How to Fight Fatigue

Q:  This might seem like a broad question, but what are some ways to fight fatigue?

A:  Fatigue is probably the number one problem most of us deal with on a daily basis. The causes are not always easy to define, and even when identified may not be easily remedied.

After a thorough history, I first look at a few basic laboratory tests to exclude a low blood count or an underactive thyroid gland. These prove to be the cause less than 10% of the time and will provoke additional investigation to determine the root of the problem.

Many who experience fatigue are struggling with depression. Accompanying feelings of worthlessness, hopelessness, insomnia and unhealthy eating habits often co-exist and are part of the constellation of symptoms that would motivate one to see a physician or therapist without delay.

Surprisingly, spring is the peak season for the onset or worsening of depression. Once diagnosed, depression can be successfully treated with counseling and/or medication.

Some of us are simply doing too much, whether through difficult family situations, arduous work schedules or unreasonably complex personal lives. The use of alcohol, drugs and caffeine will only exacerbate fatigue, despite the deceptive short-term relief they promise. I would recommend the immediate cessation of all recreational drugs and minimal alcohol use.

A lack of exercise is a common cause of fatigue. Making 20 to 30 minutes of time available for a brisk walk will make a remarkable difference in the way you feel.

Developing good sleep habits can make a huge difference. Do not exercise or work before bedtime. Little or no reading or TV will also make your nighttime sleep more productive. Bedtime snacks are also unwise as they will stimulate stomach acid production, causing heartburn.

I would discourage the use of sleeping pills or most other sedating drugs and instead encourage you to objectively evaluate your lifestyle and initiate a plan to slowly introduce positive changes.

"Your Health" provides easy-to-understand information about common health conditions.