Why am I tired all the time?
Feeling exhausted is so common that it has its own acronym, TATT, which stands for “tired all the time”.
We all feel tired from time to time. The reasons are usually obvious and include:
- too many late nights
- long hours spent at work
- a baby keeping you up at night
But tiredness or exhaustion that goes on for a long time is not normal. It can affect your ability to get on and enjoy your life.
Unexplained tiredness is one of the most common reasons for people to see their GP.
Why you might be tired all the time
Before you see a GP, you may want to work out how you became tired in the first place.
It can be helpful to think about:
- parts of your life, such as work and family, that might be particularly tiring
- any events that may have triggered your tiredness, such as bereavement or a relationship break-up
- how your lifestyle may be making you tired
A GP will look at the following causes of tiredness:
- lifestyle causes
- psychological causes
- physical causes
Lifestyle causes of tiredness
In today’s 24/7 “always on” world, we often try to cram too much into our daily lives.
And to try to stay on top of things, we sometimes consume too much alcohol or caffeine, or eat sugary and high-fat snacks on the go rather than sitting down for a proper meal.
The main lifestyle causes of tiredness include:
Alcohol
Drinking too much interferes with the quality of your sleep. Stick to the guidelines of no more than 14 units a week for both men and women.
Read more about how to cut down on alcohol.
If you are dependent on Alcohol and want to cut down or stop, there is help for you through Change Grow Live. Contact them through this number – 01452 223014 or send them an email on – gloucestershire.info@cgl.org.uk.
- Am I dependent on alcohol? Use this link to find out: Alcohol advice
Exercise
Too much or too little exercise can affect how tired you feel.
Read more about the benefits of exercise.
Caffeine
Too much of this stimulant, found in tea, coffee, colas and energy drinks, can upset sleep and make you feel wound-up as well as tired.
Try decaffeinated tea and coffee, or gradually cut out caffeine altogether.
Night shifts
Night workers often find they get tired more easily. This is more likely if the timing of the shifts keeps changing.
Daytime naps
If you’re tired, you may nap during the day, which can make it more difficult to get a good night’s sleep.
Read more about how to change your lifestyle habits to boost your energy.
Psychological causes of tiredness
Psychological causes of tiredness are much more common than physical causes.
Most psychological causes lead to poor sleep or insomnia, both of which cause daytime tiredness.
Psychological causes include:
Stress
The strains of daily life can worry most of us at some point. It’s also worth remembering that even positive events, such as moving house or getting married, can cause stress.
Read more about how to deal with stress.
Emotional shock
A bereavement, redundancy or a relationship break-up can make you feel tired and exhausted.
Depression
If you feel sad, low and lacking in energy, and you also wake up tired, you may have depression.
Here’s how to tell if you might have depression. See your GP if you think you are depressed.
Anxiety
If you have constant uncontrollable feelings of anxiety, you may have what doctors call generalised anxiety disorder (GAD).
As well as feeling worried and irritable, people with GAD often feel tired. See a GP, as medication and talking therapies can help. You can refer yourself to talking therapy using these links. Qwell – sign up to Qwell – and Let’s Talk.
Good sleep helps to improve low mood, anxiety and tiredness. Try this short NHS audio guide to dealing with your sleep problems.
Physical causes of tiredness
There are several health conditions that can make you feel tired or exhausted.
These include:
Tiredness can also be the result of:
- pregnancy – particularly in the first 12 weeks
- being overweight or obese – your body has to work harder to do everyday activities.
If you need help getting down to a healthy weight, contact Healthy Lifestyles Gloucestershire
- being underweight – poor muscle strength can make you tire more easily
- cancer treatments, such as radiotherapy and chemotherapy
- carbon monoxide poisoning – especially if your gas boiler has not been serviced regularly
- side effects of medicines and some herbal remedies
Read more about the medical causes of tiredness.
What next?
If you have been able to identify the cause of your tiredness and you have taken the recommended steps above but still feeling constantly tired for more than 4 weeks, it’s a good idea to contact the Patient Adviser Team on 01452 529933. A blood test will then be arranged for you to confirm or rule out a medical condition that could be causing your tiredness. If the blood test is abnormal a GP will contact you.
If you notice any of these serious causes of tiredness below, please contact the Patient Adviser Team on 01452 529933, for an appointment as soon as possible
- Significant unexplained weight loss.
- Coughing up blood
- Difficulty swallowing
- Bleeding from the back passage
- Change in bowel habit of more than 3 weeks
- Breast lump or bleeding after menopause
- Enlarged glands and night sweats.