Are you ever fatigued even when NOT flaring?

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Do you ever have fatigue even when not flaring?


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I have had UC for 8 years now. I'm a 28 year old woman, and this is my first time on any kind of forum on the topic. I am extremely private and don't like anyone to know that I'm not always well, so it's a big deal for me to even peek my head out on a forum to ask this question. That said... :)

The question that gave me the gall to come out of the woodwork at last is one of fatigue. Sometimes, I'm just pooped (ha) for no reason. This makes sense when I'm flaring--blood loss, anemia, and general immune stuff. But why am I sometimes completely wiped out when there's no visible flare?

Do any of you ever feel exhausted for days on end when you are not flaring?

PS, I take iron, calcium, flax oil, magnesium, and lialda. My thyroid has been checked and my anemia is under control per a blood test. I am otherwise in great physical shape--eat great (mostly) and exercise a lot.
 
If you've had surgery then I assume your food absorption is reduced, certainly I get very fatigued these days & put it down to that.
When was your last blood test?? If your bloods are low then you would feel continually tired. Think I'd have a chat with my Dr & get one organized. Hope this helps.
Regards
Grant
 
No surgeries, and the blood test was fairly recent. I told the doctor I was exhausted so they say they looked for everything that might be relevant to that--they claimed everything was good. I am wondering if maybe, even if my symptoms aren't showing up, my body is still fighting itself in the background and that makes me tired?
 
With ibd our body's have absorption issues even when not flaring i take iron a multivitamin and vitamin d i had my bloods checked for b6 b12and all the other ones and were ok my doc said it is the disease that makes you yired from not absorbing the food correctly and other factors i know heaps of people with ind and there in remission and are still always tired oh and the meds can do it aswell I'm in a glare right now so more tired than usual but even when um not flaring and even if i dint do much im wiped by the evening but also i dont sleep all that well hope this helps
 
I am tired out most day's, I mention it every time I see the doc but my blood tests show no reason for it.
They just say the disease itself could be the reason.
 
Hi Curly
I get the same way too.
Just love your cat with the
look of amazement on his face.
Feel better soon
Hugs and best wishes
Trysha
 
I appreciate the poll responses and comments! This makes me feel a lot better about being tired. The thing is, I am a very driven person and it's hard for me to feel exhausted "for no reason." I kind of beat myself up about it and feel lazy, like I'm a bad person or something. It's hard for me to acknowledge limitations and take a nap or read a book when I should be working on the dishes or being a better human being. Knowing other people go through the same thing might help me cope and give myself permission to feel tired sometimes.
 
Dont beat your self up about it i still chill in my recliner most days and always think great there goes another day when i could of been doing something or out and about i love the outdoors i used to go fishing and camping or just take the dog to the park but its very hard these days so i just try and accept it but I'm w ith you i get upset sometimes when i dont do much so i know how you feel i think we juat meed to accept the fact its part of this whole deal
 
Hi ,

Very tired all the time , beautiful day here and I slept most of the day and ,watched a movie. It gets me down because I used to be so active . Walked my dog but only half the distance i used to do. I guess its about pacing yourself & then resting in between.Hope you start to get some energy back soon xxx
 
I'm 38 and I have three kids, 10 12 and 13 and my youngest always wants me to go and play hockey with her. I go to work and when I get home I am so tired it's crazy. It takes all I have to do the dinner and homework. After that it,s on the sofa and tv. I just can't keep up anymore. I'm not flaring right now but the body just does not work the same way as before. I guess the plague is to blame. Such is life.
 
I get exhausted alot even when not flairing, my doc say I have an active crohns even if im not flairing, like its "microscopic inflammations". I cant work I worked 50% but I was so exhausted all I did was go to work, come home and sleep on couch and feel exhausted until the next day. Eventually it got so bad I was so dizzy I had trouble driving to the grocery store.

They did lots of tests and cant explain the dizzyness but my doctor said getting fatigue is very common for crohns patients even when not flairing.
 
