Did you know that fatigue is one of the most frequent concerns of IBD patients? Fatigue is defined as an overwhelming feeling of tiredness, lack of energy, or a feeling of exhaustion that is not relieved after rest or sleep. It affects almost 80% of IBD patients with active disease and 50% of patients in clinical remission.1,2,3
What causes fatigue in IBD patients?
- Inflammation: The body’s response to inflammation can cause fatigue. Chemical signals produced during inflammation act directly on the brain to cause tiredness and lack of energy.
- Anemia: IBD patients with anemia do not have enough healthy red blood cells to carry adequate oxygen to the body’s tissues, which can make you feel tired and weak.
- Nutritional deficiencies: low iron as well as Vitamin B12 and folate deficiency may also be related to weakness and fatigue.4 learn more about Vitamin and mineral supplementation.
- Medication Side Effects: Fatigue may be a direct adverse effect related to medication (AZA, 6-MP, methotrexate). Steroids are also associated with increased energy and/or insomnia. Antidepressants and narcotics, commonly prescribed, may be associated with lethargy (abnormal sleepiness)
- Arthritis: Pain and inflammation of the joints leads to fatigue
- sleep bad: Sleep can be interrupted by symptoms (stomach ache at night) and anxiety.
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