fatigue without being anemic

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Annie76
Regular Member


Date Joined Jul 2007
Total Posts : 66
   Posted 8/15/2007 8:53 AM (GMT -7)   
I had an appointment with my GI yesterday and I asked if he would check my blood because I have been so tired.  He ordered a CBC and the results are back - I am not anemic.  My question therefore is:  Can my fatigue still be from my UC (currently in a flare) but not be anemic?  Does anyone else feel tired a lot but their bloodwork is okay?  I do take a multi-vitamin every day.  Thanks in advance for any input you might have!
left-sided colitis diagnosed after 3rd pregnancy 11 years ago
previous meds:  Asacol 12 per day
                      Rowasa enemas nightly during flares
                      Canasa suppositories
Was in remission for 5 years. 6 Asacol per day
Currently in a flare for the past 3 months - Asacol not working
Currently trying Lialda -  4 each morning
Lipitor, multi-vitamin, asadophilus


quincy
Elite Member


Date Joined May 2003
Total Posts : 29860
   Posted 8/15/2007 9:01 AM (GMT -7)   
Definitely. Did the doc check your thyroid and magnesium levels?

q
*Heather*Status:mini flare June 23* 6asacol daily+ Salofalk (tapered every 3rd night)
~diagnosed January 1989 UC (proctosigmoiditis)
~5ASA: Asacol + Salofalk enemas (increase for flares tapered to maintenance)
~Bentylol (dicyclomine) 20mg as needed
~vitamins/minerals 
~Probiotic 2 (Natural Factors Protec) + 1 (Primadophilus Reuteri) at bedtime
~Natural Factors Multi Digestive Enzymes with supper
~Ranitidine,Pariet (reflux) Effexor XR 75mg;  Pulmicort/Airomir (asthma)
~URSO for PSC (or PBC) 500mg X 2 daily (LFTs back to NORMAL!!)
My doc's logic.. "TREAT (FROM)BOTH ENDS"  worth it !!!


Annie76
Regular Member


Date Joined Jul 2007
Total Posts : 66
   Posted 8/15/2007 9:08 AM (GMT -7)   
I had to beg him to do the CBC. I have had my tyroid checked by my family doc a year or so ago and it was okay. Why magnesium? Is that tested through bloodwork too? Also, I thought you might find it interesteing that when I questioned my doc about probiotics he said he has an open mind but hasn't seen any evidence they do any good. He said the studies he saw shows they are no different than taking a placebo.
left-sided colitis diagnosed after 3rd pregnancy 11 years ago
previous meds:  Asacol 12 per day
                      Rowasa enemas nightly during flares
                      Canasa suppositories
Was in remission for 5 years. 6 Asacol per day
Currently in a flare for the past 3 months - Asacol not working
Currently trying Lialda -  4 each morning
Lipitor, multi-vitamin, asadophilus


ledaebel
Regular Member


Date Joined Jul 2006
Total Posts : 339
   Posted 8/15/2007 12:33 PM (GMT -7)   
Two months ago I was ready to say "just take it out," I was so miserable. I was fatigued to the point of just looking at a bed or couch and lying down without sleeping. My GI said fatigue is part of the UC disease, it just wears you out. 6 weeks ago I started on Lialda and within two weeks that awful fatigue disappeared. I still get tired but it is an entirely different feeling. I get a wee bit of nausea with the Lialda but it is worth it. I am in remission and pray it stays that way for a long time.
  • LINDA
         
Prescriptions: Lialda (on a study) asacol, hycosamine, protonix, synthroid, zyrtec, avalide, nasocort, Miacalcin spray and Trazadone for sleep.
OTCs:  Usana multivitamins and multiminerals, Usana Procosa, Usana Mega Antioxidants, Omega 3, Vit. E,  Healthy trinity probiotics, Calcium Citrate


Delarge
Regular Member


Date Joined Mar 2007
Total Posts : 157
   Posted 8/15/2007 1:15 PM (GMT -7)   
Ulcerative colitis results in higher-than-usual levels of energy expenditure. In fact, I've seen studies that suggest those with colitis use up to 19% more energy on average than those without. Unfortunately most of these studies neglected to specify the degree of colon involvement.

Are your B-12 and folate levels in check?

suebear
Forum Moderator


Date Joined Feb 2006
Total Posts : 5698
   Posted 8/15/2007 1:40 PM (GMT -7)   
Ask your GI to have your vitamin B-12 levels checked.

Sue
dx proctitis in 1987
dx UC in 1991, was stable until 1998
1998 started prednisone, asacol, pentasa, nortriptylene, ativan, 6MP, rowasa enemas and suppositories, hydrocortisone enemas, tried the SCD diet, being a vegetarian, omega 3s, flax, pranic healing, yoga, acupuncture, probiotics
2000 lost all my B-12 stores and became anemic
2001 opted for j-pouch surgery- now living life med-free
 


quincy
Elite Member


Date Joined May 2003
Total Posts : 29860
   Posted 8/15/2007 3:16 PM (GMT -7)   
http://www.labtestsonline.org/understanding/analytes/magnesium/glance.html
*Heather*Status:mini flare June 23* 6asacol daily+ Salofalk (tapered every 3rd night)
~diagnosed January 1989 UC (proctosigmoiditis)
~5ASA: Asacol + Salofalk enemas (increase for flares tapered to maintenance)
~Bentylol (dicyclomine) 20mg as needed
~vitamins/minerals 
~Probiotic 2 (Natural Factors Protec) + 1 (Primadophilus Reuteri) at bedtime
~Natural Factors Multi Digestive Enzymes with supper
~Ranitidine,Pariet (reflux) Effexor XR 75mg;  Pulmicort/Airomir (asthma)
~URSO for PSC (or PBC) 500mg X 2 daily (LFTs back to NORMAL!!)
My doc's logic.. "TREAT (FROM)BOTH ENDS"  worth it !!!

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