Here is my LONG story!

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Dec 20, 2012
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I came on here tonight, after an upsetting day at the Endoscopy Center. Not because of the news that I had a polyp in my stomach, or polyps in my colon, and that the Apriso was helping b/c my bowel was nearly normal for the first time in a while - but because of a comment made by my doctor that was rude and insensitive - about my weight, and how I must be taking in more calories, etc. I have lost 55 lbs...in six months - he hasn't seen me in two years...because of money issues, we couldn't afford to go in, and I also have West Nile, so that has been the focus because of the neuropathy pain and a problem with my left leg (I fell and broke my leg 19 months ago, was laid up for 6 weeks, gained weight). I am a 47-year old mom of three, and wife - first started having problems with bowel 24 years ago, after my second child was born, but looking back had all kinds of health issues as a child - ear infections, viruses, fever dreams, and bowel problems.

Anyway, I thought the situation was brought on by the stress in my life, my skin flipped out (never had an issue with it as a teenager) and I was bleeding buckets and having bad cramps and diarrhea - to the point where I would get the cold sweats and have to run to the bathroom before I had an accident - very embarrassing and scary as an adult. After nearly of year of this (went to a military doctor in Germany, but no diagnosis), it just disappeared one day. No more symptoms, my skin, though scarred was no longer breaking out...and I lost weight, had my strength back was was feeling good. I figured it was just the stress of a bad marriage, issues with life, etc. Jump ahead from 1989 to 1997, it came back with a vengeance. I was so sick, I couldn't walk, I was in the bathroom literally 20X a day, bleeding, bile, cramping...suffered from fevers, shakes, loss of appetite. Lost 30 lbs. nearly overnight. Went to several doctors (at this time I did not have good healthcare insurance, was sent to an HMO doctor who could care less), did a colonoscopy, but said they couldn't find anything, sent me home with prednisone...and asulphadine (spelling?). Kept me on the prednisone (x3 years), no weaning on or off, no breaks, just kept me on a large dose, even though it had no impact on my problem. I became so ill I passed out and was rushed to the hospital.

During an attempt to do a spinal tap (I had a high white blood cell count), before they even put the needle in my spine, my heart just stopped. I spent 3 days in CCU, and was sent home on higher doses of everything...problem still ongoing. They sent me to the county hospital to have a barium enema test done, which was one of the most painful experiences of my life. I am not a ninny about needles or procedures, been through some tough stuff in my life...but I was crying and ended up asking the technician while strapped to the table, if this was going to take much longer, and he replied, "What is the matter with you? We don't see any issue." - I said this hurts, my colon is spasming and I am in excruciating pain (same pain I have now when I go the bathroom)...he puts me back upright on the table and looks at the radiograph, and says "oh...you must have Crohn's disease." That was it. They put the table down, and unstrapped me and I ran to the restroom, bleeding and passing the barium.

Two years later, after gaining 60 lbs., my back blew out and my teeth started falling out of my head (the prednisone had softened everything and my bones were collapsing and my jaw couldn't hold my teeth). I never knew enough about the drug then. I am smarter about all the drugs now. I also learned that exercise = more bleeding, more cramping and more diarrhea for me. As do green leafy vegetables (I love salad, suffer for it, but I love it)....and most sugars, juices, breads, meats, dairy products, and processed foods. Which leaves nothing. I was down to boiled chicken broth and small amounts of rice, and still gained weight. One doctor and one NP have said that maybe my body is screwed up and thinks it is starving...my thyroid is normal...or whatever and so therefore it isn't that. My metabolism is slow - b/c I don't work out anymore...but I try to be active.

I have been in and out of remission since 2001 - when I worked really hard on being careful with my diet and my exercise. I have never been skinny and don't expect that it is in my DNA to be so, but I used to be an athlete and know the benefits of being active...and know what and how to eat to be healthy. Unfortunately, I contracted West Nile encephalitis in 2006, leaving lesions on my brain and nerve damage like polio in my left side. This has exasperated the CD. My nerve pain, arthritis pain and skin have been insane. I look like a leper on my arms...I limp because of my left leg and fall a lot (I try to use a cane, but I am such a klutz, it causes more problems than it helps). I receive pain injections in the back of my head for occipital neuralgia and migraines, I have nodules developing on my hand joints, and lumps under my skin that are huge (told they are only cysts).

I feel horrible, I get a fever almost every time I am active (cleaning house, vacuuming, etc.)...if I over do it, I am down for at least a day, sometimes more. I still function because I have to, and even though I am sick all the time, I take care of the house, the dogs, and am trying to develop a hobby...so I don't go crazy. I have no appetite, I eat half of what my husband does, if not less, and sometimes don't eat at all. We have started eating a more Mediterranean diet - more humus, fresh vegetables and fruits (hard on my stomach at times)...and because of recent pain and nausea, I have lost weight. When I do eat, it shoots through me like a cannon. I feel a fullness in my upper abdomen, and pain, a sharp pain when I eat. I saw the NP and he sent me for a Barium CT (awful test by the way). Showed Gallstones and a problem with my left kidney (which was noted years ago). So they did my EGD and colonoscopy this morning...and the doctor who I have trusted and respected for 8 years, throws out this rude and insensitive comment while I am coming out of my haze. My husband tried to defend me and he backed out of the cubicle and wouldn't talk to us. I am dismayed and upset, tired of being in pain, tired of going to the bathroom and tired of being told that I'm too big.

