Tired, drained and sleepy all day: what causes it?
Feeling tired, drained and sleepy all day rarely has a single cause. Usually several everyday things add up: too little sleep or sleep at the wrong time, irregular meals, too little water, hot weather, moving too little or pushing too hard, stress and big changes in life. The UK's NHS advises starting with regular sleep times, a healthy diet and regular exercise, and seeing a GP if you have been tired for a few weeks without knowing why, if it affects your daily life, or if you have other symptoms too.
This page brings the common causes, what you can do day to day and the signs to see a doctor together in one place. If you already know where your tiredness comes from, such as work, night shifts, looking after children, hot weather or exercise, see "Read on by situation" below.
When is feeling tired normal, and when should I pay attention?
MedlinePlus, from the US National Library of Medicine, describes fatigue as a feeling of weariness, tiredness or lack of energy that can interfere with your usual daily activities. Feeling worn out after a demanding day and recovering once you have slept and rested is the body working normally. The kind to pay attention to does not lift with rest, or goes on for weeks.
Which kind is it?
| What it feels like | Often happens when | What to try first | When to see a doctor |
|---|---|---|---|
| Tired after a hard day, better after rest | You worked or exerted yourself a lot, or slept badly for a night or two | Get enough sleep, take short breaks | If it does not improve after several days of rest |
| Sleepy all day despite enough hours in bed | Sleeping at the wrong time, light sleep, caffeine or alcohol in the evening | Keep regular sleep times, avoid afternoon caffeine | If you are very sleepy every day for weeks, or too sleepy to drive |
| Heavy, no energy, no drive | Stress, big life changes, little movement | Talk to people close to you, move gently every day | If it lasts weeks or your mood changes a lot |
| Tired along with other symptoms | There may be a cause a doctor needs to check | Write the symptoms down | See a doctor |
This table summarises advice from the NHS, MedlinePlus and the NHLBI. It does not replace a doctor's assessment.
What causes feeling tired, drained and sleepy all day?
The NHS links tiredness most often to not getting enough sleep or finding it hard to sleep, an unhealthy lifestyle such as a poor diet and little exercise, stress, and dealing with life challenges. MedlinePlus lists everyday habits that cause fatigue: not getting enough sleep, staying up too late, drinking too much alcohol, having too much caffeine, and getting too little or too much exercise. Several of the causes below often happen at once.
1. Too little sleep, sleep at the wrong time, or poor sleep
The US National Heart, Lung, and Blood Institute (NHLBI) says sleep deficiency is not only about sleeping too little. It also covers sleeping at the wrong time of day, and not sleeping well or not getting all the types of sleep your body needs. The NHLBI adds that nearly 40% of US adults fall asleep during the day without meaning to at least once a month.
The US CDC recommends 7 or more hours of sleep a night for adults aged 18 to 60. The NHS suggests aiming for 6 to 9 hours and keeping the same sleep times.
2. Irregular meals, skipped meals and one big meal late
The NHS advises eating regular meals and healthy snacks every 3 to 4 hours rather than a large meal less often. A rushed day of skipping breakfast, eating lunch late and then a big dinner at night can leave you flat in between.
3. Too little water
The NHS says that sometimes you feel tired simply because you are mildly dehydrated, and suggests 6 to 8 cups or glasses of fluid a day as a general guide. Water, lower-fat milk, tea and coffee all count. Pale, clear yellow urine is the sign the NHS uses for drinking enough.
4. Hot weather
Hot, humid days make you sweat more and lose fluid easily. The NHS lists tiredness among the signs to watch for in hot weather, and advises staying in the shade especially between 11am and 3pm, drinking extra fluids, and avoiding alcohol, caffeine and hot drinks.
5. Too little movement, or too much
MedlinePlus names both too little and too much exercise as habits that cause fatigue. Sitting all day without getting up leaves you sluggish, while hard training day after day without rest can leave you tired into the next day.
6. Caffeine and alcohol
The NHS says the effects of caffeine can last up to 7 hours and disrupt sleep, and that alcohol may help you fall asleep but makes sleep less deep. An afternoon coffee to fight sleepiness can mean a poor night, and then you are sleepy again the next day.
7. Stress, and work without breaks
The NHS includes stress among the common causes. The UK Health and Safety Executive (HSE) describes fatigue as a decline in mental and/or physical performance that results from prolonged exertion, sleep loss and/or disruption of the internal clock, with effects such as slower reactions, memory lapses and lack of attention.
8. Changes in life or in the body
The NHS lists dealing with life challenges, such as bereavement or looking after a new baby, and hormonal changes among the causes of tiredness. A new job, a house move or caring for a family member often changes your sleep and meals at the same time.
9. Some medicines, and illness
The NHS and MedlinePlus both say some medicines and illnesses can cause tiredness. If you take a regular medicine and think it may be involved, talk to your doctor or pharmacist rather than stopping it yourself. If you are tired and have other symptoms, let a doctor help find the cause.
I sleep enough but I'm still sleepy all day. What should I check first?
If you are getting the hours but still feel sleepy, look at what surrounds your sleep, not just its length.
Are your sleep times regular?
The NHS and CDC both advise going to bed and getting up at the same time every day. Staying up late on weekdays and catching up at the weekend keeps shifting your wake-up time. The NHS also suggests avoiding naps in the day.
What do you do before bed?
The NHS advises not eating, having caffeine or exercising in the couple of hours before sleep, and not using screens in the hour before bed. The CDC suggests turning off electronic devices at least 30 minutes before bedtime, and keeping the bedroom quiet, relaxing and at a cool temperature.
