Fatigue is something that lots of people complain of from time to time even if they are not ill. For most people, it is nature’s way of telling them to slow down and take some rest. Fatigue is a common symptom of cancer and is often described as an overwhelming tiredness. You may find it difficult to concentrate or make decisions.

The reason for the fatigue can be hard to identify. Fatigue may be caused by anxiety when a diagnosis of cancer is made and the additional stress caused by treatment. It is important to know that even though you may find it hard to identify the reasons for your tiredness there is action you can take that may help.

What you can do

For many patients treatment may help by relieving symptoms such as fever and feeling unwell, allowing you to get back to your normal routine. Ask your doctor before you start treatment what side effects you can expect.

If you are feeling worried and find it hard to sleep at night tell your doctor or nurse. He or she may be able to help. Try talking to your close family or friends about you concerns. If you find this difficult ask to see a counsellor. He or she will help you to find ways to cope.

If your illness allows you to take part in physical exercise, try to do some on a regular basis. For example, 10 minutes exercise

2-3 times a day might be a realistic goal and will boost your morale when you achieve it.

You may notice that you have lost weight. This may be due to the cancer or the treatment you are getting. Sometimes when you are feeling weak and tired you may loose interest in your food. Ask for help in preparing your meals. Eat your favourite foods. Take plenty of clear fluids such as water and fruit juice.

Get others to help you around the house, with the travelling to hospital, with the children or with shopping.

Whether you work or not during treatment depends on the kind of work you do and how you are feeling. It is probably better to make this decision when you have had one or two courses of treatment or some radiotherapy. Only then will you have a clearer picture of how the treatment affects you.

If you are in full-time education think about putting your studies on hold until your treatment is over. Use the extra free time to do something that you especially enjoy.

There is a booklet on Fatigue available. If you would like a copy, in Ireland call the Cancer Helpline Freefone 1800 200 700.