Long time crohnie, first time poster

Crohn's Disease Forum

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Joined
Mar 23, 2009
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Hi all

I stumbled onto this forum about two months ago and I've finally decided to introduce myself and tell my story. First of all let me say that I've really been impressed by the amount of support and understanding that I've seen exhibited by all the members. It's good to know that there are others out there who share my experience and know a little about what I'm going through.

Here's my story:

The first signs of trouble came in 2001, I was 18 years old and just starting university. I lost my appetite completely and lost over 15kg in about 2 months. I also suffered from mouth ulcers and stomach pains. I resisted my parent's pleas to see a doctor for well over 3 months. I have a laid back personality where I'd rather let things sort themselves out rather than try to figure what the issue is and solve it myself. So I sat on the problem and hoped that it would go away - it didn't. Eventually I saw the GP who immediately ordered blood tests, colonoscopy, gastroscopy, barium meal, utrasound and probably a whole bunch of other things that I've forgotten about. Anyway the end result was that he didn't know exactly what it was but he thought it was probably IBD.

I was refered to a GI specialist who decided to run ran his own tests and finally diagnosed me with crohn's. Of course this all didn't happen overnight. I think it took the best part of 01 before I had a definitive diagnosis of what I had. During this time I suffered from the above mentioned symptoms together with severe lethargy and exhaustion and just a general lack of interest in anything. I did extremely badly in uni, I went from being a top performer in high school to failing virtually every subject I did in my first year. I remember several occasions where I spent no more than 15 minutes at uni before deciding to go back home because I was in pain or I just couldn't muster the energy or the interest.

I was put on mesalazine and pred as well as iron tablets to combat the anemia that I had developed. I had a bad reaction to mesalazine and was put on imuran instead. This calmed the symptoms down and I was able to put some kilos back on. But by this time the crohn's had wreaked havoc on my life. I had two years of very bad uni grades leading to a year's suspension, I lost contact with most of my friends and I my mental state was the worst that it has been my whole life.

In 03 I was able to ween myself off the pred without a recurrence of the symptoms until I was only on the imuran (100 mg). My GI told that I was in remission and I thought that the worst of it was over. I got back into university and started to get good grades and I switched my degree to something that I enjoyed. Things were looking up.

Unfortunately this did not last long. By late 04 the symptoms had returned, only worse. I didn't get mouth ulcers anymore but these were replaced by violent and sudden diarrhea and acute stomach pains whenever I put anything in my mouth. I also got pains down my left leg every time I took a dump. My specialist told me that I would probably need an operation and carried out a bunch of test including CT scan and barium meal test. Unfortunately these did not reveal just how mangled my insides had become.

I saw a surgeon in early 05 and we set a date for an operation. But before this date arrived I suffered from a bowel obstruction that had me rushing to the emergency room. That night I suffered from the worst pain I felt before or since - despite everything else that I've since been through. The surgeon decided to do the operation then and there. He told me that it would mostly likely be a small rececssion that he'd be able to do with a keyhole incision. But like I said earlier, no one had realised how damaged my intestines were. They ended up having to make a large incision and recect about 50cm from the terminal ilium and sigmoid. There was so much adhesion that it took them 4 hours to pull my intestines apart and there was even a danger that my bladder could have been permanently damaged. You know your an unusual case when the surgical registrar gets excited describing the surgery to you - it reminded me of a Seinfeld joke.

In order to allow my bowel to heal properly I had a temporary illeostomy put in. It was removed after 12 weeks, but not before several embarrassing incidents and much heartache.

After the operation I was transferred to GI doc who specialises in Crohn's. For the next two years I settled into a routine of upping my pred, and then trying to ween off it in combination with something new that we hoped would work - it never did. This included ever increasing doses of Imuran (up to 250mg); HUMIRA which worked for about three months; and most recently Remicade which seemed to work until I had a flair up about three weeks ago. I have now switched the Imuran to methotrexate injections and I'm again going through the weening cycle.

In the meantime I graduated from uni in 07 and was lucky enough to land a good first job with a large pharmaceutical concern. Unfortunately in May last year a CT scan revealed several strictures that needed to be operated on. This time they did a strictureplasty rather than a rececssion (I'd already lost enough bowel). I recovered from the surgery in time to find out that I'd lost my job due to a corporate restructure and the world financial markets were in melt down. So I've been looking for a job since - yet another time when Crohns has stuffed up my plans and ambitions.

Anyway, I probably shouldn't complain, after reading these forums I realised that many people have gone through a lot worse. Sorry about the essay, I don't expect people to read it all but it's good to vent. In fact looking at it now it probably doesn't say half the story, but I'm sure you all know what the life of a Crohnie is like.

p.s. Did I mention I have osteoperosis at 25? Turns out taking high doses of pred for such a long time destroys your bones. I'm taking pamidronate infusions as well as calcium and vitamin D for it.

That's enough for now. Thanks for reading.
 
Thanks for the thoughts Amy. I think everyone's experiences with this disease are a bit different. You just have to roll with the punches and handle what ever comes up in your own way as best as you can.
 
