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Hello Everyone!

Long time away for me and I hope everyone is well. For me, I ok as far as my pouch. I wouldn't mind going 4 times instead of 6 most days but I can't complain. I have uninterrupted sleep and that is key for me.

I'm here because of my constant fatigue and weakness. I try supplements but can't seem to find something that works or something that can give me a little pep.

Around 2 years ago I was diagnosed with anemia so I started taking iron, yet I still feel weak and fatigued.

Right now, I'm taking greenfood supplement, multi-vitamin, and iron.

I also took adderall for awhile and that helped but I didn't like being on the amphetamine.

Any advice would be much appreciated!

Thanks
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Have you had your iron levels checked recently? I have to go for iron infusions because of my anemia and they help a lot. My hemoglobin right now is pretty close to normal but my ferritin is still very low. I have to go for another series of iron infusions. The last time I had them I felt like a new person. My problem is I cant seem to hang on to the iron. My dr. swears it's not an absorption issue but I think that's bull. What else can it be? Anyway, I found that oral iron does nothing for me so that's why I need to do the infusions. I see a hematologist for this. Also, I walk an hour every day on the treadmill and believe it or not, it gives me much needed energy.
I had a series of 9 infusions (one a week) this past fall. When I had my follow visit with the hematologist last month, he said my levels have dropped off and he wanted to schedule another 4 infusions. I have yet to schedule them but I will. He said I may need to come in every few months for a few "maintenance" infusions. I would much rather find the reason I am so iron deficient and fix it with something other than an infusion but this is what it is right now. And boy do I feel better afterwards.
The first step would be to have regular monitoring of your hemoglobin/hematocrit, like a month or two after your infusion, to see if it holds. If you continue to drop, then you may need to see a hematologist to find the root cause. You either are not absorbing iron, or you are losing iron.

If you have chronic pouchitis, which it does not sound like you have, chronic disease can suppress the bone marrow and blood cell formation in the process. It is possible that it is not pouch or gut related and there is something else going on, but it probably is. That is for the hematologist to sort out.

Jan Smiler

I had an ileostomy for many years and I've suffered with Fatigue, which at times, is debilitating.

I've had every possible blood test there is to find a cause.

I've visited so many Doctors/Specialist, yet to no avail.

However, only recently due to a suspected bout of the Norovirus, I drank far more fluids than I have done ever before, just fruit juices mixed with water and it appeared to make a difference.

I've still not conquered it though.

Last edited by Former Member
Hi Strange,

I was having fatigue for a few years but the doctors were not finding any reason for it. Then about 2 years after I was feeling fatigue I was finally diagnosed with Folic Acid & B12 anemia.

I was getting blood tests for quite a while before the Folic Acid & B12 deficiency showed up. I remember reading on here that there are many J-pouchers that also have this kind of anmeia. This was all diagnosed after I went to a nutritional specialist. I highly recommend seeing a nutritional specialist.

KangaRoe
You didn't mention any aches or pains but I'm wondering if your doctors have ever considered fibromyalgia along with chronic fatigue syndrome.

Have you been to an endocrinologist? I know how frustrating it is to have something wrong with yourself for years without getting to the bottom of it. Keep going to doctors searching for answers. There might be more than one problem.
Another problem that causes tiredness is depression and/or anxiety. I'm not saying that explains it for any of you all. I laugh when the Cymbalta commercial comes on TV. They got good actors portraying the face of depression but the medication was horrible for me. It works great for others.

You might want to look up a depression on-line quiz. If to does nothing else than eliminate it as one of the potential things that could be causing your fatigue and weakness. It's worth doing.

I also recommend sleep studies. My GP, at the time, is also my friend. We shared a room when we went to Las Vegas, with a group of our friends, and she set me up for a sleep study when we got back.

The CPAP machine worked well except, when I had insomnia, in helping me obtain more restful and longer sleep before the surgeries. I'm not doing so well with it now, because of my pain and/or restroom wake ups during the nights.

I lost 65 pounds post surgeries and was no longer obese so my sleep doctor had me go through another sleep study. Not only do I still need to use the machine but at the same setting.

Another thing they discovered was my restless legs syndrome (RLS). Something else that contributed to my sleep loss, so I take a medication for that as well.

All this to say even if you are not over weight or are young don't assume you don't have a sleep disorder. There are other sleep disorders too.

If you don't want to share a motel room your GP, to find out their opinions about your sleeping habits, maybe you should ask them to refer you to a sleep center, LOL.

My blood was extensively checked.

My Doctor and various specialist first diagnosis was a lack of exercise.

Then I was diagnosed with depression.
and months of counselling followed, Cognitive Therapy, all of which made no difference ?

I'm fatigued, lethargic, not tired to an extent I feel the need to sleep; although, sometimes after a long day, I may fall asleep during a train journey or in front of the Tv in the evening.

