My story

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Hi. My name is Marisa. I am 25 years old and am new to the board.

I haven't yet received a 100% diagnosis, first of all. But the doctors say they are 90% sure it's Crohn's. I think I'm still hoping there's a small chance it's not because I didn't experience many of the "typical" symptoms of people who suffer from Crohn's.

Anyway, here's my story...

It started July 2009 with stomach pains. I thought they were associated with the end of my monthly cycle and birth control. I was taking Seasonique at the time and was a month away from the end of my pill pack when the abdominal pains started. they lasted the rest of the month on and off until I started my new pack. I ignored it for the time being thinking it was just the BCP.

About a month and a half went by before I experienced the pains again. This time it was about a month and a half before the end of my pill pack. I mentioned to my gynecologist that I had been having pains and that I was worried that I was taking Midol for such a long period of time (when the bottle says to consult your dotor if pain persists longer than 7 days). She said it was fine and gave me a new Rx for Seasonique.

December came and the pains were back. They were either getting worse or I was just sick of being in pain all the time. Maybe it was both, but I finally decided I was going to ask to be switched to another type of pill. I called a few days before I flew to Florida with my husband to spend Christmas with my family. I spoke to a nurse who said she would speak with my doctor and call me the following week.

The Tuesday before Christmas the nurse finally called. She said based on my symptoms my doctor thought it would be best to get an ultrasound when I got back into town to rule out ovarian cysts. I scheduled the appointment and tried ti put it out of my mind until we got back. In the meantime, I started having feverish chills at night, waking up drenched in sweat. Every day I was in pain and the smallest amounts of food seemed to make it feel worse. By the time we flew back home I was having a hard to walking and standing up straight from the pain.

The Tuesday after Christmas I had the ultrasound. Everything turned up normal except for an unexplainable amount of "free floating fluid" in my abdomen. I was told to schedule a CT scan at the hospital. Two days later I had the scan and within the hour was told to head to the ER because there was a baseball-sized abscess in my abdomen and I should expect to go to the operating room.

Terrified, my husband and I waited in the ER for 2 hours before being seen. Up to this point in my life I had never had any major surgeries, sicknesses, or broken bones. This was the first time I'd ever sought serious medical treatment for anything. It was New Year's Eve when I was admitted and we had no idea I would be there for the next 12 days.

I had basically every test that could have been done: 4 CT scans, lower GI exam (that was awful), abscess drainage w/ JP drain, and a sinogram. I found out I had iron deficient anemia as well. I had a surgeon, infectious disease doctors, a team of GI specialists, and hospitalists all on my case. I was discharged January 12th still with no 100% diagnosis, but all the doctors thought it was most likely Crohn's. The x-rays showed fistulas and narrowing of the bowel in the ileum where the small and large bowel connect. The only test left to get done was a colonoscopy with biopsy, but the surgeon wanted to give my body time to heal from the abscess with antibiotics. So, they sent me home.

After switching insurance plans and enduring HMO confusion and referrals, I finally saw a GI doctor Feb. 4th. He put me on 9mg Entocort to decrease extra inflammation he said he still felt in my lower right abdomen and would consult with the surgeon about when I should get a colonoscopy. That's basically where I stand as of now. I've yet to hear back from my GI doctor. He said I would only be on the steroid until the colonoscopy was done and then would hopefully never have to take them again.

OF course no treatment has been set in stone since it's all based on the results of the colonoscopy, but he mentioned a biologic treatment (Humira is the only one our insurance covers apparently) and azathioprine. Not sure if those are taken in conjunction with each other or what.

Anyway...that's my story. I am looking forward to learning more and getting to know more people on here. It's been really hard waiting on everything when all i want to do is feel "normal" again.
 
:welcome: dream....

It really sounds like Crohn's disease to me...I have the disease in the terminal ileum same as you. My disease has never been visible on colonoscopy due to its location. If your large bowel is normal, the doc may have the same problem seeing the actual disease....I was diagnosed with a CT scan and Barium swallow test.

