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Crohn's Disease Forum

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May 26, 2012
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Hello everyone,

This is the first time I have ever joined a Crohn's disease forum and feel that delaying in the process of seeking support may have been to my detrimint. I am 37 years old and live in Idaho. I am going to be brutally honest with everyone here because I feel that I need to pull my own covers in order to get any help with my illnesses. I was diagnosed with Crohn's disease in 1994-95. I was fresh out of High School and entering my second year of college (very young) maturity wise and was wondering why I was having diahrea so often. This was also the point in my life where I started to feel pain (in the form of a happy face) that always centered around my belt-line with the upsweeping portion of the 'smile' going up the sides of my belly along the sides of my diaphragm muscles. I was in school in California (where I grew up) and was ascending to the third floor of the fine arts building with two guitar cases when I fell to my knees in pain. I immediately knew that something was wrong and went home to complain to Mom and Dad about what had happened. This began the process of Dr. visits that would ultimately result in a diagnosis of Crohn's disease that reached the illyac portion which join small intestine and large intestine.

I went through the normal range of tests a person has to endure with a G.I. Dr. to get this diagnosis. Colonoscopies, Upper G.I. / small bowel follow-throughs, sygmoidoscopies, stool samples, the list goes on ad-infinitum. I have never had surgeries, at least as of yet.

Now I want to cast a large gray blanket over the next 16 years because during that time I never really took my illness seriously. I am just being honest about this but feel like a total fool.

I made complete 1/2 attempts. I would get sick, then seek the help of a Dr. when I was miserable, but never really took his advice to heart. Some days were better than others and I was a tough guy -indestructible in my own mind. College disappeared with my first diagnosis and during the next 16 years I would find myself becoming a plumber and pipefitter working in Union jobs doing heavy construction at various construction sites.

I would get my medications throw them in the medicine cabinet where they would sit for months at a time without me even swallowing one of them. I would take prednisone when it was bad (and hated it) which would make me feel horrible on job sites. I would swell, be reactive to sunlight, my lips would tingle, I would gain and lose weight. I was never hungry or would be the complete opposite (starving for a couple of days). I would have brief periods of consistancy with medications and noted so little improvement that I would balk at continuing.

Now I should say a little about my diet. I am a complete soda junkie and always have been. I know this is wrong and am in the process of completely removing Coke from my diet but it is proving to be very difficult. I quit smoking cigarettes but still smoke an E-cig (remember I spoke of those 1/2 measures). I basically have ate garbage-type foods most of my life. fast food was my staple being a construction worker. The flip-side to that coin are frozen meals usually a microwaveable meal from one of the fine companies making garbage trapped in cardboard easily nukable on a job-site. At any rate I never have like sand-whichs, favoring foods that are a little more spicy or that are warm instead of cold.

In 2006 my Father died and I moved from Westminster California to Rigby Idaho. I was already in deep emotional distress and my focus on my condition was now a 1/4 measure. I had lost my hero and went into a tail-spin that I only really now can see. I brought my entire family with me to Idaho to help be here for my Mother (Wife and 2 young daughters). I thought I could continue on with my trade and did so for a while but now I am in the flare-up drug from the depths of hell. I have to be honest about this it has lasted about 2 years with only glimpses of daylight.

How did I deal with this for the first year - pain medication. God I was wrong. I wish I could turn back the clock but thank God I was able to walk away from pain medication last November, 2011. I was taking way too much and wondered why the pain was even worse. I finally realised that constipation and being backed up was not a good thing but I told myself the lie of at least I am not going to the bathroom 25 times a day. Did I use standard treatments during this time- yes. I used Pentasa, Humira, Prednisone, Vitamin B-12, Vitamin A, Vitamin E, Vitamin C, Melatonin, and Xanax. I may be missing a few more. I felt so over-medicated all of the time and formed a serious hate of biologics. I could walk by one of my children, who happened to walk by a sick kid at school and catch whatever they may have had. I was getting fungus infections at the corner of my lips. some weird red inflamation under my arm pits that I still do not understand. My rosachea would get worse. A point came where I refused the medication. During the past 2 years I developed Eociniphillic esophagitis. I have been in the hospital from this due to food impactions 7 times in a year and a half.

