Introduction:

We all feel tired sometimes. But when fatigue becomes persistent — lasting weeks or months despite adequate rest — it may signal that something deeper is happening inside your body.

Chronic fatigue is one of the most common reasons patients seek medical attention. It can be caused by many different medical, psychological, or lifestyle factors, which often overlap.

As an experienced Internal Medicine Specialist in Dubai, Dr. Jadeer Akkapparambil helps patients uncover the root causes of ongoing fatigue and guides them towards effective treatment plans that restore energy, improve quality of life, and address the whole person — not just the symptom.


Common Medical Causes of Chronic Fatigue:


1️⃣ Anemia (Low Hemoglobin Levels)

  • Low red blood cell count means less oxygen delivery to tissues
  • Causes may include iron deficiency, vitamin deficiencies (B12, folate), or chronic blood loss
  • Easily identified through routine blood tests

2️⃣ Thyroid Disorders

  • Underactive thyroid (hypothyroidism) slows metabolism, leading to fatigue, weight gain, cold intolerance, and mental fog
  • Easily diagnosed with thyroid hormone testing and fully treatable with medications

3️⃣ Diabetes & Blood Sugar Imbalances

  • Poorly controlled blood sugar can leave patients feeling drained
  • Both low and high blood sugar fluctuations may contribute to fatigue
  • Careful glucose monitoring helps identify patterns

4️⃣ Sleep Disorders

  • Sleep apnea (breathing interruptions during sleep)
  • Poor sleep hygiene
  • Restless leg syndrome
  • All may leave patients exhausted even after a full night’s rest

5️⃣ Depression, Anxiety & Stress

  • Emotional health deeply influences energy levels
  • Chronic stress may silently contribute to fatigue, even without clear feelings of depression

6️⃣ Infections (Chronic or Recent)

  • Post-viral fatigue is common after certain infections
  • Chronic low-grade infections may cause ongoing tiredness and need thorough evaluation

7️⃣ Nutritional Deficiencies

  • Low Vitamin D, B12, or other micronutrients can lead to ongoing fatigue
  • Identifiable through simple lab tests

8️⃣ Cardiovascular or Respiratory Problems

  • Heart failure, lung diseases, or reduced oxygen levels may cause easy fatigue even with mild activity
  • Full medical evaluation can rule out these causes

When Should You See a Doctor for Chronic Fatigue?

✅ Fatigue lasting longer than 4-6 weeks
✅ Accompanied by unexplained weight loss or weight gain
✅ Associated with breathlessness, dizziness, chest pain, or palpitations
✅ Causing difficulty with daily tasks or affecting work, relationships, or mood
✅ Not improving with rest or sleep

“Fatigue is often a symptom — not a diagnosis by itself. My role is to carefully evaluate all contributing factors, rule out serious conditions, and help patients regain their energy and confidence.”
Dr. Jadeer Akkapparambil


The Evaluation Process:

✅ Detailed medical history (lifestyle, emotional health, medications, prior illnesses)
✅ Physical examination
✅ Comprehensive blood testing:

  • Complete blood count (anemia)
  • Thyroid panel
  • Blood sugar
  • Vitamin D, B12 levels
  • Liver & kidney function
    ✅ Additional investigations based on findings

Treatment Approach:

  • Address the specific underlying cause(s) identified
  • Nutrition optimization
  • Sleep quality improvement
  • Stress management techniques
  • Targeted medical treatment for thyroid, diabetes, anemia, or other diagnosed conditions
  • Referral coordination if specialized care is needed

Frequently Asked Questions:

💬 Is chronic fatigue always a serious medical problem?

Not always. Sometimes fatigue results from lifestyle imbalances that are fully reversible. However, medical causes must be ruled out first before assuming it’s just “tiredness.”

💬 Can low Vitamin D cause fatigue?

Yes. Vitamin D deficiency is very common in Dubai and can contribute to tiredness, bone pain, and mood changes.

💬 How quickly can fatigue improve after treatment starts?

It depends on the underlying cause. For nutritional deficiencies or thyroid disorders, improvement may occur within weeks. For more complex causes, longer monitoring may be needed.

💬 Will I need to see multiple specialists?

In many cases, a thorough Internal Medicine evaluation is sufficient. Dr. Jadeer coordinates referrals only if additional specialized care is required.


Why Choose Dr. Jadeer for Chronic Fatigue Evaluation in Dubai?

  • 18+ years of experience evaluating complex multi-system symptoms
  • DHA & MOH licensed Internal Medicine Specialist in Dubai
  • Whole-body, patient-centered approach
  • Thorough evaluation without unnecessary testing
  • Personalized, step-by-step treatment plans

Schedule Your Fatigue Evaluation:

If you’re living with ongoing fatigue and want clear answers, schedule a full evaluation with Dr. Jadeer Akkapparambil today — and take the first step toward regaining your energy.

👉 [Book Appointment]