Crohns and constant fatigue

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Oct 4, 2015
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I don't know if there is a thread for this. I was diagnosed finally last summer, though I'd been suffering for a long time. I'm currently not working, and I'm concerned with working if I get a job.

I'm constantly tired, and doesn't matter how much I sleep, what I eat, if I work out, vitamins, etc. My joints and muscles ache and feel tight. I have constant night sweats where I wake up in puddles. I'm nauseated a lot, but push through that and stay hydrated. I have low blood pressure (always have), but the dizzy spells or spinning when I get up or walk is getting worse. I get cold easily, however it had become worse this past year. It can be 20℃ outside, and I'll be in pants and a sweater. I also don't produce enough heat, but I think that's a basic crohns issue?! My hands are like icicles, and can have a blue tinge. I always need to have a sweater on, and use a blanket to trap heat. I don't have enough energy at times to enjoy little things I love like reading, watching TV, or playing video games. I don't have the cognitive energy to stay focused. With that, I find I can pass out anywhere.

I'm just frustrated, because apart from the fog brain and normal "alien" stomach and pains I get... I can't function because I'm physically and mentally exhausted all the time. I do take iron supplements, since I've been considered anemic for a decade... But wouldn't that help with the cold/etc? Some days I can fight through it or push myself to do physical stuff (can't let it stop you), but I feel like a zombie or have been hit by a Mack truck. When I do physical work around the house for even 1-2 hours, my muscles and joints are worse... And it takes a day or two for me to recover. (I used to be an athlete and little things like this would be nothing to me. So, I guess I won't go back to instant recovery?) My crohns isn't going into full flair up right now (yey), but it keeps changing and my abdomen (even muscles near my ribs) is sore, painful inside the colon (no matter the stool type), mucus, bloating (I've actually gained about 10lbs thus past few months), and joints ache (inflammation sometimes). I know it's bad, but I find I rely on coffee or energy drinks just to give me enough energy to do basic tasks through out the day. I'm also tired of being stuck on the toilet for hours at a time.

My specialist said in December, my levels were fine and issues should be taken care of. She said me my symptoms shouldn't be as bad as what I'm experiencing based on my test results. So, what's the issue? I have GERD/acid reflux (pantoloc), ibs, and crohns (mezavant), anxiety (effexor xr), vitamin D, iron (60mg absorption), omega 3-6-9, b-complex, zinc, and Reactine (allergies - indoor and outdoor).

I'm curious if anyone has this experience, deals with this currently, or has any suggestions? Is this all associates with what I've been diagnosed with, or is there something else that could have been overlooked?

Sorry for the long message. Any help or suggestions would be greatly appreciated. I'm new to this, and I'm tired of feeling like it's just in my head. Thanks.
 
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Welcome. I have had issues with being cold easily. Besides Crohn's, I have hypothyroidism which makes me cold easily. Ask your doctor about this. Also, ask the doctor about b twelve shots for the tiredness. Let us know.
 
Thanks Ron. My mom had hypothyroidism, so I'm checked often. I've been to a specialist, and she said everything is healthy with the thyroid. So, that is a definite plus. My blood levels come back normal. I can request another blood test, but things usually fall into the norm. I know the "norm" numbers don't mean it's enough for ones body. It did take me 5 years to finally get looked at with the crohns. During that time I started having bad attacks, to the point of passing out and immobilization, and found out they were gallstone attacks. So, no gallbladder. Good when it comes to not having to worry about these with medicine, bad with how much food I can tolerate. I feel it's been over 10 yrs of me complaining to doctors and telling them about misdiagnoses for them to look into things... Then it's too late. Issues have made others worse, when of they had just taken care of it to begin with... It would've been fine. That's why I don't trust them, and I'm listening to my body. The numbers can come back normal, but something is making me lethargic and apathetic.
 
