How to deal with getting back to work while untreated

Crohn's Disease Forum

Help Support Crohn's Disease Forum:

Joined
Aug 11, 2014
Messages
8
Location
Burlington,
Hello out there. I'm so thankful for this group. It has helped me tremendously over the past couple of weeks to read stories so similar to mine and to be able to see such a supportive and welcoming group.

WARNING - my post is long and I do apologize but wanted to be thorough.

I am a 48 year old female diagnosed with IBS 23 years ago. I've had many urinary issues and would be on Cipro for multiple UTIs over the past 10 years. 2 months ago I had what I thought was another UTI (lower back pain, bladder pain, frequency, urgency, pain down both sides of my waist). I have the Cipro script on hand due to the numerous UTIs so I rarely get a culture and sensitivity done to quickly get over the UTI.

I took 4 different antibiotics in a span of one month because they weren't helping with the intense abdominal pain. I feel this messed with my immune system and caused either a flareup of IBD or actually caused my first IBD incident. I had only experienced this level of abdominal pain twice - one in 1991 when I was diagnosed with IBS and 8 years ago when gluten sensitivity was discovered. Routinely the antibiotic clears up the pain and I'm back to normal. I've been gluten free for the past 8 years and had no GI symptoms aside from the normal D up to 4 times per day.

This bout of pain in June, the 4 different antibiotics and the fact that nothing helped clear up my symptoms led me to think about IBD specifically Crohn's. The more I researched this disease the more I felt I could have it:
• Smoker 30 years
• Diagnosed with IBS at the age of 26.
• Mother and maternal grandfather had bowel issues. Mom – chronic diarrhea for many years, grandfather had colostomy
• Daily migraines 10 years plus. Took ibuprofen almost daily for past 5 years (know now that NSAIDs are not helpful)
• Get sores in mouth. Most recently had increase of sores over past 2 months on a weekly basis with a metal like taste
• Skin - white bumps around ankles for a couple of years and red rash on upper chest for past year, rosacea for over 5 years, 4 small red bumps like a blood blister on legs and arm
• Eyes – irritated, extremely dry, tears burn. Treated for glaucoma for past 6 years and newest ophthalmologist does not think its glaucoma and took me off of treatment drops. Vision has deteriorated greatly over last two years
• Ears – have had sores and dry flakey skin inside for over 3 months – bilateral
• Joint pain – past 2 months have had pain in right middle finger, bilateral hip pain in July and neck/upper shldr pain for past week, constant jaw and cheek pain for 2 days (diagnosed with fibromyalgia 20 years ago)
• Pain in 17 areas of my body (lower back, waist, perineum, anus, all 4 abdominal quadrants, both shoulder blades, under both breasts in a sweeping band motion, below both ribs and predominantly between belly button and right breast with all areas ranging from dull and crampy, to pressure-like lasting hours to sharp stabbing pain causing me to jump out of my chair at work up to 30 times in past 2 months.
• Two previous colonoscopies were extremely painful - worse than childbirth for me.
• Multiple UTI’s and take antibiotics (last 5 years - Ciprofloxacin) at least 3 times/year for entire life. Was on a low dose of Cipro for nearly a year to clear up resistant symptoms of pain in bladder and lower back. Understand that Cipro is sometimes a treatment for IBD and the pain could have been from GI rather than urinary.
• Buscopan (anti spasmodic) made symptoms worse at end of 3.5 week course of antibiotics in July
• U/s during past 5 plus years have shown “fatty infiltration of liver”
• Need to take imodium/pepto bismol almost daily for past year. Took it occasionally for past 10 years.
• Nausea usually in morning started a year ago but since June has been almost daily. Either feel full or nauseated for past 2 months after eating half of normal serving
• On bland IBS diet (soup, toast, clear fluids, jello, probiotic yogurt, rice, applesauce, eggs and bananas) from July 8th until July 28th – when trying to introduce any food that I tolerated before this episode my pain increased
• Extreme fatigue
• Chills almost daily since July but no fever – goosebumps on arms and legs
• When abdominal pain is bad have had tremors in hands and a feeling of shakiness inside, brain fog worsens
• Since early 1990’s have had loose stools, rarely constipation. Usually floats and has consistency and colour of wet sand.
• Prior to June/July have at least 2 loose bm’s each morning and 1-2 more loose stools rest of day. Since July have had increase to 7 loose stools even on bland IBS diet.
• Pale coloured stools like ribbons, short and thin – light green, pale yellow while on bland diet.

Saw a greatly incompetent internist in July that determined from my intake questionnaire only that this was caused by stress, its only IBS and do I have a history of emotional/depressive/anxiety disorder without hearing my symptoms. Said he'd do a colonoscopy if I wanted but since my last one from 8 years ago he knew he wouldn't find anything. Physical exam included grabbing at my abdomen with his big meaty hands and pinching in 3 areas causing severe pain. It was by no means any type of palpation like a knowledgeable caring doctor would perform. His consult note indicated my vital signs and heart sounds were normal yet he never performed either of these exams on me.

U/s and xray were normal. Routine bloodwork has been normal (WBC and Sed rate). I asked for a c. diff test which I assume was normal since I haven't heard anything. Had to ask for a CT scan and will have it on Aug. 20th. Neither my GP nor the Internist did any other fecal tests. Wouldn't fecal tests be standard by this point to check for occult blood and any other indicators?

