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Weakness and Fatigue
Overview
Weakness and fatigue are two different things. It's important to know exactly what you mean when you talk with your doctor about how you're feeling. It can help you and your doctor narrow down the possible causes of your symptoms.
Weakness
Weakness is a lack of physical or muscle strength. You feel like you need to use extra effort to move your arms, legs, or other muscles.
General weakness often occurs after you've done too much activity at one time. For instance, maybe you took an extra-long hike. You may feel weak and tired, or your muscles may be sore. These symptoms usually go away within a few days.
In rare cases, muscle weakness may be caused by another health problem. These include:
- A problem with the minerals (electrolytes) found naturally in the body. Examples are low levels of potassium or sodium.
- Infections, such as a urinary tract infection or a respiratory infection.
- Problems with the thyroid gland. This gland regulates the way the body uses energy.
- Rare nerve disorders, such as Guillain-Barré syndrome.
Muscle weakness that is slowly getting worse needs to be checked by a doctor.
Sudden muscle weakness and loss of function in one area of the body also needs to be checked by a doctor right away. It can be a sign of a stroke or of a problem with the spinal cord or a nerve.
Fatigue
Fatigue is a feeling of tiredness, exhaustion, or lack of energy. You may feel mildly fatigued because of overwork, poor sleep, worry, boredom, or lack of exercise. Any illness may cause fatigue. It usually goes away as the illness clears up. Most of the time, mild fatigue occurs with a health problem that will improve with home treatment. It usually doesn't require a visit to a doctor.
Many medicines can cause weakness or fatigue. The use of alcohol, caffeine, or illegal drugs can cause fatigue.
Fatigue that lasts longer than 2 weeks usually requires a visit to a doctor. This type may be caused by a more serious health problem, such as:
- A decrease in the amount of the substance that carries oxygen in red blood cells (anemia).
- Problems with the heart, such as coronary artery disease or heart failure.
- Metabolic disorders, such as diabetes.
- Problems with the thyroid gland. It regulates the way the body uses energy.
- Kidney disease and liver disease.
Fatigue is a common symptom of mental health problems, such as anxiety or depression. If you think that your fatigue may be caused by a mental health problem, see your doctor.
Check Your Symptoms
The medical assessment of symptoms is based on the body parts you have.
- If you are transgender or nonbinary, choose the sex that matches the body parts (such as ovaries, testes, prostate, breasts, penis, or vagina) you now have in the area where you are having symptoms.
- If your symptoms aren’t related to those organs, you can choose the gender you identify with.
- If you have some organs of both sexes, you may need to go through this triage tool twice (once as "male" and once as "female"). This will make sure that the tool asks the right questions for you.
Many things can affect how your body responds to a symptom and what kind of care you may need. These include:
- Your age. Babies and older adults tend to get sicker quicker.
- Your overall health. If you have a condition such as diabetes, HIV, cancer, or heart disease, you may need to pay closer attention to certain symptoms and seek care sooner.
- Medicines you take. Certain medicines, such as blood thinners (anticoagulants), medicines that suppress the immune system like steroids or chemotherapy, herbal remedies, or supplements can cause symptoms or make them worse.
- Recent health events, such as surgery or injury. These kinds of events can cause symptoms afterwards or make them more serious.
- Your health habits and lifestyle, such as eating and exercise habits, smoking, alcohol or drug use, sexual history, and travel.
Try Home Treatment
You have answered all the questions. Based on your answers, you may be able to take care of this problem at home.
- Try home treatment to relieve the symptoms.
- Call your doctor if symptoms get worse or you have any concerns (for example, if symptoms are not getting better as you would expect). You may need care sooner.
Symptoms of serious illness may include:
- A severe headache.
- A stiff neck.
- Mental changes, such as feeling confused or much less alert.
- Extreme fatigue (to the point where it's hard for you to function).
- Shaking chills.
Symptoms of serious illness in a baby may include the following:
- The baby is limp and floppy like a rag doll.
- The baby doesn't respond at all to being held, touched, or talked to.
- The baby is hard to wake up.
Symptoms of a heart attack may include:
- Chest pain or pressure, or a strange feeling in the chest.
- Sweating.
- Shortness of breath.
- Nausea or vomiting.
- Pain, pressure, or a strange feeling in the back, neck, jaw, or upper belly, or in one or both shoulders or arms.
- Lightheadedness or sudden weakness.
- A fast or irregular heartbeat.
For men and women, the most common symptom is chest pain or pressure. But women are somewhat more likely than men to have other symptoms, like shortness of breath, nausea, and back or jaw pain.