Hey.... i feel so sorry for you.... what hell you have been through...I am just newly diagnosed about 6 weeks and its a bitch of a disease that is for sure...strictures what are they??? I have not been told much about crohns from my specialist or Doctor so find this forum very helpful in answering my questions... Anyway im rambling hope you feel better soon xxx
 
:( i'm so sorry you've had your life touched in so many ways by Crohn's. jeez it doesn't half make its presence known, huh?

my surgery story is a bit similar.. they told me 'small resection', turned out to be loss of most of my large bowel and major complications, and yes i know that feeling where you feel like a medical marvel - i remember my surgeon bringing loads of students round to ask me questions, prod me, listen to my operation notes lol

how are you feeling now? do you feel the Crohn's is under control at last? good luck with finding a job - that's just one more negative you could have done without :(
 
dingbat said:
i remember my surgeon bringing loads of students round to ask me questions, prod me, listen to my operation notes lol
he he, i used to love that in hospital, made me feel more important that the others in my ward (usually boring ol' cancer patients;))

hi Raf! welcome to the forums:D
 
Hi Everyone

Thanks for the kind words. It's just great to vent to people that know what I'm going through.

Aimee - strictures are a section of bowel that have narrowed or been damaged permanently due to crohns inflammation. It usually causes pain and sometimes blockages. They're treated either by resecting that area of bowel or doing a strictureplasty which basically opens up the area without having to take it out.

Dingbat - I'm not feeling too bad at the moment. Like I said I'm on remicade but I had a small flair about a month ago. I'm now trying methotrexate instead of the Imuran and I've upped my pred. The other option is to go to six week remi doses. I just need to find something that will let me get off the prednisone. It's good because I know that it will work every time, but it just causes so many other problems.
 
jed said:
he he, i used to love that in hospital, made me feel more important that the others in my ward (usually boring ol' cancer patients;))

hi Raf! welcome to the forums:D

This happened to me too a couple of times.
I've heard there is one crhonie in 200.00; we are “special”.
 
Hey, Raf. Welcome.

Like you, I found out I'm allergic to the ASA drugs. Been on pred since Sept and starting to taper and pump up the 6-mp drugs. You're not the only one.

Hang in there and continue to post.
 
Thanks again for the kind words. I was just wondering whether anyone else has had issues with bone density (osteoperosis) due to the prednisone. I was diagnosed early last year, like I said I'm currently on pamidronate infusions and vitamin D and calcium supplements. Has anyone had similar experiences? Can the bone density be regained with the treatments that I'm on?

Thanks
 
Hi Raf and welcome to the Crohn's Forum! :)

You have really had a time of it haven't you!
You've come to the right place for support...
and help with just about anything you have questions about.

Sorry I can't help you with the regaining of bone density question...
but, I'm sure there are plenty on here who can try.

Make yourself at home...
Once again..welcome! :)

Nancy.
 
HI:

I hope everthing starts looking up for you now. You sure went through hell and my story dwarfs in comparison to yours. I wish you all the best. Take care.
 
Welcome to the long timers club. I was diagnosed in 1996. My case has also recently taken a turn for the worse. But hey! Keep your chin up and live to fight another day!

Dan
 
:welcome:

It took me a while to get here but I'm only 24 and I think the pred is seriously making everything for me so much worse so, yea, I can believe at 25 you have osteoperosis. I have always had bone, muscle, and joint issues, but lately these past coupple months they have got to be a hundred times worse.

Take care and keep us updated
 
Pred and I don't get along at all, besides mental trouble it gives me alot of joint pain. I dated a guy who was on it from early childhood until his teens and caused damage to his bone density and blood flow to the bones, he had to have his hip replaced and was only 28. That's after over a decade of constant high dosage though. I wonder why doctors don't routinely watch out for effects like that when someone is on pred like they do with my blood sugars and seroquel.
 
Hip replacement at 28? Ouch!
I was considered young at 50!
No-one ever admitted there was a link between the pred I took for two years at the age of 16-18 and the unexplained hip pain I started getting at the same time. I kept bringing it up and a succession of ortho docs just denied it at the merest suggestion
 
I was told from the time that I started taking it that pred might cause issues with my bones. But it was one of a million things I was being bombarded with at the time, that was just after I was diagnosed. Plus I was only 18, and probably not too interested in taking a proactive approach to my health despite the fact I had Crohn's.

I only had my first bone density test last year, 6-7 years after I first started taking prednisone. So I guess the lesson for those who are on prednisone is to suggest to your doc that you keep an eye on your bones, and start taking calcium and vitamin D supplements as a precaution.
 
Just an update. I went to sleep last night with a bloated feeling like I needed to have a BM - But nothing came out despite 3 separate attempts. I woke up around 3am with really bad cramping pain in the lower left abdomen (this is usually where I get pain). This lasted for about 1.5 hours with the pain coming in waves, like the intestines trying to pass material through but not being able to.

Eventually I began to feel nauseous and I started having this internal battle with myself that I usually have in this situation. I've developed a good tolerance with most things associated with this disease, but I absolutely hate throwing up. But I also know from experience that throwing up would likely relieve the pain.

So I'm sitting there in pain feeling nauseous but desperately trying to resist throwing up. Eventually I couldn't resist any more, and as expected the pain went away soon after I threw up.

Why did this happen? I'm guessing it has something with the raw carrot that I ate in the afternoon, this is the second time that I've had this sort of episode after eating it. I guess there were large chunks that were difficult to pass through - I need to chew my food better.

The other possibility is I have another stricture - god I hope not, I don't want another operation. I have an appointment with my GI specialist on Thursday so we'll see what she says.

Sorry for the long post. I think writing the incident out like this helps to me analyse it and make sense of it in my mind.
 

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