I have UC and have the same exact problem. I am constantly tired, even after sleeping 8 hours. I can't remember how many times that I had to pull over on the side of the road to take a nap on the way to work or in the middle of the day.
 
Yeah same here have constantly active crohn's went to the shops for like 3 hours today all the shops were easily within 10km's of my house so drove round did what I had to do now I'm tired as hell relaxing in my nice recliner and feel sleepy will go to bed soon.
 
I just saw my specialist at the hospital, he is the head doctor for the gastro department here. He said that the most recent research shows that it is very common for people with auto-immune diseases to have fatigue, even if you are not flairing, and that they dont know of any way to treat it or make it go away.
 
Like you, I try to hide m symptoms from the world, especially because I'm in the military and don't want to get kicked out, but I also lied to my self about their severity and wound up worse. But I'm always tired and fighting with myself about wasting a perfectly good day on the couch. It's hard to forgive yourself for needing to stay home. I don't know if I'll ever fully master it. You are far from alone :)
 
I'm a very active person and need to move around often. I get like you too. Out of nowhere I feel tired. I get sleepy if i lay down. I do have low iron but not so low like once before...

Its almost like a stroke coming on or something. It may be normal for us. No ideal.
 
I am in remission after a proctocolectomy, although I still have to be very careful because even the gut that I have left is compromised after more than 50 years with Crohn's.

My gastroenterologist has always said that my tiredness is not surprising considering that my body has to keep fighting the Crohn's to keep it in check. It's always lurking there waiting for an opportunity to come out of hiding! :eek2:

He says that the best things to do are to eat well, with as few 'hollow calories' as possible, make sure that your vitamin and mineral levels are correct, exercise and get sufficient sleep.
 
I understand exactly how you feel! I am constantly exhausted. Going to bed at 8:30 pm on a Saturday night seems like such a joke to me but I have a hard time keeping my eyes open and lose any desire to do anything else BUT sleep. It has been depressing because I started running over a year ago and developed such a love of it and I can barely do that anymore. I am either too tired to go out or a short run kills me. I just want to get back to life as I used to know it. :( I was hoping it was just the meds and that I would eventually adjust but now I have had to change meds again and the Prednisone is making me so hungry and I will admit that I have been making some bad food choices that Im sure don't help. Someone please say it gets better?
 
Hi Babs, I have just come off Prednisone and was hungry all the time. I made bad food choices too. Im now on Methotrexate & one side effect is weight loss. So maybe having a bit more meat on is better. I hoping like you that things will improve . : ) xx
 
I also love being active and when I get the dropsies going to exercise is a sheer act of will. If the classes weren't group oriented and it was just me, I doubt I would ever exercise at all. But I want to seem as normal as possible to my friends and so I get dressed and go. The actual exercising is so hard sometimes because I have zero energy, but once the class is over, I either feel amazing and better throughout the day or I at least feel a huge sense of accomplishment for finishing.

Is there anything you guys do to help you perk up when you're pooped?
Sometimes I lapse into a cup of half-caff coffee or caffeinated tea, but I know both are bad for me. Still, it's the only way I know how to make it through the days sometimes. Even doing work with my brain at a desk is hard when I'm tired this way--everything slows down, but things still have to get done.

I really appreciate everyone's responses! When I'm slumped over the kitchen counter willing myself to do the dishes, it means a lot to not feel like I'm the only one that feels this way. Not that I'd wish this one anyone, but it's always good to know you're not the only soldier going through a fight.
 
Wow, look at those results! Me too, I get tired even in remission. Especially mid afternoon, I have a real slump that I often can't pull out of. I find if I try to drink plenty of water and stay hydrated it sometimes helps. Problem is I'm not that fond of water - I'd much rather have red wine. LOL!
 
I love cooking with wine. Sometimes, I even put it in the food.
PS, I used to hate water too but started putting decaf tea bags in my water bottle. Over a few hours, even if the tea is cold, the flavor seeps into the water and makes it better.
 
Thank you so much for this thread. Its how I found this forum - searching Google for Crohns fatigue.

I've had Crohn's since I was 24 years old - I'm over 50 now.

