Anyone else with an elderly relative with Crohns?

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May 25, 2008
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Hi all,

I have Crohns myself but (fingers crossed) it's ok at the moment after a resection last Feb and a lot of drugs and worries last year. I'm here because I'm wondering if anyone has a similar experience to me and thus any advice what to do?

My gran is 88 and had a resection operation last November to remove a potential obstruction, although she didn't actually have symptoms (also to remove a potentially cancerous growth - thankfully that's all clear). She was in great shape, eating decently with a bit of extra weight, getting around well, bright and chirpy and completely aware, good mind for her age etc. My partner has lived with me for almost 4 years and thought she was 10 years younger than she was!

Unfortunately although the surgeon tried not to, they had to give her a temporary stoma - which she desperately didn't want. She is supposed to have it for a few more months but she has had a lot of trouble since. She recovered very well from the operation to start with, but ever since, she just hasn't been eating properly. They let her out of the hospital about 2 weeks after her op, but then she had to go back in because her kidneys failed, severe dehydration etc. Part of the problem was that her stoma output was too watery so they put her on a drug to help "firm it up" - we were told this is common - so why did they not think of this before she was discharged! Argh!

They managed to get her fluids back up again and she was discharged Christmas Eve, only for the same thing to happen again - not keeping any food down, not drinking enough etc, thus another renal failure. So she was readmitted via ambulance around the start of January (during a really snowy spell - pretty dramatic really!), and has been in since then, without much improvement.

The problem is that she just won't, or can't, eat. She is still being sick a lot and isn't really keeping down any food, and she has lost so much weight. She must be half the weight she was before. We have tried taking in all sorts of things for her but nothing seems to help. They put her on build-up drinks and food but because she doesn't like them, she hasn't had them.

Of course she would feel better after the stoma has been reversed but they can't even consider doing that when she's in as poor health as she is now.

What I would like to know is, has anyone had a similar experience? And what have you done about it? I really don't think the hospital is doing enough. They are giving her anti-sickness pills, but she says the sickness isn't because she's nauseous... the food just comes back up again. It's to the point where she doesn't even have to see what the food is they give her - she just says she doesn't want it or thinks she will be sick just looking at it. This happened whilst she was at home too, so it's not only hospital food. This is surely bordering on an eating disorder? (Consider that this has been going on for around 3 months now.)

I'm really worried at the moment because not only is she not eating, she's not drinking enough either. She was on a drip because of this but they tried to change hands, and couldn't get it in her vein. This was last week sometime and she still hasn't had the drip put back in because of this difficulty. :( I'm worried if she keeps getting dehydrated like this she will get the renal failure again, and how many more times can her kidneys cope with this?

Would really appreciate any advice - doesn't matter if you aren't elderly or even if you haven't had a stoma, I'd just like to know how people get back into eating again when they go through a traumatic time with their disease.
 
:welcome: Coachvee! Sorry to hear about your grandmother - it is always heart wrenching to see them in a situation like that! I haven't had an exactly similar situation - but have heard of elderly people just not wanting to eat before. Is there *anything* whatsoever that is her favorite thing to eat? I'm talking milkshakes or anything like that? I don't think I'm hearing you say she has Crohn's right? But if there is anything that you can find that she really enjoys - or even used to enjoy, maybe you could try that? Also - B vitamin shots - hopefully someone can help me out here - sometimes older people get these to help increase their appetites? Maybe see if her B vitamins are low in a blood test? I would hope the hospital would have already done this - but maybe not. Do you know if she had her ileum removed? If so - B12 may definitely be an issue.

My uncle died a few years back due to small cell lung cancer. My mother helped him through to the end stage. Towards the end - he wouldn't eat anything. They started giving him the medical equivalent of THC from marijuana - I don't think it was actually marijuana derived - but it basically caused him to "get the munchies" and really helped him to get his appetite back. Oh - and he didn't get a high from it either. These were pills that his cancer doc gave him - maybe you could ask about this??

I hope some of this helps. I *really* hope she can turn this around and get out of the hospital soon! Good luck!
 
Hi Peaches, thanks for your reply! We are really trying to figure out what she would like. She *does* say she wants certain things, like fish and chips! But we aren't sure that she would actually want it if she was given it. For example, she said she kind of felt like pizza, my mum brought her a little take-away one and she just kind of said "I'll try and have it later" ... but she never did have it. So it's tricky...

Interesting point about something to "give her the munchies" - of course, the other problem is her keeping it down - but certainly something to ask them about! At least her *having* an appetite would be a starting point!

I don't think I made it very clear but she does have Crohns, that's why she had the temp ileostomy - however, she didn't have any symptoms before her op. I think the stoma op is what caused the issue to start with, but she's more used to it now.

Thanks for the help tho :)
 
Actually besides giving a person the Munchies, marijuana is known for taking away the feeling of vomiting. But getting your grandma to use marijuana is probably a battle in its self.

I hope you can get answers and are able to get grandma back on her feet.
 
The thought of my nan using marijuana gave me and my family a giggle! It's certainly a thought - although I have been doing some research and I found that there is a condition called "rumination syndrome" that seems to pretty accurately describe what she's going through. (It's characterised by effortless regurgitation, rather than nausea or pain/effort involved with vomiting) Naturally, there's nothing you can take for it - you need pretty specialised therapy for it.

Will have to see - but it is always helpful to hear the experiences of others :)
 
Just want to clarify that I'm not saying have her smoke a doobie or anything (that would be kinda funny!) - but they have prescription pills that have the chemical compound portion of pot that increases your appetite.

I was wondering about the Crohn's when I said milkshakes because many can't do milk with Crohn's. I hope you can figure something out for her!!
 
Just on the topic of your Nan smoking weed.....My Nana had a bunch of aneurysms removed a few years ago, and was having similar issues, and my Gramp's actually asked us kids to buy her some! LOL.

Wish there was something i could do to help...I know you feel like the hospital may not be doing anything, but sometimes there's only so much we can do. Perhaps see if they could get a consult with a psychiatrist or something, if you think it's a phsycological thing? **HUGS**
 
Coach, after thinking about this I realize that I am the elderly family member with CD. At least in my family.

Still hoping you get your nan back to where she needs to be.
 
My granddad had crohn's (I only say had because he's not alive anymore). He used to eat a lot of VERY ripe bananas. Im the same. they are good for firming up the out put. same with marshmellows. An ostomy nurse would be a good person to talk to. Also, what is she drinking to rehydrate herself? If she is not getting enough salt in her diet, drinking a lot of water is pointless. Also, things like fruit juices will probably race through her causing more dehydration. Scrambled eggs are also good:)

Just a few thoughts, hope you figure something out soon
 

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