Thanks Ron. My mom had hypothyroidism, so I'm checked often. I've been to a specialist, and she said everything is healthy with the thyroid. So, that is a definite plus. My blood levels come back normal. I can request another blood test, but things usually fall into the norm. I know the "norm" numbers don't mean it's enough for ones body. It did take me 5 years to finally get looked at with the crohns. During that time I started having bad attacks, to the point of passing out and immobilization, and found out they were gallstone attacks. So, no gallbladder. Good when it comes to not having to worry about these with medicine, bad with how much food I can tolerate. I feel it's been over 10 yrs of me complaining to doctors and telling them about misdiagnoses for them to look into things... Then it's too late. Issues have made others worse, when of they had just taken care of it to begin with... It would've been fine. That's why I don't trust them, and I'm listening to my body. The numbers can come back normal, but something is making me lethargic and apathetic.
Yes. You know your body better than others. They had originally told me last year I had IBS. After testing me again they found out it was actually the Crohn's.
 
ive tried so many supplements, tests for deficiencies, bloodwork, diets, ect ect, and I still deal with 24/7 fatigue and unrefreshing sleep.

I dont like taking this long term, but I use vyvanse, a stimulant, to get through the tough days. But my doctor thinks I have adhd as well, so it kinda works for a few things for me...

there are other stimulant meds like modafinil which might work better for others.

High dose thiamine (B vitamin) has been used in a few studies for fatigue.

http://www.ncbi.nlm.nih.gov/pubmed/23379830

hope you get some relief soon
 
Constant fatigue is a problem of mine also. I have been reading about low dose naltrexone (LDN) of late. At some point I might try it out.

Some take LDN for their Crohn's. I've read that some also take it for improving chronic fatigue. LDN might be worth a try, asking your doctor for a prescription.

You can some about LDN in the treatment section:

http://www.crohnsforum.com/forumdisplay.php?f=32

Also doing a google search one of the sights that came up on fatigue and LDN helping resolve was this:

http://www.ldnresearchtrust.org/sites/default/files/Dr Kent Holtorf LDN and CFS-FM_0.pdf
 
I feel for you, nessers. Haven't read the whole post, sorry, as it is quite long, but I deal with fatigue again and again. Was gone completely meanwhile, now back again. My Crohn's is chronically active, same with my enteropathic arthritis. Hope another biological will help with that again.
Have you checked your vitamin d level? Iron level? B12? Folate?
Do you spend enough time outside and in the sunlight (might help with that as well)? What about sports and exercise? Is there anything that makes you tired so that your sleep might get deeper as well and you feel more relaxed in the morning? Just some ideas...
 
I wonder whether mesavant is the right Crohn's drug for you. It is more used for ulcerative colitis.

Fatigue is a huge symptom of active disease for my son.
 
I wonder whether mesavant is the right Crohn's drug for you. It is more used for ulcerative colitis.

Fatigue is a huge symptom of active disease for my son.

It's a sign for active inflammatory disease in general unfortunately:(, also for arthritis.
 
Are your iron and ferritin levels normal? Reason I ask is my hemoglobin was slightly low but normal hematocrit, and I ended up having terribly low iron and ferritin levels. We came to find out from a MR enterography that my small bowel is very diseased with multiple strictures - I had no idea. So the iron I had been taking wasn't being absorbed...it didn't matter how much or what form I took. Also, my albumin was low because of the malabsorption. I was only on Entocort 6mg/day. Now going on Humira/6MP combo, it's a little aggressive but I want to get it under control so I can avoid a future surgery or complication.

The allergy medicine you are on lists fatigue as a side effect as well.
 
Thank you everyone for all your comments, suggestive, and also hearing whey you are going through. I wish all of you well while you go through your struggles with your health. I'm going to see my doctor and I'm going to ask to get those blood levels tested (the ones you suggested). They check iron, but maybe not all aspects of it. I also didn't know the Reactine can caused fatigue, but my other medicine can as well. I've just been on them so long, that for it to just go 180 seemed odd. I'm definitely going to ask to see what causes and solutions there are, and I'll let you know what is said. Could be helpful, never know. This forum is so kind and helpful. Thank you.
 
Nice to see someone else here from Ottawa!

I am looking a little into chronic fatigue with my doctor as well, but nothing has ever shown of it. It literally has been decades since I last felt rested when I woke up. Can always hope though, maybe there will be some change in the future there.

Keep your chin up!
 
My fatigue was caused by a chronic mycoplasma infection.

Doctors almost never test for it. If you have chronic mental and particularly physical fatique where you just run out of energy when you know you shouldn't, I would strongly suspect it.

Mine was mycoplasma pneumonia so eventually, when it really got bad, it would result in pneumonia. There are other bad strains such as mycoplasma fermentans also.

Good luck.

Dan
 

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