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Crohn's Disease Forum

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I posted my story in... well, in "Your Story" lol. I was directed over to this forum by the kind members there, and hope to get to know you all better.

I tried to insert the link to my story here, but I cannot until I've made 10 posts. So, I'll copy and paste it here. Sorry it's so long, but I tried to abbreviate it, really!!

"Hello everyone. I am a single mother of a child with Crohn's, and it can be so scary! I know you've all had to deal with it personally, and I have not. However, watching the person most precious to you deal and cope and try to endure it is miserable for a mother! I joined tonight because she's starting to get another flare up, and I need to know how to be the best mom I can be for her.

Let me go back to 2003. My daughter was 4 months old, and I was breastfeeding her. My (now ex-) husband and I were with his family on a beach vacation, staying in a condo together. There was a loud argument, as usual with his father, and I insisted on taking her away from the negativity. When I got her upstairs and started to change her diaper, I noticed a bloody mucus plug. I was extremely worried, to say the least, but everyone told me that it was probably nothing, and that I had ppd (which was true, but did not negate the severity of the situation). I took her home to our family doctor immediately.

They did so many tests. Allergies to milk proteins, (I went off all dairy, including whey and curds WHICH ARE IN EVERYTHING PROCESSED!) flex sigmoidoscopy (they made me hold my baby down while they stuck her all over looking for a vein for IV!! It traumatized us both), lactose intolerance, formulas (in case it was my breast milk - it wasn't), and more. I called her my little miracle healer baby because she just stopped bleeding one day. We never found an answer to it, but we were happy because she was back to normal. I breast fed her until she was 11 months old, then switched her over to soymilk and regular milk after the 1 year mark.

Time passed and my husband and I separated, and eventually divorced. I was to move overseas, and take her with me. The plan was that I'd go for 1 month in advance, then he'd come and bring her to me, after I'd gotten the place squared away and the car and job secured. However, in the weeks leading up to this, she began to squat in the floor holding her tummy, and rock. I'd ask if she needed to go to the potty and fear would strike across her face. She always said no, but I knew she'd been holding it in. I assumed the cramping was due to this. See, she started holding it in when she was blocked one time. The pain of passing the GIANT stool that she finally passed tore her little bottom and she bled and cried. There were times we had to hold her down and give her enemas and she screamed and kicked as hard as she could. I felt absolutely vile about it, like we were violating her, which obviously wasn't the intent, though the trauma was the same.

I took her to the GI, and at the same time, the orthopedist. See, one morning she came crawling out of her bedroom with her stuffed animals under her chin. I told her she wasn't a baby, and to get up and walk. She said she couldn't, that her ankle hurt. When I asked and she told me she'd done nothing to it, I checked it for signs of bruising or sprain. There was nothing. I helped her up and told her to walk it off. I had her do some ankle exercises (I am queen of sprained ankles, so I know them by heart!) and even iced it and gave her anti-inflammatory meds. Nothing worked, so, we were going to the orthopedist in addition to the GI.

The GI wanted to do a colonoscopy and suspected polyps. We collected stool sample after increasingly-painful stool sample. They were getting larger, too... bigger than a soup can, then bigger than a 1 liter bottle, until eventually, she was screaming and crying on the toilet and begging me not to make her go. Many times, I would let her sit in a bath of warm water and play until she would pass it, but it was never without tears. I was freaking out and no one seemed to understand the gravity of the situation!!

Luckily, the orthopedist referred her to Children's Hospital in Cincinnati, as they could find nothing wrong with her ankle, and she'd been in an air cast for about 8 weeks. What I couldn't really comprehend was that my daughter looked more and more like a Holocaust victim everyday. Her bones jutted out in harsh angles, her eyes sunk in, and you could count every bone in her spine. She often refused to eat, no matter how hungry she felt, because she knew it would cause her stomach cramping and vomiting. She had dropped from 66 pounds to 42. My little 6 year old was starving in front of me!!!

Now, I mentioned it was lucky that the orthopedist referred her to Cinci, that's because she had another stomach cramp during the visit, and crouched low, rocking back and forth. "Does this happen often??" they asked. "Multiple times a day. The GI doesn't know why..." and they quickly set about taking blood samples and investigating every angle. "Have you ever heard of Crohn's disease?"...

It was awful and a god send all at the same time!! We hated to hear that our daughter had this disease, but at the same time, now we had a game plan for fighting it, getting it under control!! Steroids and diet and Mercaptopurine... finally, we got her into a remission stage!! She was able to take the boot off her ankle and walk and run and play again! The cramping became less and less, until she stopped altogether! We closely monitored her diet, and more importantly, began teaching her what she could and could not eat.

I am so grateful to the doctors that helped us! We had a routine check in September, and they upped her dosage, as her weight had gone up. However, I'm afraid we were a little too celebratory. We began allowing her small amounts of seeds and nuts again... occasional yeast rolls (she loves them!!)... strawberries and blueberries again... and now... I've lost my job. The reason I even bring that up is that she's a worrier. I hid it from her for a while, but she eventually realized that I'm unemployed and she began worrying. She also just recently got over the cold/flu that was going around, and it set up (as usual) in her chest as bronchitis. With a Z-pack she kicked it pretty well, but now, she's having a flare up. I don't know if it's the worry, the diet, the illness, or a combination of all, but I know we have to get it under control NOW!!

I joined this forum because I want my daughter to grow up happy, healthy, and able to do all the things normal kids do. She's afraid of sports, because "What if I hurt my joints?" (I've suggested swimming, and she's intrigued) and she's already getting body image issues at age 9 ("My new years resolution is to eat healthier, mommy, because ever since my steroids when I was 6, I've felt a little chubby" - What!? She isn't even close to the obese marker!).

I've started with the diet (as I've been trying to get a job since November!) but she's had to stay home from school a few days already, and of course will continue her meds, but honestly gang... I just need someone to understand and give me pointers. I don't want her having to go through a surgery this young, if ever! I know many of you have, and my heart goes out to you.

Thanks so much for reading/listening.

-a scared & tired mom, who will never, ever quit fighting for her daughter"


She's not had any blood in her stool as of yet, and is feeling better today, so maybe we got it reigned in in time?? Will continue to watch her symptoms...
 
Wow, your daughter (and you) has certainly been through too much!!! I hope she can quickly get back to remission!! :ghug:

Please do some research on Enteral Nutrition. It's a liquid diet with specially formulated shakes that provide all necessary nutrition, NO side effects and has a comparable success rate at inducing remission as steroids. It is used as a first line treatment for children around the world, EXCEPT the U.S. Not sure why it's not more commonly used in the U.S.???

There are a number of children here who have used it to induce remission and a number of them have continued with it (at a lower dose) as a maintenance.

There is a subforum under the treatment section, as well as a link under this forum... here is the link

http://www.crohnsforum.com/showthread.php?t=36345

You'll find lots of info in this link.

I'm sorry that it is your daughters illness that has brought to here but I'm sure you'll find lots of advice, suggestions and support from the many, many wonderful parents and members here!

:ghug:
 
I'm sure some of the other parents will come along whose children have used EN - tagging Crohnsinct , Twiggy930 , farmwife , mylittlepenguin, imaboveitall plus more... I'm just drawing a blank now... :)

I really don't understand how ped GIs in the U.S. can not offer this treatment option!!! It can be used together with meds and there is absolutely NO downside! :ymad:

Good Luck!
 
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Hi and welcome to the forum
I'm new here to and have found so
Many wonderful people
With great advice and help
Sorry you and your daughter
Have been though so much x x
 
Oh you dear women!:kiss: Hugs to you and your girl!:heart:
The crawling on the knees because her ankles hurt made me sad.
Today we have to get a brace fitted for Grace because she has the same thing. I hope it's very temporary.:wink: A three year old should be running around and driving her parents nuts!

I started a thread for toddlers and EN. I know yours is older but still some good ideas on how it works and why. On the first post is a wonderful link that our wonderful DustyKat wrote about EN. Please take time to read it. I know for Grace it's given her more energy by the day. I love it!:D

Please feel free to pm me anytime.
 
As an adult I was put on TPN for several weeks preperatory for surgery. My nutritional state was so depleted that I could not be operated until it was built up a little. I had an IV port installed in the upper chest area that was used for the TPN. Don't know that much about the differences but I have had both IV and NG tube and would favor the IV. Whether TPN over EN would be appropriate for your daughter is another question. Also, be sure to check insurance coverage for either.
 
