My Husband has Ulcerative Colitis

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Jul 4, 2010
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Hi,

I want to post my story about my husband's journey with Ulcerative Colitis, he is in the middle of a bad flare and he is in the hospital and will be in for awhile longer. His first symptoms (blood in stool) started about 3 years ago but every time the colonoscopy was scheduled (2 months later) the symptoms were gone. His symptoms always came at the same time of the year and lasted about 2-3 weeks. During this time he had some pain in his sacrum off and on that continued into the present. We always thought he had pinched a nerve.

Fast forward to 4 months ago when he started his yearly symptoms. Unfortunately, his symptoms were worse (real strong sudden urges, lots of trips to the bathroom for diarrhea, and lots of blood). And after a good 2 months of thinking it would go away he got another colonoscopy right away this time (new state new insurance) and the doctors were unclear about whether he had Crohns or UC because it showed 6 inches of the descending colon was flared and then patches of inflammation on the ascending colon which was indicative of Crohns. He started an enema (forgive me I can't remember the name) that acted like Tylenol. This lessened his symptoms for 2 days and then they came back stronger.

4th of July weekend we went away camping and my husband got worse then I had ever seen him. His back pain became unbearable and because we were camping he had to walk to the bathroom and twice didn't make it. Thankfully, there were showers and then he ended up driving up to the bathroom and sitting in the car until he had to go. He was in the bathroom constantly and was barely able to rest in the car. I woke up early and we hightailed it the 5 hours back home where I dropped him off at the ER so I could get our 5 year old son home. At this point my husband couldn't walk.

He has been in the hospital since Sunday. Being in the hospital over a holiday weekend isn't fun since he had to wait until tuesday to get any tests run. The colonoscopy showed severe inflammation on the left side, patches on the right, and a clear transverse which made it all confusing. Finally, the GI doctor along with pathology diagnosed just UC and sadly it affects the entire colon and rectum even the transverse which wasn't clear but inflamed as well just not as bad. This has clearly spread from the initial 6 inches from teh colonoscopy 1. 5 months ago. They started him on a liquid diet when he got there and then on Tuesday afternoon started him on IV steroids and enema steroids. Today, his back pain was much better (finally) but his stool symptoms have gotten worse and much stinkier. The rheumetologist said that he has inflammation of the sacroilliac joint and that the steroids will help.

The GI doctors said that the steroids might take a full week to to start impacting his inflammation. And if they don't they want to give my husband Remicade. My husband's emotions are so low. He's got a pic line in now so that they can feed him through the IV. He's hoping that this helps him feel more energized. His hands, feet, and legs are really swollen- not sure if that's steroids or just the saline solution or something else.

This is so hard. It's terrible to watch him suffer so much and to give up so much of dignity while in the hospital. We are not a medicine based family. And all of this is so overwhelming for both of us. I keep going from feeling hopeful that he will go into remission to feeling like this is never going to end and he is going to give up on his life. It's tough because I know that he's not dealing with something like cancer and that people can and do go on to lead normal productive lives but it feels like a death sentence- especially when he spends 95% of the time on the toilet and 5% in bed and he's lost so much weight and he feels sick all the time and there doesn't seem to be relief from the steroids. How long do these take to kick in? And how do I help him?

What if the steroids don't help? What if nothing helps. How do you all deal with this, how do you get through terrible flares? What can you tell me about medicine that I need to know so I can advocate for my husband?

He's a science teacher and has always taught in urban schools. He is seriously thinking about a career change but he is afraid for his insurance. The information about IBD is so conflicting. One sight says eat this another sight says don't eat that but you can eat this. Doctor's say that food plays no part what so ever nor do food allergies (husband is allergic to milk) and that stress doesn't play a part either.

It's hard to imagine that these things don't play a role. It's just all so confusing. Thanks for letting me tell my story.
 
Wow Kari, I do know one thing he's got going for him, YOU. My little boy has crohn's but his was first called UC. They put him on Asacol when they thought it was UC then added 6mp (mercaptopurine) after the crohn's dx. All the eating advice you will get is just a good place to start because it seems no two are alike with food tolerances.

One thing we have learned is to not cross any bridges before we come to them. It doesn't help you or your husband to worry about the what ifs. Take them as they come. With you as his advocate, I've got a feeling your husband is gonna do just fine in the long run. Good luck:).
 