How are you feeling now? Has the Entocort helped at all?.....There is a thread in the treatment section named the Humira Club...Check it out for some great info and personal experience from people on the med. I have taken Imuran in the past. I never had any problems with it.

Good luck, and if you have any more questions please ask.
 
I'm feeling symptom free right now. Of course any tiny "pain" in my abdomen makes me worry I am not fully healing and I think it's back, haha. I feel the Entocort is helping. I haven't experienced any adverse effects from it, though I was extremely worried I would. What's funny is since the first day after being admitted into the hospital and being put on antibiotics I stopped having any pain, with the exception of where they put in the JP drain. I hope that means my body is taking to the medications very well!
 
Welcome to the forum :) I didn't have your syptoms beyond the night sweats, but everyone seems to have different symptoms and respond differently to meds. Hopefully you'll get a difinitive answer soon and start feeling 'normal' again (normal? what the heck is normal?? lol)

Cindy
 
Hi Marisa
Yes I agree with Erazer, Arm yourself with plenty of ammo!
I have the same Crohns as you and misspopcorn and I was misdiagnosed for 15 years! It is difficult to spot, you get told its appendix, constipation, IBS and I even had a total hysterectomy!
And I nearly died 4 weeks ago from a ruptured bowel! with loads of D & V. sounds like they're on the ball and you will get your 100% diagnosis
Besta Luck
Joan x
 
dreamintwilight said:
The x-rays showed fistulas and narrowing of the bowel in the ileum where the small and large bowel connect. The only test left to get done was a colonoscopy with biopsy, but the surgeon wanted to give my body time to heal from the abscess with antibiotics. So, they sent me home.

:welcome: Marisa - glad you have joined us. Well, someone help me out- can you think of any other illness/disorders that cause fistulas other than Crohn's?? If they do the colonoscopy and biopsies and they find nothing there - make sure to ask them what they think of the fistulas and narrowing of the bowel at your ileum - they will most likely not be able to visualize that area with the colonoscopy.

As everyone has said - gather up as much information as you can and please, keep us posted as to your outcome. Many of us have learned that self advocation is the number one way of making sure your disease is treated properly. Good luck!
 
Welcome, Marisa.
Arm yourself with some good drugs and feel good.
Sounds like strange advise, but when you start feeling really good, you'll be thankful for the drugs.
 
Colonoscopy finally set!

So, I confirmed my appointment for a colonoscopy for next Tuesday at 11:30 am (CT). I'm relieved to finally get the procedure done, but nervous of course because it's my first time (even though most people say it's not too bad at all) and with the outcome.

Peaches - That was exactly my husband and my's worry about what if it's NOT Crohn's. We actually asked that at my consultation with my GI doc at the beginning of this month. His answer was kind of unclear, but he said basically (not in exact words) that they were pretty sure it was Crohn's (so much to say that it would be pointless to say it's not), but if it wasn't then they would have to go in surgically and remove the diseased portions an I guess do some type of exploratory procedure. I think I would cry if they said it wasn't Crohn's, but had no idea what it could be, LOL. Not sure if I could take more of the not knowing. But, I'm thinking the reason the docs are so sure it's Crohn's is because even without the colonoscopy they have been able to "see" the narrowing of the bowel on my lower GI x-ray.

Astra - Wow...well I'm glad you survived the ruptured bowel! That was the surgeon's worry when I was in the hospital. He didn't want to rush getting a colonoscopy until the inflammation had time to heal. I'm really hoping that all the antibiotics and Entocort they've had me on has minimized the swellng enough. Last think I would want is a ruptured bowel. Yikes....scary stuff.

Anyway...that's what's going on now. I'll keep everyone updated of course. It's so good to find people who know what I'm going through :)
 
In most cases the colonoscopy really isn't that bad. I've had 30 or more done.
I hope this will give you some answers and put you on the path of remission.
 
Hi Dream
Yes good luck with the scope, you'll be fine,
and yes I'm very lucky, this time! gastros on standby to open me up, but I responded to the antibiotics and hydrocortisone (my CRP was 261) !!
Next time I puke like that, I'm straight to A&E, no hesitating!
Lotsa Luv
Joan xx
 
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