Neurological symptoms—which may be signs of a problem with the nervous system—can affect many body functions. Symptoms may include:
- Numbness, weakness, or lack of movement in your face, arm, or leg, especially on only one side of your body.
- Trouble seeing in one or both eyes.
- Trouble speaking.
- Confusion or trouble understanding simple statements.
- Problems with balance or coordination (for example, falling down or dropping things).
- Seizures.
Heartbeat changes can include:
- A faster or slower heartbeat than is normal for you. This would include a pulse rate of more than 120 beats per minute (when you are not exercising) or less than 50 beats per minute (unless that is normal for you).
- A heart rate that does not have a steady pattern.
- Skipped beats.
- Extra beats.
Many prescription and nonprescription drugs can cause weakness and fatigue. A few examples are:
- Antianxiety medicines.
- Antidepressants.
- High blood pressure medicines.
Seek Care Now
Based on your answers, you may need care right away. The problem is likely to get worse without medical care.
- Call your doctor now to discuss the symptoms and arrange for care.
- If you cannot reach your doctor or you don't have one, seek care in the next hour.
- You do not need to call an ambulance unless:
- You cannot travel safely either by driving yourself or by having someone else drive you.
- You are in an area where heavy traffic or other problems may slow you down.
Seek Care Today
Based on your answers, you may need care soon. The problem probably will not get better without medical care.
- Call your doctor today to discuss the symptoms and arrange for care.
- If you cannot reach your doctor or you don't have one, seek care today.
- If it is evening, watch the symptoms and seek care in the morning.
- If the symptoms get worse, seek care sooner.
Call 911 Now
Based on your answers, you need emergency care.
Call 911 or other emergency services now.
After you call 911, the operator may tell you to chew 1 adult-strength (325 mg) or 2 to 4 low-dose (81 mg) aspirin. Wait for an ambulance. Do not try to drive yourself.
Sometimes people don't want to call 911. They may think that their symptoms aren't serious or that they can just get someone else to drive them. Or they might be concerned about the cost. But based on your answers, the safest and quickest way for you to get the care you need is to call 911 for medical transport to the hospital.
Call 911 Now
Based on your answers, you need emergency care.
Call 911 or other emergency services now.
Sometimes people don't want to call 911. They may think that their symptoms aren't serious or that they can just get someone else to drive them. Or they might be concerned about the cost. But based on your answers, the safest and quickest way for you to get the care you need is to call 911 for medical transport to the hospital.
Make an Appointment
Based on your answers, the problem may not improve without medical care.
- Make an appointment to see your doctor in the next 1 to 2 weeks.
- If appropriate, try home treatment while you are waiting for the appointment.
- If symptoms get worse or you have any concerns, call your doctor. You may need care sooner.
Self-Care
If you have generalized weakness and fatigue along with other symptoms, look closely at those symptoms. Home treatment for your other symptoms usually will improve your weakness and fatigue. Mild generalized weakness and fatigue that occur with a viral illness usually improve with home treatment. Here are some things you can try.
- If you can, stay home when you are sick.
Try to stay away from others and get some extra sleep.
- Go slowly.
Return to your usual activities slowly to avoid making the fatigue last longer.
- Stay hydrated.
Be sure to drink extra fluids to avoid dehydration.
- Listen to your body.
Switch between rest and exercise. Gradually increasing your exercise may help decrease your fatigue.
- Limit medicines that might add to fatigue.
Medicines like cold and allergy medicines often cause fatigue.
- Improve your diet.
Eat a balanced diet to increase your energy level. Don't skip meals.
- Beware of substances that may cause fatigue.
Reduce your use of alcohol or other drugs, such as caffeine or nicotine.
- Cut back on screen time.
Spend that time with friends or try new activities to break the fatigue cycle.
- Get a good night's sleep.
This may be the first step toward controlling fatigue.
- Try to limit sound and light disturbances.
- Avoid eating just before you go to bed.
- Avoid using screens before you go to bed. Use your bed only for sleeping.
When to call for help during self-care
Call a doctor if any of the following occur during self-care at home:
- Symptoms occur more often or are more severe.
Preparing For Your Appointment
You can help your doctor diagnose and treat your condition by being prepared for your appointment.
Related Information
Credits
Current as of: December 20, 2023
Author: Ignite Healthwise, LLC Staff
Clinical Review Board
All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.
Current as of: December 20, 2023
Author: Ignite Healthwise, LLC Staff
Clinical Review Board
All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.