HI Kari, welcome to the forum. My heart goes out to you and your husband. It is harder emotionally for men because they are usually the bread winner and "take it like a man" makes him want to close down. It is a scary disease , but it is not a death sentence. It can be controlled but since everyone is different with meds and the disease, he has to find what works for him. Remicade could work for him, if he doctor recommends it. Depending on how many steroids he is on, 40-60mg is a standard start dose, can take up to a week. Doctor's dont know everything, but stress doesnt cause it or neither does diet but both can aggrivate it pretty bad.

Alot of people who have had UC have surgery and do very well after, there are alot of wonderful people here to help you both and give you support and advice. Ask away, or even if you need some emotional support, it is hard on you too, and you have your hands full with a 5 year old as well. All you can do for your husband is be patient and loving, and if he want space, let him be, some dont like to tell all. It is a very embarrassing disease at times.

He will get better, it takes time, hang in there hugs to you both!
 
Sorry about your husband. You are at the right place. Steroids usually work. Give it some time. He's lucky to have you at his side. And we are here for both of you....Good luck, Sue
 
Thank you so much, everyone. I really appreciate the kindness.
 
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Hi Kari and welcome. You are so kind to join our forum on your husband's behalf. I think illness is often worse for the loved ones than for the patient.

I originally had UC, but was recently rediagnosed with Crohn's. Back when I had UC, I always had a good response to steroid enemas to control minor flares. I had a big flare that got out of control mostly due to my own neglect - I tried IV steroids, cyclosporine, and Remicaid. But I was too far gone and I ended up losing my colon.

If your hubber doesn't respond to treatment, the docs may suggest a j-pouch. I have one and had 6 great years with it until my new Crohn's DX. I would recommend it to any UC patient! I wish I had chosen to get mine before my colon ruptured. Docs will often recommend surgery as a "last resort" but I think the j-pouch should be considered as one of the main courses of treatment.

You can read about it on the jpouch.org website.

Regarding food - for me personally, food and stress never affected my UC. My flare ups always came after an attempt to quit smoking cold turkey.

Good luck to you and to your husband. I hope he starts to feel better soon and responds to the Remicade.

- Amy
 
First of all I'd like to welcome you to the forum and say that I'm sorry that you're husband and family are going through this. Feel free to vent your frustrations or ask any number of questions at anytime.

How long do these take to kick in?

It depends on the drug, severity, dose and the person. I can't give you an answer for that. Yes it could take a week or even a couple of weeks. Usually if there is no change then they increase the dose and if that doesn't work sometimes they increase again (depending on how high they want that dose to go) or they may try another drug or a combination of drugs.

And how do I help him?

Be there for him all the time. Be understanding and let him know that he's not alone. Talk about this forum if you think it'll help. There are a lot of people on here who create an ocean full of information.

What if the steroids don't help? What if nothing helps.

If the steroids don't help then they'll try another drug or a combination of drugs. Even the liquid diet that he's on now is helping his gut rest so he can heal faster. If no drugs help then he may need surgery to remove the infected section. Depending on how much is removed will decide whether or not he'll need a bag or not. Not everyone needs one and those who have on this forum are glad it was done and are leading happy, healthy and productive lives. He's not going to die, it's going to be ok. :D

How do you all deal with this, how do you get through terrible flares?

I had my surgery done 11 years ago when I was about 17 and I haven't had a bad flare since. Back when I was ill though I was in and out of the hospital during flares. They would last for about a year for me and I've only had 3 major flares since I was diagnosed at 9. I was put on Prednisone during flares and lived my life as normally as I could. My parents were always there for me and their support and understanding was very important. All you can really do is live life day by day until you're back in remission.

What can you tell me about medicine that I need to know so I can advocate for my husband?

I can't help you there cause there are a lot of different drugs out there for UC and Crohns. I have Crohns and was on 6mp and Asacol for a while. I'd still be taking it now if I weren't having trouble with my insurance. The thing that's important to know is that he'll likely need medication for the rest of his life even while not having a flare.

He's a science teacher and has always taught in urban schools. He is seriously thinking about a career change but he is afraid for his insurance.

I should hope that he doesn't have to do that. You can live a normal life while in remission. I'd suggest not giving up hope just yet. I'm 28 and finished my Masters degree last year so I can teach at the college level and there are many other people on this forum who have made it or are making it through school so they can have a career just as your husband has. I hope he just gives himself time to heal but then goes back to work just like he used to. I'd suggest not worrying about it at the moment though because it only adds on more stress.