I get so tired, its my biggest problem By Far.

My Family Doc started talking about Chronic Fatigue. How do you know what causing the fatigue? Argh!

The low dose Naltrexone helped a lot with the pain. But the fatigue remains. I rest / sleep 10-12 hrs / day or more. I get very grumpy when tired.

Yep - even when the crohns is stable.

Any advice?

Many thanks!
 
Hi All,

I've had Crohns for 43 years and never felt as tired as I do at the moment! I'm getting B12 injections now (took them 2 years to work that one out). But I'm constantly tired and it seems to be getting worse. Glad I looked on here as I am getting to the end of my tether with it. I am in remission at the minute.
 
So glad I found this thread. I work a desk job and am just exhausted at the end of the day. I go home and crash. Most weekends I have the list of things I want to get done. I am lucky if I get one or two done. The only think I got done last weekend was mowing the lawn. It took me 3 days. I am soooo tired.
 
I'm kind of wondering if fatigue is also an early warning system for a flare. I had been fatigued for a few weeks "for no reason," but now am in the early stages of a flare. I should be using the mesalamine enemas more, but help me, I hate them!

Then again, some days I just feel flat fatigued anyway. It makes me really mad sometimes--I think, like this isn't hard enough, I have to be tired, too? Is there an emoticon for shaking your fist at everything in general?
 
You need to add a "Yes, all the time" button to your poll. That's what I would pick. ;)

I'm always tired no matter what. I don't sleep well at night for days - weeks at a time. I asked my general dr. for something to help me sleep and she told me to stop taking naps. HA! I did try that and it seemed to make it worse actually.
 
All your posts just gave me comfort that I am not alone. I am so so tired all the time. I got diagnosed 2 years ago, and still haven't made it back to work :( I also have thyroid issues but my fatigue is my biggest complaint right now..I am in remission but still so so tired.
 
Yes! I'm so glad I found this thread, I don't know what to do. Even when I'm not flaring, I'm tired. I told my GI the other day that on the weekends, all I can do is go to the grocery store and that's it. I can't run errands on the weekends like normal people. If I do, I wind up so tired that I can't put one foot in front of the other and miss a day or two of work. It's very frustrating, especially when I see people much older than I am who have more energy than I do. Thank you so much for your post.
 
I'm not glad you feel the same way, but I'm glad you have that small slice of peace from knowing you're not the only one. I think about this thread often and it always makes me feel like others are right there with me in a sense when I struggle. I also feel a lot less guilty because I don't think it's my "fault" anymore. I fear laziness, but this has given me some relief. I'm just dang tired is all.

I resent that I wake up exhausted. I resent that I can't exercise as hard as I want to, and that even though I Love my exercise classes, when I'm pre-flaring I don't even feel like going. I'm not depressed, but the lack of energy feels like a depression. My bounce gets hijacked and it's everything I can do to do, well, anything. Dinners, usually a fun thing to look forward to, downgrade to burritos for weeks because all I have to do is cook rice and buy beans.

I hope you feel better soon. But even though I don't "know" you, you can definitely know you're not alone.
 
UncleChuckSucks, when I read your post, I could have SWORN you were talking about me!! I couldn't have said it better if I had tried. You took the words right out of my mouth. I guess we're all in good company, and I'm so grateful for this forum.
 
after b12, iron and other vitamin deficiencies have been examined, my opinion is that it is due to oxidative stress.
Try eating foods that are very high in antioxidants, like cocoa/dark chocolate and green tea . brown rice and montmorency cherries have the highest melatonin content of all foods and is very potent antioxidant, yellow corn and oats come in second. This will give you more energy when the more obvious causes have been ruled out.
 
Just eating breakfast (a bowel of rice bubbles!) can exhaust me, like right now!

2
 
I work 12 hour shifts and come at 7 . By 8.30 Im in bed . I find i need lots of sleep. My wife constantly asks why am I so tired when i used to stay up until 12. I believe that that body is just working hard dealing with the discomfort and pain 24/7. My problem is that im still tired when I wake.
I generally take Amytriptiline to help relax me to get to sleep and maybe this makes feels groggy when I wake.
But yes I feel tired even when not flareing.

