My story (per request)

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Joined
Feb 11, 2013
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Hi fellow Crohnies,

My screen name is scwman (man) and I am 39 yrs old. I was diagnosed with Crohns ileitis in 1990 but was ill since 1988. Treatment with 50 mg prednisone and dipentum reduced most symptoms in 2 years. The high doses of prednisone were really bad because they messed with my head. It was hell. But with the lower dose, maybe 20 mg, those side effects completely disappeared. After another 2 yrs on a maintenance dose of 10 mg prednisone and dipentum I had no symptoms.

Crohns symptoms for me are the usual gas/loose stool plus blood in stool, fever, blue fingers (blood vessel spasms), nervousness, fatigue, joint pain, higher heart rate, and boils with necrosis. Can't forget the boils. Stangely I have almost no pain and still don't. I also have bronchial asthma related to environmental influences, mainly mold and cat. But flareups and asthma can "fight" the other one off, as if my immune system will only battle one organ at a time.

In 1998 the crohns was back. For 3 years I tried different diet plans to limit flareups. The best I could do was 1 per month lasting a week or 2. Usual diet changes had major improvements. Off the list was anything spicy, no fatty foods, no lactose, no alcohol, no binge eating (thanksgiving), no caffiene and keeping simple carbs to a minimum. But I found that if I got upset over something it was almost guarenteed that I got sick. Life does not work that way unless you live in a monestary.

So in 2001 I was back to the doctors. My crohns was characterized as mild to moderate but very stubborn. I tried several 5-ASAs and had bad reactions, such as severe joint pain in the hips and knees. So next I was on entocort and it has been great ever since. Side effects are some drowsiness, ankle swelling, and lower white blood cell counts. But they are all manageable. I thank God for the my doctor and entocort. I was on 3 pills in the morning for about 2 years. Most symptoms gone. But I tapered off to one pill at each meal, then only at breakfast and lunch. Life was GOOD! Flareups only occur maybe every 2 months. With my babies in 2008 and 2011 the crohns returned more than usual. In 2012 it was back to 3 pills in the morning. I've also found that with any constipation I will get a flareup. So I regularly use suppositories to get back on track, maybe 1 to 2 times per week. Doc says repeated use is not an issue. This is been GREAT for me. I can turn a 4 day flareup into a 1 or 2 day issue.

So far doing OK but tissue damage progresses. Just had a cancer scare and I thank God that the biopsies are negative once again. Best day today since my last son was born. I had a friend pass away a few months ago from intestinal cancer. He spent 2 years on chemo but eventually there was only skin and bone left. To witness his courage was life changing. I saw that I was a few months overdue for scope so I (actually wife did) scheduled one right away. Doc saw several more and larger nodules and did the usual biopsy. Ileum has also turned into a stiff pipe about 8 inches long. Doc is surprised it still works and my b12 and absorption is good. As I said the biopsy is negative again but time is not on my side.

On the diet side I will get more strict once again and add a day of fasting. Out are animal fats, processed grains, and any soft cheese. In are more fruits, whole grains, and v8. With regard to v8 I've found that when I drink it regularly i feel good and have more energy. Don't like the taste and Im too busy to juice. But drink it I will.

I've got a GREAT doc that I've been with since 2001. He got kicked off my insurance a few years ago so I got a new doc for 2 years. He recommended remicade but i am too scared of the cancer risk. Lucky for me I got back with the first guy 2 years go. He takes time to discuss the technical side and takes excellent notes. He's the best of any doc Ive seen. If in the Cleveland area I can pass along the recommendation.

That is my "summary". I've been lucky with crohns compared to a lot of you. But I hope this helps someone else. I've read a lot of the forums over the years but have not contributed much. With 23 years of treatment and 25 years of "dealing" I can speak with a little wisdom. My best advise is find a good doc (i've had 4 over the years) and see what is best for you. If he/she won't listen/react then find a new doc. Good diet, enough sleep, managed stress level, and a good outlook on life are huge to take on the challenge. Be proactive in changing treatments but get docs opinion before any crazy diet changes. I still fall short on my own advice but try to get back up again and again.

lots of love,

-scw
 
Hello and welcome to the forum :)

Just to confirm do you still get problems every couple of months and are you still only on the Entocort? Are/have you been on any type of calcium supplement given the long term steroid use? Have any checks been done on your bone density? What explanation has the doc given for using steroids as a long term treatment rather than the other meds that are out there? Also that 8inches of of bowel that is like a stiff pipe I take it this is down to scar tissue and do you know your specific B12 level?

There is a lot of helpful info and support here so do have a good look around.

AB
xx
 
Hi there SCW and welcome to the community! Thank you for joining and sharing your story!

I'm surprised about your B12 absorption as well. Out of curiosity, what was your level last time you were tested? Also, have you ever tried supplementing magnesium? A lot of the symptoms you describe can be explained by magnesium deficiency (common in Crohn's).

All my best to you.
 
Sorry it took me a while to get back to you. Other side of life got in the way.

Good questions that I don't have all the answers to. Thanks for asking. I have been on calcium supplements over the years to make up for the lack of dairy. I should ask about a bone density test though. As far as I know the last 8 inches is not primarily scar tissue. But I will confirm. I don't think doc knows why it is stiff but B12 is still good. My last lab test was 3 months ago and I did not get the records this time. Missing a few more records which is not acceptable. Three years ago, which is like a lifetime, it was 517. Small bowel x-ray also showed the "pipe" back then. Going to doc in 4 weeks so I will definitely ask.

I suppose its time to discuss other treatment options. I've read enough to know that the effectiveness of entocort eventually goes away. Thats the way the poopie plops.

The high fiber / no processed foods diet has made a difference in how I feel. On the down side I feel the ruffage in my ileum, sort of like a faint dull pain. I've had this feeling in the past with flareups. But I definitely have more energy than normal. No loose stool or excessive gas. Also a lot more thirsty. I'll stick with it until the appointment. I know too much fiber or wrong kind can be bad for crohns. At least my friut and veg. intake has tripled. For overall health that has to be good.

best in health,

SCW
 
Please keep us updated on how you get on with the appt, it would be good to hear that the doc is at the very least going to do some checks on your levels and bones.
 

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