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Crohn's Disease Forum

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Hi All. I just discovered this forum today. It's crazy in this day and age that it is so hard finding support, but it is, so I am glad to have found this.
As fast as I can:
My son was diagnosed with Crohn's Disease when he was about 7 or 8 years old. He is now 13. My gut tells me he was suffering as a three year old. Long story short, he had started eliminating foods from his diet when he was about 3. He simply started refusing food that he had eaten the previous day! We ended up whittling down to Cheerios, eggs, yogurt, plain chicken if I was lucky and not much else. The pediatrician didn't seem to think my concerns were real b/c he continued to grow and develop (although he was being seen weekly for therapy at the early intervention sites for language delay). Later for reasons I now forget, I started him on acidophilus - I think he had a recurring yeasty rash and a friend recommended it. He took it for some time until he suddenly decided he couldn't eat them anymore. i tried different varieties at no avail. Then, the vomiting started. It was random, so random that I did not connect the dots. We'd be walking through the zoo &, bam, he'd throw up. Then there was a period of time I thought he had a low grade fever; he just felt a bit warm to the touch - every day. I started testing his temp & low & behold , I was right, he had a very low grade fever. It lasted for weeks. He also had a rash inside his elbows and knees and a spot of the rash on his back. I thought he was worn out looking, his energy level was low, he cried every day about going to school, he begged to stay home or get picked up early, he didn't seek out play dates and, in retrospect, he had lost a lot of weight which I took for growing up and the pediatrician didn't seem to notice. (It wasn't until long after when I came across some photos that I realized just how much thinner he had become). I took him to the pediatrician who had no answers but referred us to a gastroenterologist for the vomiting. The gastro blew us off, and not very nicely, telling us there was nothing wrong. Then the vomiting and lethargy became worse. His pediatrician called the gastro to ask for testing. Skipping ahead, he had an endoscopy & colonoscopy. Immediately from the procedure, the doctor approached me and asked if my son was particularly "stoic". He said he was ulcerated and had I ever heard of Crohn's. And there we are.

My feeling is he had this for years and it went unnoticed. He is doing well, very well after hearing so many stories over the years. Pentasa and Nexium seem to be enough to keep this controlled within reason.

But this is where it gets hairy. He isn't terribly sick. He must take iron & Vitamin D b/c he is deficient in both without the supplements. He is a big kid with meat on him for sure. But he is tired all of the time, he suffers for a day or so after a lot of activity from complete exhaustion. If we go on a vacation where we are active, he honestly needs a break a couple of days in to just sit around b/c he can't keep up. His stomach hurts him all of the time. Not horribly, just constantly. He has what I have started to call "bouts" where he will have intensified pain for a day or up to three days. Sometimes they are paired with diarrhea, sometimes not. Sometimes with a slight fever, sometimes without. Before xmas he was home for 3 days with pain. He would wiggle and shift position constantly and fuss about not being able to get comfortable. He would try to "keep his mind off it" as he says and then gets overcome with discomfort. This casues him constant stress. To make matters worse, his eating habits are horrible. I honestly believe he is afraid to eat and try new foods. What he is going to eat/ what I can offer him/what new thing might I get him to nibble is always on my mind. He does crave spicy foods which I thought was weird but his pediatrician said can act as an analgesic (I hadn't thought of that!) Nothing is consistent and nothing makes sense. He has lost more days from school this year than last year yet his gastro doesn't seem at all interested or worried. He is not getting better, he has actually gotten worse over the past few months. We are trying to get a second opinion but that has been a waiting game.
I am hoping I can learn more about Crohn's from this Forum and get fresh ideas and become more educated. It is clear this isn't going away & I fear for the day that it gets worse. His doctor said something that stuck with me. He said that my son "doesn't know what it feels like to be truly well." His constant stomach pain/issues and lack of energy is his norm. I just want to do everything I can to make him as healthy and happy as possible so that if this does escalate, he will be best prepared to deal with it physically & mentally.
Wishing you all well.
 
