Feeling tired after a long day is normal. Feeling tired every day for weeks, even after a full night's sleep, is not. Constant fatigue usually has a cause, and finding it is the first step.

Common causes of constant tiredness

• Low haemoglobin (anaemia), which is common in women and teenagers
• An underactive thyroid
• High or poorly controlled blood sugar
• Low vitamin D or vitamin B12
• Poor sleep, stress or long hours on screens
• Slow recovery after a viral fever such as dengue or typhoid

Tests worth doing first

Dr Amit Kumar's approach starts with a diagnosis backed by the right tests. For fatigue, the basic reports are a complete blood count, thyroid profile (TSH), fasting blood sugar, and vitamin D and B12 levels. If a report shows a clear cause such as severe anaemia or diabetes, that has to be treated properly, and he will tell you if you also need to see a physician.

See a doctor quickly if

• you are losing weight without trying
• you get breathless or your heart races on mild effort
• you have had fever for more than a week
• you feel low or hopeless most days

How homeopathic treatment fits in

When reports are normal, or the tiredness comes from stress, poor sleep or a slow recovery after illness, homeopathic medicine is chosen based on your symptoms, sleep, appetite and daily routine. Follow-ups show whether your energy is improving.

Dr Amit Kumar (BHMS, Delhi Homoeopathic Board Reg. No. 2350) has practised in Sector 4, Vaishali, Ghaziabad since 1994. He sees patients Monday to Saturday, 11 AM to 1 PM and 6 PM to 8 PM, and a consultation costs ₹500.

See clinic timings and book a consultation