.\n\n**»Learn more:**[Can foods help fight fatigue?](https:\/\/www.medicalnewstoday.com\/articles\/foods-that-beat-fatigue)\n\n### Physical activity\nGetting regular physical activity can help reduce fatigue and improve sleep.\n\nThose who have not been physically active for some time should introduce exercise gradually. A doctor or sports therapist can help.\n\nPeople should exercise during the time of day that is most productive for them.\n\n### Yoga and mindfulness\nA [2022 review](https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC9828570\/) suggests that [mindfulness](https:\/\/www.medicalnewstoday.com\/articles\/mindfulness-for-mental-wellbeing) can significantly improve cancer-related fatigue, depression, and anxiety.\n\nA [2023 study](https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC10249016\/) suggests that mindfulness may help to reduce any association between fatigue and negative emotional responses at a neural level.\n\nSimilarly, a [2024 study](https:\/\/pubmed.ncbi.nlm.nih.gov\/39451436\/) suggests that movement-based mindful exercises, including [yoga](https:\/\/www.medicalnewstoday.com\/articles\/286745), [tai chi](https:\/\/www.medicalnewstoday.com\/articles\/265507), and [qigong](https:\/\/www.medicalnewstoday.com\/articles\/qigong-benefits), may help reduce fatigue due to chronic fatigue syndrome or [post-COVID syndromes](https:\/\/www.medicalnewstoday.com\/articles\/long-covid).\n\n## [Fatigue and driving]()\nA 2023 review suggests that driver fatigue contributes to [20%](https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC10082604\/) of motor vehicle accidents.\n\nIf a driver notices that they are doing any of the following, they should pull over and take a nap or change drivers:\n\n- yawning and blinking\n- not remembering the last few miles they have driven\n- missing an exit\n- drifting across the lane\n- driving onto a rumble strip\n- having trouble staying focused\n\n## [Summary]()\nA range of health conditions and lifestyle factors, such as diabetes, depression, and chronic pain, among others, can cause fatigue.\n\nIf fatigue and sleepiness affect a person’s daily life and none of the tips in this article work, they should see a doctor for advice.\n\nTo help with diagnosis, people can keep a diary of their sleep habits and symptoms. After making a diagnosis, a doctor will be able to suggest some appropriate treatment options.\n\n- [Body Aches](https:\/\/www.medicalnewstoday.com\/categories\/body-aches)\n- [Public Health](https:\/\/www.medicalnewstoday.com\/categories\/public-health)\n- [Sleep \/ Sleep Disorders \/ Insomnia](https:\/\/www.medicalnewstoday.com\/categories\/sleep)\n\n### How we reviewed this article:\nSources\n\nMedical News Today has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical journals and associations. We only use quality, credible sources to ensure content accuracy and integrity. You can learn more about how we ensure our content is accurate and current by reading our [editorial policy](https:\/\/www.medicalnewstoday.com\/articles\/process).\n\n- Allada R, et al. (2021). Circadian mechanisms in medicine.  \n  <https:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJMra1802337>\n- Chand SP, et al. (2023). Depression.  \n  <https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK430847\/>\n- Fan J, et al. (2023). Effects of mindfulness and fatigue on emotional processing: An event-related potentials study.  \n  <https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC10249016\/>\n- Fricke-Comellas H, et al. (2024). Exploring the effects of qigong, tai chi, and yoga on fatigue, mental health, and sleep quality in chronic fatigue and post-COVID syndromes: A systematic review with meta-analysis.  \n  <https:\/\/pubmed.ncbi.nlm.nih.gov\/39451436\/>\n- Gottlieb DJ, et al. (2020). Diagnosis and management of obstructive sleep apnea: A review.  \n  <https:\/\/jamanetwork.com\/journals\/jama\/article-abstract\/2764461?utm_source=openevidence&utm_medium=referral>\n- He J, et al. (2024). Fibromyalgia in obstructive sleep apnea-hypopnea syndrome: A systematic review and meta-analysis.  \n  <https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC11144865\/>\n- Health risks of overweight & obesity. (2023).  \n  <https:\/\/www.niddk.nih.gov\/health-information\/weight-management\/adult-overweight-obesity\/health-risks>\n- Maisel P, et al. (2021). Fatigue as the chief complaint.  \n  <https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC8579431\/>\n- McCloy K, et al. (2022). Effects of mindfulness‐based interventions on fatigue and psychological wellbeing in women with cancer: A systematic review and meta‐analysis of randomised control trials.  \n  <https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC9828570\/>\n- Sprajcer M, et al. (2023). How tired is too tired to drive? A systematic review assessing the use of prior sleep duration to detect driving impairment.  \n  <https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC10082604\/>\n- What are sleep deprivation and deficiency? (2022).  \n  <https:\/\/www.nhlbi.nih.gov\/health\/sleep-deprivation>\n- Winkleman JW, et al. (2015). Insomnia disorder.  \n  <https:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJMcp1412740>\n\nShare this article\n\n![](https:\/\/i0.wp.com\/post.medicalnewstoday.com\/wp-content\/uploads\/2025\/08\/Aaron-Block-500x500_Med_Reviewer_NEW.png?w=105&h=105)\n\n[Medically reviewed]() by [Aaron R. Block, MD MPH CPH DABFM MSCP](), Menopause and Mid-Life Women's Care, Family Medicine — Written by [Yvette Brazier]() —  [Updated on July 1, 2025]()\n\n## Latest news\n- [9 steps to improve heart health, per new dietary guidance from AHA](https:\/\/www.medicalnewstoday.com\/articles\/9-steps-improve-heart-health-diet-guidance-aha)\n- [AI model can accurately predict liver cancer risk, study suggests](https:\/\/www.medicalnewstoday.com\/articles\/ai-model-accurately-predict-liver-cancer-risk)\n- [AI-powered stroke tool linked to improved patient outcomes in large clinical trial](https:\/\/www.medicalnewstoday.com\/articles\/ai-powered-stroke-tool-linked-improved-patient-outcomes-large-clinical-trial)\n- [Eating same meals on repeat, and more at weekends may help you lose more weight](https:\/\/www.medicalnewstoday.com\/articles\/eating-same-meals-repeat-more-weekends-may-help-lose-more-weight)\n- [Cooking at least one meal at home weekly may cut dementia risk by up to 67%](https:\/\/www.medicalnewstoday.com\/articles\/cooking-at-least-one-meal-at-home-weekly-may-cut-dementia-risk)\n\n### Related Coverage\n- [Is fatigue a symptom of osteoarthritis?](https:\/\/www.medicalnewstoday.com\/articles\/does-osteoarthritis-cause-fatigue?utm_source=ReadNext)\n  \n  Medically reviewed by [Nancy Carteron, M.D., FACR](https:\/\/www.medicalnewstoday.com\/reviewers)\n  \n  [Learn about whether osteoarthritis can cause fatigue. This article also discusses fatigue as a side effect of medications, managing fatigue, and more.](https:\/\/www.medicalnewstoday.com\/articles\/does-osteoarthritis-cause-fatigue?utm_source=ReadNext)\n  \n  [READ MORE](https:\/\/www.medicalnewstoday.com\/articles\/does-osteoarthritis-cause-fatigue?utm_source=ReadNext)\n- [Is adrenal fatigue a real condition?](https:\/\/www.medicalnewstoday.com\/articles\/245810?utm_source=ReadNext)\n  \n  Medically reviewed by [Stacy Sampson, D.O.](https:\/\/www.medicalnewstoday.com\/reviewers)\n  \n  [According to some, adrenal fatigue is a disease that afflicts millions in the industrialized world. However, there is no evidence that this condition…](https:\/\/www.medicalnewstoday.com\/articles\/245810?utm_source=ReadNext)\n  \n  [READ MORE](https:\/\/www.medicalnewstoday.com\/articles\/245810?utm_source=ReadNext)\n- [Sleep quality may increase dementia risk: Latest evidence](https:\/\/www.medicalnewstoday.com\/articles\/sleep-quality-insomnia-sleep-apnea-increase-dementia-risk-latest-evidence?utm_source=ReadNext)\n  \n  [Medical News Today looks at three key studies and their key findings that highlight and further confirm the connection between how poor sleep…](https:\/\/www.medicalnewstoday.com\/articles\/sleep-quality-insomnia-sleep-apnea-increase-dementia-risk-latest-evidence?utm_source=ReadNext)\n  \n  [READ MORE](https:\/\/www.medicalnewstoday.com\/articles\/sleep-quality-insomnia-sleep-apnea-increase-dementia-risk-latest-evidence?utm_source=ReadNext)\n- [Tart cherry juice for sleep: Does it help?](https:\/\/www.medicalnewstoday.com\/articles\/tart-cherry-juice-for-sleep?utm_source=ReadNext)\n  \n  [Research suggests that tart cherry juice may improve sleep duration. Learn how to try it, whether there are any risks, and more sleep tips.](https:\/\/www.medicalnewstoday.com\/articles\/tart-cherry-juice-for-sleep?utm_source=ReadNext)\n  \n  [READ MORE](https:\/\/www.medicalnewstoday.com\/articles\/tart-cherry-juice-for-sleep?utm_source=ReadNext)\n- [Xywav for idiopathic hypersomnia](https:\/\/www.medicalnewstoday.com\/articles\/drugs-xywav-for-idiopathic-hypersomnia?utm_source=ReadNext)\n  \n  [Xywav is a prescription drug used to treat idiopathic hypersomnia. Learn how the drug works, who it’s used for, and more.](https:\/\/www.medicalnewstoday.com\/articles\/drugs-xywav-for-idiopathic-hypersomnia?utm_source=ReadNext)\n  \n  [READ MORE](https:\/\/www.medicalnewstoday.com\/articles\/drugs-xywav-for-idiopathic-hypersomnia?utm_source=ReadNext)\n\n© 2026 Healthline Media UK Ltd, London, UK. All rights reserved. MNT is the registered trade mark of Healthline Media. Healthline Media is an RVO Health Company. Any medical information published on this website is not intended as a substitute for informed medical advice and you should not take any action before consulting with a healthcare professional. [See additional information](https:\/\/www.medicalnewstoday.com\/about\/additional-information).