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Jackie

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Hello All - first I want to say how grateful I am to have come across this forum. Don’t know about anyone else, but sometimes I feel so incredibly alone in my venture and am so glad to read all of these personal stories that mirror what I am going through or have gone through.

I am 38 years old. For probably the last 10 years I have had troubles off and on with being constipated for several days and then horrible diarrhea for a day or two. Sometimes I would be fine and go for weeks with no problems and then it would rear its ugly head again. Doctors kind of told me the same thing. Reduce stress, need to drink more water, eat more fiber, exercise more, maybe you might have a slight case of IBS so we can think about Zelnorm if you want to try....blah blah, blah. About 2 1/2 years ago, I started to bleed when I would poop. Thought I just had internal hemorrhoids which I have had before, but since I have family history of colon cancer, I got a little scared. Called a gastroenterologist and they scheduled a colonoscopy. I was a little out of it when I came to and all I heard was "No cancer, found ulcers, did biopsy, small internal hemorrhoids and will call in one week if anything". (This is kind of important for what came to be a few weeks ago). SO, I thought nothing more except that I was very relieved about the no cancer and have frustratingly "lived with it".

Back in February I got really sick with a fever and developed all of these ulcers in my mouth and back of my throat. Without the very, VERY long story behind all of that, for the past four months I have been on several courses of antibiotics, had my cheek swell repeatedly (PLEASE tell me someone else had/has that happen) and have been on tons of steroids for the swelling. I saw two doctors, got pushed off to two ENT's, a dentist, an oral surgeon and finally an oral pathologist. He did a biopsy on one of the swollen places in my cheek as well as one of the ulcers that never would completely heal. He calls me the next day and asks me if I have ever had problems with my stomach. I begin to tell him what has gone on with me for the last several years (Didn’t ever mention my tummy problems, because I never, ever thought that my cheek swelling and ulcers in my mouth had anything at all to do with my other end!). He proceeded to tell me that my ulcer had granulomas - YIKES - and that was something that usually was present in someone with Crohn's disease. And that a lot of times those ulcers are something that will happen. Well, I made an appointment with a gastroenterologist that some friends recommended (one of them has diverticulitis and has seen him for years). I got a copy of my old colonoscopy report and it said that I was supposed to call them in one week for lab reports. WOW! I about fell over. There were ulcers around my ileum, lymphoid aggregates, ileatic swelling and some granulomas...and a few other weird fun things. It said outside possibility of Crohn's and that I should repeat a colonoscopy in a year. I am mad they never called, but it was my responsibility to follow up on my health as well. And it is nothing I can do anything about now in the present day.

So, yesterday was my first visit with the gastroenterologist I will be seeing. He is very nice and won't definitively come out and say it is Crohn's, but insinuates it highly. He said that we will go through a ruling-out process to make sure that it isn’t something else like Ulcerative Colitis before he is even willing to discuss treatment plans. They took a whole lot of blood yesterday; I have a small bowel series set up for Friday and then another colonoscopy in early August, which seems so far away. I am tired. I run a low-grade fever off and on and feel slightly ucky all the time. Am sick of whining and feel pretty alone in this whole deal. My husband understands, but I think he is frustrated as well with my face swelling, recurrent ulcer deal and in general just being grumpy.

While I am grateful to that pathologist that finally gave me a possible answer, it is sure not what I really wanted to hear. I wanted someone to say, "Oh! Here is what is wrong, here is a prescription, you will be better in two weeks." I haven't had the horrible diarrhea that I have heard so many have and then get the weight loss and all the problems associated with that. I actually tend to go the other way with days of constipation and then the diarrhea. If what I have going on is definitely Crohn's, I hope that is something that I don’t have happen, but I do fear it.

I would love to hear similar stories and find out about how long it took for some to finally get that final diagnosis so that you could get “treated”. Anyone out there had the cheek swelling thing? Anyone have more trouble with constipation rather than diarrhea?

Just kind of scared, frustrated, and really pissed off at this thing in my body that won’t go away. No matter what it is, I don’t like it at all. I am trying to be positive, but I feel really mad and not positive at all! :ybatty: <<<This describes my feelings quite well!
 
hi there.yeah it took 6 months for me to be diagnosed, but compared to you that seems such a short time.I have had the cheek swelling thing, and as far as i know its down to being on the prednisone.
I really hope that they do find out what is definatly wrong and they get treatment underway asap.
x
 
Over two years for me to get diagnosed. I do not have much for symptoms so I guess I am lucky that way.

It is an aggravating disease in more ways than one. I guess I never really got mad or really had any reaction to finding out I had it. I was just happy to get diagnosed.
For me not knowing was more stressful than the diagnosis. I don't like it, but I can deal with it.

