Many patients were overweight, middle-aged men with vague symptoms such as tiredness, fatigue, myalgia and arthralgia.
While participants also used other terms and phrases to describe fatigue, such as tiredness, feeling worn out, exhausted, needing to rest, slowed down, etc., the term 'fatigue' resonated with participants and was considered clear and appropriate for describing how AS makes them feel.
These questions addressed items such as tiredness after work, fatigue, lack of concentration, putting interest in other people, the ability to recover from work, and the influence on work performance [ 30].
It is the non-specific symptoms such as tiredness that are often the most challenging.
Others find that, along with physical symptoms such as tiredness, their anxiety or depressive rumination increases before things get better.
Both of these effects were present even after factors such as tiredness, age and feelings of happiness or sadness in the day were taken into account.
For the two forms of hepatitis, these can include flu-like symptoms, such as tiredness, aches and pains, and loss of appetite.
They also complained of sleep-related symptoms such as tiredness in the morning and daytime sleepiness.
Moreover, non-headache symptoms such as tiredness, weary, and yawning have been frequently reported in migraineurs before the headache attack [9, 10].
The ACMD said withdrawal symptoms such as tiredness and depression were associated with khat, and recommended that the NHS should educate the public about these where necessary.
