Help with scans please!

Crohn's Disease Forum

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Joined
Apr 25, 2011
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15
Hi everyone,

This site is a credit to everyone who makes it happen - makes me feel like I am not alone in this minefield of confusion and pain. So thankyou to everyone who takes the time to help others and keep up the good work because I think you get more info from this site than I do from my specialist!

I have been suffering for ages with a painful bum, as mentioned before. The pain is still there but its not keeping me up at night now, but its continuous like a tooth ache in that part, and on the left side, but does move about too.

I am now suffering with pain in middle of pelvic area, hurts to walk far, and is worse before and after bowel movement but doesnt seem to go away. Belly is still in spasm does it own little dance and if I weren't in so much pain I could become a belly dancer.


My crohns when diagnosed was in the terminal illium and at the time it took 2 years to diagnose, only by doing barrium enema. Had sigo last year, and all looked good, but in so much pain while doing it, they suggested mri scan. the time mri came round pain had gone and I thought I was on the mend.

MRI all clear. Pain back with avengence, and to complicate matters I had come off amitriiptyline because it was making no difference to my bladder (suffer with inter. cystitis. This may have been my mistake but I had also been diagnosed with underactive thyroid and was sure the thyroxine and amit weren't mixing well).


Pain has been so bad, belly swollen, no appertite, feeling sick, loosing weight, even my eyes ache (does that make sense!) No blood but am rushing to the loo, but only once a day. I know this must sound like a walk in the park compared to what some of you are all going through but the pain is driving me mad.

This pain has taken over, GI ordered pelvic ultra sounds, stool tests, and bloods, no inflammation found.

Has anyone been diagnosed without inflammation being shown up on tests?

I am sure years ago, my tests were all ok until they did barrium.

Mentioned this to my GI who said they don't do this test anymore and rely on tests like sigo and colonoscopy.

I was sent for tests at another hospital to see if the rectum was working properly, and testing the pudenal nerve. They found muscle damage on one side (probably caused by childbirth) a small prolapse of bowel, and and I don't empty properly. None of which they say can cause me this pain. This did involve another ultra sound.

My GI has mentioned that there are another few tests that can be done, but I am becoming so frustrated. Could not get out of bed on Sunday after having these tests done, I was in so much pain.

Do you think it is worth me pushing for a CT scan? My GI reckons that the MRI is more conclusive, but I had no pain when that test was done. I am beginning to think my crohns has returned with avengence, but just don't seem to be getting anywhere.

To add more confusion into the mix, I am having trouble with my thyroid dose, which I am sure is because I am not absorbing it properly.

I did see a lady physio who said my levator muscle is in complete spasm and this could cause anal pain, and I am waiting to see her for some treatment. I don't think this is the answer.

My GI has asked me to go back on amitrip which I have just done, because other than dizapan there doesn't seem to anything else they can give me - and my gp hates them because they are addictive! Can't win.

I just want to go forearmed to my GI and ask about a scan but I'm not sure what one, because I feel this could be something between my bowel and bladder, which wouldn't be picked up on the ultra sound. I have read on here that things have only been picked by scans where missed before, and I think thats my fear. Having had it in term ill I know thats one of the most difficult parts to see. I feel like I am going back to the dark side if you get my drift!

Taking the amit helps me sleep and I have not been waking with the pain, and what feels like pressure on the bladder (I think from the bowel)

Also can anyone recommend good Gastro Specialist at either Colchester, Ipswich or Bury St Edmunds hospital, as moved and need to find a new one, but I dare not change at the moment as that would just confuse things even further. I am going to do my homework before I change!

Thankyou for taking the time to read this, I feel abit better just writing it all down. Any help or advice will be gratefully received, thank you.


Squidybum x







To
 
Please don't go anywhere near Ipswich Hospital! Maybe they are better when you have a dx but I doubt it after what they have done/doing to me.

