My son's story

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Joined
Oct 18, 2010
Messages
5
Hi all,

my son was diagnosed with IBD (originally thought to be Crohn's but now though to be UC) in the summer of 2007 when he was nearly 3 1/2. A colonoscopy revealed extensive damage to his colon & large intestine. The damage was so great that an examination of the small intestine wasn't possible. He started with a large dose of Cortisone & Salofalk & we spent a horrific 4 weeks in the children's hospital before he was well enough to come home. The initial diagnosis was Crohn's Disease due to terrible rectal fissures & mouth ulcers.

Since then things have not been too bad & he was finally weened completely off oral Cortisone at the end of 2008. Since then he has taken a combination of Azathioprene & a Cortisone rectal foam.

In July of this year he had another colonoscopy & endoscopy & it was possible to get all the way into the small intestine where the doctors took a large number of biopsies. These biopsies indicated that the small intestine wasn't effected & the disease was confined to the large intestine indicating UC rather than Crohn's Disease.

It was then decided to stop the rectal foam treatment & go back to Salofalk.

So far so good, there have been no further signs of his disease.

However (& I'm not sure if this is coincidence or not hence the reason I am here...) he has started to exhibit disturbing signs in other ways:

• Argumentative
• Moody, aggressive
• Not caring about people/things/himself
• Constantly changing his mind about things - i.e. agreeing to do something the 30 seconds later saying no
• Challenging authority (only of his parents though)

He started school about a month ago (we are in Germany where the kids start school quite late) & it has been hell. He seems to have no problem in school but at home where he has to do homework (& German kids get a lot as they are finished by noon at the latest!) he just point blank refuses... then promises to do it... then refuses again 30 seconds later... then gets aggressive & says he wants to hurt us etc.

The strange thing is that he was doing loads of homework throughout the summer in preparation for school & although he wasn't keen it was never really a big problem. Also, when he tries, he can do it & is actually quite good.

In trying to find a solution we are examining possible causes, which brings me to my main question:

• Does anyone have any experience of Salofalk causing these kinds of side effects?

• Could it be caused by something else related to his illness?

• Are all kids (with IBD or not!) like this & we just have to get through it?

As a side note, he was noticeably moody in 2007 after going onto Cortisone so this being related is not out of the question for us.

Btw, if this thread is better placed elsewhere please let me know!

Thanks in advance for all/any input!
 
I'm sorry I can't answer your questions, however working with children I wonder if a child psychologist can help as their role is helping children (and parents) deal with problems of emotional and behavioural management in the problems you are describing. I'm sorry I have no knowledge of Salofalk or Cortisone but I'm sure someone will come along soon and help you. Welcome to the forum xxx
 
Hi Eric7 and :welcome:

I'm so sorry to read about your little boy having to go through all this. I do not have any experience with the drug your son is currently taking but certainly the mood issues back in 2007 would most likely have been a result of the Cortisone. The issues you are having now, have they only started since your son started school? I know I certainly had issues with my son (no IBD) at that age and through to about 11, :eek:, and it was primarily school based. At school he was the perfect student but the minute he hit the door all hell broke loose. His issues related to boredom, fair play and tolerance and the only reason I could ever find as to why he only displayed at home was because this was his comfort zone and he was able to do things here that he would never dream of doing in public. He eventually grew out of it. There was 'cause' for his behaviour that I don't generally discuss openly, it's not something bad! :lol: but if you think some of what I have said may fit your son then please feel free to PM me and we can discuss it further.

I don't know if it is related to his illness. My daughter is older and did not have IBD as young as your son but did not have these issues. Dexky will no doubt be along and he has a 10 year old son so he will be able to tell you what his experiences are. Dallies has a great suggestion and perhaps counselling may help the situation not only for his behavioural issues but in dealing with his disease.

Good luck and welcome aboard!

