Fatigue, cancer-related

Fatigue, cancer-related

Also known as: Cancer-related fatigue

Fatigue occurs in 14% to 96% of people with cancer, especially those receiving treatment for their cancer. Fatigue is complex, and has biological, psychological, and behavioral causes. Fatigue is difficult to describe and people with cancer may express it in different ways, such as saying they feel tired, weak, exhausted, weary, worn-out, heavy, or slow. Health professionals may use terms such as asthenia, fatigue, lassitude, prostration, exercise intolerance, lack of energy, and weakness to describe fatigue.

Fatigue can be described as a condition that causes distress and decreased ability to function due to a lack of energy. Specific symptoms may be physical, psychological, or emotional. To be treated effectively, fatigue related to cancer and cancer treatment needs to be distinguished from other kinds of fatigue.

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From the experts

Ask an Expert: Chemotherapy and insomnia

Q: I'm undergoing chemo, and though I am experiencing heavy-duty fatigue, I am also suffering from insomnia! Sometimes it's hard to fall asleep; other nights I wake up around 3 a.m. for an hour or two. My medical oncologist said chemo can disrupt the sleep-wake cycle and prescribed Ambien. I don't like the idea of relying on a sleeping pill. Anything else I can do?

Answer from Miles Hassell, M.D., director of Providence Integrative Medicine at Providence Cancer Center: