GI Appointment Soon - Questions Beforehand

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Joined
Mar 15, 2011
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Hello again,

I have been having numerous tummy problems for years now, but it seems to have recently intensified.

To give a brief rundown, I had straight, liquid diarrhea all summer long and I was quite happy because I despise constipation. Towards the end of the summer my rectum was hurting and feeling swollen and I developed this weird red, pussy rash all over my chest. Then I got psoriasis on my scalp (only). The psoriasis lasted for about two months, and coincided with a shift over to constipation. Come Christmas I was so bound up that I felt like I had to do circus maneuvers on the toilet to get my stool out. I bled that day and a few days after. Then I started getting this sharp, burning pain in what seems to be my ascending colon and the next few days I have super-liqui-poo. After that bout with diarrhea I wet back to being locked up again. This round of constipation was miserable. I felt like a had an expanded lead pipe from just above my right hip, up around the bend of my right rib and across my, I guess, transverse colon. It felt solid and swollen and uncomfortable. After a couple weeks of misery I took one dulcolax. This created the most god-awful cramps and I had liqui-poo again, with the odd hard ball that would pop out. Then my rectum started to burn like crazy again and I started getting stabbing pains up through it. Went to my GP. She did a palm deep rectal exam and said she felt nothing. Did a pelvic, felt nothing. Ordered a pelvic ultrasound, saw nothing. Referred me to a GI (this was the end of January, I still haven't gotten in...).

Constipation continued throughout Feb, Mar and April. At one point it got so bad that I was having sharp pains around right rib area. A week later, whole belly sharp pains, all night long for 3 days out of the week. In between would get bouts of soft stools, nowhere near as much as should still be in there for as long as I've been bound up.

Then I start getting pains in ascending colon and hepatic flexure area during sex. Every time he goes "in" I get like a pinchy cramp around that area. This freaks me out. I decide to start taking Senna with a stool softener.

Have a few BM's. Oddly, they look like brick and mortar. Little hard balls of darker brown poo with a whitish coating, mixed in with a lighter, more orangy poo. Pain in hepatic flexure goes away for the most part, or at least until I feel something going on in ascending colon and then I get it in both areas.

After a small meal on Easter I had gut-wrenching pains in my upper stomach that lasted for hours. Oddly, this same thing had happened a week or so earlier. The only common denominator was cooked carrots. Both times the pains felt like a burning charlie horse from my sternum to my belly button and over to each flank. It frigging hurt and all I could do is grunt thru it. It started about 1/2 after eating both times. Lasted 2-4 hours each time. I had my gallbaldder removed in 1998 or I'd guess that, but it can't be.

I don't pass gas unless I'm taking Senna. I can feel gas rumbling through me, particular under that right ribcage, cecum area and ascending colon, roars over the transverse then subsides. Never comes out. I take senna, I have gas all day and it actually comes out. What the heck? Sometimes I feel like I have so much trapped gas that it hurts my shoulders, right or left depending on where it's hanging up.

Now the past two days I feel really sore from cecum, up ascending and to the ribcage. Feels like my colon is swollen and tender. I've never been able to sense this part of my body, at least not in this acute detail before. Has anyone else ever been able to feel a section of their colon as being tender or sore before? It's weird as hell. Could miralax have irritated it? I took that for the past three days (no bm...).

When I get really constipated (I'm guessing) I get this giant softball sized bulge down by where my appendix would be. Lower right side. It hurts. I think it might be gas or liquid matter building up there because I'm packed the rest of the way up. I can feel pain as stuff moves from teh cecum and up the ascending colon. It's not "omg i'm dying pain" but discomfort enough to annoy me when I'm trying to do stuff. But it does go away - I can feel it kind of disperse up into the ascending. Bulge goes down, pain begins in ascending, works its way up to rib where I'll then feel all kinds of crazy gurgling and movement. Then I feel a big rolling motion across my tummy along transverse and it's gone. but no gas comes out. I can actually watch this happen. It's creepy. Why does this hurt? I never had pain when stuff moved through before.

Sometimes I feel like it's not always my colon getting backed up, but my small intestine. It's like it just doesn't wanna go anywhere. These are the times that I fill up so quickly that I can hardly eat more than a few bites. Food just sits in my stomach and throat for hours on end (like 12ish at times... I've literally burped up chunks of the previous days food when this is at its worst)

Anyways, does anyone know if psoriasis is related to IBD in any way? I've never had this before and I'm 37. This scalp thing, oddly enough has happened twice, both time during a bowel glitch. My dad just got diagnosed with psoriasis after I noticed it on him during a haircut. He's having a colonoscopy on 5/6 because of frequent diarrhea.

How should I condense my symptoms to present them to this new doc? What is important? What isn't? Should I just let them ask the questions or put my two cents worth in. I feel like this is my one and only chance to get heard and I don't want it messed up, LOL. This bowel thing is driving me nuts!

Thanks!
 
I had my first appointment with my new GI yesterday, and like you, had a lot of questions i wanted answered and a lot of information I wanted to give him. I can't tell you what's important or what's not, but I would advise that it's better to tell him/her too much than not enough. My new doctor asked every question under the sun, from what I studied at university to whether I had brothers and sisters and whether they were healthy, to the time I contracted malaria (twice, oops).

I knew I would be nervous and uncomfortable at the appointment because it's a scary time for anybody and a lot of what we have to talk about is embarassing. Before my appointment I wrote down all the relevant details about my medical history (my history is of fissures since eight years old, so it's quite a lot of information), I bullet pointed them and typed the information up so the doctor could read and keep it. I then wrote down all the questions I really wanted answered and took them with me so I wouldn't forget anything.

Luckily my doctor was amazing and read through my background notes carefully and made a point of addressing every question I had.

I would DEFINITELY advise you to think about and write down everything you want to talk about during the consultation, that way you can make sure your questions are concise and your background info is relevant and most importantly you don't forget to tell the doctor about anything that might be relevant. Organise your thoughts before your appointment and that way the consultation will go as well as it possibly can.

Good luck :)
 
I hope you are getting in to see your GI soon! Things don't sound good at all! You have been diagnosed - correct? Are you on any medication?

I agree with Hannah - don't hold back. I'd provide as much detail as possible. Everything is relevant. I would certainly have the most important concerns/symptoms and questions written down, so you don't forget. Also, is there someone who can go with you? I always bring my husband along because he'll pick up things I miss or ask questions I don't think of.

As far as psoriasis and Crohn's being related, both are autoimmune diseases. However, I am not sure if there is a higher chance of having psoriasis if you have Crohn's or vice versa. Another good question for the GI.

Good luck and please let us know how it goes!
 
Have you been diagnosed yet? I see this was last year...

So I have had the similar issues since 2006. I was recently diagnosed with gastroparasis caused by bad bacteria in my small intestine. I'm just did round three of antibiotics and am waitin to see if its gone. Once gone its time to rebuild and hope to get better. You're situation seems very similar to mine.

Getting real... Every morning I set my alarm 30 mins before getting up to lay on my stomach, then sit on the toilet while smoking a cigarette and pressing all the spots you mentioned.

I'm intererested in hearing where you're at with it and if you've been diagnosed?

Get back soon!
 

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