Nearly everyone is overtired or overworked from time to time. Such instances of temporary fatigue usually have an identifiable cause and a likely remedy.
Unrelenting exhaustion, on the other hand, lasts longer, is more profound and isn't relieved by rest. It's a nearly constant state of weariness that develops over time and reduces your energy, motivation and concentration. Fatigue at this level impacts your emotional and psychological well-being, too.
Most of the time fatigue can be traced to one or more of your habits or routines, particularly lack of exercise. It's also commonly related to depression. On occasion, fatigue is a symptom of other underlying conditions that require medical treatment.
Call 911 or your local emergency number
Get emergency help if your fatigue is related to a mental health problem and your symptoms also include:
- Thoughts of harming yourself or of suicide
- Concern that you may harm someone else
Also get emergency care if your fatigue is accompanied by any of the following:
- Chest pain
- Shortness of breath
- Irregular or fast heartbeat
- Feeling that you might pass out
- Severe abdominal, pelvic or back pain
Seek immediate medical attention
Get someone to take you to an emergency room or urgent care if fatigue is accompanied by:
- Abnormal bleeding, including bleeding from your rectum or vomiting blood
- Severe headache
Schedule a doctor's visit
Call for an appointment with your doctor if your fatigue has persisted for two or more weeks despite making an effort to rest, reduce stress, choose a healthy diet and drink plenty of fluids.
Dec. 02, 2020
- Jameson JL, et al., eds. Fatigue. In: Harrison's Principles of Internal Medicine. 20th ed. McGraw Hill; 2018. https://accessmedicine.mhmedical.com. Accessed Nov. 24, 2020.
- Ferri FF. Chronic fatigue syndrome. In: Ferri's Clinical Advisor 2021. Elsevier; 2021. https://www.clinicalkey.com. Accessed Nov. 24, 2020.
- AskMayoExpert. Chronic fatigue. Mayo Clinic; 2018.
- Fatigue and traumatic brain injury. Archives of Physical Medicine and Rehabilitation. 2015;96:567. www.archives-pmr.org. Accessed Dec. 14, 2015.
- Cancer treatment: Side effects. National Cancer Institute. htpp://www.cancer.gov/about-cancer/treatment/side-effects. Accessed Dec. 15, 2015.
- Heine M, et al. Exercise therapy for fatigue in multiple sclerosis. Cochrane Database of Systematic Reviews. http://ovidsp.tx.ovid.com/sp-3.18.0b/ovidweb.cgi. Accessed Dec. 15, 2015.
- Vogelaar L, et al. Fatigue management in patients with IBD: A randomized controlled trial. Gut. 2014;63:911.
- AskMayoExpert. Excessive daytime sleepiness. Mayo Clinic; 2018.
- Crichton A, et al. Fatigue in child chronic health conditions: A systematic review of assessment instruments. Pediatrics. 2015;135:e1015. www.pediatrics.org/cgi/doi/10.1542/peds.2014-2440. Accessed Dec. 15, 2015.
- Fosnocht KM, et al. Approach to the adult patient with fatigue. https://www.uptodate.com/contents/search. Accessed Nov. 24, 2020.
- Kryger MH, et al., eds. Fibromyalgia and chronic fatigue syndromes. In: Principles and Practice of Sleep Medicine. 6th ed. Elsevier Saunders; 2017. https://www.clinicalkey.com. Accessed Nov. 24, 2020.
- Simon NM. Treating complicated grief. JAMA. 2013;310:416.
- Warning signs and symptoms. National Alliance on Mental Illness. https://www.nami.org/About-Mental-Illness/Warning-Signs-and-Symptoms. Accessed Nov. 24, 2020.
- Piazza GM, et al., eds. Emergency first aid. In: ACEP First Aid Manual. 5th ed. London, England; New York, N.Y.: DK Publishing; 2014.
- Piazza GM, et al., eds. Medical conditions. In: ACEP First Aid Manual. 5th ed. London, England; New York, N.Y.: DK Publishing; 2014.
- Piazza GM, et al., eds. Bone, joint and muscle injuries. In: ACEP First Aid Manual. 5th ed. London, England; New York, N.Y.: DK Publishing; 2014.
- Wilkinson JM (expert opinion). Mayo Clinic, Rochester, Minn. Jan. 15, 2016.
- AskMayoExpert. COVID-19-Adult. Mayo Clinic; 2020.