Long-term fatigue, anyone else?
Long-term fatigue, anyone else?
Author
Discussion

JoeSteveMark

Original Poster:

19 posts

23 months

Tuesday 7th April
quotequote all
Currently late 30s, I've been fatigued for probably about 18-19 years at this point, maybe more, can't really remember.

Went to the GP in my mid-20s and had blood tests done etc. which I was told were all 'normal'. In fact, he said I was weirdly normal as all results were basically bang on the middle of the normal range.

Went back to GP again some years later (around 31 y/o), he did a blood pressure check and asked a few questions but basically was fobbed off without any further tests being done.

I'm at the point of getting seriously frustrated and not knowing what to do next, I'm considering starting with some private bloods (via Numan etc.) to see if anything reveals itself.

The frustrating thing is that I do mostly all the right things. I eat fairly well, not perfect but probably better than most, I exercise a few times a week (run 5kms, do free-weights etc.), sleep is excellent, 8 hours a night like clockwork. Barely drink alcohol, don't smoke. BMI around 21 last time I checked.

And yet, I'm always tired, I haven't woken up feeling refreshed since my teens, I'm just always feeling worn out and fatigued. Some days worse than others but it's never not there.

Anyone else got any experience with this? Has anyone managed to overcome this? Thanks

ozzuk

1,409 posts

151 months

Tuesday 7th April
quotequote all
I get private blood approx once a year, somewhere like medi checks. You can explain the reason is for fatigue and the DR report will focus on that. For me it showed up almost no vit D, so I take supplements now and its like night and day difference in tiredness, concentration etc.

StevieBee

14,901 posts

279 months

Tuesday 7th April
quotequote all
Do a bit of a deep dive into your diet.

You say you're eating well but that doesn't always mean you're eating right. As you're exercising a fair bit, it could be that you're not taking on sufficient calories and/or your macros are out.

The My Fitness Pal app is well worth getting.


Getragdogleg

9,913 posts

207 months

Tuesday 7th April
quotequote all
You are probably dehydrated.

I had all this going on and I stopped drinking tea and coffee and made sure I was drinking lots of water. I now felt much better and don't have the fatigue anymore.

Im 51 and it took too long for me to realise what was the matter.

I drink a pint of water pretty much as soon as I get up, another pint through the morning up to lunch, then a half pint with lunch.

Then a half pint with my evening dinner at around 6.

Then another half pint prior to bed.

I no longer need a piss in the night since I
Stopped the tea and coffee. Which is nice.

Made the world of difference to my life.

SV_WDC

1,132 posts

113 months

Tuesday 7th April
quotequote all
Could it be a sleep-related disorder like sleep apnea?


mac96

5,840 posts

167 months

Tuesday 7th April
quotequote all
It doesn't sound quite like CFS (Chronic Fatigue Syndrome) but it would be worth looking up CFS symptoms.
A bit of a giveaway is where exercise produces a delayed fatigue reaction say one or two days afterwards.
CFS can vary from occasional and a nuisance to continuous and crippling.

PovertyPrince

683 posts

50 months

Tuesday 7th April
quotequote all
I struggle with this thanks to Thyroid issues (although my iron level is fine)

Red9zero

10,599 posts

81 months

Tuesday 7th April
quotequote all
PovertyPrince said:
I struggle with this thanks to Thyroid issues (although my iron level is fine)
That does seem to be the default diagnosis. I have been on Thyroid meds for a good few years now (bonus point is that it is one of the life time conditions that gives you exemption from any prescription charges) and it seems to work ok. My iron levels took a nose dive a while back after I caught a dose of Covid and I needed a course of B12 injections to get it back up and have needed daily iron tablets to keep them there. Both conditions re worth getting checked for.

JoeSteveMark

Original Poster:

19 posts

23 months

Tuesday 7th April
quotequote all
Interesting. Thanks for all replies so far.

I do take vitamin D tablets in the winter months so hopefully not that but a blood test would help.

The water one is interesting, I do drink a fair bit but also drink tea and coffee in the mornings so may be worth looking at/adjusting. I still drink tea on an evening but switch to decaf so my last caffinated drink would be around lunchtime.

Don't think sleep apnea, Mrs hasn't ever noticed any symptoms.

I think a private blood test is in order, I'll try and find one that includes Vit D, B12 and iron/ferritin.

Edit to add: Also I'll start keeping more of an eye on my diet, try and figure out any triggers

alone wolf

102 posts

3 months

Wednesday 8th April
quotequote all
Try a noise activated sound recording app on your phone to check for snoring (sleep apnea)

Badda

3,674 posts

106 months

Thursday 9th April
quotequote all
JoeSteveMark said:
Interesting. Thanks for all replies so far.