\n\n- [About Us](https:\/\/www.medicalnewstoday.com\/about)\n- [Contact Us](https:\/\/www.medicalnewstoday.com\/about\/contact-us)\n- [Terms of Use](https:\/\/www.medicalnewstoday.com\/about\/terms-of-use)\n- [Privacy Policy](https:\/\/www.medicalnewstoday.com\/about\/privacy-policy)\n- Privacy Settings\n- [Advertising Policy](https:\/\/www.medicalnewstoday.com\/ad-policy)\n\n- [Health Topics](https:\/\/www.medicalnewstoday.com\/directory\/a-b)\n- [Health Hubs](https:\/\/www.medicalnewstoday.com\/articles\/content-hubs)\n- [Medical Affairs](https:\/\/www.medicalnewstoday.com\/about\/reviewers)\n- [Content Integrity](https:\/\/www.medicalnewstoday.com\/about\/content-integrity)\n- [Newsletters](https:\/\/www.medicalnewstoday.com\/newsletter)\n- © 2026 Healthline Media UK Ltd, London, UK. All rights reserved. MNT is the registered trade mark of Healthline Media. Healthline Media is an RVO Health Company. Any medical information published on this website is not intended as a substitute for informed medical advice and you should not take any action before consulting with a healthcare professional. [See additional information](https:\/\/www.medicalnewstoday.com\/about\/additional-information).\n\n© 2026 Healthline Media UK Ltd, London, UK. All rights reserved. MNT is the registered trade mark of Healthline Media. Healthline Media is an RVO Health Company. Any medical information published on this website is not intended as a substitute for informed medical advice and you should not take any action before consulting with a healthcare professional. [See additional information](https:\/\/www.medicalnewstoday.com\/about\/additional-information).\n\n[About](https:\/\/www.healthlinemedia.com\/?utm_source=medicalnewstoday.com&utm_medium=site&utm_campaign=footer&utm_content=about)[Careers](https:\/\/rvohealth.com\/careers)[Advertise with us](https:\/\/www.healthlinemedia.com\/advertise?utm_source=medicalnewstoday.com&utm_medium=site&utm_campaign=footer&utm_content=advertise)\n\nOUR BRANDS\n\n[Healthline](https:\/\/www.healthline.com\/)[Medical News Today](https:\/\/www.medicalnewstoday.com\/)[Greatist](https:\/\/greatist.com\/)[Psych Central](https:\/\/psychcentral.com\/)[Bezzy](https:\/\/bezzy.com\/)\n\n![](http:\/\/b.scorecardresearch.com\/p?c1=2&c2=38584006&cv=3.9&cj=1&comscorekw=main)","attrs_readable_markdown":"Fatigue can result from a mental or physical health condition, medication use, or chronic pain, among other reasons. Treatment involves managing the underlying cause.\n\nPhysical and mental fatigue are different, but they often occur together. Repeated physical exhaustion can lead to mental fatigue over time.\n\nWhen fatigue affects safety, it becomes a public health concern. People with severe fatigue may act similarly to those who are intoxicated.\n\nInsufficient sleep, particularly when it occurs for a long time, can also lead to fatigue. Officials recommend that adults get [7 to 8 hours](https:\/\/www.nhlbi.nih.gov\/health\/sleep-deprivation\/how-much-sleep) of sleep each night, but as many as [1 in 3 Americans](https:\/\/www.nhlbi.nih.gov\/health\/sleep-deprivation) do not get this much.\n\nEating a balanced diet and getting regular physical activity can help reduce fatigue for many people. Treating the underlying cause of fatigue, whether this is not enough sleep or a health condition, also helps.\n\nThere are two main types of fatigue: physical and mental.\n\nSomeone with physical fatigue may find it physically hard to do the things they usually do, such as climbing the stairs. Symptoms include [muscle weakness](https:\/\/www.medicalnewstoday.com\/articles\/325876), and diagnosis may involve completing a strength test.\n\nWith mental fatigue, someone may find it harder to concentrate and focus. They may feel sleepy or have difficulty staying awake while working.\n\n[Sleepiness](https:\/\/www.medicalnewstoday.com\/articles\/326807) can occur when someone does not get enough good-quality sleep or when they lack stimulation. It can also indicate a health condition that interferes with sleep, such as [sleep apnea](https:\/\/www.medicalnewstoday.com\/articles\/178633) or [restless legs syndrome](https:\/\/www.medicalnewstoday.com\/articles\/7882).\n\nSleepiness is more likely to be short-term than fatigue. It is usually treatable with regular and consistent sleep.\n\nHowever, healthcare professionals typically associate fatigue — especially when it is chronic — with a health condition or problem. It may also be its own chronic condition, called [chronic fatigue syndrome](https:\/\/www.medicalnewstoday.com\/articles\/184802.php), or myalgic encephalomyelitis.\n\nIt can be challenging to diagnose fatigue as it is a nonspecific symptom with multiple potential causes. This means it can take quite a long time for a healthcare professional to diagnose the underlying cause.\n\nMental health issues\n\nFatigue is a [main symptom](https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK430847\/) of clinical [depression](https:\/\/www.medicalnewstoday.com\/articles\/8933), either due to the depression itself or associated problems, such as [insomnia](https:\/\/www.medicalnewstoday.com\/articles\/9155.php).\n\n[Stress](https:\/\/www.medicalnewstoday.com\/articles\/145855) is another [common cause](https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC8579431\/) of fatigue. Fatigue can also result from the following mental health issues:\n\n- bereavement and [grief](https:\/\/www.medicalnewstoday.com\/articles\/stages-of-grief)\n- [eating disorders](https:\/\/www.medicalnewstoday.com\/articles\/326266)\n- [anxiety](https:\/\/www.medicalnewstoday.com\/articles\/323454)\n- boredom\n- [emotional exhaustion](https:\/\/www.medicalnewstoday.com\/articles\/323441) or [burnout](https:\/\/www.medicalnewstoday.com\/articles\/burnout-symptoms)\n- life events, such as moving home or getting a [divorce](https:\/\/www.medicalnewstoday.com\/articles\/life-after-divorce)\n\nEndocrine and metabolic reasons\n\nHealth conditions and other factors that affect hormones may cause fatigue. These [include](https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC8579431\/):\n\n- [Cushing’s syndrome](https:\/\/www.medicalnewstoday.com\/articles\/172744)\n- [kidney disease](https:\/\/www.medicalnewstoday.com\/articles\/172179)\n- [electrolyte problems](https:\/\/www.medicalnewstoday.com\/articles\/electrolyte-imbalance)\n- [diabetes](https:\/\/www.medicalnewstoday.com\/articles\/323627)\n- [thyroid conditions](https:\/\/www.medicalnewstoday.com\/articles\/323196)\n- [pregnancy](https:\/\/www.medicalnewstoday.com\/articles\/38302)\n- [hormonal contraception](https:\/\/www.medicalnewstoday.com\/articles\/162762), including [birth control pills](https:\/\/www.medicalnewstoday.com\/articles\/290196) and the [implant](https:\/\/www.medicalnewstoday.com\/articles\/birth-control-implants)\n\nDrugs and medications\n\nCertain drugs and medications [can cause](https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC8579431\/) fatigue, including:\n\n- some [antidepressants](https:\/\/www.medicalnewstoday.com\/articles\/248320)\n- [anxiety medications](https:\/\/www.medicalnewstoday.com\/articles\/323666)\n- [antihypertensives](https:\/\/www.medicalnewstoday.com\/articles\/323724)\n- [statins](https:\/\/www.medicalnewstoday.com\/articles\/8274)\n- [steroids](https:\/\/www.medicalnewstoday.com\/articles\/246373)\n- [antihistamines](https:\/\/www.medicalnewstoday.com\/articles\/antihistamines)\n- [sedatives](https:\/\/www.medicalnewstoday.com\/articles\/sedatives)\n\nMedication withdrawal or changes in dosage can also cause fatigue until the body adjusts.\n\nHeart and lung conditions\n\nHeart and lung conditions can affect blood flow in the body or cause inflammation and may lead to fatigue. These include:\n\n- [pneumonia](https:\/\/www.medicalnewstoday.com\/articles\/151632.php)\n- [arrhythmias](https:\/\/www.medicalnewstoday.com\/articles\/8887.php)\n- [asthma](https:\/\/www.medicalnewstoday.com\/articles\/323523)\n- [chronic obstructive pulmonary disease (COPD)](https:\/\/www.medicalnewstoday.com\/articles\/141287)\n- [valvular heart disease](https:\/\/www.medicalnewstoday.com\/articles\/237191.php)\n- [coronary heart disease](https:\/\/www.medicalnewstoday.com\/articles\/184130.php)\n- [congestive heart failure](https:\/\/www.medicalnewstoday.com\/articles\/156849.php)\n\nSleep problems\n\nThe following sleep factors can also lead to fatigue:\n\n- working late\n- [working shifts](https:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJMra1802337)\n- [jet lag](https:\/\/www.medicalnewstoday.com\/articles\/165339.php)\n- [sleep apnea](https:\/\/jamanetwork.com\/journals\/jama\/article-abstract\/2764461?utm_source=openevidence&utm_medium=referral)\n- [narcolepsy](https:\/\/www.medicalnewstoday.com\/articles\/155244.php)\n- [insomnia](https:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJMcp1412740)\n- reflux [esophagitis](https:\/\/www.medicalnewstoday.com\/articles\/9274.php)\n\nChemicals and substances\n\n[Vitamin deficiencies](https:\/\/www.medicalnewstoday.com\/articles\/signs-of-vitamin-deficiency), mineral deficiencies, and poisoning can all affect sleep and cause fatigue.