I am on Cymbalta for the pain, Nuvigil for the fatigue, Apriso and Flagyl for the flare, as well as Bentil for the cramps. Humira is out of the question b/c of the other factors with my health.

Just trying to hang on and not go insane. Hoping to find some HOPE and comraderie (spelling again?) on this site. May be going to a new doctor soon.
 
Hi mdul and welcome to the forum. I am so sorry that you have not been properly treated for so many years. My heart really goes out to you. I am also over weight and when I complain about my lack of appetite and trips to the bathroom up to 15 times a day, I get dismissed off as well because I am still overweight. I to have had some insensitive doctors and hope that you find a good one soon so that you can get some relief soon.
 
Thank you for the support and sweet words. I am trying to hang in there...still kind of upset (don't need to be depressed on top of everything else), but am trying. Just wish there was a magic pill...ha! Not likely. Have a blessed holiday season. :ysmile:
 
Hi there and welcome. That's quite a story :( It's truly terrible what you have been through. A couple questions:

1. When was the last time you had your vitamin B12 and magnesium levels tested? And what were the specific levels?

2. What specific health issue(s) won't allow you to utilize Humira or Remicade?

All my best to you.
 
Oops

Hi, my B12 and magnesium have been checked by my neurologist (who was attempting to find a solution for my fatigue and aching joints), I have been to a rheumatologist who blew it all off to the Crohn's - she checked my sed rate and amylase levels.

According to my doctor - because of my WNV - I am more susceptible to infections already and these medications may compromise my system further. I live in fear of another illness, virus, fever -- sending downhill again as it is.

:( Any advice is welcome....I am going to see my neurologist soon, and try to get in to see a different GI doc.

Thanks.

PS - I have gone thru several rounds of B12 injections - helps for a little while and then once I am off of it, I am back to square one.
 
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Most people with Crohn's can't ever go off the B12 injections. If they help you need to stick with them, get your levels retested, then make sure that you get injected often enough to maintain your levels.

What means of magnesium level testing did your neurologist use? Blood test?
 
I believe it was blood work - as I was hospitalized for a series of tests - including the spinal tap, MRI, CT Scan, etc (for complications with the WNV). The B12 shots were only approved for 12 shots, 3x a week for 4 weeks - have to wait another 3 months for another series. I will fight with the insurance company, if need be. We pay $1k a month for coverage, have $500 deductible, plus 20%. I cannot afford anything above and beyond that. Even if I need it, it is rough enough paying $200+ a month for the prescriptions I need for both conditions, and even though I have medicare due to my disability, it pays nearly nothing. I remember her showing me the mag levels, so I will have to ask her about it.

Thanks.
 
The problem with testing serum magnesium levels is the body does everything it can to maintain static serum magnesium to the point of robbing it from bone. Here's a little test for you. The following is a list of magnesium rich foods. Total up how many of them you eat per day and how much magnesium they contain. Then reply here with how much magnesium you consume per day via those foods.

magnesium-rich-foods.jpg
 
Hey, David, I can tell you that right now, I am barely eating anything, so that isn't good. I have no appetite and pain when I eat in the upper middle abdomen (told I have gallstones, but no need for surgery?). I have tried to eat some brown rice and some shredded wheat - in the past few days. But since my EGD/colonoscopy, I am way too sick. ON a normal day (cannot remember when that was - but here is what is in the pantry) - oatmeal with chopped almonds, milk and honey. lunch is usually 3 TB of hummus and some whole grain pita chips, maybe some yogurt. I rarely eat much for dinner - but will have either a baked potato or brown rice/chicken/steamed broccoli with some kidney or pinto beans (like a risotto dish). I cannot eat spinach (though I love it - even steamed to death, there are consequences), it is like putting razor blades into my system. I cannot digest most multi-vitamins (is this normal for Crohn's?) - my neuro put me on two children's chewable vitamins, and I take fish oil on my own...though somedays that doesn't go too well.

I will do the math, and get back to you. Thank you.
 
I do not know if having problems with vitamins is CD related or not but I have a upset tummy after I take my vitamins also. I could not take them when I was pregnant either ad I D's not have CD then.

I am glad you can eat beans they tear me apart I miss my veggies too.
 
Thanks for the input E'swifey - yeah, vitamins have been a problem for me for years - I have tried liquid vitamins - but they are hard to find. I have tried taking them with food, but I still get nausea and feel like I am going to throw them up (and have on occasion). Where I live now, I cannot access a JambaJuice or something like that - to have the vitamins mixed into my smoothies. GNC and some healthfood places carry the powder form of a multivitamin. I keep trying!!! I know my body is so malnourished....and that makes me flare more. I have no muscle (or very little - otherwise I wouldn't be able to move at all)...the West Nile caused polio-like muscle wasting...even with working out in the pool, the pain (not from working out), is ridiculous. So I am just very frustrated - not just with the Crohns, but also with the West Nile.

@David - my intake is approximately 180mg per day - I know that is a stretch - there are days where I do not even get 100mg.
 
RDA for Magnesium for a female age 31+ is 320mg per day. You're often only getting 1/3 of what you need. Add in lack of absorption due to inflammation and loss due to diarrhea, and there is no way in heck that you are not deficient in magnesium no matter what the blood tests say.

Magnesium deficiency can cause many of the symptoms you are experiencing. Proper supplementation along with vitamin B12 could make a big difference for you and avoid longer term issues.
 
Hi there and welcome to the forum:)

I am so sorry you are having so many ongoing medical issues - with a doctor who clearly does not have a very good bedside manner!

Were you ever diagnosed with Crohns? I noted that your colonoscopies came back clear, and that you are eating things like nuts, dairy and beans, which is the worst that someone with IBD can eat.

Checking your vitamin levels is a REALLY good idea. It can have a dramatic effect on your health.
 
Yes, I was officially diagnosed in 1998, through a scope that was done when I was hospitalized that October, combined with the results of the barium enema, that was the diagnosis...after being on the prednisone for three years solid and continuing to have problems, I began to fear food - the flare was so bad that I lost 60 lbs. at one point (mostly the weight gained from the three years on prednisone)...and the smell of food being cooked would send me to the bathroom in spasms. I was literally down to boiled chicken broth (not the canned stuff) and rice...for almost six months. If I attempted to eat anything else, I would go into spasms and be in the bathroom 18-20X a day. Most of what I was losing was yellow bile, mucous, pus and blood. I have had several colonoscopies that showed bleeding, erosion, and damage in my bowel, due to those results, it was "confirmed" - but remember, I had lousy doctors for years.I forgot that in 1993, I had adhesions removed from my abdomen, thought to be from endometriosis, but I had never been diagnosed with it, later a doctor speculated that the flare up in 1989 might have been very serious. My current GI doctor put me on Asacol and back on prednisone in 2006. I have been off of the prednisone completely for a year...and am now on Apriso, Bentyl, Prilosec, as well as Flagyl (not including my nerve meds for the WNV and vitamins)...my recent blood levels showed that I was in a flare. I have had probably 12 colonoscopies in my history from 1998 through now. Two showed no problems (the first one and the one after being on pred for 3 years) and this last one showed less damage, but still showed the scarring and narrowing, just not a bleeding and raw looking colon = it usually looks like raw hamburger in color...it was more pink this time. As far as food goes, I am careful, but at some point, I have just said "whatever!!" and as long as I stick to the low residue diets and don't eat the raw vegetables. I will admit that I don't have the stamina to always stay "good" - I love salads, I love pecans (I do live in the south) - but it is rare, and I know the costs. Beans, and I am talking about a few tablespoons, not a whole cup or even a half a cup...mixed with some brown rice, boiled vegetables, etc. don't kill me, but they do affect me. I cannot eat eggs or cheeses - if I drink a small amount of milk (usually mixed with oatmeal) - I have used Almond milk or Silk - but budget-wise, it isn't always available for me. Lately, it has been a problem regardless of what I eat. I have not eaten in 5 days...drinking lots of water and broth...but nothing solid. No appetite. Does that make sense? I will ask my neurologist to help me again. I have seen a nutritionist, but may go back...I don't know. 24+ years and I am tired.
 
Hello again have you ever talked with your dr about using something stronger for your CD. Also I was wondering if you have any problems with your bones from being on prednisone for so long.

You said that you live in the south, so do I, I live in Mississippi and the drs here are lousy too. I hope that you find some answers soon and some relief. Have you tried ensure to help keep up your vitamin levels or at least some Gatorade to help fight off dehydration?
 
Hi, to you too! I hope you have had a good holiday. I have asked for something stronger, but I get the feeling that with me taking it 4x a day, I am maxed out....and yes, I have had lots of issues with my bones due to the prednisone. I have had problems with my teeth as well. I live in Mississippi, too. Difficult time with doctors all the way around, it took me a year to find my neurologist after getting the West Nile Virus...I got diagnosed right away by my GP, and had a neurologist who's mentality was that if I wasn't dead I was doing well. My nerve pain and headaches were terrible, I kept being told that I would feel better after a year. When I found my new doctor, I cried and cried telling her what I was going through, she was so helpful, so comforting and so patient with me. To this day if she is worried about something, she doesn't hesitate. She has helped me a lot.

Anyway, thanks for the support and well wishes. I have been drinking my gatorade, but I tried ensure and can barely stomach it...I know I should try harder....want to lose weight, have the energy to exercise (like walk - without pain), and eat properly so I am not so sick.

Thank you.
 

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