In Major need of some advice regarding these new issues

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I am seeking some advice from those who have had crohns and additional issues that they were having trouble getting resloved.

Within a short time frame (2-3 months), I have found that I have crohn's disease, ulcers in my colon, continued colitis, hypoglycemia, Low B12 (210 with normal rang as 247-911), my gallbladder only has an ejection fraction of 25%, ileum shows opacification, thin amount of fluid in the endometrial canal, distended pelvic vessels feeding the uterus bilaterally (vericosity), ovarian cyst on my right ovary, hematuria (blood in urine constant since February of this year), recurrent urinary tract infections (Constant since February of this year), I have contracted C. Diff due to the fact that I kept getting antibiotics for my UTI's and such that were too strong apparently for someone with crohn's, I know of three ocassions where I passed kidney stones, I have bladder and colon spasms constantly, fibromyalgia, and possibly cluster migraines. I absolutly feel like crap all day every day, and this pain in my abdomin and right rib cage in my back and side as well as my belly button is killing me. The pain doesn't bother me as much as the mental aspect. I cannot think, I black out, I have dizzy spells, loose vision, sensitivity to light, and cannot function due to lack of mentally being where my body is physically located.

I have heard that with my B12 and gallbaldder problems, these are common symptoms. HOwever, I had to be for over 2 months for the B12 test and it took my mom asking before they would give it. Then instead of calling to let me know, my GI's office waited until I saw the doctor the next week, which was not a test follow up, but a regularly scheduled appointment, to tell me the results. Then instead of doing anything, even a temporary something until I could get in with my PCP, he told me that I had to call and get them to administer the shot... Which took another week. They didn't even fax the results to the doctor after I asked and they told me twice that they did. Thank goodness they work for the same hospital and I had it done at the hospital so that the doctor could pull the info off the system instead of me having to wait another 2 weeks for test results and an appointment. I keep getting told that I have anxiety and depression and that is what my problem is. However, I do not feel depressed or anxious, nor do I have anxiety attacks, my breathing issue at random was due to the B12 low. I do not get upset or down. Frustrated with the doctors, yes I do because I am missing work just for them to not test and to put me off. I have a life to live too you know. The issues make it hard enough, why do they feel they need to make it harder?

I now have a neurologist, urologist, PCP, GI, OBGYN, and an oncologist (just yearly with him b/c breast cancer runs in my family and I am fibroscystic). However, I am still not getting anywhere, and when the tests show problems, they just get shoved aside, and more medicine is added to my list. I just added vallum and some other thing I can't rember today alone. I also learned that they put me on apriso for the cronh's to keep the colitis maintained. The problem with that is that they never got it down to begin with. How can you maintain something that was never resoloved? I still bleed everytime I use the rest room, but because I am not having diarrehea or a fever of 101, it is not considered a problem. I run a fever every day that starts at 98.9 and works it's way to 99.9 and back again. It fluctuates all day, and I get cold chills on and off.

As far as my gallbladder test goes, I had that done 2 weeks ago, and requested for it from OB because he took one look at me and wanted to know what he could do to help because I just looked like I felt like crap. I explained everything, and he ordered quite a few tests. The lupus and another test I can't remember were negative, but the HIDA scan and intravaginal ultrasound showed abnormalities.

My GI did not want to look further because he thinks removing my uterus will solve the problems, but that is a big deal, and the one who knows all about uteruses says that the he has seen way worse, and removing my gallbladder should make me feel 10 times better, but he wants the GI to make that call since it is more his speciality. Now that I have the test, he will have to look, hopefully. THis weird metallic taste in my mouth is killing my taste buds, and I cannot eat due to the pain, constant spasms, and 24 hour long nausea...

I faxed it as soon as I got the results and called the nurse to let her know, and she said, "Just bring it when you come in two weeks." If removing my gallbladder will make me feel better, please do so! I have had a B12 shot for 7 business days straight, and I am not feeling any better at all. So if it is B12 low and gallbladder together, please take it! I am desperate, and I can't seem to get any relief or help from anyone. My attitude is not that of poor pitful me, because there are many people out there that are way worse off as me, and I still get to work, school, and take care of my child. It is very hard to keep up and very energy draining, but until they do something, I still have to live my life. I have always pushed myself to the limits and that is all I have known how to do.

My pain in my right rib cage, side and lower abdomen is now constant and not just coming and going anymore. I can't sleep because it hurts so bad, and I do not want to take pain medicine because I will have issues waking up. I itch all night long, which I believe is a reaction to one of the 10,000 meds they have me on that are not making life any better. I am having trouble urinating, and have to squeeze it out now as well. I keep all of them up to date with my meds list, I carry it around with me so that they all have it. Surely if something didn't mix they woudl catch that??? Also, since my urologist is making me take antibiotics every night, i believe they have messed up my birth control shot, which is what keeps me from getting ovarian cysts. So now, I have an ovarian cyst and haven't had a menstral cycle since June of this year.