\n\nConsuming caffeinated drinks or alcohol [can also](https:\/\/www.nhlbi.nih.gov\/health\/sleep-deprivation\/healthy-sleep-habits) disrupt sleep, especially close to bedtime. Using products containing [nicotine](https:\/\/www.medicalnewstoday.com\/articles\/240820) can also disrupt sleep.\n\nMedical conditions\n\nSeveral medical conditions can cause fatigue, [including](https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC8579431\/):\n\n- [anemia](https:\/\/www.medicalnewstoday.com\/articles\/158800.php)\n- [high blood pressure](https:\/\/www.medicalnewstoday.com\/articles\/159283.php)\n- [fibromyalgia](https:\/\/www.medicalnewstoday.com\/articles\/147083.php)\n- systemic [lupus](https:\/\/www.medicalnewstoday.com\/articles\/323653)\n- [rheumatoid arthritis](https:\/\/www.medicalnewstoday.com\/articles\/323361)\n- [inflammatory bowel disease](https:\/\/www.medicalnewstoday.com\/articles\/316395)\n- [cancer](https:\/\/www.medicalnewstoday.com\/cancer) and cancer treatments, including [chemotherapy](https:\/\/www.medicalnewstoday.com\/articles\/158401.php) and [radiation therapy](https:\/\/www.medicalnewstoday.com\/articles\/158513.php)\n- massive blood loss\n\nFatigue can also be a symptom of infection. Some infections that cause extreme tiredness include:\n\n- [malaria](https:\/\/www.medicalnewstoday.com\/articles\/150670.php)\n- [tuberculosis](https:\/\/www.medicalnewstoday.com\/articles\/8856.php)\n- [infectious mononucleosis](https:\/\/www.medicalnewstoday.com\/articles\/167390.php)\n- [cytomegalovirus](https:\/\/www.medicalnewstoday.com\/articles\/173811.php)\n- [HIV](https:\/\/www.medicalnewstoday.com\/articles\/17131.php)\n- [flu](https:\/\/www.medicalnewstoday.com\/articles\/15107.php)\n- [hepatitis](https:\/\/www.medicalnewstoday.com\/articles\/145869.php)\n\nChronic pain\n\nPeople with chronic pain may wake up frequently throughout the night. They may also wake up feeling tired and poorly rested, having been unable to get good-quality sleep.\n\nThe combination of chronic pain and a lack of sleep can cause persistent tiredness and fatigue.\n\nA 2024 review suggests that around [21%](https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC11144865\/) of people with obstructive sleep apnea also have fibromyalgia, which contributes to fatigue.\n\nBeing overweight or underweight\n\nExcess body weight increases the risk of fatigue by [increasing the risk](https:\/\/www.niddk.nih.gov\/health-information\/weight-management\/adult-overweight-obesity\/health-risks) of conditions that cause fatigue, such as diabetes or sleep apnea.\n\nCarrying more weight and experiencing joint or muscle pain can lead to or exacerbate fatigue.\n\nSimilarly, people who are underweight may tire easily, depending on the cause of their condition. [Eating disorders](https:\/\/www.medicalnewstoday.com\/articles\/signs-of-an-eating-disorder), cancer, chronic diseases, and an overactive thyroid can all cause weight loss, as well as excessive tiredness and fatigue.\n\nToo much or too little activity\n\nFatigue can make it challenging to exercise, and a lack of exercise may cause further fatigue. A lack of exercise may eventually cause [deconditioning](https:\/\/www.medicalnewstoday.com\/articles\/325316), making it harder and more tiring to perform a physical task.\n\nFatigue can also affect people after prolonged, intense mental or physical activity.\n\nDiagnosis can be challenging, as the causes and symptoms of fatigue are varied and nonspecific.\n\nA doctor may ask questions about:\n\n- the qualities of the fatigue\n- the patterns of the fatigue\n- whether or not taking a nap helps\n- the quality of the person’s sleep\n- the person’s emotional state and stress levels\n\nPeople can aid their diagnosis by keeping a record of the total hours they sleep each night and how often they wake up each night.\n\nThe doctor will carry out a physical examination to check for signs of illness and ask the person which medications they are taking, if any.\n\nThey will also ask about lifestyle habits, including the person’s diet, caffeine use, drug use, alcohol consumption, and work and sleep patterns.\n\nDiagnostic tests\n\nDiagnostic tests can help determine the underlying cause of the fatigue. Urine tests, imaging scans, [mental health](https:\/\/www.medicalnewstoday.com\/articles\/154543.php \"What is mental health?\") questionnaires, and blood tests may be necessary depending on other symptoms.\n\nThese tests can help rule out physical causes, such as infections, hormonal problems, anemia, liver problems, or kidney problems. The doctor may also order a sleep study to rule out a sleeping disorder.\n\nIf they diagnose an illness, they will suggest appropriate treatments.\n\nTo treat fatigue effectively, a doctor needs to find and diagnose the underlying cause.\n\nSleep habits\n\nGetting enough sleep is an important part of managing fatigue. To practice [good sleep hygiene](https:\/\/www.medicalnewstoday.com\/articles\/sleep-hygiene), people should:\n\n- Aim to go to bed and wake up at the same time each day, even on days off.\n- Set the bedroom temperature at a comfortable level.\n- Make sure the room is dark and quiet.\n- Avoid screen time an hour before sleeping, as the light and sounds from a television, computer, or phone can stimulate brain activity and affect sleep quality.\n- Avoid eating shortly before going to bed.\n- As bedtime approaches, try to slow down both physically and mentally. Taking a warm bath or listening to some soothing music can help clear the mind of stressful and worrying thoughts before going to sleep.\n\nKeeping a sleep diary to detect patterns may also help.\n\nDiet\n\nDiet can affect energy levels. Maintaining a moderate and well-balanced diet may improve health and sleep. People can try the following:\n\n- Eat small, frequent meals throughout the day.\n- Eat snacks that are low in added sugar.\n- Avoid highly processed food and follow a [healthy diet](https:\/\/www.medicalnewstoday.com\/articles\/153998).\n- Consume plenty of fresh fruits and vegetables.\n- Avoid caffeine in the afternoon and evening.\n\nPhysical activity\n\nGetting regular physical activity can help reduce fatigue and improve sleep.\n\nThose who have not been physically active for some time should introduce exercise gradually. A doctor or sports therapist can help.\n\nPeople should exercise during the time of day that is most productive for them.\n\nYoga and mindfulness\n\nA [2022 review](https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC9828570\/) suggests that [mindfulness](https:\/\/www.medicalnewstoday.com\/articles\/mindfulness-for-mental-wellbeing) can significantly improve cancer-related fatigue, depression, and anxiety.\n\nA [2023 study](https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC10249016\/) suggests that mindfulness may help to reduce any association between fatigue and negative emotional responses at a neural level.\n\nSimilarly, a [2024 study](https:\/\/pubmed.ncbi.nlm.nih.gov\/39451436\/) suggests that movement-based mindful exercises, including [yoga](https:\/\/www.medicalnewstoday.com\/articles\/286745), [tai chi](https:\/\/www.medicalnewstoday.com\/articles\/265507), and [qigong](https:\/\/www.medicalnewstoday.com\/articles\/qigong-benefits), may help reduce fatigue due to chronic fatigue syndrome or [post-COVID syndromes](https:\/\/www.medicalnewstoday.com\/articles\/long-covid).\n\nA 2023 review suggests that driver fatigue contributes to [20%](https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC10082604\/) of motor vehicle accidents.\n\nIf a driver notices that they are doing any of the following, they should pull over and take a nap or change drivers:\n\n- yawning and blinking\n- not remembering the last few miles they have driven\n- missing an exit\n- drifting across the lane\n- driving onto a rumble strip\n- having trouble staying focused\n\nA range of health conditions and lifestyle factors, such as diabetes, depression, and chronic pain, among others, can cause fatigue.\n\nIf fatigue and sleepiness affect a person’s daily life and none of the tips in this article work, they should see a doctor for advice.\n\nTo help with diagnosis, people can keep a diary of their sleep habits and symptoms. After making a diagnosis, a doctor will be able to suggest some appropriate treatment options.","meta_canonical":null}

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Meta Title	Fatigue: Why am I so tired, and what can I do about it?
Meta Description	Fatigue refers to a common mental or physical state of extreme tiredness and lack of energy. Learn more about the causes and treatments here.