He did the scope this past Friday. I had propofol and thankfully was knocked out so not sure how long he scoped me or if I would have experienced severe pain. He hadn't seen me in 4 weeks and didn't ask me one question about my current state of health. Only told me to lay on my left side and back up toward him. Had to ask to talk to him afterward to determine next steps. Did not take any biopsies to check for microscopic inflammation or IBD markers and said "Normal scope. Must be IBS. Take more fibre. Nothing more I can do". After more pressing he admitted that he did see a couple of pockets of diverticula but I don't have diverticulitis. Asked him to read my list of symptoms above and told him I suspected Crohn's. After reluctantly reading my notes he said "No signs of inflammation so it can't be Crohn's" so I reminded him the scope can't reach into small bowel and I want a small bowel follow through done. He said he looked there and I gave up arguing with his level of incompetency then and the need to explain to him how short of a distance the scope can actually go into the small bowel. I believe he is setting up the small bowel follow through.

I felt violated and cheated once again by the healthcare system feeling like I need to beg to get any help. I went through this for IBS diagnosis, fibromyalgia diagnosis and gluten sensitivity. If you aren't in the classic cookie cutter group of visible symptoms where an illness pops out in the doctor's face they chalk it up to some flaky diagnosis without any real treatment plan.

I've been on short term disability for the past 4 weeks. I can't return to work feeling like a ticking time bomb and not knowing if I will have another episode of severe pain. I'm not being treated as there is no diagnosis other than IBS which I do not believe would cause these severe GI and extra intestinal symptoms. The first 4 weeks while on the antibiotics I was on/off work the entire time pushing myself to get in and then feeling absolutely horrible when I arrived and needing to leave early.

How do you manage being undiagnosed, untreated and basically unheard by a GI when you need to get back to life in general? My GP is great. I'm seeing her this coming Friday and I don't feel able to return to work without having any answers or a treatment plan. She might be willing to try me on some IBD meds on a trial basis but if they don't help I still need to see another GI for further investigation and if they do help I would need to have ongoing care from a GI. The wait to see another GI will be months in Ontario Canada.

The pain did subside some while on the bland diet but is that what I'm left with for now where my choice of foods is 6 things only and I still have pain and D? I'm still fatigued and basically need to lay down and rest most of the time. I strongly suspect the antibiotics caused this and it won't go away without the correct medication. My GP will do the bloodwork I've read about to test for IBD. Is there any med for IBD that could be used for a trial to help me?

Again I apologize for the length of my post and thank anyone that can help.
 
Last edited:
So sorry you have been having such a rough time. How the Internist treated you is totally unacceptable. Cannot believe he didn't run the proper stool tests or take any biopsies. Can your GP refer you to a respected GI on an emergency case? Looks like you have so much going on you need a specialist. I would show your GP the list you typed above and from there she can refer you to the types of Drs that you need to see.

I too believe what brought on my current flare/situation in 6/2013 was a prescription for Cipro for a sinus infection from there things went downhill to the point that I could not work due to the chronic/severe nausea/pain/diarrhea. We still don't have things under control but are working towards it - I'm on the bland diet for the last 2 months also - YUK!

I am very thankful for this forum also - sending you my support!!
 
Thanks Ali. Yes my GP will refer me to a good GI. I've found several in my area with good reviews on ratemd.com. I don't feel there will be any urgency to get in on an emergency basis though with all these negative tests and no signs of internal bleeding.

My GP is aware of most of my symptoms and I was first referred to a urologist and am seeing him on Wednesday. I really doubt this is related to urinary issues though. I now feel this seemingly underlying GI issue is causing the urinary symptoms. I read that IBD can aggravate this system as well.

The internist I saw didn't even comment when I mentioned that the multiple antibiotics I was on could have triggered this. He seemed to have no knowledge of such things or the slightest desire to entertain further testing based on my many symptoms that I think are very similar to Crohns.

2 months on a bland diet!! I've read in a lot of posts that some people can eat more foods and foods that used to aggravate them once they get on a good treatment plan. I sure hope that is the norm.
 
Hi Vicki.

You're treatment was terrible. I'm glad you have a new referral. I'm also in Burlington and see Dr. Marshall at McMaster. They have a fantastic clinic but yes, the wait list is long.

Sending you my support.
 
Update - GP is sending me for a small bowel follow through and is doing some blood tests but will not start me on any "IBD Meds" for a trial basis. She referred me to another GI doc thankfully Dr. Ronen Behar in Oakville. He has great reviews on ratemds.com and his secretary confirmed she is booking now for Sept. 24th so not too long of a wait hopefully.

What I found odd was when my husband asked my GP directly "do you think this could be Crohn's" she replied "It is not typical. There is no blood and not a huge weight loss". I respectfully told her that what I have learned through my research is that there isn't always bleeding with Crohn's. She did not appear to agree with me. I've just researched this again and found yes that a lot of people diagnosed with Crohn's have not had active bleeding even during a flare up. I've only lost 8 pounds in 2 months. Hmmmm...I'm not impressed if doctors expect bleeding and severe weight loss then perhaps they won't investigate Crohn's further based on that opinion.

Very glad to be seeing another GI. Wish doctors would open up their minds...
 
I spoke too soon! The GI doc I was referred to won't see me for an entire year because its a second opinion!! Are you kidding me? Daily moderate to severe abdominal pain for 10 weeks and no treatment but I should wait a year to get help. The office staff confirmed a month wait before I got the referral and don't bother to tell you about the "office policy" on 2nd opinions needing to wait a year. I got so discouraged I paid for a consult from an online doc who thinks it may be SIBO. Got more help and information from him during the 5 min email exchange than I have in the past 10 weeks! Hope my GP will read his email, test for SIBO and try a trial dose of meds. Back to begging her for anything to try and treat this.
 

Latest posts

Back
Top