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What Causes Tiredness At End Of The Day?

Posted on Tue, 13 May 2014

Question: My question related to the tiredness .. I getting tiredness at end of the day of my work.. I feel sick sometimes.. but morning I will be look fresh and energetic but evening I feel more tired .

Answered by Dr. Vinay Bhardwaj (47 minutes later)

Brief Answer: Chronic Fatigue requires testing. Detailed Answer: Hello. There are many different causes for such an issue. The most common of which is lack of sleep every night, the rarest of which is called "Chronic Fatigue Syndrome" which is caused by a virus. There are HUNDREDS of diagnoses in between. So I need some more information from you so I can try and narrow down the possibilities. Q) When did this fatigue start? Was it sudden or did it happen over time? Q) What is your height and weight? Q) Do you have any medical issues or are you taking any regular pills or meds? Q) Do you smoke? Q) Do you exercise regularly? Q) What is your diet like? Home cooked food? Fast food? Etc? I also want you to get the following blood work done when you can CBC, Na, K, BUN, S. Creatinine, Fasting Blood Sugar, ESR, LFT, TSH, T3, T4, Cholesterol profile. Urinalysis (UA). If any of these tests has been done in the last 6 months, upload to me and I will see. Otherwise try and get these tests when you can. I hope this helps, Vinay

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Vinay Bhardwaj (24 minutes later)

thanks for reply.. This problem happens afternoon to till night once have sleep at night morning I will be energetic and again next day afternoon it will. from last 3days its happening. Q) When did this fatigue start? Was it sudden or did it happen over time? it start suddenly and its goes off for some periods and it stops Q) What is your height and weight? height 5.4 and 67KG Q) Do you have any medical issues or are you taking any regular pills or meds? I have acidity and obesity , I am not taking any regular pills Q) Do you smoke? No Q) Do you exercise regularly? No Q) What is your diet like? Home cooked food? Fast food? Etc? I will have food in hotel for 5 days and 2days home food. I have done some general test like urine test and blood test .. doctor told me like you have obesity.

Answered by Dr. Vinay Bhardwaj (23 hours later)

Brief Answer: Obesity may be a symptom of something deeper Detailed Answer: Hello XXXXXX, thank you for following up. Now, being overweight can certainly interfere with breathing when you sleep and can ruin the quality of your sleep. But you must remember, obesity can be a SIGN of an underlying issue, or it can be a disease all on its own. In many women your age endocrinological problems like Hypothyroidism (low output from thyroid gland) and anemia can be causes of Chronic fatigue AND Obesity. So we need to rule this out. I would like you to have the following bloodwork done at the earliest. Once you have the results done then send them to me and we can discuss further. CBC Na K BUN Serum Creatinine TSH T3 T4 Fasting Blood Sugar HbA1c Fasting Serum Cortisol Lipid profile. Once you have these results, let me know. i look forward to your reply. Vinay

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Vinay Bhardwaj (4 minutes later)

thanks for reply doctor.. I will done the test and send you to report.

Answered by Dr. Vinay Bhardwaj (21 minutes later)

Brief Answer: Looking forward to it Detailed Answer: Good job, Will look forward to your communication.

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar