Dr. Appt Update

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I'm a southern girl
S had his GI appt. yesterday.

First off, the result of the small bowel follow through shows narrowing of about 4 inches in the TI. At this point we don't know if this is due to inflammation or scarring. He believes we caught the disease early so he's hopeful that it's inflammation and will go down as he continues the steroid (Entocort). Because Stefan doesn't present with the normal Crohn's symptoms it makes it difficult to tell if he's responding to meds. He will have an MRI in 3 months to determine the status...inflammation or scar tissue.

We will continue to do labs to keep an eye on things. I requested all nutritional labs be done yesterday. Thank you David!

We talked to him about EN and he is all for it! He was surprised that we came to him with it as most parents aren't open to the idea. Thank you Tess and Julie!! We will start this but still allow him to eat if he wants during the day. If the steroid doesn't work then he will go to all liquid and no food. I think this could be a tad easier for him as he cares nothing about food. He never has! We have to remind him to eat, beg him to finish his dinner. It's been a constant battle over the years to get him to eat. It will be such a relief to know he's getting the nutrients he needs!

We've also requested to use LDN. He said, "I'm not saying no but I'm not saying yes. Let me consult with some collegues and get back with you." I should hear back from him no later than next Tuesday on this.

We did have to stop the Flagyl (antibiotic) that he was on after he woke up 2 mornings with numb hands. One of the side effects of the drug is neuropathy! Just another reason I want to limit the amount of drugs we put in his little body!

I'm really wondering if this Entocort is working at all. He's consistenly had blood in his stool the past 2 days. I'll be calling tomorrow about that.

That's where things stand today! I really appreciate all the support and advice from the people here. Thank you!

Shelley
 
Well I'd say that's some pretty decent news. It's great that you found this forum because it really gives some more knowledge so we as patients know more of what the doctors are talking about when they use their big terms. Sometimes they even get surprised when we give them suggestions because I think they expect us to not know much about it lol.

Hopefully you get the news you want about the LDN!
 
haha. You wouldn't believe how many people ask me that! I'll send you a PM so I don't steer this thread from you.
 
Sounds like you've got a great GI for S. :) Do you have a plan as to when you will be starting the EN?

I don't know how or how much but I do remember our GI saying that EN can also repair 'some' damage which steroids do not. If there is a bit of scarring, perhaps the EN can also help a bit there.
 
Shelley,
Glad the appt went well. I hope he is positive about the LDN. I also hope the EN really works for him. About the blood in his stools entocort does not work for everyone. Hopefully once the EN is started it wil resolve.
 
Sounds good Shelley! I would be interested to hear your GI's conversation with colleagues as to LDN. I hope you'll press him on it:)
 
YAAY! :soledance:
I am SO glad to hear this...he sounds like a great doc.
He was surprised because as I say broken record style, per V's doc almost NO ONE here in America wants to do EN, we just want pills. He prob gained more respect for you and Stefan for being open to it and not blindly asking for drugs like the majority of his parents likely do.

Awesome, and do PM me if you want any more NG tube tips beyond the excellent ones Tess has given. Remember, TUBE size, smallest you can get, and drinking ice water thru straw while inserting, and type of formula, if Pediasure doesn't work, try a more "broken down", peptide based one.
He'll do great from the extra nutrients, will prob grow a ton. :ysmile:
 
Sounds like the appt went well. Happy for you guys that you have such a receptive doctor. It also helps that you went into the appt informed. Hope you son does great on the EN.
 
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