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Boilerpipe Text	Fatigue can result from a mental or physical health condition, medication use, or chronic pain, among other reasons. Treatment involves managing the underlying cause. Physical and mental fatigue are different, but they often occur together. Repeated physical exhaustion can lead to mental fatigue over time. When fatigue affects safety, it becomes a public health concern. People with severe fatigue may act similarly to those who are intoxicated. Insufficient sleep, particularly when it occurs for a long time, can also lead to fatigue. Officials recommend that adults get 7 to 8 hours of sleep each night, but as many as 1 in 3 Americans do not get this much. Eating a balanced diet and getting regular physical activity can help reduce fatigue for many people. Treating the underlying cause of fatigue, whether this is not enough sleep or a health condition, also helps. There are two main types of fatigue: physical and mental. Someone with physical fatigue may find it physically hard to do the things they usually do, such as climbing the stairs. Symptoms include muscle weakness , and diagnosis may involve completing a strength test. With mental fatigue, someone may find it harder to concentrate and focus. They may feel sleepy or have difficulty staying awake while working. Sleepiness can occur when someone does not get enough good-quality sleep or when they lack stimulation. It can also indicate a health condition that interferes with sleep, such as sleep apnea or restless legs syndrome . Sleepiness is more likely to be short-term than fatigue. It is usually treatable with regular and consistent sleep. However, healthcare professionals typically associate fatigue — especially when it is chronic — with a health condition or problem. It may also be its own chronic condition, called chronic fatigue syndrome , or myalgic encephalomyelitis. It can be challenging to diagnose fatigue as it is a nonspecific symptom with multiple potential causes. This means it can take quite a long time for a healthcare professional to diagnose the underlying cause. Mental health issues Fatigue is a main symptom of clinical depression , either due to the depression itself or associated problems, such as insomnia . Stress is another common cause of fatigue. Fatigue can also result from the following mental health issues: bereavement and grief eating disorders anxiety boredom emotional exhaustion or burnout life events, such as moving home or getting a divorce Endocrine and metabolic reasons Health conditions and other factors that affect hormones may cause fatigue. These include : Cushing’s syndrome kidney disease electrolyte problems diabetes thyroid conditions pregnancy hormonal contraception , including birth control pills and the implant Drugs and medications Certain drugs and medications can cause fatigue, including: some antidepressants anxiety medications antihypertensives statins steroids antihistamines sedatives Medication withdrawal or changes in dosage can also cause fatigue until the body adjusts. Heart and lung conditions Heart and lung conditions can affect blood flow in the body or cause inflammation and may lead to fatigue. These include: pneumonia arrhythmias asthma chronic obstructive pulmonary disease (COPD) valvular heart disease coronary heart disease congestive heart failure Sleep problems The following sleep factors can also lead to fatigue: working late working shifts jet lag sleep apnea narcolepsy insomnia reflux esophagitis Chemicals and substances Vitamin deficiencies , mineral deficiencies, and poisoning can all affect sleep and cause fatigue. Consuming caffeinated drinks or alcohol can also disrupt sleep, especially close to bedtime. Using products containing nicotine can also disrupt sleep. Medical conditions Several medical conditions can cause fatigue, including : anemia high blood pressure fibromyalgia systemic lupus rheumatoid arthritis inflammatory bowel disease cancer and cancer treatments, including chemotherapy and radiation therapy massive blood loss Fatigue can also be a symptom of infection. Some infections that cause extreme tiredness include: malaria tuberculosis infectious mononucleosis cytomegalovirus HIV flu hepatitis Chronic pain People with chronic pain may wake up frequently throughout the night. They may also wake up feeling tired and poorly rested, having been unable to get good-quality sleep. The combination of chronic pain and a lack of sleep can cause persistent tiredness and fatigue. A 2024 review suggests that around 21% of people with obstructive sleep apnea also have fibromyalgia, which contributes to fatigue. Being overweight or underweight Excess body weight increases the risk of fatigue by increasing the risk of conditions that cause fatigue, such as diabetes or sleep apnea. Carrying more weight and experiencing joint or muscle pain can lead to or exacerbate fatigue. Similarly, people who are underweight may tire easily, depending on the cause of their condition. Eating disorders , cancer, chronic diseases, and an overactive thyroid can all cause weight loss, as well as excessive tiredness and fatigue. Too much or too little activity Fatigue can make it challenging to exercise, and a lack of exercise may cause further fatigue. A lack of exercise may eventually cause deconditioning , making it harder and more tiring to perform a physical task. Fatigue can also affect people after prolonged, intense mental or physical activity. Diagnosis can be challenging, as the causes and symptoms of fatigue are varied and nonspecific. A doctor may ask questions about: the qualities of the fatigue the patterns of the fatigue whether or not taking a nap helps the quality of the person’s sleep the person’s emotional state and stress levels People can aid their diagnosis by keeping a record of the total hours they sleep each night and how often they wake up each night. The doctor will carry out a physical examination to check for signs of illness and ask the person which medications they are taking, if any. They will also ask about lifestyle habits, including the person’s diet, caffeine use, drug use, alcohol consumption, and work and sleep patterns. Diagnostic tests Diagnostic tests can help determine the underlying cause of the fatigue. Urine tests, imaging scans, mental health questionnaires, and blood tests may be necessary depending on other symptoms. These tests can help rule out physical causes, such as infections, hormonal problems, anemia, liver problems, or kidney problems. The doctor may also order a sleep study to rule out a sleeping disorder. If they diagnose an illness, they will suggest appropriate treatments. To treat fatigue effectively, a doctor needs to find and diagnose the underlying cause. Sleep habits Getting enough sleep is an important part of managing fatigue. To practice good sleep hygiene , people should: Aim to go to bed and wake up at the same time each day, even on days off. Set the bedroom temperature at a comfortable level. Make sure the room is dark and quiet. Avoid screen time an hour before sleeping, as the light and sounds from a television, computer, or phone can stimulate brain activity and affect sleep quality. Avoid eating shortly before going to bed. As bedtime approaches, try to slow down both physically and mentally. Taking a warm bath or listening to some soothing music can help clear the mind of stressful and worrying thoughts before going to sleep. Keeping a sleep diary to detect patterns may also help. Diet Diet can affect energy levels. Maintaining a moderate and well-balanced diet may improve health and sleep. People can try the following: Eat small, frequent meals throughout the day. Eat snacks that are low in added sugar. Avoid highly processed food and follow a healthy diet . Consume plenty of fresh fruits and vegetables. Avoid caffeine in the afternoon and evening. Physical activity Getting regular physical activity can help reduce fatigue and improve sleep. Those who have not been physically active for some time should introduce exercise gradually. A doctor or sports therapist can help. People should exercise during the time of day that is most productive for them. Yoga and mindfulness A 2022 review suggests that mindfulness can significantly improve cancer-related fatigue, depression, and anxiety. A 2023 study suggests that mindfulness may help to reduce any association between fatigue and negative emotional responses at a neural level. Similarly, a 2024 study suggests that movement-based mindful exercises, including yoga , tai chi , and qigong , may help reduce fatigue due to chronic fatigue syndrome or post-COVID syndromes . A 2023 review suggests that driver fatigue contributes to 20% of motor vehicle accidents. If a driver notices that they are doing any of the following, they should pull over and take a nap or change drivers: yawning and blinking not remembering the last few miles they have driven missing an exit drifting across the lane driving onto a rumble strip having trouble staying focused A range of health conditions and lifestyle factors, such as diabetes, depression, and chronic pain, among others, can cause fatigue. If fatigue and sleepiness affect a person’s daily life and none of the tips in this article work, they should see a doctor for advice. To help with diagnosis, people can keep a diary of their sleep habits and symptoms. After making a diagnosis, a doctor will be able to suggest some appropriate treatment options.
