Crohns Severe Fatigue or Could it be Depression?

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RxCrohnie
Regular Member


Date Joined Sep 2006
Total Posts : 146
   Posted 1/3/2008 1:31 PM (GMT -7)   
Hello All,
I have posted here before and you all are great.  No one else understands what I go through because they don't have this awful disease.  I just feel so tired all the time.  The past few days have been even worse.  I don't even feel like taking a shower or moving off the couch.  I have been out of work since Aug due to crohns and waiting for surgery for fistula.  I am just wondering if all this fatigue is coming from the crohns or if I could be depressed.  I am taking Cymbalta for muscle aches and pains and trazodone for sleep.  I don't feel depressed but just don't feel like doing anything.  Do any of you experience this?  I need to go back to work but cannot handle the load due to pain and fatigue. I also have 3 kids in lots of activities at school.  Please help.  My fistulas are rectovaginal.  Sometimes I can eat and other times I have severe nausea and cannot.  I am having diarrhea 2-3 days followed by a day of constipation like feeling.  This disease is horrible.
35 yo--Crohns since 2000, Granuloma cysts in mouth-oral surgery X2 in 2000, Fistula colon 2006, Rectovaginal Fistula 2007, Joint pain. Kidney Stones. Dx with Migraines in 2002 and Ovarian Cysts with Endometrosis 2001.  Dx with Fibromyalgia in 2007.  Now receiving Humira, Topamax 300mg daily, Cymbalta 120mg daily, Prevacid 30mg, Maxalt, Vicodin and Ultram as needed, Fish Oil, and Multivits   
 
RxCrohnie 


bunnypucker
Regular Member


Date Joined Dec 2003
Total Posts : 494
   Posted 1/3/2008 1:53 PM (GMT -7)   
i know for me it can be a combination of both. when im not feeling well physically i cant even get off the couch. but its the same for me when im not feeling well mentally. some other symptoms to look out for depression wise are, total apathy like not caring about anything, hopeless feelings, change in appetite, change in sleep and of course fatigue. sometimes you can feel completely consumed by whatever is going on at the moment, even if it is a simple task.
but please bear in mind that i am by no mean an expert i am only talking from my experiences. if you think it could be depression, go to your doc or a therapist and see if they can help you, mine have helped me a lot.
i hope you feel better


bunny
Crohn's Disease Diagnosed 12/24/03
Bipolar






Im 26 years old, and am currently only taking remicade and protonix for my CD. am on quite the cocktail for my BP however: Geodon, Lamictal, Celexa, Buspar, Wellbutrin and Klonopin.

Im also on lipitor for high cholesterol caused by a prior BP med. im on fentanyl patches for pain also, and i take some meds prn for my allergies, asthma, and migrianes.



"We are all worms but I do believe i am a Gloworm"

^always makes me smile^

<FONT color=#00ffff>




<FONT color=orange>


Zazucat
Regular Member


Date Joined Dec 2006
Total Posts : 177
   Posted 1/3/2008 2:13 PM (GMT -7)   
I'm sorry you're feeling so awful. Crohn's sucks, there's no way around it. Your fatigue could be from many things, but if you don't feel depressed, I would say that you're not. I know that for me having nausea is the absolute worst and just makes my body feel completely out of whack.  It sounds like you've been pretty sick for a long time and that can be bringing your energy levels way down. Also, after even a few weeks of taking it easy, it can be harder to jump back into life and having enough energy to get through the day. You could try adding just a little bit of activity every day to see if it gradually gets easier. Also make sure your diet is as balanced as possible and you're getting enough nutrition even when you're not eating. Definitely talk to your doctor about the fatigue. I hope you start feeling better soon!

stkitt
Forum Moderator


Date Joined Apr 2007
Total Posts : 32602
   Posted 1/3/2008 2:28 PM (GMT -7)   

Hey there,

I am thinking you may have a combo as the Crohn's can wipe you out and you certainly could be depressed which causes many people to lack energy.

Please talk to your physician about the possibility of depression

Kitt


 
Co-Moderator Anxiety ~ Panic Disorders
Co-Moderator Crohn's Disease Forum
*~* Not a mental health professional at all *~*
Dx: Anxiety/Panic, Depression, GERD, Osteoarthritis
*Wife of a Crohnie*
******www.healingwell.com/donate***
It is health that is real wealth and not pieces of gold and silver.~Mahatma Gandhi~
 


Nanners
Elite Member


Date Joined Apr 2005
Total Posts : 14995
   Posted 1/3/2008 2:35 PM (GMT -7)   
I agree with Zanne. This disease by itself can cause severe fatigue. I know when I am in a flare I just lay around with my heating pad and snooze alot. If you are concerned with depression I think you should contact your doctor. But in my opinion the disease is usually the culprit. Feel better!
Been living with Crohn's Disease for 32 years.  Currently on Asacol, Prilosec 60 mg, Estrace, Prinivil, Diltiazem, Percoset prn for pain and Calcium.  Resections in 2002 and 2005.  Recently diagnosed with Fibromyalgia and doing tests to see if I have Inflammatory Arthritis or AS.


karendee
Veteran Member


Date Joined Mar 2007
Total Posts : 1642
   Posted 1/3/2008 3:41 PM (GMT -7)   

I think it can be both as well. I see a therapist (before I knew I had CD) and she diagnosed me with General Anxiety disorder. I had terrible time sleeping. So I have a little of everything making me tired.