Peter
 
I feel dead tired all the time, flare or not. It's one of the things I've really had to accept about Crohn's (being newly diagnosed) because I didn't realize how much it can affect me that way. Especially when I seemingly feel great. Also, it's probably one of the symptoms people least understand.
 
I feel the same way--I never know when I'm flaring or just "don't feel good" without any clear symptoms except that, well, I just don't feel good. It's like having a cold without the cold.
 
I feel dead tired all the time, flare or not. It's one of the things I've really had to accept about Crohn's (being newly diagnosed) because I didn't realize how much it can affect me that way. Especially when I seemingly feel great. Also, it's probably one of the symptoms people least understand.

Have you tried B12 injections? I get them once a month and sometimes I really don't know if they work, but other times, maybe I do notice more energy. Eating alot of protein is supposed to help too. Chicken breast is a good source that doesn't bother me.:thumleft:
 
Hi
It's sad that so many people especially children have to suffer with this illness. In 1999 I got a bad bout of glandular fever which damaged my liver. Since then I've had constant fatigue. At times I found it too tiring to watch tv and even eat. It's odd since I always used to be hyperactive. I was diagnosed with cfs. The fatigue seemed to get better a few years ago, but came back 14 months ago and with new symptoms. This time I persisted with my doctor until they found I have crohns and gluten intollerence. The worst symptom I get is this wierd rash and itch which is getting worst by the day. Now it feels like I'm constantly being jabbed with needles all over my body. I am wondering if anyone else is getting this symptom and what helps.

Thanks.

Rambo16
 
Hi
It's sad that so many people especially children have to suffer with this illness. In 1999 I got a bad bout of glandular fever which damaged my liver. Since then I've had constant fatigue. At times I found it too tiring to watch tv and even eat. It's odd since I always used to be hyperactive. I was diagnosed with cfs. The fatigue seemed to get better a few years ago, but came back 14 months ago and with new symptoms. This time I persisted with my doctor until they found I have crohns and gluten intollerence. The worst symptom I get is this wierd rash and itch which is getting worst by the day. Now it feels like I'm constantly being jabbed with needles all over my body. I am wondering if anyone else is getting this symptom and what helps.

Thanks.

Rambo16

Yes, That did happen to me for awhile and then it kind of went away. But it does come back here and there. I get little red dots that itch for days and then go away. I get feelings of something crawling on my skin too. But, nothing is there. I heard the liver can cause this if it's acting up.:yfrown:
 
Thanks 723crossroads. I've had constant problems with my liver since the glandular fever. Last few days it's been hot and humid here and it felt like ants crawling all over my arms and legs and biting me; even though there were no ants.

Oddly, I've had psoryosis of the nails for the last 25 years but no rash untill now.

Regards,
Rambo16
 
If you are feeling fatigued, you should really get your Haemoglobin and Ferritin levels checked, that is likely to be the cause. And, it's fairly easy to put right!

Try taking strong iron supplements, 300mg Ferrous Sulphate or Gluconate 3 times per day (after having your blood tested). Dont bother with multivitamins, the amount of iron in them is way too small to help you recover if you have iron defficient anaemia. Vitamin C can help too.

Often the issue is caused by internal bleeding caused by Crohns, not necessarily a big issue in itself, but the resultant anaemia can be. But you should speak to your doctor first, to rule out other causes, and before taking a high dose of extra iron.

If your levels are really low, you can get iron infusions via an IV drip (at least you can in the UK). This is pretty straight forwards and makes a massive difference (like a dose of EPO given to Lance Armstrong!).

All the best
 
Most days, I feel tired for no reason and/or I tire easily; however, my bloodwork always comes back normal. I have to agree with Stelarjess in that I do believe unexplained fatigue is very common in Crohn's patients and is also one of the least known syptoms.
 
After reading this thread, I bought some "super B complex" vitamins. They smell kinda weird. :) I take them every day and don't know if it helps, but I figure it can't hurt.
 