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[Bezzy Psoriasis](https://www.bezzypsoriasis.com/?utm_source=mnt&utm_medium=nav-bar-connect) Follow Us Subscribe # What causes fatigue, and how to treat it ![](https://i0.wp.com/post.medicalnewstoday.com/wp-content/uploads/2025/08/Aaron-Block-500x500_Med_Reviewer_NEW.png?w=105&h=105) [Medically reviewed]() by [Aaron R. Block, MD MPH CPH DABFM MSCP](), Menopause and Mid-Life Women's Care, Family Medicine — Written by [Yvette Brazier]() — [Updated on July 1, 2025]() - [Types](https://www.medicalnewstoday.com/articles/248002#types) - [Sleepiness vs. fatigue](https://www.medicalnewstoday.com/articles/248002#sleepiness-vs-fatigue) - [Causes](https://www.medicalnewstoday.com/articles/248002#causes) - [Symptoms](https://www.medicalnewstoday.com/articles/248002#symptoms) - [Diagnosis](https://www.medicalnewstoday.com/articles/248002#diagnosis) - [Treatment](https://www.medicalnewstoday.com/articles/248002#treatment) - [Fatigue and driving](https://www.medicalnewstoday.com/articles/248002#fatigue-and-driving) - [Summary](https://www.medicalnewstoday.com/articles/248002#summary) Fatigue can result from a mental or physical health condition, medication use, or chronic pain, among other reasons. Treatment involves managing the underlying cause. Physical and mental fatigue are different, but they often occur together. Repeated physical exhaustion can lead to mental fatigue over time. When fatigue affects safety, it becomes a public health concern. People with severe fatigue may act similarly to those who are intoxicated. Insufficient sleep, particularly when it occurs for a long time, can also lead to fatigue. Officials recommend that adults get [7 to 8 hours](https://www.nhlbi.nih.gov/health/sleep-deprivation/how-much-sleep) of sleep each night, but as many as [1 in 3 Americans](https://www.nhlbi.nih.gov/health/sleep-deprivation) do not get this much. Eating a balanced diet and getting regular physical activity can help reduce fatigue for many people. Treating the underlying cause of fatigue, whether this is not enough sleep or a health condition, also helps. ## [Types of fatigue]() ![the feet of a man with fatigue sticking out the end of a bed](https://i0.wp.com/post.medicalnewstoday.com/wp-content/uploads/sites/3/2020/05/feet-bed-fatigue-header-1024x575.jpg?w=1155&h=1528) [Share on Pinterest](https://www.pinterest.com/pin/create/button/?url=https%3A%2F%2Fwww.medicalnewstoday.com%2Farticles%2F248002&media=https%3A%2F%2Fpost.medicalnewstoday.com%2Fwp-content%2Fuploads%2Fsites%2F3%2F2020%2F05%2Ffeet-bed-fatigue-header-1024x575.jpg&description=Fatigue%3A%20Why%20am%20I%20so%20tired%2C%20and%20what%20can%20I%20do%20about%20it%3F "Share on Pinterest") Nick Bondarev/Stocksy There are two main types of fatigue: physical and mental. Someone with physical fatigue may find it physically hard to do the things they usually do, such as climbing the stairs. Symptoms include [muscle weakness](https://www.medicalnewstoday.com/articles/325876), and diagnosis may involve completing a strength test. With mental fatigue, someone may find it harder to concentrate and focus. They may feel sleepy or have difficulty staying awake while working. ## [Is it sleepiness or fatigue?]() [Sleepiness](https://www.medicalnewstoday.com/articles/326807) can occur when someone does not get enough good-quality sleep or when they lack stimulation. It can also indicate a health condition that interferes with sleep, such as [sleep apnea](https://www.medicalnewstoday.com/articles/178633) or [restless legs syndrome](https://www.medicalnewstoday.com/articles/7882). Sleepiness is more likely to be short-term than fatigue. It is usually treatable with regular and consistent sleep. However, healthcare professionals typically associate fatigue — especially when it is chronic — with a health condition or problem. It may also be its own chronic condition, called [chronic fatigue syndrome](https://www.medicalnewstoday.com/articles/184802.php), or myalgic encephalomyelitis. ## [Causes of fatigue]() It can be challenging to diagnose fatigue as it is a nonspecific symptom with multiple potential causes. This means it can take quite a long time for a healthcare professional to diagnose the underlying cause. ### Mental health issues Fatigue is a [main symptom](https://www.ncbi.nlm.nih.gov/books/NBK430847/) of clinical [depression](https://www.medicalnewstoday.com/articles/8933), either due to the depression itself or associated problems, such as [insomnia](https://www.medicalnewstoday.com/articles/9155.php). [Stress](https://www.medicalnewstoday.com/articles/145855) is another [common cause](https://pmc.ncbi.nlm.nih.gov/articles/PMC8579431/) of fatigue. Fatigue can also result from the following mental health issues: - bereavement and [grief](https://www.medicalnewstoday.com/articles/stages-of-grief) - [eating disorders](https://www.medicalnewstoday.com/articles/326266) - [anxiety](https://www.medicalnewstoday.com/articles/323454) - boredom - [emotional exhaustion](https://www.medicalnewstoday.com/articles/323441) or [burnout](https://www.medicalnewstoday.com/articles/burnout-symptoms) - life events, such as moving home or getting a [divorce](https://www.medicalnewstoday.com/articles/life-after-divorce) ### Endocrine and metabolic reasons Health conditions and other factors that affect hormones may cause fatigue. These [include](https://pmc.ncbi.nlm.nih.gov/articles/PMC8579431/): - [Cushing’s syndrome](https://www.medicalnewstoday.com/articles/172744) - [kidney disease](https://www.medicalnewstoday.com/articles/172179) - [electrolyte problems](https://www.medicalnewstoday.com/articles/electrolyte-imbalance) - [diabetes](https://www.medicalnewstoday.com/articles/323627) - [thyroid conditions](https://www.medicalnewstoday.com/articles/323196) - [pregnancy](https://www.medicalnewstoday.com/articles/38302) - [hormonal contraception](https://www.medicalnewstoday.com/articles/162762), including [birth control pills](https://www.medicalnewstoday.com/articles/290196) and the [implant](https://www.medicalnewstoday.com/articles/birth-control-implants) ### Drugs and medications Certain drugs and medications [can cause](https://pmc.ncbi.nlm.nih.gov/articles/PMC8579431/) fatigue, including: - some [antidepressants](https://www.medicalnewstoday.com/articles/248320) - [anxiety medications](https://www.medicalnewstoday.com/articles/323666) - [antihypertensives](https://www.medicalnewstoday.com/articles/323724) - [statins](https://www.medicalnewstoday.com/articles/8274) - [steroids](https://www.medicalnewstoday.com/articles/246373) - [antihistamines](https://www.medicalnewstoday.com/articles/antihistamines) - [sedatives](https://www.medicalnewstoday.com/articles/sedatives) Medication withdrawal or changes in dosage can also cause fatigue until the body adjusts. ### Heart and lung conditions Heart and lung conditions can affect blood flow in the body or cause inflammation and may lead to fatigue. These include: - [pneumonia](https://www.medicalnewstoday.com/articles/151632.php) - [arrhythmias](https://www.medicalnewstoday.com/articles/8887.php) - [asthma](https://www.medicalnewstoday.com/articles/323523) - [chronic obstructive pulmonary disease (COPD)](https://www.medicalnewstoday.com/articles/141287) - [valvular heart disease](https://www.medicalnewstoday.com/articles/237191.php) - [coronary heart disease](https://www.medicalnewstoday.com/articles/184130.php) - [congestive heart failure](https://www.medicalnewstoday.com/articles/156849.php) ### Sleep problems The following sleep factors can also lead to fatigue: - working late - [working shifts](https://www.nejm.org/doi/full/10.1056/NEJMra1802337) - [jet lag](https://www.medicalnewstoday.com/articles/165339.php) - [sleep apnea](https://jamanetwork.com/journals/jama/article-abstract/2764461?utm_source=openevidence&utm_medium=referral) - [narcolepsy](https://www.medicalnewstoday.com/articles/155244.php) - [insomnia](https://www.nejm.org/doi/full/10.1056/NEJMcp1412740) - reflux [esophagitis](https://www.medicalnewstoday.com/articles/9274.php) ### Chemicals and substances [Vitamin deficiencies](https://www.medicalnewstoday.com/articles/signs-of-vitamin-deficiency), mineral deficiencies, and poisoning can all affect sleep and cause fatigue. Consuming caffeinated drinks or alcohol [can also](https://www.nhlbi.nih.gov/health/sleep-deprivation/healthy-sleep-habits) disrupt sleep, especially close to bedtime. Using products containing [nicotine](https://www.medicalnewstoday.com/articles/240820) can also disrupt sleep. »Learn more:[What does caffeine do to the body?](https://www.medicalnewstoday.com/articles/285194) ### Medical conditions Several medical conditions can cause fatigue, [including](https://pmc.ncbi.nlm.nih.gov/articles/PMC8579431/): - [anemia](https://www.medicalnewstoday.com/articles/158800.php) - [high blood