I had St Marks in London recommended to me, it's a specialist NHS GI only unit that has referrals from around the world and they perform tests that no other Hospital (or very few), do in the UK.

http://www.stmarkshospital.org.uk/home

I was planning on going there myself but have become too unwell to travel.
 
Yes, I would push for a CT scan if you can. My Crohns was confirmed eventually by barium FT, but initial treatment didn't help my pelvic pain and bladder issues. A CT scan showed that my inflammation was more extensive than first thought and that I have a bladder to bowel fistula and abscess.
Hope you get some answers soon.
 
Dear Stargirrrrl,

Thankyou so much for info - my gp recommended ipswich. However a mum at the school has recently been diagnosed and isn't impressed. Another lady up the school who's husband has Crohns said the same, and you have just confirmed it - so I really appreciate that.

I will check out St Marks for sure. I know the travelling is an issue - catch 22 situation. I hope you feel better soon, and wish you well. Thankyou again for taking the time.

Squidgybum
 
Hi Grumbletum,

Thankyou so much for that info, I am going to press for ct scan as I am sure this is my crohns inflaming other parts - especially my bladder which has a life of its own some days. I was also diagnosed with Interstitial cystitis and vulvadynia, which has simmered down, and the pain has moved to the anal area. The amitriptyline did help the bladder and bowel slow down but at the moment its still angry. Just a short journey and I am desperate to go, its all angry down there. Could the amitrip help your bladder ? Just an idea.

Did you have an ordinary barrium enema follow through, then separate ct scan after. I've read on here somewhere they can do both at the same time but I might be getting confused. You know what its like when you're in pain its hard to concentrate. I need to write everything down these days - I have the concentration of a nat!

I hope you are having a good day today, and thank you again for helping.


Squidgybum
 
Hi Squidgy bum. I go to St Marks and it's a brilliant place! It takes me about an hour to get there but is worth it, in my opinion. Between appointments I can call the IBD nurses for advice over the phone if I'm not feeling well which is always handy!
 
Hi squidgy,
You asked in your thread if you can have active disease and no inflammation...yes, about 25% of people according to some studies (including the most recent european consensus on treatment of crohns..they say about 25%) have active disease but normal inflammatory markers.

When I was was at my worst with bleeding etc etc mine were normal..just low hb, abnormal liver tests and platelets. Strange really because now although I ham having a bit of a blip my inflammatory markers have gone up but I am much better than when they were normal...makes no sense but shows they are unreliable in lots of people.
 
Hi Littlemissh

Thankyou so much for that info. More info I can throw at the doc the better - I am so sure this is down to my crohns the longer it goes on. Haven't been to the loo today but still in agony. Tierd out before I even start the day, and the pain just drags me down. I actually look forward to going to bed in the hope that I will feel better in the morning.

I hope you are doing ok today, and wish you well, and thank you again for taking the time to help.

Squidgy
 
Oh Squidgy, I hear you on both the concentration and pee problems!! When I have to go , I HAVE to go and I've had a couple of accidents. I don't know about the amitrip - will ask my docs next time I see them.
I had a Barium swallow and FT, then my GI sent me for the CT cos I still had pain etc. The CT showed an abscess and gas in my bladder via the fistula. My pee was pretty cloudy and bubbly.
 
Hi Grumbletum,

Thanks for replying. My pee is cloudy too, not noticed the bubbles though, but there is just this continuous pressure on my bladder, and I am convinced its not right. I know everything is close down there, and one thing can affect the other, but it just doesn't give up. The pain in belly is low, middle of pelvis area, just at bladder area. I went to see a physio yesterday who said my whole pelvis is in spasm, and did some work on these trigger points that she found. Felt awful afterwards could hardly walk (although I didn't pee as much). I then went into panic mode incase I am doing more harm than good, I won't be convinced until I get a scan I think. I need to be firmer and insist.
Please speak to doc about amit - start on low dose like 10mg then increase slowly every couple of weeks until you see an improvement. Takes about 3 weeks to get into system. Only down side is it does have side effects like dry mouth, constipation, and feeling a bit sleepy, but the sleepy side does wear off. Worth a try I reckon. Its an antidepresent but is used on children for bed wetting etc., For treating depression they use much higher doses like from 50mg, but some people with overactive bladders get good results on 10 or 20 per night. Its also antispasmodic so helps tum slow down - hence consitpation I think! I have been scared to go back on it incase it covers anything they might see in a scan - but started back on again last week because I had enough. Thinking logically though, if anything is there like a fistula, they're going to see it anyway - I was just determined to stay medication free so they could see whats what. Unfortunately it could be weeks before I get that scan so back on it.

