Afternoon Or Evening Tiredness

What Causes Afternoon Or Evening Fatigue?

Afternoon or evening fatigue can have various causes, ranging in severity from 'minor' to 'very serious'.  Finding the true cause means ruling out or confirming each possibility – in other words, diagnosis.

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Diagnosis is usually a complex process due to the sheer number of possible causes and related symptoms.  In order to diagnose afternoon or evening fatigue, we could:

  • Research the topic
  • Find a doctor with the time
  • Use a diagnostic computer system.
The process is the same, whichever method is used.

Step 1: List all Possible Causes

We begin by identifying the disease conditions which have "afternoon or evening fatigue" as a symptom.  Here are eight possibilities:
  • Syndrome X
  • Narcolepsy
  • Caffeine Intoxication
  • Hypothyroidism
  • Stress
  • Low Estrogens
  • Adrenal Fatigue
  • Hypoglycemia

Step 2: Build a Symptom Checklist

We then identify all possible symptoms and risk factors of each possible cause, and check the ones that apply:
poor bodily coordination
constant thirst
being easily irritated
chronic thyroiditis
major fatigue for 3-12 months
brittle fingernails
jumpiness
recent job/career changes
high sensitivity to bright light
frequent infections
missing outer third of eyebrows
history of cortisol use
... and more than 170 others

Step 3: Rule Out or Confirm each Possible Cause

A differential diagnosis of your symptoms and risk factors finds the likely cause of afternoon or evening fatigue:
Cause Probability Status
Caffeine Intoxication 91% Confirm
Adrenal Fatigue 30% Unlikely
Syndrome X 24% Unlikely
Narcolepsy 2% Ruled out
Stress 1% Ruled out
Low Estrogens 0% Ruled out
Hypothyroidism 0% Ruled out
Hypoglycemia 0% Ruled out
* This is a simple example to illustrate the process

Arriving at a Correct Diagnosis

The Analyst™ is our online diagnosis tool that learns all about you through a straightforward process of multi-level questioning, providing diagnosis at the end.

If you indicate being fatigued, The Analyst™ will ask further questions including this one:
Do you regularly become tired in the afternoon or evening? Do not answer if the reason is lack of sleep or you work at night.
Possible responses:
→ I don't sleep enough / I work nights / don't know
→ No / my energy level is generally fine
→ I feel like napping several times a month
→ I need a nap most days / fall asleep occasionally
→ I regularly fall asleep involuntarily
Based on your response to this question, which may indicate absence of afternoon/evening fatigue, slight afternoon/evening fatigue, moderate afternoon/evening fatigue or severe afternoon/evening fatigue, The Analyst™ will consider possibilities such as:
Caffeine Intoxication

Caffeine is known to cause periods of exhaustion.

Concerned or curious about your health?  Try The Analyst™
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