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Tired all the time
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'''Tired all the time''' or '''TATT''' is a phase that patients use that may have a number of different meanings: * a constant [[lack of energy for daily living activities|lack of energy]] * persistent or regular [[fatigue]] * [[sleepiness|problems staying awake]], for example in the evening * exhaustion that lasts longer than a person expects<ref name="webmd">{{Cite web|url=https://www.webmd.com/balance/how-tired-is-too-tired | title = Causes of Extreme Fatigue and Exhaustion|website=WebMD|language=en|access-date=2022-03-31}}</ref><ref name="Arroll2014" /><br> Feeling constantly tired is often not the result of a medical problem or illness, or may caused by only a brief and mild illness, such as [[commn cold|a cold]].<ref name="webmd" /><ref name="Arroll2014">{{Cite book | title=Invisible Illness: Coping with misunderstood conditions|pages=|isbn=978-1-84709-306-6|edition=|volume=|language=en|title-link=|url=https://books.google.co.uk/books?id=1oReBAAAQBAJ&lpg=PT19&ots=0hTOdouShM&pg=PT20#v=onepage&q&f=true|access-date= | date = 2014-09-18|publisher=SPCK | last = Arroll | first = Megan A. | author-link = Megan Arroll|veditors=|others=|doi=|oclc=|quote=|archive-url=|archive-date=|location=}}</ref> ==Symptom recognition== ''Tiredness'' is considered a normal part of life for most people, and as a result is often not taken seriously. There is no medical test to assess tiredness, but there are many different tests that can identify many of the possible medical causes of [[fatigue]]. "Tired all the time" is a frequent experience of healthy people, for example the tiredness caused by a newborn baby making someone short of sleep, excessive working hours, lack of [[exercise]] (or too much exercise), being [[weight loss|underweight]] or [[obesity]]; these are fundamentally different to having persistent and disabling [[chronic fatigue]] that does not improve with rest or self-care, may be unexplained, and could be a symptom of an illness.<ref name="NHS-TATT">{{Cite web | title = Why am I tired all the time? | title=Sleep and tiredness|website =[[National Health Service | date = Mar 2, 2021|url=https://www.nhs.uk/live-well/sleep-and-tiredness/why-am-i-tired-all-the-time/}}</ref><ref name="webmd" /> ==Comparison with myalgic encephalomyelitis and chronic fatigue syndrome== <blockquote>'''DR E.G. DOWSETT:''' One of the most striking features of [[myalgic encephalomyelitis|ME]] is that the patient is not tired all the time! Extreme and sudden variability of energy levels both within and between episodes of illness differentiate this syndrome from other diseases associated with fatigue.<ref name="Dowsett1992">{{Cite journal |url=https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2399326/|pmc=PMC2399326 | last =Dowsett | first=E.G. | author-link = Elizabeth Dowsett| title = Conversation piece. Interview by PD Welsby|journal =Postgraduate medical journal|volume = 68 |issue = 795 |year =1992 | page = 63}}</ref></blockquote> {{See also|Post-exertional malaise}}{{See also|Idiopathic chronic fatigue}}{{See also|List of abnormal findings in chronic fatigue syndrome and myalgic encephalomyelitis}} Although many different diagnostic criteria exist for [[chronic fatigue syndrome]], all involve: * a group of different symptoms, not simply [[chronic fatigue]] or tiredness * long-lasting duration of symptoms * the hallmark symptom is now understood to be [[post-exertional malaise]], rather than [[chronic fatigue]] * symptoms significantly interfere with everyday life, to the degree that the person is forced to reduce some activities<ref name="CDC-symptoms">{{Cite web|url = https://www.cdc.gov/me-cfs/symptoms-diagnosis/symptoms.html | title = Symptoms {{!}} Myalgic Encephalomyelitis/Chronic Fatigue Syndrome|website=[[Centers for Disease Control and Prevention]] | date = Jan 27, 2021|access-date = 2021-02-25}}</ref><ref name="niceng206">{{Cite web|url=https://www.nice.org.uk/guidance/ng206 | title = Myalgic Encephalomyelitis (or Encephalopathy)/Chronic Fatigue Syndrome:diagnosis and management. NICE guideline. | last=NICE Guideline Development Group | first = | authorlink = |publisher=[[National Institute for Health and Care Excellence]] | date = 2021-10-29}}</ref> {{See also|CDC Myalgic Encephalomyelitis/Chronic Fatigue Syndrome 2017 diagnostic criteria}} {{See also|NICE ME/CFS diagnostic criteria 2021}} ==Possible causes== ==Potential treatments== Treatment for persistent tiredness generally depends on the cause of the tiredness, for example * lifestyle changes including **getting enough [[sleep]] ** [[rest|adequate rest]] **reducing [[caffeine]] or stimultants **[[healthy, balanced diet|healthy eating]] ** reducing excessive activity (if present) * addressing any medical factors including [[depression|low mood]] or [[stress]] * checking side effects of any existing medication, non-perscription drugs, and over-the-counter [[Alternative medicine|herbal remedies]]; these may be list [[Daytime sleepiness|daytime sleepiness/drowsiness]], sedation, [[somnolence]], or [[fatigue]]<ref name="wedmd" /><ref name="Tiredness-causes">{{Cite web|url=https://www.webmd.com/women/guide/why-so-tired-10-causes-fatigue | title = Why Am I Always So Tired? | last =Reiff Ellis | first = Rachel | authorlink= | date = |website=WebMD|language=en|archive-url=|archive-date=|url-status=|access-date=2022-03-31}}</ref><ref name="medications">{{Cite web|url=https://www.webmd.com/drug-medication/medications-fatigue-and-sleepiness | title = Medications That Make You Tired | last =D'Arrigo | first = Terri|website=WebMD|language=en|access-date=2022-03-31}}</ref> ==Chronic fatigue== [[Chronic fatigue]] is a medical symptom defined by * problematic fatigue * persisting for at least three months, which is the medical meaning of ''chronic'' * may be mild, moderate or severe * can have many different causes but is sometimes unexplained.<ref name="ICC2011primer" /> Chronic fatigue is often harder to address than tiredeness.<ref name="ICC2011primer">{{citation | last1 = Carruthers | first1 = BM | authorlink1 = Bruce Carruthers | last2 = van de Sande | first2 = MI | authorlink2 = Marjorie van de Sande | last3 = De Meirleir | first3 = KL | authorlink3 = Kenny de Meirleir | last4 = Klimas | first4 = NG | authorlink4 = Nancy Klimas | last5 = Broderick | first5 = G | authorlink5 = Gordon Broderick | last6 = Mitchell | first6 = T | authorlink6 = Terry Mitchell | last7 = Staines | first7 = D | authorlink7 = Donald Staines | last8 = Powles | first8 = ACP | authorlink8 = A C Peter Powles | last9 = Speight | first9 = N | authorlink9 = Nigel Speight | last10 = Vallings | first10 = R | authorlink10 = Rosamund Vallings | last11 = Bateman | first11 = L | authorlink11 = Lucinda Bateman | last12 = Bell | first12 = DS | authorlink12 = David Bell | last13 = Carlo-Stella | first13 = N | authorlink13 = Nicoletta Carlo-Stella | last14 = Chia | first14 = J | authorlink14 = John Chia | last15 = Darragh | first15 = A | authorlink15 = Austin Darragh | last16 = Gerken | first16 = A | authorlink16 = Anne Gerken | last17 = Jo | first17 = D | authorlink17 = Daehyun Jo | last18 = Lewis | first18 = DP | authorlink18 = Donald Lewis | last19 = Light | first19 = AR | authorlink19 = Alan Light | last20 = Light | first20 = KC | authorlink20 = Kathleen Light | last21 = Marshall-Gradisnik | first21 = S | authorlink21 = Sonya Marshall-Gradisnik | last22 = McLaren-Howard | first22 = J | authorlink22 = John McLaren-Howard | last23 = Mena | first23 = I | authorlink23 = Ismael Mena | last24 = Miwa | first24 = K | authorlink24 = Kunihisa Miwa | last25 = Murovska | first25 = M | authorlink25= Modra Murovska | last26 = Stevens | first26 = SR | authorlink26= Staci Stevens | title = Myalgic encephalomyelitis: Adult & Paediatric: International Consensus Primer for Medical Practitioners | date = 2012| isbn = 978-0-9739335-3-6 | url = http://www.investinme.org/Documents/Guidelines/Myalgic%20Encephalomyelitis%20International%20Consensus%20Primer%20-2012-11-26.pdf}}</ref> {{See also|Chronic fatigue}} ==See also== *[[Fatigue]] *[[Chronic fatigue]] *[[Chronic illness]] *[[Unrest]] *[[Toxic Tiredness]] *[[Sick and Tired - Incline Village Outbreak]] *[[Sick and Tired - BBC]] ==Learn more== *[https://www.webmd.com/women/guide/why-so-tired-10-causes-fatigue Why Am I So Tired?] - WebMD *[https://www.webmd.com/drug-medication/medications-fatigue-and-sleepiness What Medicines Can Make You Tired?] - WedMD *Dec 11, 2012, [https://www.prevention.com/health/a20438876/how-normal-fatigue-differs-from-chronic-fatigue-syndrome/ How Tired Is Too Tired?] - Prevention.com ==References== {{reflist}} [[Category:Social issues]] [[Category:Psychological paradigm]] [[Category:Signs and symptoms]]
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