1. Coeliac disease
This is a
type of food intolerance, where your body reacts badly when you eat
gluten – a substance found in bread, cakes and cereals. One in 100 people in the UK
are affected, but research suggests that up to 90% of them don’t know they
have the condition, according to patient group Coeliac UK.
Other symptoms of coeliac disease, apart from tiredness, are diarrhoea, anaemia
and weight loss. Your GP can check if you have coeliac disease through a blood
test.
2. Anaemia
One of the
most common medical reasons for feeling constantly run down is iron deficiency
anaemia. It affects around one in 20 men and post-menopausal women, but may be
even more common in women who are still having periods. Typically, you’ll feel
you can’t be bothered to do anything, your muscles will feel heavy and you’ll
get tired very quickly. Women with heavy periods and pregnant women are especially
prone to anaemia.
3. Chronic fatigue syndrome
Chronic
fatigue syndrome (also called myalgic encephalomyelitis or ME) is a severe and
disabling tiredness that goes on for at least six months. There are usually
other symptoms, such as a sore throat, muscle or joint pain and headache.
4. Sleep apnoea
Sleep apnoea
is a condition where your throat narrows or closes during sleep and repeatedly
interrupts your breathing. This results in bad snoring and a drop in your blood's oxygen levels.
The difficulty in breathing means that you wake up often in the night, and feel
exhausted the next day. It’s most common in overweight, middle-aged men.
Drinking alcohol and smoking makes it worse.
5. Underactive thyroid
An
underactive thyroid gland means that you have too little thyroid hormone
(thyroxine) in your body. This makes you feel tired. You’re also likely to put
on weight and have aching muscles. It’s most common in women, and it happens
more often as you get older. Your GP can diagnose an underactive thyroid by
taking a blood test.
6. Diabetes
One of the
main symptoms of diabetes, a long-term condition caused by too much sugar in
the blood, is feeling very tired. The other key symptoms are feeling very
thirsty, going to the toilet a lot and weight loss. Your GP can diagnose
diabetes with a blood test.
7. Glandular fever
Glandular
fever is a common viral infection that causes fatigue, along with fever, sore throat and swollen glands. Most cases happen in teenagers
and young adults. Symptoms usually clear up within four to six weeks, but
the fatigue can linger for several more months.
8. Depression
As well as
making you feel very sad, depression can also make you feel drained of energy.
It can stop you falling asleep or cause you to wake up early in the
morning, which makes you feel more tired during the day.
9. Restless legs
This is when
you get uncomfortable sensations in your legs, which keep you awake at night.
You might have an overwhelming urge to keep moving your legs, a deep ache in
your legs, or your legs might jerk spontaneously through the night. Whatever
your symptoms, your sleep will be disrupted and of poor quality, so you’ll feel
very tired throughout the day.
10. Anxiety
Feeling
anxious is sometimes perfectly normal. However, some people have constant,
uncontrollable feelings of anxiety, which are so strong they affect their daily
life. Doctors call this generalised anxiety disorder (GAD). It affects
around around one in 20 people in the UK. As well as feeling worried and
irritable, people with GAD often feel tired.

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