After my ileostomy op, I was prescribed Iron and Folic Acid tablets.
My Iron level has remained stable, so no longer take Iron. I still take Folic Acid.

One of my consultants prescribed B12 Tablets, which made no difference.

Recently, a different consultant said B12 cant be administered by tablet.

He also stated that the body has a huge reserve of B12 and it can take upto 12 years, yeah 12 years, that's what I thought, before the body requires a B12 supplement ?

Last edited by Former Member
strange,
Did they send you to a sleep center or sleep doctor for a sleep study? They wire you up and you sleep in a hospital like bedroom. I have to take sleeping pills to get any sleep there at all. Your endo said sleep disturbance and then just dropped it. I hate it when they just keep pointing their finger to another specialist.

Yeah, that is exactly what the specialist did, made his diagnosis and dropped it.

Now its up to me to pursue it and the process more or less starts from the beginning again.

Its never been suggested to attend a sleep clinic, although I do go through phases of being unable to sleep and lay awake all night; when I do finally fall asleep, I can and will sleep for hours.

I was aware of the importance of fluid intake but at the time, I never actually realised.

My only issue, is sustaining the level of fluid intake while asleep, as it takes a few hours for the fluid intake to take affect.

Also, gulping down vast quantities of fluid in attempt to make up or speed up the rehydration process, makes no difference.

Last edited by Former Member
Have you ever tried drinking a hydrating drink before bed and if you wake during the night and when you first wake up? I don't know what brands you have but in the USA we have Gatorade and other sports hydrating bottled forms and powdered cheaper ones. I buy NUUN which are dissolving tabs that convert water to hydrating water.

About the sleeping. I've slept a long time without any problem. The overall problem is I stop breathing while I am sleeping and that causes stress on my body by causing me to go without oxygen for that brief time, averaging 27 times an hour, which is hard on my heart as it lowers the percentage of oxygen in my bloodstream to 63%, and keeps me from getting enough deep sleep. Like I said, you do not have to be fat and you don't have to be a man, you don't even have to snore loud - although that is a good indicator.

It seems like every country has their different ways of doing things! It sounds to me like it wouldn't hurt you to check it out. It won't hurt and at a minimum you might find out you have restless legs syndrome.

The Arthritis doctor said my foot problem wasn't fibromyalgia related and my foot doctor said it was fibromyalgia related and it wasn't neurologic related. My Internist sent me to a Neurologist who diagnosed me with neuropathy in both of my feet. This was after I'd gone to a different foot doctor that had tested for neuropathy at least 7 years before then. My feet just kept getting worse and worse.

Now I'm told the damage can't be reversed and he hasn't figured out what has caused it yet. At least there is a medication that helps a little bit but there are days I can't even drive my car as I can't feel the pedals or walk much as my feet hurt too bad.

Also salty food helps retain water, unless you have high blood pressure problems you might want to eat a salty snack before sleeping too.

This is a whole new backwards way of looking at things isn't it?
Last edited by TE Marie

TE Marie, thanks for your input and opinion. I'm sorry to hear of what you have endured in regard to your condition/illness.

As for drinking prior to bed, tried n tested and fails to work, the obvious occurs during the early hours; what goes in, needs to come out which kind of defeats the object.

Also, the amount which I can reasonably drink prior to bed, is just not enough to sustain a level where I'm bright eyed and bushy tailed in the morning..

I've used rehydration drinks; after my stoma op,  I was advised to buy a solution which I mix with water to replenish lost salts.

I found a rehydration drink recipe which can be made at home, consist of Glucose, salt and bicarbonate soda mixed with water and fruit juice.
I tend to drink at least one litre of this, maybe 3, especially when weathers hot or I've been more active.

My additional intake of fluids appears to be making a difference, I just struggle to remain on top of it.

I will mention the sleep clinic to my Doctor and see what's recommended but I don't think my breathing is effected when I sleep, but who knows, after all, I'm asleep.

Last edited by Former Member
It's good that you are sleeping 8 hours! I'm jealous! It sounds like you a keeping yourself well hydrated. I wake up in the morning parched and drink my hydration water first.

This morning I was very busy packing up our condo rental and cleaning as we were leaving. We brought a lot of stuff and bought more while we where here. The weather in Florida was warm and we both worked up quite a sweat. I was standing in the kitchen with the last load of all of my bottles of water and salty snacks and got woosey, almost fell, passed out or whatever. I grabbed the counter top. So I sat down at the table for around 10 minutes and drank more hydration water and ate some salty chips.

My tiny workout is nothing comparred you your gym workout. Did you know some people drink pickle juice out of the jars? Sounds gross to me but there are people on here that love it.

I don't know how many hours a week you work a week. I use to work 60 hours a week while being married and raising 2 children, teaching Sunday school, racquetball league in winter, golf league in summer etc. My schedule was too full. If yours is overloaded you might want to cut back some where. Confused

Take Care Smiler

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