The only time in the past 8 years I have not felt fatigued was during the brief periods of surgical remission after 4 small bowel resections. It's a constant battle to have any energy at all. I get weekly Iron infusions, monthly B12 injections, take folic acid, and a number of otc supplements. But in the end it seems to be getting gradually worse.
 
That would be wonderful. Thanks!

Some are on a different timezone, so it may take a bit to get back to you, but I promise you I will have someone to you as soon as possible. Also there are threads about all the meds if you just go to the top of the screen on your current page, you'll see search, click on and write Remicade info hit go. Then it should present you with a place where you can read about it too. There are many threads on this forum that can benifit you. Look at top of page and Click on the crohn's forum and read all the titles. See which ones you can benefit from. OK? Good luck !!!;):thumright:
 
Hi Sugarberry it is good advice from Mama T to check out the remicade club. I take humira nd I am active in the humira club. The only times I am not fatigued seem to b when I take a berocca with heaps of b vitamins. The fatigue is not there for all who take humira. It may b the same with remicade too.
 
I have previously been on Remi and felt great whilst on it, unfortunately after several months I had a reaction to it so it had to be stopped. I always recall though that the infusions went well and sitting in a comfy chair whilst they were done and hardly ever having any time off work due to feeling poorly. You will need to let the nurses know if you have a cold or cough as they like to make sure first that things are ok before doing an infusion in case this causes things to get worse - I did once to have to have a chest x- ray to make sure I didn't have a chest infection before they did one infusion as I was coughing lots. You may also find you are given something like Benedryl to help avoid reactions.

I do have to have B12 jabs now though due to feeling tired and my levels being low. One thing I would advise about these level checks is to get the specific level this comes back at, I have learnt here that the 'normal' range is huge and being on the low side of normal can still cause problems. I think the ideal level is about 400-500.

AB
xx
 
Your experience and causes may be different but I had fatigue linked to bad diet.
High Fructose Corn Syrup, within 90 minutes of eating it, would sap all my energy until my feet felt like lead bricks. I would also get dehydrated and cramped up.

Gluten intolerance was another one that did it to me.

My advice would be to simplify your diet, find a list of common crohn's trigger food and try to avoid them, then add them one at a time, keep a food journal and see if your energy gets better/worse with certain foods.

I went from huffing and puffing on a flight of stairs to a full body workout 3 days a week by kicking bad foods.
 
Well it seems to be all of us. Comforting to know. I have Crohn's since my early 20's, and I did better when I was younger at fighting the fatigue, just too young and stubborn to give into it. Had my daughter at 28, my son at 35. I've always worked full time. But I notice that in the last year to two, I just can't fight the tiredness as well, tell my husband all the time that I see it in the housework that doesn't get done, etc, like it used to. He has always told me that there is something wrong with a person who can go to bed for the night and be asleep within 5 minutes every night, lol!
 
I used to have energy all day long, never sat for any length of time. I would go, go, go all day. Now, it's like someone knocked the wind out of my sails. I am very frustrated by it and the fibromyalgia makes it hard to excercise now too. I want my 20 yr. old body back!:biggrin::biggrin::biggrin:Remember how great it was????
 
723crossroads, I understand what you're saying. On the weekends, it's all I can do to go to the grocery store. If I do go grocery shopping, that's all I do, and then I go home and rest for the rest of the weekend. If I were to go shopping, run errands and clean house on the weekends, I wouldn't be able to get up to go to work on Mondays. I hate it too because I'm only 52 years old! My 79 year old mother has more get up and go than I do. LOL!!
 
723crossroads, I understand what you're saying. On the weekends, it's all I can do to go to the grocery store. If I do go grocery shopping, that's all I do, and then I go home and rest for the rest of the weekend. If I were to go shopping, run errands and clean house on the weekends, I wouldn't be able to get up to go to work on Mondays. I hate it too because I'm only 52 years old! My 79 year old mother has more get up and go than I do. LOL!!