So has anyone else had all this happen at once and not getting any help or relief? If so, how did you resolve it? I really just want to go to the Emergency room with my HIDA scan results and beg them to please remove it because I am hurting so bad, this taste is disgusting, I feel like I have the flu and this nausea is unbareable. I know that if I go there, they will rule a UTI ignore what tests I give them and send me home. Therefore, it is a waste of my time as it has been each and everytime I have been there. I thought doctors were supposed to be caring and want you to feel better. It isn't that anything is made up, I have the test results to prove it. I understand that they get mad at me because I keep proving them wrong when they get the tests, but I cannot sit back and wait. Afterall, even my crohn's meds when they saw the active colitis and ulcers were not the type to heal anything, but to maintain something. I do not want to maintain all this inflammation. Last question, could it possibly be something else that is causing all of this to happen at once? How can one body just go crazy like this in a short time frame? Also, I have buldging disc in my L4, L5 and S1 with bones spurs that I have had for awhile. I got my shots back in 2011, so I rule out menegitis from them :)... Can a bone spur get loose, or the disc push on something, causing neuropathy that is making my brain send signals to my body that create these problems? As you see I am desperate for some answer and to get somewhere anywhere, but continuing to get worse while these doctors keep adding all this dang medication....

Thanks for reading this
Ashley

My current meds are (It seem a lot too much in my opinion):
1. Adderall 30mg once daily (only thing that gives me a few hours of concentration)
2. Depo-vera shot (BC) once every 3 months
3. Fish Oil with omega 3 (For hypglycemia because I don't like fish)
4. Multivitamin with Omega 3 and DHA (I cannot get nutrients and I'm tired of my hair falling out, so I needed to try something - did this on my own, no help with diet or vitamins even with the hypoglycemia and crohn's diagnosis)
5. Phenagran (PRN- which I do not take unless I am on my death bed because it is a narcotic and I hate the way they make me feel)
6. Hyomax (1 every 12 hours for colon spasms)
7. Veslcare (one a day for bladder spasms)
8. demerol (PRN - only take when I am on my death bed because once again a narcotic and I hate the way they make me feel)
9. doxycyline (For the continuation of white blood cells inurine and hematuria)
10. apriso (4 a day for "Maintenance" of the colon)
11. phillips colon health (Probiotic, one a day to keep me from getting C.Diff again)
12. Budesonide (steriod to get the inflammation down - not working by the way)
13. B12 injections
14. Valuum (haven't filled, don't really want to)
15. Some other medication given by my neurologist (not filled yet and prescription is in the car so I can't remember)
 
I'm gonna start by running through your med list.

Adderall can cause nausea and a possible more serious side effect is itching. Might want to bring that up with whoever prescribed it. http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0000166/

Depo-vera shot is known for stopping periods. Can also cause nausea, headaches, abdominal pain and dizziness. http://contraception.about.com/od/depoprovera/tp/Common-Depo-Provera-Side-Effects.htm

Hyomax can cause dizziness/lightheadedness, headaches, and difficulty urinating. http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0000811/

Veslcare can cause stomach pain, constipation, bloody urine, and back pain. http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0000302/

Doxycyline can cause severe headaches, itching, stomach pain and decreased urination (all listed under more serious side effects, you should contact your doctor who prescribed this med). http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0000563/

Apriso can cause headaches, back pain, nausea, flu like symptoms, urinating more or less often, blood in urine and confusion. Some of these are listed as more serious side effects so again, you should talk to your doctor (GI). http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0000880/

Budesonide/Entocort can cause dizziness, headaches, nausea, abdominal pain, back pain, PAIN (was just listed in general so I guess that means anywhere on the body), itching, and fevers. Some of these are listed as more serious side effects so again gotta see your GI. http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0000434/

I didn't do the multi vits, B12 shot, probiotics etc because its not common to have side effects from those although here's info on possible B12 shot reactions: http://vitamins.lovetoknow.com/Vitamin_B12_Injections_Side_Effects I've never had a reaction from mine and I rarely see it mentioned on the forum (actually only saw it mentioned once this year since I joined the forum).

Now its entirely possible that you're dealing with side effects from some of those meds and its gonna be hard to pin point what's doing what since many of them have the same if not at least similar side effects. I'll also mention that many did mention constipation as a side effect since you said you don't have diarrhea yet are clearly bleeding. Its possible that you could have diarrhea on top of everything else but some of the meds might be constipating you (constipation also brings abdominal pain yet so does inflammation and scar tissue etc).

