<s>[INST] I have been tired for about two weeks I look after two small grandchildren twice a week then my mum all day Mondays she is 82.   I have been doing slimming world which I enjoy and have lost 9 and half pounds in 7 weeks.  But the weekend I just felt bloated tired and I have a nagging pain in my right side.   I drink a lot of water but I have not had the energy to go swimming or keep fit for two weeks.  Normally I am fit and energetic. [/INST] Hi,It sounds as though you have a busy schedule. Are you eating a healthy diet? You say you have lost weight but is this at the expense of eating properly. Are you anaemic? This is one of the commonest causes of constant tiredness. Have you contracted a virus that is making you feel run down? Are you getting enough sleep?It would be advisable to visit your family doctor who can carry out a simple blood test to check for anaemia. If you are anaemic, iron tablets are the first line treatment whilst a cause is found. </s>