I hope you are having a good day today. Thanks for replying its reassuring I'm not the only!

Squidgybum.
 
I don't know the common tests used in the UK, but in my neck of the woods, they opt for the CT scan, with contrast, right off. I recently had one done, and even asked the doctor if this was the only way to get a look at things. I do not like having any more than I have to due to the amount of radiation involved. He said it is the only sure way of telling what was going on, and I believe him because I have had the other tests, and they did not help with the diagnosis.

A CT scan is a very useful tool, but should be only used when it is serious enough to warrent it. That has to be determined between you and your doctor.

Dan
 
Dear Dan,

Thanks so much for your help. The doc did explain about the radiation risk etc., and also said that they are more useful when they have an area to focus on, as my pain then was in the bum she thought the mri done last year would have shown anything abnormal. The only trouble was by the time the mri test was done I had no pain, (6 weeks later) and thought I was on the way up. However its returned with avengence and now I have this additional pain - so I can tell the doc she does have somewhere to focus now. I think when she sees how much weight I'm loosing, and how rough I've been she'll say yes. I do understand the risks etc., but just want some answers with some pain relief thrown in! Fingers crossed. I hope you are fighting fit at the moment, and thank you for taking the time to reply.

Squidgybum
 
Thanks, Squidgy. Actually, in the last couple of days I have felt better than I have in a long time. Big reduction in pain and not so much urgency. Maybe the antibiotics took a wee while to kick in? (prays fervently!!!)
When all this kicked off, I woke up in the middle of the night with what I thought was a violent stomach bug and the pain was low in the middle as you describe. I also had a kind of ridge in my stomach in that area. Then the UTI stuff started and I had constant pain in my ileum area and sort of spasms in my bladder area.
I doubt the amnitrip would close up a fistula: it seems they are quite difficult to close wit meds. I mean for you and if you can get a scan. I'll talk to the doc about it - a bit of relief after a year of this would be good!
Hope you're having a good weekend.
 
Hi Grumbletum,

Glad things are starting to improve - fingers crossed for you. I had another bad night - in bed by 9pm because felt so rough, pain, headachy and couldn't even eat anything without feeling full up. Cooked my husband a curry and think it was the worst thing I could have done because the smell just made me feel worse! Still achey today but not so bad, been to the loo but feel bloated and full. Think the amit is slowing things down abit now - spasms not so bad. I think you are right the amit couldn't close or hide a fistula if I have one. I'm going to see my gp for a chat this week - have an appt to see my gi in two weeks to discuss how I've been. Making all the enquires too about changing to a more local hospital as I have to travel 120 mile round trip which is no fun. I know all the loo's available. I think I must be a loo expert!

PS cute picture of doggie, is that a staff by any chance?

Kind regards


Squidgy
 
Ah Squidgy, I'm sorry to hear you're not feeling so good. Those waits to see doctors really drag don't they, when you're feeling lousy :hug: And that is a mammoth trip to see your GI - hope you can get somewhere a bit nearer home.
I know what you mean about the loos - I have a part-time meter reading job which here, involves a lot of driving and I know where all the loos on the islands are :lol:
The doggie is our Cody who is a bouncy Beagle. Rest up if you can til you see your GP and I do hope they can do something to give you a bit of relief.
 

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