When someone has multiple health issues you have to really stay on top of how you're feeling when you start a new medication. Keep a log of any symptoms you feel (how bad, how long did it take to go away or has it gone away etc) this way your doctor will be able to tell if that's a good med for you or if you need to try something else.

I have multiple health conditions as well and have to stay on top of my own health. None of these doctors talk to each other so you have to do a lot of advocating for yourself. Its hard and gets very frustrating when you're sent back and forth between doctors. My advice would be to keep forcing the issue. If ____ doctor doesn't want to remove your gall bladder, fine, have _____ doctor do it. If they wont then find someone who will. If you're sure that that's the issue then keep trying and use the ER when needed. The ER wont remove it unless its killing you. They'll just send you to "your regular doctor." I don't have a regular one. I've got TONS!

How long have you been on the Apriso and Entocort for? I know both can take some time to do anything.

If your GI is sitting on their hands and just letting you bleed and suffer, you need a new GI ASAP. It can sometimes take a few doctors to find the right GI for you. There are a lot of good doctors out there so don't give up!

Have you had an ultrasound on your kidneys since you have blood in your urine? If not, might want to request that.

Have you had all of your vitamin levels tested? Not just the B12 but Iron, folic acid, potassium, Magnesium, Vit A, B, C, D, E, K, Zinc etc? Even a deficiency in some of those can bring on some pretty awful symptoms (including headaches and dizzy spells etc). http://www.crohnsforum.com/wiki/Vitamin-and-Mineral-Deficiencies

If I missed anything in your post (or missed the point entirely :p) let me know and I'll try again. It is possible to have a lot of different issues going on all at once but its also possible that IBD is playing a HUGE role in everything you're dealing with. Get that under control (I think with a new GI just from what I read) and go from there. Keep us posted! :)

Edit: Forgot about the bonespurs! My grandma said the one on her foot broke off inside and hasn't bothered her since (was years back). Said it was painful as hell. My husband also has bonespurs in his foot yet they are still there. Mayo Clinic says they are common with osteoarthritis (oh boy, I have that too no spurs yet though). Have you been tested for arthritis (an x-ray will show arthritis)? http://www.mayoclinic.com/health/bone-spurs/DS00627 Hopefully you'll find the info you're looking for in that link if not, I'll try again.
 
THanks for your feedback. The only medicine in that list that I have been taking over 2 months is hte adderall. I didn't get these symptoms when I started the adderall, it all happened about a year and a half after I started taking it. THe other meds I got put on because of all those symptoms I was having. I went in for my last daily B12 shot at my PCP two days ago and was in so much pain that they changed my visit from injection to Dr. visit. After he looked at my HIDA scan and was poking my belly and stuff. THen he calle a surgeon immidiatly and was able to get me in that day. My surgery was yesterday at 10:00am and now my gallbladder is gone. I still have surgery pains, but you know what is awesome! I can concentrate, I am not fatiqued this morning, and I got up really early when I didn't have to. So I hope that was that problem and it is resolved. However, that surgeon said that my colon was two times to big for my body and might be causing the extra pains in the abdomen and did not think it was the vericosity in my uterus. So both surgeons who actully went in to look at organs from the outside and saw how everything looked outside anyway, looks at my bowel and colon and says that has to be it. The ones who haven't, say it is my uterus. So I am going with my colon for sure, and I am definitly going to find a new GI, because i started my sterriods two weeks ago, and no improvement! I have been on meds for crohn's since July of this year, the apriso and no change in any of the CT's I have had after, no change in the abdomen pain. WHen I told him the apriso wasn't helping, he said that it was because I gained 4 pounds and didn't have diarrehia anymore. I asked about the constipation from other meds, and he said that it would be impossible. I was thinking, "I don't think so" but whatever you say. Also, I have been verying between 120 and 127 for a few months. THey are not keeping in mind that I told them I was 155 and within 2months (i kid you not) 120. THat was drastic, and I didn't diet or anything like that, it just fell off. Doctors were concerned, back then because it was before I had the first surgery that found the bowel issues for me to see a GI for. Also, I am 5'8 and I was 127 the one week I was in there and then 123 the next. I tried to tell them that is just how it is with me, but they don't listen. The nurse practioner told me that 127 was a good weight for me... HAHAHAHAHA.. Are you kdding me? 127 is not a good, healthy weight at 5'8. My BMI was 19 so that was good too. Yes BMI being low is good for someone who is active, but I don't even walk the stairs because I always feel like crap. I though the average woman was 22 anyway.