I do take vitamin D tablets in the winter months so hopefully not that but a blood test would help.

The water one is interesting, I do drink a fair bit but also drink tea and coffee in the mornings so may be worth looking at/adjusting. I still drink tea on an evening but switch to decaf so my last caffinated drink would be around lunchtime.

Don't think sleep apnea, Mrs hasn't ever noticed any symptoms.

I think a private blood test is in order, I'll try and find one that includes Vit D, B12 and iron/ferritin.

Edit to add: Also I'll start keeping more of an eye on my diet, try and figure out any triggers
Don’t waste your money on a private blood test - your GP one will have included all of those, or should have if you told them you were tired all the time. Check with GPs first for full results or a repeat test. Or you may qualify for a nhs health check.

solo2

1,000 posts

171 months

Thursday 9th April
quotequote all
Problem with blood tests is it will not pick up things like Fibromyalgia and that is only diagnosed when everything else has been ruled out.

Do you have any other symptoms that you think are unrelated? Google Fibro and see if anything else fits that you hadn't really thought were connected.

triggerhappy21

307 posts

154 months

Thursday 9th April
quotequote all
We got a new coffee machine couple months ago. I was never much of a coffee drinker, but started having 1 or 2 a day from the new machine.

Absolutely messed me up. Exhausted all day, severe brain fog, went on for 6 weeks or so. Took me a while to realise it was the coffee. Even took a couple weeks to get out of my system.

Searching on line really opened my eyes to how caffine can really affect people differently, even decaf can have a profound effect on some.

Good luck, hope you get to the bottom of it

AlexC1981

5,610 posts

241 months

Thursday 9th April
quotequote all
Just out of interest, do you spend a lot of time looking at screens?

Hoofy

79,508 posts

306 months

Thursday 9th April
quotequote all
How has your mental health been up to and through your fatigue experience?

Mirinjawbro

1,026 posts

88 months

Friday 10th April
quotequote all
Same for me. Approx 6 years now

I still believe a big part is too much caffiene which I have quit on and off for years.

Some days I wake up ok even after drinking or bad sleep

Other days sleep all the way through and so tired all day I have to nap at lunch

Blood tests are always green

Mine could be the work from home lack of activity and boredom as that's when it all started but nothing can pinpoint it

Watching here.

JoeSteveMark

Original Poster:

19 posts

23 months

Friday 10th April
quotequote all
I have done an e-consult with my GP basically asking for repeat bloods, so hopefully they'll get back to me sometime next week.

Fibromyalgia doesn't seem to fit, don't have any aches/pains etc

I've started cutting caffeine down, last two days I've had about half a cup of instant coffee per day. Aim is to have no more going forward.

Regarding screen time, I work in a lab so use screens a fair bit but probably less than an office worker/workfromhomer would. I do however sit on my laptop for a while on an evening so could be another area to look at.

Mental health is an interesting one for me, I think I've always been a bit down. I've never had any major ups and downs, just always a bit down. I think I'm anhedonic rather than depressed but I appreciate anhedonia can be a symptom of depression.

Thanks all for your input.


Hoofy

79,508 posts

306 months

Friday 10th April
quotequote all
Certainly, I'd do stuff to improve your mood and see how it affects things. When was the last time you had a good laugh or did something that put a proper smile on your face? How regularly do you do these kinds of things? What creative pursuits do you have? (You don't have to be any good at them - it's the doing that's important.)

Mirinjawbro

1,026 posts

88 months

Friday 10th April
quotequote all
Genuine question

How would doing things you like maybe 3 or 4 hours a week change anything?


Hoofy

79,508 posts

306 months

Friday 10th April
quotequote all
Mirinjawbro said:
Genuine question

How would doing things you like maybe 3 or 4 hours a week change anything?
If you're asking me, then it makes you feel better, because you're not always focusing on work or chores or family duties. Only doing stuff that you have to do and isn't what you'd do for fun or to relax with will only add to either your bad mood or lack of motivation. As the saying goes, all work and no play makes Jack a dull boy.

It will also give you more energy to do your work and chores.

Of course, if you're pretty chipper anyway then you don't need to do the downtime stuff. For instance, I love what I do for work and could happily do it or talk about it all day and all night. My motivation goes up when I think about doing it (like now). But doing chores around the house or the gardening, my motivation and energy crashes, and I'd be in a grump. Even thinking about mowing the lawn makes me slump my shoulders. That's why I have a gardener!

You still have to do the boring stuff, but throwing in the fun stuff will bring your mood up. Sadly, we can't just do the fun stuff but life doesn't have to just be about commitments, chores and work.