Have these tests been done?

Active inflammation is one of the most likely causes of fatigue. One or more of the following tests should have been done to exclude active disease. If inflammation is active, this should be treated and then fatigue level re-assessed.

1. MRI Scan YesNo
2. Colonoscopy YesNo
3. Faecal Calprotectin YesNo
4. Disease index YesNo
5. CRP YesNo

Have these blood tests been done?

Abnormalities of blood chemistry or micronutrients may be causing or contributing to fatigue. Not all blood tests will be relevant to all patients, but the following might be considered and addressed if abnormal.

1. Haemoglobin YesNo
2. Ferritin YesNo
3. Vitamin D YesNo
4. Testosterone YesNo
5. Thyroid Function YesNo
6. Vitamin B12 YesNo
7. Folate YesNo
8. Magnesium YesNo
9. Sodium YesNo
10. Potassium YesNo
11. Cortisol YesNo
12. CRP YesNo

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13. Calcium YesNo
14. Albumin YesNo
15. Glucose YesNo
16. Zinc YesNo
17. Selenium YesNo

Are any of these conditions present?

Many different conditions can cause or contribute to fatigue. It is worth considering if any of the following are relevant and might need addressing, in addition to IBD.

1. Depression or low mood YesNo
2. Liver disease YesNo
3. Rheumatoid Arthritis YesNo
4. HIV YesNo
5. Medication YesNo
6. Coeliac Disease YesNo
7. Weight loss YesNo
8. Nutritional deficiencies YesNo
9. Anxiety YesNo
10. Grief YesNo
11. Disease related factors YesNo
12. Alcohol abuse YesNo
13. Drug abuse YesNo
14. Work related stress YesNo
15. Family stress YesNo
16. Overexertion YesNo
17. Inactivity YesNo