Isn't there a colon cleanser out there that is specific for cleaning out your system; not just drinking the crap out of some miralax or something gross like that. I thought there was like a herbal treatment or something for that.

I have asked to be tested for all viatmin deficiencies since they kept saying I was malnurtied, but now they haven't done blook work on any of the other vitamin deficiencies. I had to beg for the B12 for two months, was told that there was no way, and then my mome made them.. So I can't get tested for hardly anything without me begging for a long time or my mommy doing it for me, which is sad. The reason it is sad is because I have all these symptoms and all these issues, and if you put 2 plus 2 together, you would think they would want to test becauser of the issues crohn's can bring out on your body alone.

Also I had a blood test about 4 years ago for arthritis, and I didn't have it. My thyroid has also been checked as well, and no problems with it either.

As far as my kidney's go, I have asked for the ER and my doctors to check them multiple times, but since they filter correctly according to the urine tests that they give, they do not go any further. But it took someone looking into my stomache to see a colon/bowel problem after begging, and guess what there was one. My blood work is always perfect, so they do not go any further. Also, my gallbladder showed no stones, and my liver enzymes were normal, and when they finally did the HIDA scan, it showed that it was abnormal with a problem that could possibly go away if it is removed. So because of my blood work and urine tests, they don't go past UTIs. I have to get a cystoscopy next week. I don't think there is any cancer because my blood work should be off somewhere if that were the case, but she wanted to make sure. Might as well do it to definitly make sure that isn't a problem. I need to call them becuse I do not know how long you need to wait after suregery before doing something like that.

So no matter what this nurse says, and this GI Doctor, alot of this is realted to Crohn's and it is time for a new GI. Also, if my urologist doesn't check my kideneys, I am going to ask her too as a just in case feature. Don't need those failing, espcially since urinating is so difficult these days.

I am hoping I am down the list of doctros and stuff, and can get back to normalhood :)

I only asked about the bone spurs, because sometimes your back, when you have the buldging discs/bone spurs near your spine, can cause them to pinch one of your nerves causing neropathy and all the crazy stuff that happnes with that.
 
Hi Ashley,

First off, I am sorry you are dealing with all this. I also have urinary issues. I was diagnosed with Interstitial cystitis back in 2006. I also have the chronic UTI's. I was forced to be on a low dose antibitoic daily for the last 5 years to help prevent the UTI's.

Have you ever been checked for IC ( interstitial cystitis)?? IC can cause WBC's in the urine. Did anyone ever look inside your bladder? IC can cause a lot of extreme pelvic pain.

I am not sure if I would rush out and have your uterus removed. I mean what was the reason given for them to suggest to have it removed? I highly doubt that would take all your pain away. I think it would make things worse, especially you being prone to getting UTI's and all. It is a tough call.

I know how hard it is dealing with doctors. It is unfortunte, but they just do not know a lot about these chronic illnesses it seems. You kind of have to be your own advocate most of the time. You know your body better than anyone else. I hope you get some help and start to feel better soon.
 
No i have not been tested for IC and nobody has been indside my bladder... i could not even get a simple vitamin deficiency test easily...lol... however, i do have my cystoscopy scheduled for next week for her to.look in my bladder..so that is in the future. The reaaon they wanted to remove my uterus is bc of the vericosity and secretion of something around the area... if my OB thought i should remove it, i would..but he says that he has seen ten times worse with no pain...i have to be on this low dose antibiotic for at least five months... i cannot afford to pay for all these meds...its getting rediculous... if they eould just test it all then we can go ab our business... my colon should have gone down by now and it hasnt..i called a new GI office today and hopefully i can get in over there....thanks for the info
 
What's your insurance? Do you qualify for Medicaid? If so they would cover your prescriptions, tests and doctor visits.
 
Wow. I can't imagine what you are going through, and I honestly don't have advice to give but I just wanted to let you know that I am here for you if you need to talk. please keep us all updated
 
Crabby, I have BCBS of TN network P. I don't think I qualify for medicaid.

Afidz, Thank you for your support. I actually feel much better since my gallbladder was removed as far as my mental game goes. I have more energy and everything. I still have all the pain, but that is fine. I just want to function in the world. As long as I am mentally there, I feel like I can. I just hope that I didn't end up loosing my job after all this. I still have a couple waves of doctor's visits to go... My back is absolutly killing me because of the constipation from surgery. I tried laxatives, milk of magnesia, and was going to do an enema but my GI doctor's office advised me not to because it is bad when your Crohn's is active.... Well how is someone with an IBD supposed ot get relief.. Lol... I tell you what if it isn't one thing it is another... but I am exteremly happy because i have energy.. woohoo!
 

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