Heat, light and noise
In a hot city with traffic through the night, a warm room or light coming in can make sleep lighter. See whether you can change the temperature, light or noise.
If you have looked at all of this and are still very sleepy every day for several weeks, see a doctor. There is more in Always sleepy during the day? Why, and what can I do?
What can I do day to day when I have no energy?
Most of it is basic. Try to do several of these together and keep them up.
| Area | What is advised | Source |
|---|---|---|
| Sleep | Regular sleep times. 7 hours or more for adults 18–60 (CDC), or 6–9 hours (NHS) | CDC, NHS |
| Meals | Regular meals and healthy snacks every 3–4 hours rather than one large meal | NHS |
| Water | 6–8 cups or glasses of fluid a day, more when sweating or in the heat | NHS |
| Movement | Even a 15-minute walk helps. Weekly aim: 150 minutes of moderate activity | NHS |
| Caffeine | Up to about 400 mg a day for most adults, and none in the afternoon or evening | US FDA, CDC |
| Alcohol | No more than 14 units a week regularly, and not before bed | NHS |
| Stress | Activities that help you unwind, and talking to people close to you | NHS |
Keep regular sleep times
The NHS advises going to bed and waking at the same times every day, taking time to relax before you go to bed, and avoiding naps in the day.
Eat at regular times
On days you know will be busy, keep a healthy snack close by so you do not go too long without food and then eat one big meal late at night.
Drink enough
Keep a water bottle on your desk or in your bag and drink more after you sweat. The NHS notes that sometimes you feel tired simply because you are mildly dehydrated.
Move every day
The NHS says even a single 15-minute walk can leave you feeling more awake, and advises adults to do at least 150 minutes of moderate activity or 75 minutes of vigorous activity a week, strengthening activities on at least 2 days a week, and to break up long periods of sitting. If you hardly move at the moment, build up gradually.
Watch caffeine across the day
The US FDA has cited 400 milligrams a day, about two to three 12-ounce cups of coffee, as an amount not generally associated with negative effects for most adults. An iced coffee in the morning, Thai tea at lunch and an energy drink in the afternoon add up fast. If you want to cut down, the NHS suggests doing it gradually rather than stopping suddenly. If you are pregnant, breastfeeding or take regular medicines, ask your doctor about caffeine.
Look after stress
The NHS suggests activities that help with stress, such as exercise, yoga, tai chi, music, reading or spending time with friends, and says counselling may help when tiredness comes from stress, anxiety or low mood.
Tired from work, night shifts, parenting, heat or exercise: where do I read next?
If you know which situation your tiredness comes from, these articles go into each one in detail.
Read on by situation
| Situation | What to look at first | Read next |
|---|---|---|
| Tired all day from work, mentally drained | Sleep, frequent short breaks, meals, water | Tired all day from work and mentally drained: what can I do? |
| Night shifts | Light, sleep times, meal and caffeine timing | Working night shifts and always tired: what can I do? |
| Worn out from parenting | Broken sleep and sharing the load | Worn out from parenting and it keeps piling up. What helps? |
| Drained and off your food in the heat | Water, when you go out, smaller meals | Drained and off your food in hot weather? What can I do? |
| Heavy mornings and afternoon slumps | Wake-up time, morning light, lunch | Hard to get up and tired by afternoon. What can I do? |
| Still tired the day after exercise | Rest between training days, sleep | Still tired the day after exercise. How do I recover? |
| Stress building up | Spotting the signs and finding someone to talk to | Stress keeps building up. How do I spot it and cope? |
When should I see a doctor about feeling tired?
The NHS advises seeing a GP if:
- you have been feeling tired for a few weeks and are not sure why
- your tiredness affects your daily life, such as work or running the home
- you feel tired and have other symptoms, such as weight loss you did not intend or mood changes
MedlinePlus also advises contacting your provider if you have been feeling tired for weeks, so they can help find the cause.
Go sooner if
- you nod off while driving or doing work that needs care. The NHLBI says sleepiness while driving is responsible for serious car crash injuries and deaths
- you feel unwell and very hot after being in the heat
Write these down before your appointment
- When the tiredness started, and whether it lasts all day or comes at certain times
- Your bedtimes and wake-up times over the past 1–2 weeks
- How much coffee, tea, energy drinks and alcohol you have each day
- All the medicines you take
- Any changes in your life, and other things you have noticed, such as changes in weight or mood
Before starting anything new
If you take regular medicines, are pregnant or are breastfeeding, talk to a doctor or pharmacist before starting any new medicine or product.
Frequently asked questions
What causes tiredness and lack of energy?
I have no energy. Where should I start?
I sleep 8 hours and still feel sleepy all day. Why?
What should I eat and drink when I feel drained?
How much coffee a day is too much?
How long should I be tired before seeing a doctor?
I'm so sleepy I can't drive safely. What should I do?
I feel wiped out in hot weather. What should I do?
- NHS: Tiredness and fatigue ↗
- NHS: Self-help tips to fight tiredness ↗
- MedlinePlus (U.S. National Library of Medicine): Fatigue ↗
- NIH NHLBI: Sleep deprivation and deficiency ↗
- US CDC: About sleep ↗
- NHS: Water, drinks and hydration ↗
- NHS: Heatwave – how to cope in hot weather ↗
- NHS: Physical activity guidelines for adults aged 19 to 64 ↗
- US FDA: Spilling the beans – how much caffeine is too much? ↗
- UK Health and Safety Executive: Fatigue ↗
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