TIREDNESS or FATIGUE Why we feel persistently tired. A poor night sleep, pregnancy, illness, cold can be the reasons for lacking energy but severe fatigue indicates underlying health problems. These can be the reasons: Hypothyroidism: - Extreme tiredness can be associated with other symptoms of an underactive thyroid gland such as hair loss, dry skin, weight gain, constipation and a hoarse voice. Diabetes :- Fatigue and muscle weakness, excessive thirst, needing to urinate more often than usual. There may also be recurrent infections and slow healing of wounds. Inflammatory Bowel disease: - Fatigue usually associated with long standing and continuously bloody diarrhea,abdominal pain.fever n weight loss. Hepatitis :- Fatigue with other symptoms,including jaundice and itchy skin. General unwellness and right sided abdominal discomfort may be there. Tuberculosis :- Extreme tiredness with chest pain, fever, weight loss or may be coughing up blood. Malnutrition:- Persistent tiredness and