Fatigue after stroke
What is fatigue?
Everyone feels tired sometimes. This is a normal part of life that happens for all sorts of reasons, such as not sleeping well or having a busy day. Usually, people feel much better after resting or sleeping. Fatigue after stroke is different: you may feel constantly weary, tired and lacking energy or strength. These feelings and symptoms are present even after a rest or sleep.
The cause of fatigue after stroke is not clear, even though it affects about 50% of people who have experienced a stroke. It may be a combination of damage to the brain and the stress and effort associated with adjusting to a new life situation. After stroke, almost all activities including walking and talking require extra energy and attention. Brain function may be less ‘efficient’ than before.
While it may improve, some people experience fatigue for many years after their stroke. However, there are strategies you can use to help manage your post-stroke fatigue.
Fatigue after stroke factsheet
An in-depth explanation of fatigue after stroke, plus tips for managing your fatigue and returning to work.
Why you might have fatigue after stroke
Your fatigue may be directly linked with having had a stroke. However, one or more of the reasons listed here may also contribute to you feeling constantly tired:
Meals and snacks
Meals and snacks
You may not be eating enough to provide your body with sufficient energy to get through the day. This can be caused by difficulty eating, drinking and swallowing. Sometimes people forget to eat at regular times throughout the day and they run out of energy as the day progresses.
Medical conditions
Medical conditions
Problems which may be complicating your fatigue include anaemia, diabetes, insomnia, sleep-related breathing disorders, and poor thyroid gland function. You may need investigations, like blood tests, and to take specific treatment.
Medications
Medications
A review of your medication is worthwhile to find out if any of your medicines are making you tired. Your GP or specialist will consider your situation and discuss medicine options with you. Never stop taking your medication suddenly because you think it is making you tired.
Depression
Depression
Depression can cause or increase fatigue. Tell your doctor if you think you are depressed. There are treatment and self-help options – it’s good to get this started as soon as possible.
A good starting point is to discuss how you are feeling with your GP or specialist. They can work out if you need any special treatment or medication.
Tips for managing fatigue after stroke:
- Ask for help: You don’t have to manage on your own. There are specialists who can help you build your stamina and strength and support with other issues you may be having.
- Keep a diary: It is useful to keep a diary of how much you are doing each day. This will remind you of your progress. Remember to celebrate your success and achievements.
- Daily, regular exercise: Over time, being more active helps lessen physical and mental fatigue and builds stamina.
- Build regular patterns into your day: One good pattern is to have an active day with some time spent outside. Relax and wind down in the evening and try going to bed at the same time each night.
- Understand more about other stroke survivors’ experiences: Other stroke survivors’ experiences with fatigue may help you and your family. Visit the stories section of our website or visit YouTube and search “fatigue after stroke”.
Need more support?
Call our free helpline 0800 STROKE (0800 78 76 53) to talk with one of our knowledgeable and friendly Community Stroke Navigators.