Welcome. This is a wonderful resource. Since my DD diagnosis last April, this site has been a godsend. Crohn's is crazy and it sucks. But, there are many in this boat to help you thru the journey. Hold on tight!
 
Getting ready for a meeting at my house but wanted to say welcome to the group although I am sorry you have to be here.

Pentasa is a lower level drug and does not have a good track record of controlling Crohn's, especially in children. It is great that it has worked this long for you but it sounds like with puberty and all the disease has kicked it up a notch.

Did the GI run any tests for inflammation? Blood, fecal calprotectin?

I am surprised the GI dismissed you like that. It absolutely sounds like something is going on. I agree with the second opinion.

If you haven't run inflammation markers yet, I would have the ped order them, along with some vitamin panels. CBC, Vit D, Vit b12, iron, CRP, sed rate etc. I would also want a fecal calprotectin run. This is a very good indicator of intestinal inflammation. These results will either help you escalate matters with your current GI or give the new GI a good indication of what is going on.

BTW - your story of your son going undiagnosed and under the radar for so long is not new. It has happened to a lot of us. Even my youngest daughter suffered for years and she had a sister with the disease. Took us three years to get the GI to pay attention.

For nutrition while food is bothering him you might want to try some Boost or Ensure shakes. Maybe even juicing some fruits and veggies for a bit.

You are doing a great job. Trust your instincts.

Hopefully others will come along and plug up the holes in my post from rushing.
 
Hi
DS was also dx at age 7.
He is 11 now
When was his last bloodwork , imaging , scopes , fecal caloprotectin???

Pentasa is typically not enough for crohns
When crohns kids are in remission
They feel good have tons of energy no issues
DS didnt get there until remicade
Pentasa did nothing for him
DS is on Humira now for crohns and we added Mtx for his arthritis

However the past few months he started with abdominal pains , increased BMs and fatigue etc.., he has since had a scope , imaging and a fecal

He recently started flagyl and EEN to try and improve things .

Has he ever had a second opinion at a large pediatruc Ibd center ?
 
I only have a minute so will have to come back to you tomorrow. My daughter had many of the same symptoms as your son from an early age (baby) even the rash behind the elbows and knees. We had our diagnosis at scopes too, when she was 3.

I have to tell you that she only started to really improve with serious meds. We did see a drastic improvement on a 100% liquid shake diet (6 weeks). I'll tell you more tomorrow.

Just hang in there, he can have a life again. There are so many parents here with multiple experiences and good advice.
 
I think if your GI is blowing him off, your son should definitely see someone else. He has suffered long enough. There are treatments that can help him. I would highly recommend that he get a second opinion! I'm sorry he has struggled for so long.
 
I agree your GI doesn't seem to be raking this seriously. It would be worth asking about EN. As your son doesn't eat well, it would give a lot of nutrition and he could get an NG tube (my son hated the taste so had the tube), so he wouldn't need to taste it. It worked really well for us and got rid of my sons tummy pains. Good luck
 
Welcome to the forum (but, am sorry you had the need to find us).

I also agree with all that has been said above.... it really doesn't seem like your son's crohns is being controlled. Your GI needs to do additional testing to determine if there is active inflammation. And, sometimes, initial testing doesn't reflect inflammation (ie for many, blood tests don't indicate inflammation) so you may have to push for further testing (fecal calprotectin, imaging, scopes, etc.). Many can also be asymptomatic for long periods as the inflammation worsens. My son was on exclusive and then supplemental EN (formula diet) only for two years, with no symptoms yet MREs and scopes showed continued inflammation. He eventually started remicade and inflammation disappeared.

