The tiredness could mean you have mild inflammation. If you have been going through peiods of extreme distress and not getting sleep, it would lower your immunity even more or cause unease in the gastro tract even from the distress of not sleeping.
So questions......are you on meds and what? Are you on probiotics? And the days you tend to have diarrhea, what has changed regarding food and drink intake?
yea. I'm on Asacol HD and 75mg of mercaptopurine. I'm taking vsl 3.
No. My food and drink intake is relatively the same.