Same here, but my Mom is 75 and I'm 55. My Mom is up on her feet almost all day. She called me two days ago and she was cleaning out all her closets. I said "WHY? Noone does that but you? She said "Oh you just wouldn't believe what a mess they are!" I said," Mom, that is what they are for. Throw your stuff in and shut the door."! We just aren't like the older generations that springclean every year. I'm lucky I can keep up with the normal housework and cooking and laundry. When she goes for groceries, she is gone five hrs.! Can you imagine five hrs.? I'd be dead on my feet. Then she comes home and makes dinner. Takes care of my 95 yr. old Gram and my Dad who is in bad shape. She is unreal. She also had Ulcerative colitis, but is in remission for four yrs, now!:thumright:
 
Hi.
I agree with InstantCoffee. A couple of years ago I started jogging on a treadmill at the gym. I started getting bad chest pains at even a slow jog. After getting a heart monitor I found my heart rest rate at 92 - 113 bpm, and rising to over 175 bpm at the slow jog. One of the trainers there told me caffiene and dehydration can cause this. I cut down my coffee from 5 cup to 1 cup per day and increased my water from 2 glasses to about 2L per day. Within 2 weeks my heart rest rate dropped to 60 bpm and I could jog at 10 km/h for over 45 min without getting chest pains and I had heaps of energy. Now that I've gone back to my old bad diet I am finding myself tired all the time again.
 
I am definitely always exhausted. I go to bed with my bf usually (unless my stomachs keeping me up) usually no later than midnight and could sleep until 3 if permitted . I used to be that person with too much energy and just bouncing off the walls, I can't believe the change lol I'd rather be home on the couch than out frolicking.
I think my fatigue had a lot to do with me losing my job. I worked at Red Lobster as a server and a few weeks ago, they had a meeting with me and basically fired me. Although they were kind enough to put on records I quit due to personal reasons. Serving is hard work for anyone let alone if the whole time, you're exhausted. Though I still believe I was beyond nice to customers, it was hard for me to exhibit the same enthusiasm as my coworkers. My managers said this was the main reason they let me ago along with my appearance. That was a huge blow to my confidence! But no surprise I don't only feel tired, I look it. I think they were under the impression I was some girl who partied a lot then got to work and didn't want to be there.
Alas, I'm enjoying my time off of work to concentrate on school and my health!
 
Hi JUST THAT GIRL!Welcome and sorry to hear about losing your job. I know how you feel, being so tired. I was up off and on all night. I drink water all day because I am flaring and having such terrible gas that it woke me up all night. I am exhausted and supposed to go get groceries which I put off from yesterday. Dare I drink a cup of coffee? I always have just one to wake me up.:frown:
 
Hi JustThatGirl,

Sorry to hear you lost your job. I lost mine last year, which was great for me as it was stressing me alot and I barely got to see my new born baby girl. Just remember, if you weren't happy there, then the job wasn't right or good for you. Your health and happiness is far more important than a stressful job. I hope you get a great job soon and your health improves. Look after yourself and be happy.

Regards,
Rambo16
 
CLynn, my boyfriend used to always make fun of me for how much I slept and napped, mind you, my naps were about 2 hrs :). Luckily being on Humira has helped with my energy and he was shocked when I bought a treadmill and started running at least 3 days a week....I still sleep a lot and love to nap, but feel much better these days.
 
Dear green eyes, so glad u r doing so much better now. Thank God huh? I hope that the humira keeps working well for you for a long long time!!!:heart:
 
I know it's been a few years since I first posted this, but I wanted to post again in case it might help anyone else. I have figured out that I'm definitely fatigued during a flare, sure. But when I'm fatigued and not in a flare, it's a sign that a flare is coming. Sometimes I can adjust lifestyle (get more rest, fast a little, do the enemas) and avoid a major flare. Other times I can't, and the flare just comes anyway.

But basically, if I'm fatigued when I'm not in a flare, it means the flare is headed my way in the next few days. Just wanted to put that out there in case it helps anyone else.
 
