"I am so tired, I have to drag myself out of bed everyday to get to school, then I go right back to bed when I get home."
The story of my life - you must be my American alter ego ! How nice to meet you, Dreamer - if you know what I mean...
Fatigue is a symptom of so many things, it is a nightmare bowl of spaghetti to untangle. When a patient in the UK comes to their doctor complaining of TATT (Tired All The Time) apparently the GP checks the iron levels in the blood first off, to see if anaemia is the cause, then after that they are pretty much flummoxed if there is no actual or recent infection, and the patient isn't actually out partying all night. I get the feeling that you are not partying a lot...any...am I right ? !
Well, what Caz said is pretty spot on, supposedly moving house is one of the top five most stressful events in life, up there with death and divorce, so that is bound to have had an effect. If you were already stressed, then the added strain of moving and going to school on top of the upheaval might just have tipped the balance against your immune system.
Fatigue is always what clobbers me, I get it for several different reasons, so I can provide you with a list of possible causes.
First and foremost, B12 deficiency is intimately connected to damaged guts and maladjusted intestinal flora, and is a notorious cause of fatigue in Crohnies. Get tested, but remember to warn your doctor that the Mayo clinic considers that even slightly low but within normal range is actually pathologically low if you have CD. You can get injections, pills (not so good), nasal sprays, and nowadays I hear, patches. If the doctor is undecided, point out to him/her that there is no harm in trying B12; you never know, you might feel magically improved suddenly, it is known to happen.
Secondly, if you have moved to a different time zone, particularly at this time of year, you may well have Seasonal Affective Disorder, or the milder SubSyndromal SAD. This again is because not only are you lacking Vitamin D and endorphins from sunlight, but also if your gut is damaged then it is less able to make serotonin (half the body's supply is in the gut wall, and it runs peristalsis) and that in turn means a fractured, chaotic sleep pattern and less energy, both physically and mentally. Depression, or simply just feeling that everything is too much effort, is also a hallmark of this. If you are typically more able at one time of day than another, this may well be your problem. One remedy for this is a full spectrum lightbox (depending on latitude, you may not get any UV from sunlight at this time of year - a light box gives you a known dose). Alternatively, some people get by with a simple "zeitgeber" - a special light that comes on in the morning, usually built into an alarm clock, that resets the daily sleep/wake cycle. Last but not least, you can try an antidepressant like Prozac; there are a whole host of these which work specifically to make up for a lack of serotonin, and as a side effect I can testify that they can do a pretty good job of keeping a Crohnie's gut from flaring up. (I used to say my Prozac kept the ring turned down to simmer, instead of up to full power.) SAD makes Crohn's worse, and vice versa.
Nausea is part of having a bad gut. I reckon any time I start burping first thing in the morning, or feel really nauseous, that is a sure fire sign that my gut is having conniptions, peristalsis is not working, and I am about
to feel pretty d***ed bad. I don't know how typical this is, but a slight fever is usually part and parcel of that. Probiotic yoghurts are my anti-inflammatories there; I reckon they are damping down the activity of disease causing bacteria in my gut. Failing that, a couple of days total rest with little or no food can make a big difference, but missing even a single meal is sometimes a very quick road to feeling wiped out big time, and it's not like I have any extra weight to lose.
What you tell your family is up to you, needless to say. But I'll say one thing to you - outside of this forum, I don't have anyone to lean on on a daily basis, and my God I wish I did have someone to talk to. Yes, it may worry those who love you if they hear about
your health problems; but if you do not share the bad times, you cannot enjoy the good times nearly so well, because it is the closeness forged by facing problems together that builds love and intimacy. Wouldn't you want to feel that you have the sort of relationship with your family that if they have a problem they can at least talk to you about
it ? Of course you do. Humbling I know, but this is your chance to lead by example. (Sorry, leadership ain't the way Hollywood makes it out to be !) From what I've seen in my own life and others, at the very least sharing makes for better communication, and most often, a trouble shared really does feel like a weight lifted from your shoulders.
Best of luck !