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Fatigue as main symptom of AS?
#278922 09/06/17 02:30 AM
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Anybody else have fatigue as their predominant symptom of AS?

I had a decent flare this winter with swollen joints, but right now I'm just tired all the time. Exercise makes it worse! I've tried stimulants and antidepressants to no avail. They both seem to make me worse off in the long run.

I don't have hypothyroidism or any other metabolic disturbance outside of low testosterone, which is being treated with injections. I'm scheduled to get a sleep study, but I am doubtful that anything will turn up considering that I had a normal study in 2012/2013.

I've heard of one other person who claimed that fatigue was their main symptom of AS.

Anybody else?

Re: Fatigue as main symptom of AS?
chemman #278938 09/07/17 02:19 AM
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Yes, definitely. I sometimes think that the fatigue is sometimes worse than the pain.
The fatigue is definitely worse when I'm flaring, to the point that it makes it really hard to finish a day of work, which all I do is sit at a desk.
When I'm flaring I don't even try to work-out. It's also one of the many symptoms that is hard to explain or for people to see ... "oh I'm tired too", everyone is always tired, etc.... No one understands how debilitating fatigue can be.

Re: Fatigue as main symptom of AS?
chemman #278939 09/07/17 02:48 AM
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I have definitely had fatigue, especially before I was diagnosed, but it was never my main symptom. Humira and a (mostly) healthy diet help me keep it under control.


Ginny - 58 year old female
Dx with USpA in March 2013; changed to AS in July 2015
Iritis and Scleritis, both currently in remission
unicompartmental knee replacements: right-June 2014, left-Aug 2018
MTX, Humira, Cyclobenzaprine, plus Celebrex as needed
Supplements: Folic Acid, Vitamin A, Vitamin D, Calcium, Fish Oil, Culturelle probiotic, Melatonin (as needed)
Re: Fatigue as main symptom of AS?
chemman #278963 09/10/17 01:45 PM
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Pain is my main symptom, fatigue is secondary , methotrexate helped my fatigue a little bit so far so has Prednisone but can't be on the prednisone forever.


Diagnosed 4+ months ago with as causes chest pain and severe back pain . Medications : methotrexate .6 per week in divided doses, Prednisone tapering off 2 5mg daily, folic acid mg daily, dicloymine for stomach pain and cramping , ranitidine 150mg twice daily and Prilosec 20mg extended release once daily , Carispodol (Soma) 350mg 5 times daily , oxycodone 10mg every 4 hours as needed
Re: Fatigue as main symptom of AS?
chemman #278964 09/10/17 10:28 PM
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Although the pain is constantly with me, I would say that the fatigue is what makes it so difficult to function normally.


Age 61. AS dx'd at age 57
HLA-B27+,iritis/uveitis periodically since 1970, diabetic
Meds. naproxen and muscle relaxer(as needed)
Re: Fatigue as main symptom of AS?
chemman #278966 09/10/17 11:15 PM
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I'd have to say the predominant symptom for me but the fatigue can be almost debilitating as well. I am chronically anemic though which is probably a big factor too.
I can barely function this fall outside of doing the minimum that is required of me in life simply from extreme fatigue


Male, mid 50s, Dx Reactive Arthritis 1981. AS+ 1991, HLA B27+, Tylenol 3 PRN for flares. Considering a biologic. SI and thoracic involvement and costochondritis. Many bouts of uveitis. Some bowel issues, anemia. Inflammation of the joints in hands and feet.
Re: Fatigue as main symptom of AS?
chemman #279014 09/15/17 07:14 AM
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Some days the fatigue is the worst symptom, but most of the time it's my low back and neck being the worst. Never goes away


HLA-B27+
Hereditary
Low Back and Neck Pain
Joint Pain in Fingers and Hips
Massive Fatigue
Brain Fog
Costochondritis
Migraines
Rx: Endomethicin, Nortriptyline, Prilosec

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