Authorship Contributions Angelica Nocerino and Andrew Nguyen contributed equally to this work and should be acknowledged as co-first authors. Compliance with Ethics Guidelines This article is based on previously conducted studies and does not contain any studies with human participants or animals performed by any of the authors. Data Availability Data sharing is not applicable to this article as no datasets were generated or analyzed during the current study.
Footnotes Enhanced digital features To view enhanced digital features for this article go to References 1. J Pain Sympt Manag. Development and psychometric testing of inflammatory bowel disease fatigue IBD-F patient self-assessment scale. J Crohns Colitis. Chronic fatigue is more prevalent in patients with inflammatory bowel disease than in healthy controls.
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Tina Haupert, a nutrition coach living in the South Shore of Massachusetts who was diagnosed with ulcerative colitis in , agrees. The group also found that IBD fatigue tends to be unpredictable — it can come on suddenly, without warning, and vary from day to day. It can also affect memory and concentration, interfere with work, make it harder to exercise and socialize, and take a hefty emotional toll, leading to reduced confidence and depression, they report.
Fatigue is not a personal failing, and is nothing to be embarrassed about. But, living with persistent fatigue is unacceptable, so you may have to push more than usual to ensure you get the proper care you need.
I think there can a bit of a stigma attached to fatigue where people might struggle through it not wanting to admit to it for fear of being seen as lazy. You can find this at fatigueinIBD. If you find it difficult to talk about fatigue, you may find it helpful to print the questionnaire and show it to your healthcare team. There is also a checklist you can use to consider possible causes of your fatigue, in order to make sure nothing is overlooked. You will be able to fill in some items yourself, but for others you will need a doctor or nurse to give you the information.
You can find the checklist at fatigueinIBD. There are a range of actions you can take to reduce or manage your fatigue. The first and most important thing to do is to ask your doctor or IBD nurse to check that you do not have active Crohn's or Colitis. This might be done with a blood test or stool test. If your Crohn's or Colitis is active, then you will need treatment to see whether your fatigue improves as your Crohn's or Colitis improves. This may mean changing the dose or type of medicine that you are taking.
You should also speak to your doctor if you think your medication may be causing your fatigue, as they might be able to adjust the dose or find an alternative medicine.
If your Crohn's or Colitis is in remission, you could ask for a blood test to check for anaemia, iron stores, vitamin B12, and other chemical or nutrient deficiencies. Those experiencing emotional or psychological stress should speak to their GP or IBD team about accessing specialist support to help cope with this. For more information on the different types of counselling and how it may help you, see our information on Mental Health and Wellbeing. There is some evidence that low to moderate intensity physical activity may reduce IBD fatigue.
You could try gradually to increase the amount of physical exercise you do, while being careful not to overdo it. This can be simple activities, such as walking rather than catching the bus for short journeys, or going to exercise classes.
It is important to achieve the right balance between doing too much and exhausting yourself, and not doing enough to make a difference. You might need to build up your activity level slowly over several weeks. See our information on Living with Crohn's or Colitis for tips on exercising with Crohn's or Colitis.
If you smoke, stopping smoking can also help to reduce Crohn's or Colitis fatigue. You may find our information sheet Smoking and IBD helpful. If pain is contributing to your fatigue, you may wish to discuss pain management strategies with your IBD team.
There are a number of options that may help with pain in Crohn's or Colitis, many of which have already been mentioned above as ways to tackle fatigue. These include drug treatments, exercise or physical therapy, stopping smoking and counselling. For more information on how to increase your physical activity, or for advice on stopping smoking, visit nhs. I try and take each day as it comes.
I like running, so I get out for a run when I feel up to it. If you have continuous inflammation then unfortunately this will lead to continuous fatigue. The only way to help this will be to reduce or remove the inflammation, hopefully with medication, diet or lifestyle changes. If our inflammation is severe, there will be some bleeding.
This loss of blood can lead to anaemia , which can cause you to feel fatigued. With so many foods affecting our symptoms as well, many sufferers have a restricted diet which can lead to further nutritional imbalances.
Why not sign up to our mailing list and receive regular articles and tips about IBD to your inbox. Why not sign up to our mailing list and receive regular articles and tips about IBD to your inbox? Why do we get so fatigued with IBD?
By Seb Tucknott June 09, So how can a condition primarily affecting the digestive system cause such debilitating fatigue?
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