Is this a Humira or Crohns problem ? (its a lengthy read)

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I am hoping someone could help me figure out what in heaven’s sake is going on. I am at my wits end with this Crohns disease and trying to figure out what it’s doing to my body.

I started Humira last April, one month after being dx’d after being hospitalized with a bowel obstruction. It appeared Humira was not strong enough, once tapering to 15 mg of Prednisone, again hospitalized for bowel obstruction. Imuran added, Prednisone bumped back up. After adding the Imuran, I began having just partial obstructions, most I was able to clear at home by remaining NPO for a day or so, but they would wax and wane. Essentially ended up having surgery, after having a reaction to Imuran. I had a nasty bout of vomiting and some nasty relentless nausea with it.

I had 25.5 cm of terminal ileum removed, ileocecal valve with appendectomy (adhesions) and 6.5 cm of colon removed. Recovery was slow, probably r/t all the drugs as I had no real break between the triple immunotherapy and surgery. Initially had 15+ episodes of bile acid diarrhea for about 3 weeks, was given Questran. Worked well, even with very small doses. After about a month of use, horrendous nausea and I felt like my meals would just sit in the pit of my stomach for hours. Stopped the Questran, magically diarrhea did not return to the pre-Questran amount and nausea greatly subsided. But oddly, nausea returned a little bit later. I have since been eating Zofran like candy.

Restarted Humira after a 6 week break to allow for healing post-surgery. Each time I inject within a day or so, horrendous nausea, increased diarrhea and migrating “arthralgia’s”. I just feel like total crapola! I have lost 13 lbs in about 3 weeks. I have never lost weight like this. This was not a problem with Humira before, other than occasional joint pain, usually to knees bilaterally. I did go off the Humira after I restarted for about three weeks after getting a nasty cold with fever. I did not intend on going that long without it, but I realized I felt better, no nausea, energy and generally felt normal. I convinced myself it was coincidental and if I wanted to stay like this, I had better take my Humira. I did.

Like clockwork, unrelentless nausea, not really relieved by meds, food, typical remedies, increased diarrhea and feeling really yuck. I stopped it again for another couple weeks. Symptoms disappeared. I injected and same result as before. I let my GI know and we have decided to stop the Humira and go for about 3 months, med free with the possibility of starting Cimzia in June.

I don’t know which I should hate, the drugs or the Crohns. I don’t want to go untreated, but if the meds make me feel this way, I can’t do it. The Crohns before diagnosis caused a lot of pain, but over the years I became pretty accustomed to it. I NEVER had nausea until I was diagnosed and would wait too long to get treatment with the bowel obstructions. Once the pain was controlled, I was fine. Nausea and/or vomiting is torture to me. I can handle pain, diarrhea, joint pain, etc, etc, etc….I have reached my limits with the nausea. It’s the one symptom I can’t hide from people. I am pretty private about my disease. I work full time and the last worry I need is my employer thinking I am liability and I need my job and income. Otherwise I would be homeless and uninsured. I need to get myself straight and I don’t know how too and my GI isn’t really being aggressive enough in his investigatory efforts.
 
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With all of your nausea, vomiting, and feeling like food is sitting in your stomach, Gastroparesis comes to mind. Have you been tested for this? Your GI should have at least thought about that...A simple gastric emptying scan could diagnose/rule that out.

With Humira, you probably just built up antibodies while you were off of it. That would give you the joint pain, fatigue, and even diarrhea shortly after you inject. I think the Cimzia is a good option. There is a very small chance of building up antibodies to it as it doesn't have as much mouse protein as Humira (mouse protein is what we react to, either in the form of allergic reaction or building antibodies).

If you feel like your GI is not working hard enough to make you better, then perhaps you should switch. I have gone through 5 GIs and am going to see my 6th tomorrow. I know that sounds awful, but finding a good doctor is like finding a good recipe; it takes some trial and error before getting it just right.

I know that it doesn't feel like this will ever get better, but let me tell you a secret; it will. One day you will wake up and feel GREAT. Just hang in there for a bit longer, yeah?
 
Steph:
I had problems with Humira and Imuran - nausea, fevers, joint pain (to the point where I could barely walk)! Finally my GI agreed and we stopped both and switched to Methotrexate and Remicade. What a difference!

Don't write off all Crohns medications - a change may be all you need. Leaving the Crohns untreated can result in much worse situations including colon cancer. It sounds like your GI is taking the right steps.

Take care!
 
Thank guys! It is very upsetting at times because its such a rapidly changing disease and I feel like I cant keep up. I am always wondering what's it going to be next and I am really frustrated with all the changes it has already made to my life. Yesterday I felt fantastic? Today, nausea and diarrhea ( I consider the diarrhea to be normal), just as the day before with no appetite. It tires me out especially with working and teaching and trying to hide it all, too. Luckily I can usually go home to a very understanding husband and just pop my Phenergan and go to bed and hope to wake up the next day to some relief like I did yesterday. Its certainly no fun not ever being able to feel like you can plan ahead because you cant predict you'll feel well. I feel like I have hit rock bottom and I unfortunately picked up a cigarette on one of my bad days last week. I just undid all that hard work. I stopped when I was diagnosed, hoping it would alter the course of the disease and I feel so isolated by it at times I resorted to this. Ugh. One of my family members lashed out at me for it, which made the situation worse. This disease really is just too much sometimes. I feel like such a negative Nellie.
 
You are not being negative, you are just struggling at the moment. What you are feeling is completely normal. Now, I know this is not for everyone, but when I was going through a rough time I went to counseling. It helped a lot and I was able to talk to someone outside of my family and friends about my illness and emotions. Being sick is hard, you have the right to feel bad and upset sometimes. Please know that I am thinking of you and keeping you in my prayers.
 
Stephn0287
Your posting , even though you had surgery sounds like your Crohns symtpoms might not be "severe" . I know I fought going on Humira , I tried everything - weaning to 5MG of Prednisone - which is a very save daily dose they have studied for Rheumatoid Arthritis. I tried LDN - which is also very safe, it worked but not enough for my Crohns symptomm. I would have nightly fevers, Diarrhea, aadbdominal pain, bleeding in stools, perianal disease , and of course the ulcers destroying my colon.
I just want to make sure your crohns is severe because if its mild, you might want to consider alternative treatments if you havent tried them. Humira works well for me - remission fro 2.5 years but there are side effects and if LDN or mp6 or Prednisone would have worked I would have stayed with them.

Dx'd JAN ,3/2013
Meds: AZA, Lialdo .. almost no effect
LDN - 4 months - mild help,
Preg - 1 year on/off - good effect
humira 2.5 years - remission
 
Hi Steph.
What Essielv said is probably totally correct.
If you are going to take biologics it's extremely important you take them regularly. If you stop and start again good chance they won't work .
With this disease if something works hold on for dear life.
BTW cannabis can help with nausea and other symptoms
Just sayin.
 
Hi everyone. Was just wondering if anyone has been on humira for longer then 5 years? And if so what side effects? And how has it worked for u? I'm looking to start this drug soon as I have been on prednisone for at least 10 years. I'm just a little worried of the side effects and long term use of humira. Prednisone has worked for me but it too has some severe long term effects and I have started to form fistulas also which humira is suppose to help heal and help from happening again.
 

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