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Published in: Advances in Therapy 1/2020

Open Access 01-01-2020 | Anemia | Review

Fatigue in Inflammatory Bowel Diseases: Etiologies and Management

Authors: Angelica Nocerino, Andrew Nguyen, Manasi Agrawal, Anjali Mone, Komal Lakhani, Arun Swaminath

Published in: Advances in Therapy | Issue 1/2020

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Abstract

Fatigue is a burdensome, multidimensional, and multifactorial symptom that is associated with a wide array of chronic illnesses, specifically occurring in nearly 50% of patients with inflammatory bowel disease (IBD). Although common, given its subjective nature, physicians often under-recognize and undertreat this debilitating symptom. There are multiple etiologies that can contribute to fatigue in patients with IBD, including disease activity, anemia, medications, psychosomatic symptoms, and alterations to the gut–brain axis. The management of fatigue in IBD can be challenging, as it is often times multifaceted. In this review, we summarize the available tools for the diagnosis and measurement of fatigue, discuss etiologies, and make recommendations for their management. We identify knowledge gaps for the workup and treatment of fatigue and propose an algorithm to aid physicians in the evaluation and management of fatigue in this unique population. However, future research is needed to address several areas of knowledge deficits and improve the management of fatigue in IBD.
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Metadata
Title
Fatigue in Inflammatory Bowel Diseases: Etiologies and Management
Authors
Angelica Nocerino
Andrew Nguyen
Manasi Agrawal
Anjali Mone
Komal Lakhani
Arun Swaminath
Publication date
01-01-2020
Publisher
Springer Healthcare
Published in
Advances in Therapy / Issue 1/2020
Print ISSN: 0741-238X
Electronic ISSN: 1865-8652
DOI
https://doi.org/10.1007/s12325-019-01151-w

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