Please do talk to a Doctor about your problems, you may even have some deficit in iron ,b12, etc.

it can also be depression. A therapist might be a good idea too. CD is a lot to deal with.

Karen


 ...

Karen (Karendee)

Diagnosed w/ Crohn’s Disease  March 2007 On 150mg Azathioprine (generic Imuran), Pentasa, & Entocort (take zofran for nausea now)

Diagnosed w/  Fibromyalgia May 2007 also on Soma

Also have Arthritis, and feel like I am falling apart sometimes...


grumpyoldman50
New Member


Date Joined Jan 2008
Total Posts : 1
   Posted 1/3/2008 5:31 PM (GMT -7)   

So sry to hear that your very tired. But is common with Crohn's I was diagnosed in May of 1996 had the valve that seperates the large and small intestines removed. I went to the bathroom at first 30 to 50 times a day....Went to a specialist and they could not give me a answer as to how to stop going to the bathroom so much..So I experimented...10 lb bag of raw potatoes every other day and a loaf of bread daily.....(NO JOKE)...put the pounds on from 145 to 180 quickly back then...lol (wonder why) but was a to not go to bathroom for couple of days a week which I believed back then helped me. but anyway met some Dr.'s which to me I thank GOD for, only go to bathroom maybe 4 times daily now and with no medications.

 I am diagnosed due to Crohns with RH arthiritis, panic attacks which have finally calmed down. Kidney stones shattered 12 times due to Calcium not absorbing into intestines and passed around 200 without surgery. B-12 deficiancy due to Crohns (take shots)High cholestorol and triglicerides.

What have I gained from this after 12 yrs. I thank God for each morning that he gives me even though I have this disease. I know that it will always be with me but I could be worse off than I am. I've learned to take each day just like a new day with the disease on what I eat or drink because even though you ate this or that the disease changes you body daily. I have seen over the years that losing weight can make you feel worse than gaining weight and gaining more weight can make you feel sick. I have learned that depression triggers the Crohns worse than anything else. I learned that even after passing 200 stones and 12 times shattered Kidney Stones still hurt like hell. I learned that dairy products trigger the bowel movements and drinking carbonated drinks or anything with caffine. I could go on and on but shall close with this.

 I've been through depression, tiredness,and everything else you can imagine. I've cussed, ranted, raved and banged my head against the wall. But I've always thanked GOD for each day because I read and also see so many people worse off than I am. THEN I REALIZE I'M NOT PUNISHED I'M FORTUNATE BECAUSE HE openED MY EYES AT WHAT COULD HAVE BEEN OR COULD BE....AND I TELL HIM THANK YOU FOR EACH DAY.


Blue Velvyt
Regular Member


Date Joined Sep 2006
Total Posts : 194
   Posted 1/3/2008 5:55 PM (GMT -7)   
Just curious, suffering any vitamin deficits? I certainly am, the reumatologist says that my severed vitamin d deficit is causing all my muscle pain and giving me headaces, as well as the iron deficit causing my tiredness, I dont even know what the b12 deficit is doing.
 
As for the mental aspect, I have posted on this elsewhere, I cant say I fully understand it, my emotions play out no matter how strong I feel inside, it is strange, like watching myself from the outside, I am constanly wondering, what the hell is wrong with me, why am I so wiped out, why can I barley move, or breathe, why do simple things like doing the laundry exaust me, so much so I gripp my chest / stomach and lie down.
 
the Human body is so strange when pushed to it's limits, I take solice this year in coming here, in sharing info, youre not and will never be alone in your feelings when you here on these forums.
 
:)

gumby44
Veteran Member


Date Joined Nov 2007
Total Posts : 4100
   Posted 1/3/2008 7:55 PM (GMT -7)   
I'm so sorry you don't feel well. I'm a mental health therapist, but much more importantly, I also have Crohn's. From my therapist perspective, I can tell you that the vast majority of people with long term chronic illness suffer with some form of depression...how could you not! Chrohn's is an auto-immune disease that in and of itself causes fatigue, but when you don't feel well, can't work, and are tired, it is very depressing. Antidepressant medication help with the symptoms like weepiness, sleep disturbance, irritability, etc. Psychotherapy helps you gain perspective, allow yourself to grieve and process your losses, learn coping and stress management skills, and re-frame your life so that you find value and meaning, perhaps in a different way than before you were sick. Definitely talk to your doctor, and consider therapy, and so it immediately if you have any suicidal thoughts!