pressure](https://www.medicalnewstoday.com/articles/159283.php) - [fibromyalgia](https://www.medicalnewstoday.com/articles/147083.php) - systemic [lupus](https://www.medicalnewstoday.com/articles/323653) - [rheumatoid arthritis](https://www.medicalnewstoday.com/articles/323361) - [inflammatory bowel disease](https://www.medicalnewstoday.com/articles/316395) - [cancer](https://www.medicalnewstoday.com/cancer) and cancer treatments, including [chemotherapy](https://www.medicalnewstoday.com/articles/158401.php) and [radiation therapy](https://www.medicalnewstoday.com/articles/158513.php) - massive blood loss Fatigue can also be a symptom of infection. Some infections that cause extreme tiredness include: - [malaria](https://www.medicalnewstoday.com/articles/150670.php) - [tuberculosis](https://www.medicalnewstoday.com/articles/8856.php) - [infectious mononucleosis](https://www.medicalnewstoday.com/articles/167390.php) - [cytomegalovirus](https://www.medicalnewstoday.com/articles/173811.php) - [HIV](https://www.medicalnewstoday.com/articles/17131.php) - [flu](https://www.medicalnewstoday.com/articles/15107.php) - [hepatitis](https://www.medicalnewstoday.com/articles/145869.php) ### Chronic pain People with chronic pain may wake up frequently throughout the night. They may also wake up feeling tired and poorly rested, having been unable to get good-quality sleep. The combination of chronic pain and a lack of sleep can cause persistent tiredness and fatigue. A 2024 review suggests that around [21%](https://pmc.ncbi.nlm.nih.gov/articles/PMC11144865/) of people with obstructive sleep apnea also have fibromyalgia, which contributes to fatigue. ### Being overweight or underweight Excess body weight increases the risk of fatigue by [increasing the risk](https://www.niddk.nih.gov/health-information/weight-management/adult-overweight-obesity/health-risks) of conditions that cause fatigue, such as diabetes or sleep apnea. Carrying more weight and experiencing joint or muscle pain can lead to or exacerbate fatigue. Similarly, people who are underweight may tire easily, depending on the cause of their condition. [Eating disorders](https://www.medicalnewstoday.com/articles/signs-of-an-eating-disorder), cancer, chronic diseases, and an overactive thyroid can all cause weight loss, as well as excessive tiredness and fatigue. ### Too much or too little activity Fatigue can make it challenging to exercise, and a lack of exercise may cause further fatigue. A lack of exercise may eventually cause [deconditioning](https://www.medicalnewstoday.com/articles/325316), making it harder and more tiring to perform a physical task. Fatigue can also affect people after prolonged, intense mental or physical activity. ## [Symptoms of fatigue]() The main symptom of fatigue is exhaustion with physical or mental activity. People do not feel refreshed after resting or sleeping. It might also be hard for them to carry out their daily activities, including work, household chores, and caring for others. Fatigue’s symptoms may be physical, mental, or emotional. Examples include: - aching or [sore muscles](https://www.medicalnewstoday.com/articles/322869) - [apathy](https://www.medicalnewstoday.com/articles/what-is-apathy) and a [lack of motivation](https://www.medicalnewstoday.com/articles/dont-want-to-do-anything) - daytime drowsiness - [difficulty concentrating](https://www.medicalnewstoday.com/articles/unable-to-concentrate) or learning new tasks - gastrointestinal problems, such as: - [bloating](https://www.medicalnewstoday.com/articles/321869) - [abdominal pain](https://www.medicalnewstoday.com/articles/318286) - [constipation](https://www.medicalnewstoday.com/articles/150322.php "What to know about constipation") - [diarrhea](https://www.medicalnewstoday.com/articles/158634.php "What you should know about diarrhea") - [headache](https://www.medicalnewstoday.com/articles/73936.php) - [irritability](https://www.medicalnewstoday.com/articles/325564) or moodiness - slowed response time - vision problems, such as [blurriness](https://www.medicalnewstoday.com/articles/sudden-blurry-vision) Symptoms may worsen after exertion. ## [Diagnosing fatigue]() Diagnosis can be challenging, as the causes and symptoms of fatigue are varied and nonspecific. A doctor may ask questions about: - the qualities of the fatigue - the patterns of the fatigue - whether or not taking a nap helps - the quality of the person’s sleep - the person’s emotional state and stress levels People can aid their diagnosis by keeping a record of the total hours they sleep each night and how often they wake up each night. The doctor will carry out a physical examination to check for signs of illness and ask the person which medications they are taking, if any. They will also ask about lifestyle habits, including the person’s diet, caffeine use, drug use, alcohol consumption, and work and sleep patterns. ### Diagnostic tests Diagnostic tests can help determine the underlying cause of the fatigue. Urine tests, imaging scans, [mental health](https://www.medicalnewstoday.com/articles/154543.php "What is mental health?") questionnaires, and blood tests may be necessary depending on other symptoms. These tests can help rule out physical causes, such as infections, hormonal problems, anemia, liver problems, or kidney problems. The doctor may also order a sleep study to rule out a sleeping disorder. If they diagnose an illness, they will suggest appropriate treatments. ## [Treatment for fatigue]() To treat fatigue effectively, a doctor needs to find and diagnose the underlying cause. ### Sleep habits Getting enough sleep is an important part of managing fatigue. To practice [good sleep hygiene](https://www.medicalnewstoday.com/articles/sleep-hygiene), people should: - Aim to go to bed and wake up at the same time each day, even on days off. - Set the bedroom temperature at a comfortable level. - Make sure the room is dark and quiet. - Avoid screen time an hour before sleeping, as the light and sounds from a television, computer, or phone can stimulate brain activity and affect sleep quality. - Avoid eating shortly before going to bed. - As bedtime approaches, try to slow down both physically and mentally. Taking a warm bath or listening to some soothing music can help clear the mind of stressful and worrying thoughts before going to sleep. Keeping a sleep diary to detect patterns may also help. ### Diet Diet can affect energy levels. Maintaining a moderate and well-balanced diet may improve health and sleep. People can try the following: - Eat small, frequent meals throughout the day. - Eat snacks that are low in added sugar. - Avoid highly processed food and follow a [healthy diet](https://www.medicalnewstoday.com/articles/153998). - Consume plenty of fresh fruits and vegetables. - Avoid caffeine in the afternoon and evening. »Learn more:[Can foods help fight fatigue?](https://www.medicalnewstoday.com/articles/foods-that-beat-fatigue) ### Physical activity Getting regular physical activity can help reduce fatigue and improve sleep. Those who have not been physically active for some time should introduce exercise gradually. A doctor or sports therapist can help. People should exercise during the time of day that is most productive for them. ### Yoga and mindfulness A [2022 review](https://pmc.ncbi.nlm.nih.gov/articles/PMC9828570/) suggests that [mindfulness](https://www.medicalnewstoday.com/articles/mindfulness-for-mental-wellbeing) can significantly improve cancer-related fatigue, depression, and anxiety. A [2023 study](https://pmc.ncbi.nlm.nih.gov/articles/PMC10249016/) suggests that mindfulness may help to reduce any association between fatigue and negative emotional responses at a neural level. Similarly, a [2024 study](https://pubmed.ncbi.nlm.nih.gov/39451436/) suggests that movement-based mindful exercises, including [yoga](https://www.medicalnewstoday.com/articles/286745), [tai chi](https://www.medicalnewstoday.com/articles/265507), and [qigong](https://www.medicalnewstoday.com/articles/qigong-benefits), may help reduce fatigue due to chronic fatigue syndrome or [post-COVID syndromes](https://www.medicalnewstoday.com/articles/long-covid). ## [Fatigue and driving]() A 2023 review suggests that driver fatigue contributes to [20%](https://pmc.ncbi.nlm.nih.gov/articles/PMC10082604/) of motor vehicle accidents. If a driver notices that they are doing any of the following, they should pull over and take a nap or change drivers: - yawning and blinking - not remembering the last few miles they have driven - missing an exit - drifting across the lane - driving onto a rumble strip - having trouble staying focused ## [Summary]() A range of health conditions and lifestyle factors, such as diabetes, depression, and chronic pain, among others, can cause fatigue. If fatigue and sleepiness affect a person’s daily life and none of the tips in this article work, they should see a doctor for advice. To help with diagnosis, people can keep a diary of their sleep habits and symptoms. After making a diagnosis, a doctor will be able to suggest some appropriate treatment options. - [Body Aches](https://www.medicalnewstoday.com/categories/body-aches) - [Public Health](https://www.medicalnewstoday.com/categories/public-health) - [Sleep / Sleep Disorders / Insomnia](https://www.medicalnewstoday.com/categories/sleep) ### How we reviewed this article: Sources Medical News Today has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical journals and associations. We only use quality, credible sources to ensure content accuracy and integrity. You can learn more about how we ensure our content is accurate and current by reading our [editorial policy](https://www.medicalnewstoday.com/articles/process). - Allada R, et al. (2021). Circadian mechanisms in medicine. <https://www.nejm.org/doi/full/10.1056/NEJMra1802337> - Chand SP, et al. (2023). Depression. <https://www.ncbi.nlm.nih.gov/books/NBK430847/> - Fan J, et al. (2023). Effects of mindfulness and fatigue on emotional processing: An event-related potentials study. <https://pmc.ncbi.nlm.nih.gov/articles/PMC10249016/> - Fricke-Comellas H, et al. (2024). Exploring the effects of qigong, tai chi, and yoga on fatigue, mental health, and sleep quality in chronic fatigue and post-COVID syndromes: A systematic review with meta-analysis. <https://pubmed.ncbi.nlm.nih.gov/39451436/> - Gottlieb DJ, et al. (2020). Diagnosis and management of obstructive sleep apnea: A review. <https://jamanetwork.com/journals/jama/article-abstract/2764461?utm_source=openevidence&utm_medium=referral> - He J, et al. (2024). Fibromyalgia in obstructive sleep apnea-hypopnea syndrome: A systematic review and meta-analysis. <https://pmc.ncbi.nlm.nih.gov/articles/PMC11144865/> - Health risks of overweight & obesity. (2023). <https://www.niddk.nih.gov/health-information/weight-management/adult-overweight-obesity/health-risks> - Maisel P, et al. (2021). Fatigue as the chief complaint. <https://pmc.ncbi.nlm.nih.gov/articles/PMC8579431/> - McCloy K, et al. (2022). Effects of mindfulness‐based interventions on fatigue and psychological wellbeing in women with cancer: A systematic review and meta‐analysis of randomised control trials. <https://pmc.ncbi.nlm.nih.gov/articles/PMC9828570/> - Sprajcer M, et al. (2023). How tired is too tired to drive? A systematic review assessing the use of prior sleep duration to detect driving impairment. <https://pmc.ncbi.nlm.nih.gov/articles/PMC10082604/> - What are sleep deprivation and deficiency? (2022). <https://www.nhlbi.nih.gov/health/sleep-deprivation> - Winkleman JW, et al. (2015). Insomnia disorder. <https://www.nejm.org/doi/full/10.1056/NEJMcp1412740> Share this article ![](https://i0.wp.com/post.medicalnewstoday.com/wp-content/uploads/2025/08/Aaron-Block-500x500_Med_Reviewer_NEW.png?w=105&h=105) [Medically reviewed]() by [Aaron R. Block, MD MPH CPH DABFM MSCP](), Menopause and Mid-Life Women's Care, Family Medicine — Written by [Yvette Brazier]() — [Updated on July 1, 2025]() ## Latest news - [9 steps to improve heart health, per new dietary guidance from AHA](https://www.medicalnewstoday.com/articles/9-steps-improve-heart-health-diet-guidance-aha) - [AI model can accurately predict liver cancer risk, study suggests](https://www.medicalnewstoday.com/articles/ai-model-accurately-predict-liver-cancer-risk) - [AI-powered stroke tool linked to improved patient outcomes in large clinical trial](https://www.medicalnewstoday.com/articles/ai-powered-stroke-tool-linked-improved-patient-outcomes-large-clinical-trial) - [Eating same meals on repeat, and more at weekends may help you lose more weight](https://www.medicalnewstoday.com/articles/eating-same-meals-repeat-more-weekends-may-help-lose-more-weight) - [Cooking at least one meal at home weekly may cut dementia risk by up to 67%](https://www.medicalnewstoday.com/articles/cooking-at-least-one-meal-at-home-weekly-may-cut-dementia-risk) ### Related Coverage - [Is fatigue a symptom of osteoarthritis?](https://www.medicalnewstoday.com/articles/does-osteoarthritis-cause-fatigue?utm_source=ReadNext) Medically reviewed by [Nancy Carteron, M.D., FACR](https://www.medicalnewstoday.com/reviewers) [Learn about whether osteoarthritis can cause fatigue. 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Readable Markdown	Fatigue can result from a mental or physical health condition, medication use, or chronic pain, among other reasons. Treatment involves managing the underlying cause. Physical and mental fatigue are different, but they often occur together. Repeated physical exhaustion can lead to mental fatigue over time. When fatigue affects safety, it becomes a public health concern. People with severe fatigue may act similarly to those who are intoxicated. Insufficient sleep, particularly when it occurs for a long time, can also lead to fatigue. Officials recommend that adults get [7 to 8 hours](https://www.nhlbi.nih.gov/health/sleep-deprivation/how-much-sleep) of sleep each night, but as many as [1 in 3 Americans](https://www.nhlbi.nih.gov/health/sleep-deprivation) do not get this much. Eating a balanced diet and getting regular physical activity can help reduce fatigue for many people. Treating the underlying cause of fatigue, whether this is not enough sleep or a health condition, also helps. There are two main types of fatigue: physical and mental. Someone with physical fatigue may find it physically hard to do the things they usually do, such as climbing the stairs. Symptoms include [muscle weakness](https://www.medicalnewstoday.com/articles/325876), and diagnosis may involve completing a strength test. With mental fatigue, someone may find it harder to concentrate and focus. They may feel sleepy or have difficulty staying awake while working. [Sleepiness](https://www.medicalnewstoday.com/articles/326807) can occur when someone does not get enough good-quality sleep or when they lack stimulation. It can also indicate a health condition that interferes with sleep, such as [sleep apnea](https://www.medicalnewstoday.com/articles/178633) or [restless legs syndrome](https://www.medicalnewstoday.com/articles/7882). Sleepiness is more likely to be short-term than fatigue. It is usually treatable with regular and consistent sleep. However, healthcare professionals typically associate fatigue — especially when it is chronic — with a health condition or problem. It may also be its own chronic condition, called [chronic fatigue syndrome](https://www.medicalnewstoday.com/articles/184802.php), or myalgic encephalomyelitis. It can be challenging to diagnose fatigue as it is a nonspecific symptom with multiple potential causes. This means it can take quite a long time for a healthcare professional to diagnose the underlying cause. Mental health issues Fatigue is a [main symptom](https://www.ncbi.nlm.nih.gov/books/NBK430847/) of clinical [depression](https://www.medicalnewstoday.com/articles/8933), either due to the depression itself or associated problems, such as [insomnia](https://www.medicalnewstoday.com/articles/9155.php). [Stress](https://www.medicalnewstoday.com/articles/145855) is another [common cause](https://pmc.ncbi.nlm.nih.gov/articles/PMC8579431/) of fatigue. Fatigue can also result from the following mental health issues: - bereavement and [grief](https://www.medicalnewstoday.com/articles/stages-of-grief) - [eating disorders](https://www.medicalnewstoday.com/articles/326266) - [anxiety](https://www.medicalnewstoday.com/articles/323454) - boredom - [emotional exhaustion](https://www.medicalnewstoday.com/articles/323441) or [burnout](https://www.medicalnewstoday.com/articles/burnout-symptoms) - life events, such as moving home or getting a [divorce](https://www.medicalnewstoday.com/articles/life-after-divorce) Endocrine and metabolic reasons Health conditions and other factors that affect hormones may cause fatigue. These [include](https://pmc.ncbi.nlm.nih.gov/articles/PMC8579431/): - [Cushing’s syndrome](https://www.medicalnewstoday.com/articles/172744) - [kidney disease](https://www.medicalnewstoday.com/articles/172179) - [electrolyte problems](https://www.medicalnewstoday.com/articles/electrolyte-imbalance) - [diabetes](https://www.medicalnewstoday.com/articles/323627) - [thyroid conditions](https://www.medicalnewstoday.com/articles/323196) - [pregnancy](https://www.medicalnewstoday.com/articles/38302) - [hormonal contraception](https://www.medicalnewstoday.com/articles/162762), including [birth control pills](https://www.medicalnewstoday.com/articles/290196) and the [implant](https://www.medicalnewstoday.com/articles/birth-control-implants) Drugs and medications Certain drugs and medications [can cause](https://pmc.ncbi.nlm.nih.gov/articles/PMC8579431/) fatigue, including: - some [antidepressants](https://www.medicalnewstoday.com/articles/248320) - [anxiety medications](https://www.medicalnewstoday.com/articles/323666) - [antihypertensives](https://www.medicalnewstoday.com/articles/323724) - [statins](https://www.medicalnewstoday.com/articles/8274) - [steroids](https://www.medicalnewstoday.com/articles/246373) - [antihistamines](https://www.medicalnewstoday.com/articles/antihistamines) - [sedatives](https://www.medicalnewstoday.com/articles/sedatives) Medication withdrawal or changes in dosage can also cause fatigue until the body adjusts. Heart and lung conditions Heart and lung conditions can affect blood flow in the body or cause inflammation and may lead to fatigue. These include: - [pneumonia](https://www.medicalnewstoday.com/articles/151632.php) - [arrhythmias](https://www.medicalnewstoday.com/articles/8887.php) - [asthma](https://www.medicalnewstoday.com/articles/323523) - [chronic obstructive pulmonary disease (COPD)](https://www.medicalnewstoday.com/articles/141287) - [valvular heart disease](https://www.medicalnewstoday.com/articles/237191.php) - [coronary heart disease](https://www.medicalnewstoday.com/articles/184130.php) - [congestive heart failure](https://www.medicalnewstoday.com/articles/156849.php) Sleep problems The following sleep factors can also lead to fatigue: - working late - [working shifts](https://www.nejm.org/doi/full/10.1056/NEJMra1802337) - [jet lag](https://www.medicalnewstoday.com/articles/165339.php) - [sleep apnea](https://jamanetwork.com/journals/jama/article-abstract/2764461?utm_source=openevidence&utm_medium=referral) - [narcolepsy](https://www.medicalnewstoday.com/articles/155244.php) - [insomnia](https://www.nejm.org/doi/full/10.1056/NEJMcp1412740) - reflux [esophagitis](https://www.medicalnewstoday.com/articles/9274.php) Chemicals and substances [Vitamin deficiencies](https://www.medicalnewstoday.com/articles/signs-of-vitamin-deficiency), mineral deficiencies, and poisoning can all affect sleep and cause fatigue. Consuming caffeinated drinks or alcohol [can also](https://www.nhlbi.nih.gov/health/sleep-deprivation/healthy-sleep-habits) disrupt sleep, especially close to bedtime. Using products containing [nicotine](https://www.medicalnewstoday.com/articles/240820) can also disrupt sleep. Medical conditions Several medical conditions can cause fatigue, [including](https://pmc.ncbi.nlm.nih.gov/articles/PMC8579431/): - [anemia](https://www.medicalnewstoday.com/articles/158800.php) - [high blood pressure](https://www.medicalnewstoday.com/articles/159283.php) - [fibromyalgia](https://www.medicalnewstoday.com/articles/147083.php) - systemic [lupus](https://www.medicalnewstoday.com/articles/323653) - [rheumatoid arthritis](https://www.medicalnewstoday.com/articles/323361) - [inflammatory bowel disease](https://www.medicalnewstoday.com/articles/316395) - [cancer](https://www.medicalnewstoday.com/cancer) and cancer treatments, including [chemotherapy](https://www.medicalnewstoday.com/articles/158401.php) and [radiation therapy](https://www.medicalnewstoday.com/articles/158513.php) - massive blood loss Fatigue can also be a symptom of infection. Some infections that cause extreme tiredness include: - [malaria](https://www.medicalnewstoday.com/articles/150670.php) - [tuberculosis](https://www.medicalnewstoday.com/articles/8856.php) - [infectious mononucleosis](https://www.medicalnewstoday.com/articles/167390.php) - [cytomegalovirus](https://www.medicalnewstoday.com/articles/173811.php) - [HIV](https://www.medicalnewstoday.com/articles/17131.php) - [flu](https://www.medicalnewstoday.com/articles/15107.php) - [hepatitis](https://www.medicalnewstoday.com/articles/145869.php) Chronic pain People with chronic pain may wake up frequently throughout the night. They may also wake up feeling tired and poorly rested, having been unable to get good-quality sleep. The combination of chronic pain and a lack of sleep can cause persistent tiredness and fatigue. A 2024 review suggests that around [21%](https://pmc.ncbi.nlm.nih.gov/articles/PMC11144865/) of people with obstructive sleep apnea also have fibromyalgia, which contributes to fatigue. Being overweight or underweight Excess body weight increases the risk of fatigue by [increasing the risk](https://www.niddk.nih.gov/health-information/weight-management/adult-overweight-obesity/health-risks) of conditions that cause fatigue, such as diabetes or sleep apnea. Carrying more weight and experiencing joint or muscle pain can lead to or exacerbate fatigue. Similarly, people who are underweight may tire easily, depending on the cause of their condition. [Eating disorders](https://www.medicalnewstoday.com/articles/signs-of-an-eating-disorder), cancer, chronic diseases, and an overactive thyroid can all cause weight loss, as well as excessive tiredness and fatigue. Too much or too little activity Fatigue can make it challenging to exercise, and a lack of exercise may cause further fatigue. A lack of exercise may eventually cause [deconditioning](https://www.medicalnewstoday.com/articles/325316), making it harder and more tiring to perform a physical task. Fatigue can also affect people after prolonged, intense mental or physical activity. Diagnosis can be challenging, as the causes and symptoms of fatigue are varied and nonspecific. A doctor may ask questions about: - the qualities of the fatigue - the patterns of the fatigue - whether or not taking a nap helps - the quality of the person’s sleep - the person’s emotional state and stress levels People can aid their diagnosis by keeping a record of the total hours they sleep each night and how often they wake up each night. The doctor will carry out a physical examination to check for signs of illness and ask the person which medications they are taking, if any. They will also ask about lifestyle habits, including the person’s diet, caffeine use, drug use, alcohol consumption, and work and sleep patterns. Diagnostic tests Diagnostic tests can help determine the underlying cause of the fatigue. Urine tests, imaging scans, [mental health](https://www.medicalnewstoday.com/articles/154543.php "What is mental health?") questionnaires, and blood tests may be necessary depending on other symptoms. These tests can help rule out physical causes, such as infections, hormonal problems, anemia, liver problems, or kidney problems. The doctor may also order a sleep study to rule out a sleeping disorder. If they diagnose an illness, they will suggest appropriate treatments. To treat fatigue effectively, a doctor needs to find and diagnose the underlying cause. Sleep habits Getting enough sleep is an important part of managing fatigue. To practice [good sleep hygiene](https://www.medicalnewstoday.com/articles/sleep-hygiene), people should: - Aim to go to bed and wake up at the same time each day, even on days off. - Set the bedroom temperature at a comfortable level. - Make sure the room is dark and quiet. - Avoid screen time an hour before sleeping, as the light and sounds from a television, computer, or phone can stimulate brain activity and affect sleep quality. - Avoid eating shortly before going to bed. - As bedtime approaches, try to slow down both physically and mentally. Taking a warm bath or listening to some soothing music can help clear the mind of stressful and worrying thoughts before going to sleep. Keeping a sleep diary to detect patterns may also help. Diet Diet can affect energy levels. Maintaining a moderate and well-balanced diet may improve health and sleep. People can try the following: - Eat small, frequent meals throughout the day. - Eat snacks that are low in added sugar. - Avoid highly processed food and follow a [healthy diet](https://www.medicalnewstoday.com/articles/153998). - Consume plenty of fresh fruits and vegetables. - Avoid caffeine in the afternoon and evening. Physical activity Getting regular physical activity can help reduce fatigue and improve sleep. Those who have not been physically active for some time should introduce exercise gradually. A doctor or sports therapist can help. People should exercise during the time of day that is most productive for them. Yoga and mindfulness A [2022 review](https://pmc.ncbi.nlm.nih.gov/articles/PMC9828570/) suggests that [mindfulness](https://www.medicalnewstoday.com/articles/mindfulness-for-mental-wellbeing) can significantly improve cancer-related fatigue, depression, and anxiety. A [2023 study](https://pmc.ncbi.nlm.nih.gov/articles/PMC10249016/) suggests that mindfulness may help to reduce any association between fatigue and negative emotional responses at a neural level. Similarly, a [2024 study](https://pubmed.ncbi.nlm.nih.gov/39451436/) suggests that movement-based mindful exercises, including [yoga](https://www.medicalnewstoday.com/articles/286745), [tai chi](https://www.medicalnewstoday.com/articles/265507), and [qigong](https://www.medicalnewstoday.com/articles/qigong-benefits), may help reduce fatigue due to chronic fatigue syndrome or [post-COVID syndromes](https://www.medicalnewstoday.com/articles/long-covid). A 2023 review suggests that driver fatigue contributes to [20%](https://pmc.ncbi.nlm.nih.gov/articles/PMC10082604/) of motor vehicle accidents. If a driver notices that they are doing any of the following, they should pull over and take a nap or change drivers: - yawning and blinking - not remembering the last few miles they have driven - missing an exit - drifting across the lane - driving onto a rumble strip - having trouble staying focused A range of health conditions and lifestyle factors, such as diabetes, depression, and chronic pain, among others, can cause fatigue. If fatigue and sleepiness affect a person’s daily life and none of the tips in this article work, they should see a doctor for advice. To help with diagnosis, people can keep a diary of their sleep habits and symptoms. After making a diagnosis, a doctor will be able to suggest some appropriate treatment options.
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