I am not gluten intolerant? I have had an allergy test years ago covering a wide variety of food allergens and other allergens and came up only allergic to goose feathers so I am at a loss why this is now a problem.

No stability. In the past year I have worked at one construction job for 2 days. I started this job last Wednesday and worked 2 days until I got hit by this new mother of all flares. I ate salads which I am learning is a no-no but I thought I was doing the right thing by eating healthy. wrong again. Now i am faced with the realization that I may never be in construction again. I had already started school in the spring semester looking to enter the medical field. I am to become a nurse, though dietetics may be the smarter choice. I feel like since this illness is no longer something I can ignore I would better serve my fellow man by involving myself deeply in the very thing I have always ignored - Crohn's disease.

nutrition. the past couple months I have been trying to eat better. like I said with the salads even though I was wrong. I have come to the realization that redmeat is bad for me in more ways than one, especialy since my EE Emergency Room visits have always involved steak. I have to be honest I am scared to eat. I have lost 25 pounds this last 3 weeks. I went from 215 pounds down to 189'ish. I am limiting soda intake but headaches keep pulling me back. I am keeping a journal and being as honest as I can with my pain levels and what I eat. right now my pain level is a 5 and I am wincing, its not as bad as it was the day this started last thursday, but it is still nagging at me.

I can no longer avoid this issue. I am on the threshold of losing my mind at least thats the way I feel. I can't support my children right now, my Wife is making little more than minimum wage and I am so depressed. I am kissing a career good-bye I was so very proud of. I also know its for the best.

At this point I do not know what to say other than I need help from people that understand where i am coming from. Please feel free to offer any insights.

~Kerry~
 
Hi Kerry and welcome. Thank you for sharing your story, I know it may not have been the easiest thing to do. Some questions and thoughts:

1. When was the last time you say a gastroenterologist to evaluate the extent of your disease and current treatment regimen?

2. Where specifically is your pain at present? Still the smile?

3. Do you have any specific symptoms at present besides the pain?

4. What medications are you on at present?

5. When was the last time you had your vitamin B12 and vitamin D levels tested? And what were they?

Once you answer those questions I'm sure I'll have additional thoughts. In the meantime, I also suggest you read up on enteral nutrition. Your weight loss is very concerning and enteral nutrition may not only reverse that, but also help calm your disease down considerably.

Again, welcome. You're amongst friends and we're here for you.
 
Greetings David,

It has been about 9? months since I last saw a GI Doc. I am not sure about what my last Blood test levels were and i think it might be a good idea to ask for copies of those tests each time I go to see my Dr. I have never heard of entereal nutrition and will look into it. I am currently trying to juice with alkalyzing vegetables but am fairly ignorant on what works best for me at this point. I would consider where I am at now as the jumping off point to learning so I am very open to suggestion. I have been seing a GP doc for in lew of a GI doc and probably need to go in right now considering how bad I feel. I am so glad this forum is here and really want to thank everyone here. This is something I have been missing.

~K
 
Medications i am currently taking:
1)Pentasa
2)Prednisone
3)Vitamin B-12 injectible
4)Vitamin E 1000 i.u.
5)Viatmin D 5000 i.u.
 
Hi Kerry,

How long have you been on the prednisone and what dose?

I agree 100% with you that you need to go in and be evaluated. They need to run some tests and see what the extent of your disease is. My guess is that it is far beyond Pentasa as the primary treatment option. And obviously we don't want you to be on the steroids any longer than necessary. I'm guessing they're going to find some anemia based upon what you're describing and I'm also concerned about bowel narrowing.

