Crohn’s disease is a chronic condition that causes inflammation in the digestive tract. People with Crohn’s disease often experience periods of fatigue that can be severe and affect their daily activities. This fatigue can occur during flare-ups of symptoms and periods of remission.
Crohn’s disease is a type of inflammatory bowel disease (IBD). It is a chronic condition that affects the digestive system and causes inflammation of the gastrointestinal tract.
Common symptoms of Crohn’s disease include:
- rectal bleeding
- the urgent need for a bowel movement
- abdominal pain and cramps
- a sensation of incomplete bowel evacuations
Another common symptom of this condition is fatigue.
Fatigue is more than just feeling tired — a person with physical fatigue may find it physically challenging to carry out everyday activities. This can include climbing the stairs or walking short distances.
Mental fatigue may cause a person to find it difficult to concentrate and stay focused.
Fatigue is a common symptom that has links with a range of chronic illnesses, including Crohn’s disease.
There are several things that a person with Crohn’s disease may experience that can cause fatigue. These include:
- Inflammation: When inflammation occurs in the digestive tract, the body produces chemical signals in response to the inflammation. These chemical signals can cause tiredness and a lack of energy. They can also contribute to a feeling of fatigue.
- Anemia: Approximately
one-thirdof people with IBD have anemia. This means that their red blood cells cannot transport enough oxygen to their body’s tissues, which can make a person experience tiredness and weakness.
- Nutritional deficiencies: People with Crohn’s disease may have low levels of
vitamin B12, iron, and folates. These deficiencies have links to weakness and fatigue.
- Side effects of medications: Certain Crohn’s disease medications can also cause fatigue. This includes steroids that can interfere with a person’s sleep patterns, while immunomodulators, such as methotrexate and 6-MP, can also lead to fatigue.
- Anxiety: People with Crohn’s disease have an
increased riskof experiencing anxiety, of which fatigue is a symptom.
- Prolonged poor sleep: Individuals with Crohn’s disease may experience poor sleep. This may be because certain symptoms, such as stomach pain, can interrupt their sleep. If a person experiences reduced quality sleep for a number of nights, it could lead to them developing fatigue.
Fatigue is a common symptom of Crohn’s disease. However, the condition is
However, a person can manage chronic fatigue in various ways. Below are some tips that someone with Crohn’s disease may find useful.
Around 1 in 3 people with Crohn’s disease or ulcerative colitis have anemia. Irritation and swelling in the intestines can mean the body does not absorb iron as it should, leading to anemia.
Anemia can cause fatigue for people with Crohn’s disease. A person may wish to take oral iron supplements to help
By reducing anemia, people may be able to help manage their fatigue.
A person may also wish to focus on adding more vitamin B12 and folates, or folic acid, to their diet. Research suggests that deficiencies of these nutrients
People can get vitamin B12 from supplements or a variety of foods,
- animal liver and kidneys
- fortified cereal
- fortified nutritional yeast
- dairy products, such as milk, cheese, and yogurt
- some nutritional yeast products
Food manufacturers also fortify other foods with vitamin B12, including some types of soya milk and breakfast cereals.
Learn about the other symptoms of vitamin B12 deficiency.
A person can add folates to their diet by
- legumes, such as beans, peas, and lentils
- leafy greens
- citrus fruits, such as oranges, grapefruit, lemons, and limes
- Brussel sprouts
- nuts and seeds
- beef liver
Learn more about folate deficiency.
The body’s response to inflammation can cause fatigue. Therefore, if a person has Crohn’s disease, they may wish to treat their inflammation to help manage fatigue.
An individual could use biologic therapies, such as infliximab, to treat inflammation. Nonbiologic medicines for inflammation include immunomodulators.
If a person’s medication is causing their fatigue, they may wish to switch to a different medication. They can speak to their doctor, who may be able to suggest alternative treatment options.
A person with Crohn’s disease may wish to seek counseling to help manage their anxiety. Other options include cognitive behavioral therapy or anxiety medications.
If an individual is experiencing anxiety due to Crohn’s disease, they can speak with a medical professional, who may be able to treat the condition.
Learn about the different types of mental health services available.
A person can try several methods to improve their sleep, including these healthy sleep habits:
- establishing a consistent bedtime routine
- ensuring their bedroom is at a comfortable, cooler temperature when going to sleep
- making sure their room is quiet and dark when going to sleep
- avoiding looking at screens for up to an hour before going to sleep
- avoiding eating shortly before going to sleep
Learn more tips for improving sleep.
Regular physical activity can help improve sleep and reduce the symptoms of fatigue. If a person is not very physically active, they could gradually introduce exercise into their routine as they are able.
Learn more about exercise for people with Crohn’s disease.
An individual with Crohn’s disease should try to avoid smoking to help manage the symptoms of their condition. Cigarette smoking
CFS is a long-term illness that can cause pain and extreme fatigue. It is a serious illness that can last a long time and affect an individual’s ability to perform everyday tasks.
Symptoms of CFS
- a reduced ability to perform tasks they would normally do
- the feeling of a “crash” after physical or mental exertion
- the development of sleep disorders, including vivid dreaming, restless legs, muscle spasms, and sleep apnea
- issues with memory
- aches and joint pains
If a person feels that they have CFS, they need to speak with a medical professional.
A common symptom of Crohn’s disease is fatigue, which can occur during flare-ups of the condition and periods of remission.
A range of factors can cause this fatigue, including the body’s response to inflammation, anxiety about Crohn’s disease, anemia, nutritional deficiencies, and pain that affects sleep.
To manage fatigue, an individual with Crohn’s disease may wish to treat their inflammation, manage their anemia, follow a nutritious diet, and develop better sleep habits.