What can cause severe tiredness?

Question

Hi doctor,

I have been concerned about my tiredness. Before, I could stay up all night, but now I cannot. I have no idea what it is. Sometimes, when I get home I get really tired and take a nap. When I take a nap in the afternoon I sometimes wake up feeling shaky and feel horrible. Even after the nap I still feel tired. Then when it is time to go to bed I fall asleep so quickly. I do not know if it is just me getting older or some disorder. Can you give some answer on what it could be?

Answer 1

Hello,

Welcome to icliniq.com. I have gone through all the data you have posted. As you are a female and worried about increased fatigability my first differential diagnosis would be low hemoglobin. It is common to have low hemoglobin in females due to menstrual blood loss. Kindly do complete blood picture with peripheral smear. Second possibility would be hypothyroidism, which is again common if females especially if there is a family history. So, kindly do CBP with peripheral smear and thyroid profile and update me with reports. Kindly be relaxed and decrease stressors. It does not look like you have a big problem. If the above reports are normal and even then you have similar problems then you need to consult a general physician for clinical examination which will help in diagnosis.