Struggling with Fatigue After J-Pouch Surgery: Seeking Advice

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rmgilby
Mar 21, 2013 5:10 am
I'm just about at my wits-end. I had 4 internal infections last year which lead to me quitting my job. (I've had my J-Pouch connected since 2010). All of my health issues have been resolved except for my extreme fatigue. I have tried EVERYTHING and was finally issued a prescription for a stimulant. My insurance will not cover it for my condition (which is close to narcolepsy but not quite) and it is $1000/month - obviously not affordable.
xmlo/o
This is my last hurtle to conquer before I re-enter the workplace. I want to work! This is not an absorption issue. My body currently requires minimum of 12 hours for me to feel rested and functional.
o/o
Has anyone else had these issues? Any suggestions? Advice? Help?
o/o
---Losing hope for a "normal" life w/ a J-Poucho/o
three
Mar 21, 2013 7:04 am
Hi rmgilby. Here's some information on dehydration and fatigue — I definitely notice the connection between hydration and energy.

By Ningthoujan Sandhyarani:

Increased weakness or fatigue is one of the typical signs of dehydration in children and adults. But what is the connection between dehydration and fatigue? How does dehydration cause body fatigue?

Body Water: At a Glance

The necessity of water for normal body functioning is understandable from the fact that up to 60% of the body weight is made up of water. This percentage composition is slightly lower for female adults (about 55%) and higher for infants (up to 75%). Generally, body water is lost through respiration, sweating, urination, stool passing, and many other activities. And to compensate for this, we need to drink ample amounts of water and fluids. In a healthy person, the amount of lost water and intake of water are balanced properly.

Fatigue: A Sign of Dehydration

So, what will happen if the body's water content drops down significantly? Taking into consideration that each and every cell of the body requires water, insufficiency of body water disturbs various processes. First of all, the blood concentration becomes thicker due to a lack of sufficient fluid. The result is a reduction in the volume of blood plasma, which in turn puts pressure on the heart for supplying oxygen and nutrients to the other body parts. Since excess energy is utilized for blood circulation, the afflicted individual experiences weakness and fatigue symptoms.

Secondly, a decline in the body water level is usually accompanied by the loss of electrolytes (sodium, potassium, chloride), a condition called isotonic dehydration. These chemical ions are present in a dissolved state in the bloodstream, and they play a crucial role in regulating fluid levels, muscle contraction, and nerve reactions. Imbalance of these electrolytes brings about fatigue, muscle weakness, dizziness, irregular heartbeats, and other symptoms. Thus, dehydration, fatigue, and muscle weakness occur simultaneously.

When there is a lack of adequate water in the body, the muscle tissues use up maximum oxygen and nutrients to continue their functions. Eventually, blood circulation to the skin is impaired, as is the mechanism of heat diffusion. This elevation in internal heat causes fatigue, lightheadedness, and muscle cramps. In addition, the enzymatic activities responsible for generating energy are no longer working normally, resulting in general weakness. Another connecting link between dehydration and fatigue is the lack of water in the brain, which responds with a quick perception of tiredness.

Dehydration not only disturbs the circulatory system, electrolyte balance, and thermoregulation, but it also negatively affects several other physiological and metabolic processes. The point is, every cell has to put more effort to function properly. As a consequence, energy requirements are higher, which is manifested as tiredness, fatigue, and similar symptoms. Treating dehydration is the main goal for overcoming fatigue, which is caused by low water content in the body.

How to Deal with Dehydration and Fatigue

General fatigue is just an indication that the body is tired because of daily activities. Nevertheless, if it is triggered by dehydration, then replenishing the lost water and electrolytes is the only practical solution to restore normal bodily processes. Drink ample amounts of water and healthy fluids to maintain healthy body water levels. For some dehydrated patients, especially children and elderly people, electrolyte replacement through oral therapy is necessary to treat dehydration effectively.

To conclude, dehydration and fatigue are interconnected in body physiology. Patients diagnosed with chronic fatigue syndrome often report dehydration, muscle cramps, and dizziness.
Posted by: Immarsh

Hi Hatlady and all,

I've had my ostomy for over 50 years, since I was a kid, and didn't think I really needed to be part of the ostomy site. But once active, I came to realize, that although I may not need help at the time, I was able to reach out and  help others in need. Back in the day, before stoma therapists, I use to visit new patients in the hospital or homes ... While professionals are great, it is also good to be able to speak with people with personal experience. I was a free member for awhile, but after writing often, I was given free months. I then started paying, and decided to just take lifetime membership. After all, I was going to have my ostomy for the rest of my life. I'm one of those people who can disappear for a few months at a time, but I'm always glad that the site is here, I can return and reconnect with old friends, and make new ones. This is an excellent site ... Best regards to all ... and Best wishes for a Healthy and Happy New Year.