The information about IBD is so conflicting. One sight says eat this another sight says don't eat that but you can eat this. Doctor's say that food plays no part what so ever nor do food allergies (husband is allergic to milk) and that stress doesn't play a part either.

Basically eat whatever your body can tolerate. There are many foods which can trigger symptoms such as spicy or greasy foods but then there are other foods that can bother some people but others have no problem with such as raw fruits and veggies. When he starts eating again, it'll be very bland like white rice with baked chicken breast and steamed veggies. After that its just trial and error to find out what foods work and what makes you sick. If it makes you sick, then don't eat it. Food and stress can be factors. They don't cause Crohns or UC but they can be symptom triggers so watching what you eat and lowering your stress level whenever possible is a start.

:hang:
 
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Hi Kari
and welcome

I can't add anymore, everyone has given you great advice, but just to say he's so lucky to have a wonderful loving wife like you. All you can do is your best, and your best is good enough! Remember to stay well yourself tho! First and foremost, you're a mum to a little un and kids remain priority, because your husband is in good hands at the hospital, take time out for yourself before you hit the deck.
I tell you this from personal experience of having a sick husband and hospital visiting is no fun!
Time is a great healer, and that's all you can do, is wait, and in time he will recover with appropriate meds
Just take care of you and the little un
lotsa luv
Joan xxx
 
It was nice to wake up to so many replies. I really appreciate it. My mom has come out for a week to help and I had a good cry with her last night. I'm sure I am going to have many more questions and I'm glad that I found this group. Thanks.
 
Kari, it'll get easier, I promise. Before long you guys will have be handling this better. It won't go away, it'll just become part of your life. You don't think so now, but soon you'll both be laughing again. You may even be laughing about his disease as you'll see many on here do. I know right now it seems like your world has come crashing down but it hasn't. It's just been forever changed. Hang in there girl!!
 
:welcome: Kari,
I agree with the above especially it is probably worse for someone to watch it than to have it - we can get pain killers!
It always makes me smile to see the caregivers on here as it shows how much support the loved one has! It shows that they're going to be okay :D
Im glad you joined! There are some great people here as you have already seen and like MArk mentioned, we even laugh about it from time to time!

Take care of yourself and I am glad you have the support of your mom. Sending positive vibes your way to you and your family!
:hang:
 
Hi Everyone,

I just wanted to check back in and say thank you for all the replies. It sure has been a roller coaster of a week. My husband is still in the hospital but I think that maybe he has turned the corner. Yesterday he was started on an antibiotic, given a blood transfusion, and got a private room. Today when I saw him he looked so much better and he slept a lot and only got on the toilet a little as opposed to being on the toilet for hours and then getting into bed for 10 minutes and back to the toilet.

The surgeons came by and told us that they were there just to check in and talk to us. They said that even though the entire colon is inflamed he's not a candidate for surgery (at this point). That came as a huge relief to my husband!

I know that the next couple of days might not be as good as today but I'm hoping that they will be. I'm hoping that he just gets stronger everyday. And seeing him almost back to his old self made me realize just how sick he was. :(

The GI doc's said that if he continues to heal they will talk about giving him steroids by mouth and starting to introduce clear liquids again (he's got the TPN in now through a picc line).

Thanks for listening.
 
He had good doctors, it is a relief they are not operating whilst he is so inflammed. Unless it is an emergency surgery, it is best to calm down the inflammed area before he has surgery. He is going through a rough time, and I am sure you are too. Hope he gets relief soon. Keep us updated ok?
 
Well that's a lot, i read it all through.
I have UC too and right now just the left side of my colon/rectum/anus and bleeding from them.
The drugs can make your stool smell worst sometimes for a short time.
What helped me and is helping is Chlorella 2,000mg a day. Took about 2 weeks for it to start but I'm going to the bathroom less. Oh I do have the urge to go a lot stronger now for some reason after coming off Prednisone. On it for 1 month.
The other thing which I took and will be back on next week is Probiotics (Primal Defense)(3 pills a day) which I would say it helped me like 90% with my UC. I will see again if it helps.
And raw ginger with hot water for the stomach pains.
Just do a google search on reviews of these three and see if you like what you read.

That's all I can really recommend.The drugs that can help but they have huge side effects.
Its too bad that nothing is sure to help but can help your body heal and go into remission.
 
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