Take care, :)
Dusty
 
Hi Eric
and welcome

So your son is about 7 now? From what I know about Salofalk (mesalazine) children under the age of 12 shouldn't take either the tablets or the enemas of this, maybe Asacol (mesalamine) would be a better choice? This is an amnio salicylate (5ASA) like Salofalk but does not contain sulfa. It is especially formulated for UC. Also, salofalk with azathioprine can/may increase side effects on blood cells.
If it was me, I'd ask for a review of his meds and discuss certain side effects that you are noticing, Prednisolone (cortico steroids) can alter moods and behaviour, but he's been off these for a while now?
Having said all that, little boys can be quite challenging at times, I remember it well! My boy is 16 now, and he was very defiant at that age! In the end I ignored him, he soon gave up without an audience!
He's doing so well now with his A Levels!
Hope someone else can help you, never taken Salofalk, I'm on Pentasa which is mesalazine too, but I have no side effects!
Lotsa luv
Joan xxx
 
Thanks Dallies & Dusty!

Dallies... we had an appointment today with his doctor & mentioned the problems we are having. He suggested we meet up with him again without our son to discuss it further so I guess we can talk about a child psychologist with him then.

Dusty... you have PM!
 
Hi Joan,

my son will be 7 in January. I'll talk to his doctor again & ask about giving Salofalk to under 12s. That's quite worrying if it is the case!
Medication for CD or UC seem to be a bit random in my opinion - every doctor seems to think something different!

We've tried ignoring him when he is defiant (perfect description btw!) but it's so hard.
As I mentioned we are in Germany & doing homework is non-negotional. If we leave him to do it on his own then it just won't get done leading to school problems. We are worried the school will then say he isn't ready or should go to special school.
At the same time we are loath to put too much pressure on him for fear of bringing on a flare-up.
 
Hi Eric

I work with special needs (ASD) and I'm not saying your son is, but reward charts work with little boys! Sometimes a 'first' 'then' approach works, they have to know what's coming next! 'First do this work, then..... whatever his likes are!
Schedules and timetables work too, set out so he knows exactly what's coming next and can cross them off as he does them!
I can help you with these approaches to ease some difficulties you have! I have tons of ideas, PM me!
Joan xxx
 
Hi Eric

I work with special needs (ASD) and I'm not saying your son is, but reward charts work with little boys! Sometimes a 'first' 'then' approach works, they have to know what's coming next! 'First do this work, then..... whatever his likes are!
Schedules and timetables work too, set out so he knows exactly what's coming next and can cross them off as he does them!
I can help you with these approaches to ease some difficulties you have! I have tons of ideas, PM me!
Joan xxx

I made a reward chart in which he got a blue dot every time he did something good (simple things like eating his dinner, getting dressed quickly etc) & a red dot every time something went wrong. The idea was that if he ended the week with more blue than red then he was rewarded. Maybe a week is too long term for him to understand?

He knows that if he does his work then he can ride his bike or play with his remote control car or have a lollypop or whatever. He does understand but just doesn't do it.

The baffling thing is that throughout the summer he was doing more "homework" than now & it was no (big) problem. This is why we are looking for other reasons i.e. switching to Salofalk (trying to keep this on topic ;))
 
Hi Eric, welcome!! When my then ten yr old son was on Prednisone last Dec/Jan., he was very aggressive and hard to deal with but soon returned to his normal afterwards. I also don't know about Salofalk. I'd say you've been given some good advice so far!! I hope it's just something simple like changing meds. or perhaps Dusty's situation. Let us know what you find out!! Good luck!!

PS. It's good to hear that his UC is under control!!!
 
Hi Eric

I work with special needs (ASD) and I'm not saying your son is, but reward charts work with little boys! Sometimes a 'first' 'then' approach works, they have to know what's coming next! 'First do this work, then..... whatever his likes are!
Schedules and timetables work too, set out so he knows exactly what's coming next and can cross them off as he does them!
I can help you with these approaches to ease some difficulties you have! I have tons of ideas, PM me!
Joan xxx

Hi Joan,

did you get my PM?
 
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