You sure have a lot of different symptoms. They should be able to find an appropriate medication to help control it. Let us know what happens.

Good Luck

D Bergy
 
Thank you SOOO much for all of your responses and messages. This whole thing just has made me feel a tad insane. Actually this stupid thing that goes on with my cheek swelling up (not to be confused with my face swelling from the steroids) drives me a tad batty. There are lumpy places right on the inside of my cheek that just periodically swell from a little to a lot. My husband lovingly calls me the godfather. It ends up looking like I have the mumps on one side....which they even tested me for that and nope, dont have them.

I just hope that it doesnt take forever for this GI to say - Yep, that is what you have and here is what we are going to do. My heart hurts for so many of you that have had to wait for years to get someone to validate your diagnosis. The pathologist who finally "diagnosed" me and referred me to a GI because of the mouth ulcers and granulomas, told me to be patient....well, I am not, but am learning.

Questions to throw out:

Sore mouth? Does anyone with or without mouth ulcers have pain in their mouth? Like when you try to eat anything with texture it kills your throat, cheeks, gums just like it has tiny little pieces of glass in the food? Because while of course it hurts where/when I have ulcers, but I swear that sometimes my mouth area is just sore!

Granulomas - can anyone give me in laymans terms, a definition of what they are? Does anyone else have them? I am guessing that is probably a definite yes.

Lymphoid Aggregates - saw them on a colonoscopy report from a few years ago. Again, anyone had them/heard of them? That is probably a yes too.
 
the only time i got a sore mouth was when i was in hospital with the blood clots, i really didnt feel like eating that much and the hospital food didnt sound too nice eather, so when i was discharged i started eating again, but i found that most foods hurt my gums and my throat.Problem was, i couldnt use bonjela or anything else for mouth ulcers because i was on warfirin. The only thing i found that didnt hurt was weetabix.
 
First, diagnosis should be quick for you if you have an upper GI scheduled and you have already had plenty of tests. Mine happened to take a decade to figure out, but I think it wasn't so common in the 70's. The problem in diagnosis is that Crohn's has so many common symptoms with other diseases and disorders, Doctors, including specialists, are going to be very cautious about mis-diagnosis with today's litigious society. For a year a heart specialist told me I had a premature ventricular contraction and prescribed digitalis. What a quack! As it turned out I was carrying around a 6 inch abscess from Crohn's which was upsetting my blood chemistry. Removed the abscess, and the PVC's went away with it.

I doubt granulomas are real common, however whenever I have active Crohn's I lose my voice from vocal granulomas which come and go after about a week. It is my first sign that things are about to go downhill!

It is amazing how many people you meet with this disease, aside from forums. Everyone has a different set of symptoms, so it is important for you to make sure your disease and symptoms are treated. Vitamin and trace mineral deficiencies can be a common result of Crohns and become a vicious cycle if not detected.

Good luck, I hope you only have the one-time attack and it disappears from your life. It happens oddly. But if not, remember you are your own best advocate for proper management of the disease.

Cheers, Deke
 
My mouth is much more sensitive than it used to be. I used to be able to eat sour candy all day, but now it tends to just make my tongue hurt. Some drinks are also the same way. Don't know if it is related to Crohn's or not . . .

Welcome to our forum. Hang in there.
 
Jackie,

Thank you for joining the forum and sharing your story. You are justified to feel mad over a decade of going through what you have, but it looks like things are turning around now for the better.

I do believe that cold sores are a somewhat common symptom of Crohn's, as it can affect anything along the digestive tract (from mouth to... well rear end :)).
 
Hi Jackie - really feel for you. As Mikeyarmo just said Crohn's can affect all the digestive tract from mouth to back end.

I have exactly the ulceration discomfort that you have, but at the rear end, (in Mike's polite terminology), and can empathise with the pain you feel when eating, only its the reverse if you get my drift?

After all the hassle you've had why not ask the GI to treat it as Crohn's and teat you conservatively for that for a trial period. If your mouth ulcers go away you'll know the meds are right. This is in no way medical advice! Just a thought. Whatever it is is may be an auto immune response. So meds such as azathioprine may work for you. I don't know.

I hope that you win through the mire of conflicting specialist reports- its a minefield. We are all here rooting for you dont forget! Try not to get too stressed it will make your symtoms worse - that's just common sense, and something I found out the hard way.

Oh- and It took 5 years before I was diagnosed from when I went to see a surgeon about my attacks to when I had a definite diagnosis last year. So you aren't alone!

Good luck!
 
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