Believe it or not, I personally have lousy insurance, and don't have mental health coverage. With the cost of my Crohn's meds, I can't afford to see a therapist for myself, but I would in a heartbeat if I could. Even though I'm a therapist myself, I hurt and struggle too. This forum is my lifesaver, though...and free! Good luck.
49 yr. old female, diagnosed with Crohn's in small intestine and terminal ileum Sept-Oct. 2007
currently taking Pentasa 2750 mg- 9pills/day and on and off Prednisone for flares


survivor49
Regular Member


Date Joined Oct 2007
Total Posts : 241
   Posted 1/3/2008 8:00 PM (GMT -7)   
Ask your PMD to test you for iron deficieny. It is common for us, as we can lose blood with flares. I was ttested and my iron level was 9 (normal is 50-100). Best of luck to you- you are not alone.

RxCrohnie
Regular Member


Date Joined Sep 2006
Total Posts : 146
   Posted 1/4/2008 11:57 AM (GMT -7)   
Thank you all so much for your support and suggestions. I do feel it is a combo of both depression and the crohns. I have had my CBC checked but not my iron count lately. I have had low iron in the past. I have never been checked for specific vitamin deficiencies. My diet does need to improve. I eat what I feel like I can. I eat alot of mashed potatoes, baked potatoes and soaps. You all have been great. Thanks again
35 yo--Crohns since 2000, Granuloma cysts in mouth-oral surgery X2 in 2000, Fistula colon 2006, Rectovaginal Fistula 2007, Joint pain. Kidney Stones. Dx with Migraines in 2002 and Ovarian Cysts with Endometrosis 2001.  Dx with Fibromyalgia in 2007.  Now receiving Humira, Topamax 300mg daily, Cymbalta 120mg daily, Prevacid 30mg, Maxalt, Vicodin and Ultram as needed, Fish Oil, and Multivits   
 
RxCrohnie 


stkitt
Forum Moderator


Date Joined Apr 2007
Total Posts : 32602
   Posted 1/4/2008 12:30 PM (GMT -7)   

RxCrohnie

You are welcome to post in the Depression forum too re your feeling depressed.

Hugs to you

Kitt


 
Co-Moderator Anxiety ~ Panic Disorders
Co-Moderator Crohn's Disease Forum
*~* Not a mental health professional at all *~*
Dx: Anxiety/Panic, Depression, GERD, Osteoarthritis
*Wife of a Crohnie*
******www.healingwell.com/donate***
It is health that is real wealth and not pieces of gold and silver.~Mahatma Gandhi~
 


teenatoons1
Regular Member


Date Joined Aug 2006
Total Posts : 44
   Posted 1/4/2008 12:57 PM (GMT -7)   
Depression is a possibility, but you said you were on cymbalta, right? I thought that was an antidepressant. It might be a good idea for you to have your vitamins and minerals checked and to talk to your docs about the feelings. I too am VERY tired all of the time, but as far as I know I am not in a flare. I have a light case of Crohn's so I don't flare as bad as most people. I also have a light case of sleep apnea that needs a C-pap when I am stressed. I aslo have a history of depression. Right now I think my symptoms of sleep problems, fibromyalgia, Crohn's, and being obese are why I feel tired all of the time. Good luck. I hope you feel better soon!! Really, I do hope you feel better soon.

fistulagal
New Member


Date Joined Jan 2008
Total Posts : 6
   Posted 1/6/2008 4:38 PM (GMT -7)   

I have to tell you that when I read what you had to say of what your feeling - I could have written it myself. This is my first time checking out blogs on this because really I am at my wits end. I was diagnosed 10 years ago and was in surgery within 5 days for a perferation it took a couple of years to get me into remission. My recent bout has been going on for 2 years with fistulas and I can't stand it anymore, mine are not rectal vaginal this time but I have had that before as well and remicade got rid of that one. I had surgey a little over a week ago for another seton placement. (honestly I have no idea how many times I have tried to get these rectified with plugs and seton placements etc... 1 has closed thank goodness)I was doing good but over the last few days something is not right. I have so much pain and I am hardly eating trying to control the D which is about 6-10 times a day - i wouldn't think I would have anything left in me at this point. I think I will call the doc tomorrow, sometimes I think that I should just deal it's part of it, but something just doesn't seem right. I am 33 and also have kids a job and a house etc... which is a mess at the moment because I too don't want to get off the couch.  I am sorry that you are going through the same things, but in some way comforting to know that there are others dealing with the same thing. Thanks for sharing

 

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