I have been "tired" for years.
My sleep is terrible.
Last year I had a sleep study, no sleep apnea.
I used to take iron pills because my hemoglobin was low. I have had a blood transfusion.
At one time I was giving myself B12 injections.
Now I take the over-the-counter B12.
I have had thyroid problems for years and started taking levothyroxine a couple years ago.
I've had to sleep in a recliner for over ten years because of hip arthritis and bilateral rotator cuff syndrome and I also have back and neck problems.
I was prescribed Lunesta for sleep ten years ago, such a dangerous drug. Don't take it!
My gut has been sick since 1997.
I was diagnosed with UC in 2006.
I was just diagnosed with Crohn's Disease.
I also suffer from Major Depression and have thought that is why I am so tired.
What a mess.
I have been saying "I'm tired" to people for years.
Someone posted here :
"lack of energy is like a depression."
I'm good for maybe 3 hours maximum when visiting relatives, then I have to leave. Part of this may be anxiety/social anxiety but who knows.
I kept a journal for three months in 2013, every morning I wrote in it. My first words on the page was always "I'm tired" !!
Sometimes using phones and computers before bedtime causes sleeplessness.
I live in an apartment complex and have noisy neighbors.
I think my loud tinnitus could keep me awake.
And being worried all the time and not being able to shut my brain off.
It's not being "tired", it truly is FATIGUE.

Sorry this is so long. 🌻🐝
 
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Being worried all the time and not being able to shut the brain off sounds like a typical generalized anxiety disorder. I have the same thing. Probably triggered by years of being sick.

Tricyclic antidepressant combined with a low dose central stimulant is the best studied treatment for inhibited depression with somatic disease. I would see a psychiatrist.
Ask for Clomipramine and low dose Lisdexamphetamine.

And benzodiazepines and hypnotics (lunesta) are a big no no. It will only worsen anxiety and depression. Clonazepam, Alprazolam and Lorazepam I heard is severely overprescribed over there in the U.S.
 
Stress can play a part in feeling fatigued it doesn't always have to be that your body is missing some nutrient or mineral.

iv got IBD for over a year now and im by no means experienced, saying that IBD is unique to the individual and can vary person to person.

For me when im stressed even a little bit then my fatigue levels go through the roof.
 
Constant fatigue and pain should trigger stress in any sane person. Add to that financial worries, social worries and so on. We got a recipe for anxiety and depression.
Being constantly on edge just drains all the energy.

I think issues with absorption has a lot to do with many gastrointestinal related diseases.
 
Being worried all the time and not being able to shut the brain off sounds like a typical generalized anxiety disorder. I have the same thing. Probably triggered by years of being sick.

Tricyclic antidepressant combined with a low dose central stimulant is the best studied treatment for inhibited depression with somatic disease. I would see a psychiatrist.
Ask for Clomipramine and low dose Lisdexamphetamine.

And benzodiazepines and hypnotics (lunesta) are a big no no. It will only worsen anxiety and depression. Clonazepam, Alprazolam and Lorazepam I heard is severely overprescribed over there in the U.S.

I agree that benzodiazepines are over prescribed. I take Clonazepam and I am the one that asked my Psychiatrist for it and he said okay. My previous Psychiatrist did not like prescribing benzodiazepines. I see a new Psychiatrist in July and I am going to ask to be weaned off the Clonazepam. I see him in July. 💊

I learned Cognitive Behavioral Therapy in the hospital and at an after-care program, so I have the skills I need to reduce stress, worry and depression, I just have to use them. 📚

I am comfortable with my current "cocktail" of Psychiatric medications right now. I am not drugged up and "dummied up" all day long. And I can take care of myself. Sometimes it takes a long time to find the right Psychiatrist and the right combination of medications. 🙂

I will write down your suggestions and research them and mention it during my appointment. I am resistant to any drastic changes in my Psychiatrist medications right now because ten years ago I had a Psychiatrist that gave me the wrong diagnosis and the wrong medications. I was messed up for 6 years. 😳
So far so good for the past 4+ years. 🙂

I wrote a long story again.( sigh ) 😕
This is the fatigued / flare thread.
I can write my stuff on the proper thread next time. 🌻

Have a good week 🌷
 

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