So your doctor’s theory about your fatigue sounds like low blood sugar. The starch in the crisps is converted almost immediately to sugar, and gives you a quick boost of that. The salt also has an immediate effect. You can test this theory more cleanly by consuming a purer form of sugar next time, without the salt. Soda or a candy bar wold be reasonable candidates.

I've never had blood sugar issues previously.

After a bout of food poisoning, I realised my tiredness could be due to dehydration

Since J pouch surgery and many emergency hospital admissions (due to severe dehydration), I ensure to consume a sufficient amount of fluids.

I ensure to consume a rehydration solution a couple of times per week.

I thought of the same thing as Scott. Sounds like diabetes. I would have blood sugar and diabetes tests done 

I wouldn’t guess diabetes. When diabetics get low blood sugar it’s generally due to a mismatch between their anti-diabetes medications and their carbohydrate intake.

I've had a few blood test, first one, an annual check which apparently test for everything and only revealed low Potassium.

Couple of months later and all ok, including my Potassium and iron levels.

Next full blood test, includes Magnesium level and B12.

No idea why Magnesium and B12 isn't included with first full blood count, when test was meant to test for everything.

You may want to pull up that potassium count and iron too. Try adding more bananas to you diet. They are exellent source of carbs and high in potassium. See if it works. And spinach for your iron . Maybe its just that you had low blood sugar and so you were feeling tired.

Raj posted:

You may want to pull up that potassium count and iron too. Try adding more bananas to you diet. They are exellent source of carbs and high in potassium. See if it works. And spinach for your iron . Maybe its just that you had low blood sugar and so you were feeling tired.

Due to years of fitness training, weightlifting etc, I have a good understanding of diet and what nutrients various food contain and although, I don't purposely eat an iron or potassium enriched diet, I do believe I eat a sufficient amount of the correct foods; inbetween flare ups and when not recovering from surgery, I've always maintained a good height to weight ratio for my size.  

strange posted:

Raj posted:

You may want to pull up that potassium count and iron too. Try adding more bananas to you diet. They are exellent source of carbs and high in potassium. See if it works. And spinach for your iron . Maybe its just that you had low blood sugar and so you were feeling tired.

Due to years of fitness training, weightlifting etc, I have a good understanding of diet at what nutrients various food contain and although, I don't purposely eat an iron or potassium enriched diet, I do believe I eat a sufficient amount of the correct foods; inbetween flare ups and when not recovering from surgery, I've always maintained a good height to weight ration for my size.  

Bruh then my best bet would be you just didnt eat a good breakfast that day. Anyway I cant have too many chips bloats me for the whole day . Instead I eat multigrain baked chips now. Dont taste that good but atleast saves me from the bloated tummy.

I can eat everything and anything without issue or bloating; only exceptions are poridge oats and, boiled egg very late in the evening; the porridge oats will increase my output to a noticeable difference at anytime and the egg, within minutes of eating, I need the toilet, especially late evening but not so obvious during the day.

I appreciate everyones opinion and I'm sorry for coming across as dismissive but I was convinced it was the salt content of the crisps/snack that made the difference rather than a sugar or calorie rush.

Best source of Potassium is a baked potato, which I eat often, not because of the Potassium content but because I like them, especially with baked beans, cheese and coleslaw.

In the meantime, I'll continue to experiment with my salt intake but most of the time, any benefit is so difficult to noticet; that is, until I think about it and then realise hours later that I was totally exhausted earlier.

It's more difficult than it sounds.

So much for my salt deficiency and Salty snack theory.

Exactly the same level of tiredness and exhaustion late this afternoon; I ate my salty snack and I've just woke up now; I don't even remember falling asleep.

Considering other areas, this can be a symptom of sleep apnea.

Scott F posted:

Considering other areas, this can be a symptom of sleep apnea.

Although I've not been tested, Doctors believe I don't fit the profile, I also sleep well without awaking in the night 

You seem to be assuming that the fatigue is somehow related to diet and J Pouch issues-  but it could be something else systemic in nature that is entirely unrelated to J Pouch or diet. I would suggest making an appointment with your primary care doctor and letting him or her try to figure it out, and determine what tests to run rather than self diagnosing. 

Dehydration has been my bain for decades.  It has an incredible number of symptoms, including fatigue, some that are potentially life altering. It can also sneak up on you before you know it, similar to hypothermia.

CTBarrister posted:

You seem to be assuming that the fatigue is somehow related to diet and J Pouch issues-  but it could be something else systemic in nature that is entirely unrelated to J Pouch or diet. I would suggest making an appointment with your primary care doctor and letting him or her try to figure it out, and determine what tests to run rather than self diagnosing.

My fatigue only started since my J pouch surgery.

I experienced episode of tiredness with the Stoma, it was never to what it is now; then I wasn't even aware it was dehydration.

Not longer after my J pouch creation, I was admitted into Hospital many times by emergency Ambulance, on each occasion, suffering from severe dehydration, similar to what I'm experiencing now.

At the time, desipte what I was drinking, I wasn't absorbing enough.

Since takedown, I've never dehydrated to such an extent.

According to my Doctor, I don't fit the profile of a Sleep Apnea sufferer but I've never been tested for the condition or any other sleep disorder.

The self diagnosis and my questions raised on this forum, is all I've got, as my Doctor believe my fatigue is caused by dehydration, insisting there's nothing more which can be done.

Have you tried any rehydration solution currently. They contain a decwnr amount of salt and glucose. So if its dehydration thats causing the fatigue you'll know. My sleep pattern's also little messed with the pouch. I feel sleepy in the noontime. Its almost like I have to hit the bed. A black coffee or tea would make it go away but its something I never felt before the pouch.

Raj posted:

Have you tried any rehydration solution currently. They contain a decwnr amount of salt and glucose. So if its dehydration thats causing the fatigue you'll know. My sleep pattern's also little messed with the pouch. I feel sleepy in the noontime. Its almost like I have to hit the bed. A black coffee or tea would make it go away but its something I never felt before the pouch.

On occasions, my sleep pattern gets messed up too but I'm sleeping ok.

In addition to fluids I already consume;  a couple times per week I drink an electrolyte mix; which is a rehydration solution recommened by St Marks Hospital.