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Real members of myPBCteam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.
A myPBCteam Member asked a question 💭
Utqiagvik, AK

I had to have a bypass and then esophagectomy. I'm constantly throwing up bile and live on feeding tube. I don't take anything by mouth. I have horrible chronic fatigue. Any advice on the fatigue?

July 22
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myPBCteam

That sounds incredibly difficult, and it's completely understandable to feel worn down dealing with so much at once. Fatigue is one of the most common and challenging symptoms of PBC, affecting around 65% of people with the condition — and for some, it's truly life-altering.

Given that you're on a feeding tube and not Show Full Answer

That sounds incredibly difficult, and it's completely understandable to feel worn down dealing with so much at once. Fatigue is one of the most common and challenging symptoms of PBC, affecting around 65% of people with the condition — and for some, it's truly life-altering.

Given that you're on a feeding tube and not taking anything by mouth, your situation is unique and really needs close guidance from your medical team. Nutrient deficiencies are a major contributor to fatigue in PBC, and with your circumstances, ensuring your feeding tube formula is optimized for your needs is critical. Here are some general fatigue management strategies that others with PBC have found helpful, keeping in mind your doctor should guide anything specific to your situation:

- Rest strategically — short naps (around 20 minutes) can help without disrupting nighttime sleep
- Pace yourself — do tasks when energy is highest and don't push through exhaustion
- Gentle movement — some myPBCteam members find that light walking helps boost energy levels
- Talk to your doctor about mental health support — depression can worsen fatigue, and addressing it may help

One myPBCteam member shared: *"I'm good for a 20-minute nap after lunch and then good for the rest of the day."*

Please make sure your specialist knows how severe your fatigue is — they may be able to check for deficiencies or other contributing factors through bloodwork.

July 22

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