While my son wasn't diagnosed until 16, and really didn't have symptoms until then... he was always a very picky eater. And, in particular, never liked any fruits and veggies - I wonder now if he was just reacting to how he felt after eating them?? In hindsight, his preferred diet was always a low residue/fibre diet (which is easier to digest) and, even though he was picky and afraid to try new foods, he has also always loved spicy foods (which never made sense to me either!) - I didn't know about the analgesic effects. :)

I very much encourage you to look into supplemental EN (enteral nutrition)! It will help ensure that your son gets his nutrition, even when regular is a struggle. Although my son is doing well now and on remicade, he still drinks one to two Boost shakes every day.

Once your son is on the right treatment, his stomach aches and fatigue should go away.

:ghug:
 
Wow you are so kind to reply - especially when busy! I will ask about some of the testing. They do test for inflammation from time to time but the fecal calprotectin doesn't sound familiar. You gave me some homework - thank you!!

Getting ready for a meeting at my house but wanted to say welcome to the group although I am sorry you have to be here.

Pentasa is a lower level drug and does not have a good track record of controlling Crohn's, especially in children. It is great that it has worked this long for you but it sounds like with puberty and all the disease has kicked it up a notch.

Did the GI run any tests for inflammation? Blood, fecal calprotectin?

I am surprised the GI dismissed you like that. It absolutely sounds like something is going on. I agree with the second opinion.

If you haven't run inflammation markers yet, I would have the ped order them, along with some vitamin panels. CBC, Vit D, Vit b12, iron, CRP, sed rate etc. I would also want a fecal calprotectin run. This is a very good indicator of intestinal inflammation. These results will either help you escalate matters with your current GI or give the new GI a good indication of what is going on.

BTW - your story of your son going undiagnosed and under the radar for so long is not new. It has happened to a lot of us. Even my youngest daughter suffered for years and she had a sister with the disease. Took us three years to get the GI to pay attention.

For nutrition while food is bothering him you might want to try some Boost or Ensure shakes. Maybe even juicing some fruits and veggies for a bit.

You are doing a great job. Trust your instincts.

Hopefully others will come along and plug up the holes in my post from rushing.
 
Thank you for your reply! I am trying to get him into another doctor at our children's hospital. All paperwork is submitted but since he has a diagnosis only two doctors can be assigned to him. It is good on one hand b/c they are the heads of the department but it is bad on the other hand b/c I have been waiting for 3 months now & still waiting. So I have turned into a squeaky wheel.
Hi
DS was also dx at age 7.
He is 11 now
When was his last bloodwork , imaging , scopes , fecal caloprotectin???

Pentasa is typically not enough for crohns
When crohns kids are in remission
They feel good have tons of energy no issues
DS didnt get there until remicade
Pentasa did nothing for him
DS is on Humira now for crohns and we added Mtx for his arthritis

However the past few months he started with abdominal pains , increased BMs and fatigue etc.., he has since had a scope , imaging and a fecal

He recently started flagyl and EEN to try and improve things .

Has he ever had a second opinion at a large pediatruc Ibd center ?
 
We went to a different hospital to get afresh set of eyes
Most departments have weekly staff meeting where hard cases are discussed so more than likely your current GI discussed the case with the others on the team
The fact they are making you wait that long is concerning enough

Most good docs welcome a second opinion
We have had two second opinions at other hospitals and still stayed with our current GI
They just recommend drug changes or treatment changes on a doctor to doctor level

Good luck
 
Welcome to the forum and again sorry you had to search us out.
It does sound as if his Crohn's is not under control. He has some similar symptoms as my son. The rashes (my son's is eczema) in the crook of the elbow, behind the knee coincides with active disease. The picky eating, the fatigue, a long recovery time. My son was diagnosed at age 10, he is now 15 1/2 and we assumed that his Crohn's was under control for a long time but it was not I had that mommy gut feeling that something was wrong and we were missing something. I kept pushing and finally got additional testing and an elevated fecal calprotectin - all other bloodwork was in normal range, he had an MRE which showed inflammation in the small intestine so much so surgery was discussed. We agreed to give remicade a try and it has been a wonder drug. No more fatigue, no more rashes, no more symptoms. It has been a night and day difference. He has even said he didn't realize how bad he felt until he felt normal as that was normal for him and for so long. He is also one who (pun intended) would just gut through it.
Hope you get second opinion soon. Good luck
 
