Pocket Guide to IBD, Second Edition

Marla Dubinsky, MD; Sonia Friedman, MD

Chapter 5: Fatigue (continued)

Sonia Friedman, MD, FACG

Fatigue is often the most troublesome symptom of IBD. It greatly limits work and social activities and often prevents patients from completing even basic daily routines. It is a major cause of depression in IBD patients. Fatigue stems from a variety of causes, and treating these causes can often make a big difference in a patient’s quality of life. • Active IBD • Iron-deficiency anemia • Vitamin B12/folate deficiency • Malnutrition • Electrolyte abnormalities • Chronic pain • Depression • Undiagnosed malignancy • …