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25yr old teacher with seton and Crohns, struggling greatly.

Hi all- I am new here but have been debating joining for a while. I've finally been able to be open with people lately in the last few months about what my health issues are and whilst they have been thoroughly supportive I do sometimes feel like they don't quite understand.

My issues started when I had just completed my final year at university and started having intense pain when going to the toilet. Now I'd always had stomach issues since being a child and was notorious for it, university had been hard as stress had often made me house bound for weeks at a time with flare ups but the Drs had always just said it was IBS and did nothing. But something was different in 2012 and soon it became clear I had an abssess. Back and forth I went to my GP and they just prescribed me more and more antibiotics to try and beat it but nothing would stop the intense pressure and pain, every day was horrendous to the stage where my parents drove me to the A&E because I was screaming whenever I attempted to go to the toilet. It was a perianal abscess at around 4 o'clock however with it being incredibly close to my actual anus no Dr would touch it. I remember pleading with the man in A&E to just cut it out but he wouldn't- again more antiobiotics and pain medication, at this stage I was taking nearly 30 pills a day, was bedridden and couldn't sit/stand/walk.

Finally something gave and it must've burst itself- as there then started to be discharge and pain but at least that horrific pressure ebbed a little. This was then what I had to deal with for almost a year, my abssess was open so would re-fill, the pressure would build and then it would ebb again until January 2013 when Drs finally pushed tests. I had a colonoscopy and blood tests and an MRI that they said showed that it was now a fistula and also confirmed the presence of Crohn's with inflammation. They operated and fitted the seton in place and then that was it- I got no medicatoon for this apparent crohns and for two years ive just tried to cope.

It's been hell. In that time I've trained to be a teacher and this September just gone secured my first job as a teacher- however with all the constant being on my feet and stress things have gotten worse for me since early December. I have to wear pads now on a daily basis as the leaking is so severe, Drs are sending me for more tests, colonoscopies, MRIs and a barium swallow? Test to work out how to proceed. Am I right in thinking of the original diagnosis of crohns is correct then they won't be able to operate on my fisutla?

I am really at my wits end, thankfully my school are so understanding but I've already had so much time off because of the intense pain, the leaking and the constant rushing to the loo. I'm 25, we just bought a house last year and my partner has just proposed but I can't see myself ever wearing white with how conscious I am of it and I'm terrified of being off work and not being able to keep up with mortgage repayments. I don't go out, I don't socialise, I must drive my fantastically patient fiancé crazy as I am hardly a joy to be around at the minute. I've just started out in a career that I love and was good at, but I'm constantly in tears because I just feel so low. Sorry- this is such an essay without any clear purpose but I am the lowest I have been and wonder if there is any chance of any light at the end of this tunnel.

Any responses will be greatly appreciated ☺ Feeling very helpless and alone in this so it's fantastic to find somewhere like this.
 
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dave13

Forum Monitor
Location
Maine
Welcome Brear

I also have fistulas and setons. I have five fistula and three draining setons.Your doctor has you on no treatment plan? Remicade/Infliximab is the usual treatment for fistulas.The setons help keep the fistula open so it can drain but you also need to be treating the fistula itself.I would contact your doctor soon and ask to meet so you can discuss what he/she suggests.You risk further damage going untreated.I am not trying to scare you but the potential is real.

A barium swallow is a test of the upper GI.You drink a liquid that can be detected with x-rays.The test is done over several hours as what you drank proceeds through your system.X-rays are taken every half hour or so,and you usually are asked to walk around between x-rays.It's a diagnostic that can show if you have inflammation and gives the doctor a good view of the general condition.

Wearing pads to absorb the drainage from the fistula is something many of us do.We have to.This is where Remicade comes in to the picture.I have been having Remicade infusions since July 2013 and notice a substantial decrease in drainage.Remicade heals the fistula.It will,hopefully,keep new ones from forming as well.If fistulas go untreated there is the possibility of new ones forming and current ones damaging your rectum.This is why I urge you to speak with your doctor.Is your doctor a gastroenterologist? You don't want a general practitioner.

There is light at the end of the tunnel.Especially if you have a proper treatment plan to stay on top of this disease.We may have to alter our lives with this disease but we can still live a quality one.

Have you checkd out the fistulas,fissures and abscesses support group? http://www.crohnsforum.com/showthread.php?t=47942

Here is some info on Remicade/Infliximab http://www.crohnsforum.com/wiki/Infliximab
 
Hi Dave,

Thanks for your reply, it was incredibly informative! No sadly I was on no medicatoon or anything for the fistula itself, the seton is there to drain and stop abscesses forming my consultant at the hosiptal informed me. I have appealed to him lately that there must be something that can assist in either it healing or an operation to force it to heal - he is sending me for an MRI in a couple of weeks to see where the tract is and if it has altered over the last two years of it being untreated. Sadly where it is is very close to my anus muscles and he has said he would prefer me to keep the seton in than interfere with an area that could cause incontinence.

I have one consultant for that- and another who is gastro who is investigating my crohns with the other tests to try and prescribe me medication to help manage the crohns on a daily basis.

It seems to me that there is communication issues between who is essentially my bum Dr and my stomach Dr which has resulted in the 2 years of me having to manage without any medicatoon or help. Also my bum Dr wants to wait and see how severe my crohns is at the minute as he suggested that dictates the options that are open to me with how to deal with the fisutla?

Things are only just starting to get dealt with, but I hope that clarifies things a little ☺ I am from the UK and have joined that support group now- thank you for the suggestion ☺
 
Hi Bear
Sorry to hear you are having a bad time of it.

Honestly it sounds like your GI/Hospital need a good kick up the you know what! You really should not had to wait so long to get you on some meds to get your Crohns under control.

There are many treatments that are available to you which fingers crossed will get you back to some sort of normality.

Remember that "it is the squeaky wheel that gets the grease!" Shout and scream if you have to and push to get on a treatment plan asap to minimise the pain/stress.

Good luck with it all and remember things do and will improve
 

David

Co-Founder
Location
Naples, Florida
Greetings and welcome to the community. It sounds like your doctors have really dropped the ball on this. With fistulizing Crohn's disease, you need to get on medication ASAP. Start fighting for yourself. Get mad if you have to. As others mentioned, Remicade is probably going to be your best bet.

Please also look into Sitz baths with epsom salts, I think it'll help you out a lot.

Please keep us updated as to how you're doing.
 
Hi brear :)
Just seen your post and thought I should reply as I know how you feel, I am a HLTA at a primary school and find it difficult managing such a demanding and active job when I'm in so much pain. I too have a fistula that is directly above my anus and connects to my bowel. I haven't had a seton and not sure what that is- I've just started on azathioprine and I also take pentasa. Hope you get some medication soon... Don't know how I would cope without being dosed up. Keep us updated because I'd love to know how you get your fistula sorted as it sounds similar to mine and after reading about others experience on azathioprine I haven't got my hopes up!
 
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