When was the last time you had a colonoscopy, small bowel follow through, or like tests?

Take a hard look at the enteral nutrition. People who go on total enteral nutrition have remission rates as high as those who go on steroids. It's a fantastic treatment option if you're able to stick with it.
 
Hi David,
I will go to my community care facility in a few. I do wish to try and eat something. My last colonoscopy was around 2 years ago so it is probably time - ugh. I am on 4o mgs of prednisone today stepping down to 30 mgs tomorrow for 5 days. I dislike corticosteroids and am in complete agreement with you at how bad they are. I figure about another 20 days or so and I will be off this cycle with little or no reprieve. I hate projecting but steroids just do not seem to be as effective as they used to be. I often wonder if they ever were effective. I started this cycle at 60 mgs for 5 days, downgrading by 10 mgs every 5 days.
That was 2 weeks ago or so.
 
They probably helped short term. Steroids are great for knocking down inflammation but the problem is, they're not much good for inducing healing of the intestinal mucosa. So you may be inflammation free but your intestinal lining is still trashed so when you go off the steroids the problems can start right back up again because that barrier is compromised.

What you're describing I'm thinking you may have some scarring in your intestines which no, your steroids will not be able to help with.

If you want to eat something now, enteral nutrition can be as simple as going down to your local wal mart and getting some Boost or Ensure. There are of course many other (arguably better) formulations out there, some specifically for IBD patients.

And yes, it's probably time for a colonoscopy and maybe some other tests.
 
Hi David,
I have done the boost and ensure at work as a supplement. now are you talking about just drinking ensure for the entire day. I was reading up a bit on the other forum on enteral nutrition but I am not sure what is meant by total. Do you suggest that i just drink the drinks for a couple of days to relax the digestion process. Also is there such a thing as too much water. Can that contribute to the bloating I am feeling or could that be from something else. I will run too walmart after the dr.s and get a couple packs Boost. I wil also try to read up more on enteral nutrition, is there anything on Kindle?
 
Total Enteral Nutrition would be just ensure, boost, or some other form of enteral nutrition and nothing else. It has the highest rates of success. Supplemental Enteral Nutrition would be maybe one or two a day. It helps but not at the rate of total. Obviously it's easier for people to stick with supplemental than total.

Yes, there is such as thing as too much water. Though I'd bet that your bloating is more due to something like Small Intestine Bacterial Overgrowth, food sensitivity, or poor intestinal motility.

When it comes to enteral nutrition, this book is absolutely fantastic (only one left!). Unfortunately I don't see it on Kindle though I'm not well adept at all things Kindle.
 
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Hello again. I went to the Dr.he did blood work up on me and a shot to help alleviate my pain. They also gave me some phenergen for the nausea. I am gonna get some boost or ensure tomorrow. He said I wasn't anemic so I would imagine stress could be over-taxing me to the point where I just feel really weak. I am gonna keep up with this forum because there seems to be a large amount of information here to help myself. I have been drinking two to three times the normal suggested amount of water. He also told me about a new medication I have never heard of that starts with a B - maybe Buposemide. anyhow i think thats what he called.
 
Budesonide. Also known as Entocort, it's a type of steroid that isn't systemic like prednisone so there usually isn't quite as many side effects. I actually did a little writeup from an article on it today. You can find that here.

Did he refer you to a GI for further evaluation?
 
Hi Kerry, I just wanted to pop in and say welcome to the forum and thank you for your story. I think David has already covered everything so I will just say that I hope you can soon be on the road to a treatment plan that can get you feeling better soon.

AB
xx
 
Hi AB,

Thank you for the welcome. I am feeling kind of shaky right now but doing a little better. I am now into my 3rd day of my journal and am noting what meals are hurting me for the worse.

David, I am going to see my regular G.I. as soon as I can. Unfortunatelly I will not be able to make an appointment till after this holiday weekend so for this weekend it is all about getting through it with as little suffering as possible.

~Kerry~
 

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