Symptom

Tiredness and fatigue

Why persistent tiredness happens, the everyday and medical causes worth ruling out, and when to speak to a GP.

Tiredness and fatigue

What we mean by tiredness and fatigue

Most people feel tired from time to time. Persistent tiredness or fatigue can involve low energy, sleepiness or reduced stamina that lasts or begins to affect everyday life. These experiences can overlap, and this page cannot identify their cause.

This page is educational only. It is not a diagnosis, and it does not replace advice from a GP or another qualified clinician.

Common everyday causes

  • Poor or irregular sleep, including shift work and late screen use
  • Ongoing stress, low mood or anxiety
  • Doing too little or too much physical activity
  • Irregular eating, dehydration, alcohol or high caffeine intake
  • Recovering from a recent illness or infection

Medical causes a GP may want to rule out

A GP may consider causes such as iron-deficiency anaemia, diabetes, an overactive thyroid, sleep apnoea or ME/chronic fatigue syndrome. Depending on your symptoms, you may need tests, such as blood tests, to help look for a cause. Do not self-diagnose, start treatment or stop prescribed medication without professional advice.

Practical things that often help

  • Keep regular sleeping and waking times, and aim for around 6 to 9 hours of sleep
  • Eat a healthy diet and exercise regularly where appropriate
  • Relax before going to bed and keep the sleeping environment comfortable
  • Avoid screens during the hour before bed
  • Avoid caffeine, eating and exercise during the couple of hours before bed
  • Avoid smoking and excessive alcohol

When to see a GP

Speak to a GP if you have felt tired for a few weeks and do not know why, if tiredness is affecting your daily life, or if it occurs with other symptoms such as weight loss or mood changes. Also speak to a GP if someone has noticed you gasping, snorting or choking while asleep.

When to get urgent help

Call 999 or go to A&E if you have severe difficulty breathing; your chest feels tight or heavy; pain spreads to your arms, back, neck or jaw; your skin, lips or tongue become pale, blue or grey; you become suddenly confused; or chest pain occurs with sweating, sickness, light-headedness or shortness of breath. Do not drive yourself to A&E.

For urgent concerns that do not appear life-threatening, use NHS 111.

Sources

This content is informational, not medical advice. Always check with a qualified clinician before changing routines that affect your health. Some links may become affiliate links in future.

Frequently asked questions

How long is too long to feel tired?
Tiredness that persists for more than a few weeks, or that keeps returning without an obvious cause, is worth discussing with a GP.
Will blood tests always find a cause?
No. Tests help rule out several treatable causes, but many people have normal results and the cause turns out to be sleep, stress or lifestyle related.
Can exercise help if I am already exhausted?
Gentle, regular movement helps many people, but it is not right for everyone — particularly where post-exertional symptoms are present. Discuss it with a clinician first.
Is fatigue the same as ME/CFS?
No. ME/CFS is a specific long-term condition diagnosed by a clinician; most tiredness has other explanations.
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