Thank you. This is all so overwhelming. I thought I was crazy, over protective, too sensitive, paranoid, etc. I should know better, I have an older daughter (28yrs) with epilepsy (uncontrolled to this day, incidious condition, not gran mal - they are complicated...)so I should know better but it is so easy to go with the flow. I am in transition now, hearing from all of you just confirms what my instincts have been telling me - we need to get on top of this and something is not right. I feel like since he is not in crisis, the doctor treats him as if he is fine. Ugh Thanks again. This is amazing

Welcome to the forum and again sorry you had to search us out.
It does sound as if his Crohn's is not under control. He has some similar symptoms as my son. The rashes (my son's is eczema) in the crook of the elbow, behind the knee coincides with active disease. The picky eating, the fatigue, a long recovery time. My son was diagnosed at age 10, he is now 15 1/2 and we assumed that his Crohn's was under control for a long time but it was not I had that mommy gut feeling that something was wrong and we were missing something. I kept pushing and finally got additional testing and an elevated fecal calprotectin - all other bloodwork was in normal range, he had an MRE which showed inflammation in the small intestine so much so surgery was discussed. We agreed to give remicade a try and it has been a wonder drug. No more fatigue, no more rashes, no more symptoms. It has been a night and day difference. He has even said he didn't realize how bad he felt until he felt normal as that was normal for him and for so long. He is also one who (pun intended) would just gut through it.
Hope you get second opinion soon. Good luck
 
I just had the GI thank me at his last infusion for pushing. As he assumed since things were normal on labs and he just assumed he was meant to be a small kid. (He has grown 7" since starting remicade January 2014). He told me he was glad I pushed and kept questioning because obviously Jack needed remicade. Said he was a tough case and it certainly has him questioning things and looking farther in other patients if things are good but just not quite right. Sometimes you just have to go with the mommy gut feeling. It's hard I kept second guessing myself for years when GI would say he is doing good thinking it was just me and maybe he was supposed to be small maybe the other things were just things we had to learn to live with but then I would tell myself if that wasn't the case and I didn't do anything about it when I could I would feel even more guilt (as if I didn't already feel enough of that). It's hard when you have to make those choices for someone else and that someone you would lay down your life for.
 
Welcome Calmom,
The others here have already told you everything I would say. I agree keep pushing until you get answers. Keep us posted on how things go!
 
Hi CalMom, your story seems all too familiar and I'm sorry your son has had it so rough. My son was diagnosed with RA at age 10 and Crohn's at age 14. Like you, I think he had CD for many years before diagnosis. And I'm sure it was not helped by the rehumatologist giving NSAID's for 4 years in spite of my voicing concern about GI matters. Like your son, he had no energy and lost tons of weight, was not growing, but his docs kept saying that he was doing ok, labs were good, etc. I wish I would have found this forum earlier, as I think I would have handled things differently. ALL this to say....keep doing what you are doing, and pushing until you get the answers you need. You know your son better than anyone, and this forum will help you tremendously. About the foods, my son also started limiting foods, and he still does, and he also loves extra spicy!! N is now 19 and actually I have the same feeling as you, that not all is well in spite of labs, and as soon as school is out I am planning on taking him for a 2nd or 3rd opinion. I hope you find answers soon, and please let us know how it goes!
 
Welcome to the forum! I am far newer to this game than you, and you have already been given fantastic advice. I would just agree with the others, to keep pushing until your son's Crohn's is better controlled. If that means a new GI, so be it!
 
Welcome and sorry to hear about your son. Sounds like his current medications aren't working, it's so easy to get lost in the other details! Follow up with the GI, or a new one if need be. Hope you get him feeling better soon.
 

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