My fight for a diagnosis since 2007

Crohn's Disease Forum

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Joined
May 17, 2013
Messages
6
Location
New Mexico
I think that I finally figured this out. Here is my story. I know it is long, but I really need some advice. I'd like to know if anyone else out there has similar symptoms. Here goes.
So, it all started in 2007. I started having lots of abdominal cramping and very loose stools. Sometimes I even had blood in them. The bleeding stopped, so I did nothing about it and just figured I had IBS. I have had similar episodes since I was a teenager related to what I always thought was lactose intolerence.

I got pregnant in 2008 and had bad diarrhea throughtout the whole pregnancy. My OB said it was probably from the pregnancy. I had my daughter in September and a week after she was born I started having excruciating burning pain in my back with lots of N/V/D. They just said it was a stomach bug, but the burning pain never went away. I dealt with it for a few months and finally when I went for my yearly GYN check up my Dr examined me, checked my thyroid and it was inlarged. I reported to him about the terrible burning that I was experiencing in my back, the numbness and painful tingling that I was having in my hands and feet and he referred me to a Surgeon, Endocrinologist, and Neurologist.

The surgeon wanted to remove my thyroid, the Endocrinologist said that my thyroid was normal, and the Neurologist thought that I had MS. He did an MRI that came back normal so he told me I was crazy and should see a Psychiatrist. That really hurt.

I then moved to another city and within 3 months of being in a new town a new symptom arose. I got Iritis!!! It took 3 months of steroid therapy to get rid of it and the glaucoma that came from the steroid treatment. The opthamologist ordered some lab work and I found out I am HLA-B27 positive. He referred me to my GP who did more lab work and referred me to a rheumatologist. The lab work my GP did came back showing that I was very deficient in vitamin D. My level was 13. I started taking over the counter vitamin D and have not had my levels rechecked and that was about a year ago.

The rheumatologist suspected AS because of the back pain, iritis and the hip pain that started a few months after the iritis. My insurance made me switch rheumatologist and I had to start all over again. The infammatory lab results that he did always came back normal, but the pain just kept getting worse. I started getting sores in my mouth, all down my throat that lasted for weeks to months and red spots on my legs and bruise looking spots on my torso that don't go away so he started me on NSAIDS and Lyrica diagnosing me with fybromyalgia and suspecting Bechet's.

He then moved so I was left with no doctor. I had a very bad flare in December of last year that put me in the ER. They treated the pain and sent me on my way. I was trying to make it through the holiday season, but I was in such severe pain everyday and ended up being so constipated that for the next 3 months I only had 3 real BM's.

My GP sent me back to the first rheumatologist and got me a GI appointment and told me to take miralax daily to keep me moving and put me on a steroid treatment that improved my pain.

The rheumatologist then started me on Humira without an official diagnosis. I started it March 2013, 40mg once every 2 weeks. I am just now starting to feel better.

I saw the GI a few weeks ago and she is suspecting Crohn's. She ordered the prometheus labs that came back indicating that I did not have IBD. I did however have the gene mutation that is indicative of Crohn's. I had my colonoscopy on Tuesday where she found nodular areas in the ileum that she biopsied and possible ulcerative spot in my rectum that was also biopsied. All the results came back normal.

I still don't have a diagnosis. I am running out of steam! I don't understand how they can be treating me with Humira and still not know what to call this. All I know is that I am starting to feel better. The musculoskeletal pain is mostly gone although the burning still remains off and on. I need advice!!!
 
I did however have the gene mutation that is indicative of Crohn's.

Not sure how to help, maybe you already know.

I assume you are talking about the most common gene mutation associated with crohn's disease, which is NOD2 or "IBD1"

Some thing that maybe help:

-the majority of people with crohn's disease do not have this mutation
-the majority of people with the NOD2 mutation actually don't have crohn's disease
-this correlation between NOD2 and crohn's disease is very low, and only seen in the West, in Asia there is no correlation

I think sometimes people overestimate the importance of this gene mutation, it's very important to find the cause of crohn's disease, but it's completely irrelevant for diagnosis, the huge majority of people with a NOD2 mutation don't have crohn's disease.
 
Kiny,
I don't know the gene you are talking about. I don't know if they tested me for that one. The two gene mutations that I tested positive for were the
ATG16L1 and the ECM1. I really don't know what that means at all. My real problem is that I have been hurting for so long and feeling a little crazy since nobody can tell me why I hurt so bad. It is a terrible feeling and I would really rather have a diagnosis and know that I am doing the right thing to treat it and be able to stop guessing.
 
Hi,

The only way to know if you have crohn's disease is colonoscopy with biopsy, where they check how the crypts look, where they can do histology studies, they can rule out intestinal TB, and other diseases. There is no other way to be honest. Prometheus test is unreliable, most immunoglobulin tests are unreliable, in the fact the WHO has forbid this type of testing for tuberculosis.

ATG16L1 is responsible for autophagy, ATG = autophagy, NOD2 signals ATG16L1 to induce autophagy, autophagy is needed to have correct bacterial clearance

But just like NOD2, it doesn't mean anything, it's of academic importance, not diagnostic.

Not much of help, since I really don't know why you fee like you do and I hope someone can help.

Here is a list of genes related to crohn's disease from the nature study a few months ago. The wider the bar the more prevalent the link, but even for the most common link, NOD2, the association is tiny, a small percentage of people with CD have a genetic predisposition.

Link: http://www.crohnsforum.com/showthread.php?t=45430

1g2cl1.jpg
 
Hey,

It took years for me to get a diagnosis. Mine was complicated by having more than one medical condition. I had 3 different conditions, one very rare that took over a decade to diagnose. It made diagnosis very difficult because I (and many doctors) thought all my symptoms were from one illness, not thinking of the possibility I could have more than one.

So I know how it feels when doctors tell you you're crazy because they can't find what's wrong, and you're left with no explanation about what's happening to you.

What I wish I'd known when I was trying to find a diagnosis is that a diagnosis can seem like the answer to all your problems, when in fact it doesn't always matter that much. Getting diagnoses was such an anti-climax for me, and it actually occurred when I'd already given up on finding answers, and was content to carry on living with no name for my illness.

It may help you to make sure you don't dedicate too much time or energy to finding out what's wrong. Continue going to appointments and getting tests, but make sure your illness isn't always at the forefront of your mind. Don't get too disappointed if tests come back negative and doctors are being unhelpful. If you find you're stressed, maybe take a break from tests for a while, and concentrate on the positive things in your life. Because the truth is, it can take a long time to get answers, and there's a possibility you may never get them. But that doesn't mean you won't find meds that help ease your symptoms.

I really hope you do get a diagnosis one day, but being able to accept that you may be without one for a while makes things much less stressful
 
I am glad the Humira is helping ... maybe that hid some signs on your last scope. Please keep us posted. Thanks.
 
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