Oh you poor things you have been through the wringer. No experience with EN here but it is going to be my first step (I will insist on it) if we have another flare before we go the prednisone route.
I can't tell you what is causing the flare obviously but keep track of things and you may notice some triggers over time. I know one of Jack's is not enough sleep. A mild flare always seems to follow too many days of not enough rest.
Hope the flare resolves quickly and she is back to feeling well
 
Hi and welcome. Sounds like you have had a rough time. Sorry to hear your daughter is starting to flare. My son has done the EN - 8 weeks via the NG tube (he wore it to high school for the full 8 weeks). It worked wonders for him and allowed him a few months symptom free (he was a mild case) with no other medication. If you cannot pinpoint what is causing her flare you can only try to eliminate what is possible such as her diet. I believe nuts and seeds can irritate alot of childrens tummies. We tend to avoid them plus popcorn, peel all fruits and cook all veg. Good luck, hope things settle down soon!
 
Thanks for the warm welcome, everyone! I've been on here reading all day! :ywow:

I'm learning so much! I guess I should give a little more info about my girl:

She went on pred to get it under control initially, at age 6, then a steady daily dose of mercaptopurine, which has, along with diet control, kept her in remission for the last 2.5 yrs.

She stays at her grandmother's a lot, which is wonderful for accomodating the long hours I was working. Unfortunately, her grandmother doesn't see any reason she shouldn't have 'normal' foods like everyone else, and often encourages her to eat things she shouldn't. I have been too lenient with grandma, and am now going to put my foot down.

My daughter cannot eat popcorn or corn, period. I kept her off seeds/nuts/berries for the majority of the the last 2.5 years, but grandma has allowed them to creep back into her diet, gradually. As it didn't seem to be bothering her, I allowed it, but am now realizing that was a no-no.

I'll definitely get that part of her diet straightened out, but I'd like your opinion:
Grandma gets her Atkins protein shakes, and she likes them. Is there any shake that is better in particular? Boost? Ensure? Atkins? others? She would be drinking them orally, and she likes the taste of them. She is not underweight at this point; In fact, she's at 95th percentile in weight. (but she's also at 90th percentile for height. We're amazons in my family, lol) However, when she has a stomach ache, I'd like to have something liquid on hand to get her settled down again. Any ideas?
 
Hello and welcome to the forum. Your daughters case sounds similar to my daughter. I am also a single mom (of four) Devynn is my youngest, and 11. She started having problems when she was about 18 mos old. Although, as I think back she did have constipation problems as a baby. She would sit on the toilet and rock back and forth crying and sweating every time she had to have a bm. I would try to rub her tummy, but she would just scream in pain. When she would eventually go, there was usually blood. At the time I thought it was because the bm was so big, that it cause her bum to bleed. This was the norm until she was about 5. She woke up one morning and couldn't walk. I took her to the emerg and they said she has something called toxic synovitis. They said it was inflamation in the joints either before or after a viral infection. They told me to use ibuprophen for the pain and that it COULD happen again. She would get horrible stomache pains, and could go from being constipated to having diarrheah. This went on and off for a few more years. Then in May of 2009 she had the worst stomache pains she had ever had. I took her to emerg because I thought it could be her appendix. They did blood work and ultrasounds and came back telling me her white blood count was through the roof and her lymph nodes were all inflamed. I fell to the floor, I thought they were telling me my baby had the dreaded C word. They admitted her right away and she spent 2 weeks in hosp, on and off of morphine. They told me the toxic synovitis does not keep coming back.
Afterwards, she was referred to a GI at the Hospital For Sick Children. They did upper and lower scopes and *unoficially* diagnosed her with Crohn's. She was put on Pentasa and did really well for about 18 mos. Then we lost our cat (he had a stroke and we had to put him down), and then 2 weeks later (June 2011) we found out my Mom had cancer. We lost Mom 4 weeks to the day after she was diagnosed and Devynn ended up in the hosp on morphine for another week. That was the beginning of her flare.
We went back to her GI and they tried her on Mezavant, which did not work. Her GI was not very easy to get a hold of, and even harder to get in to see. I went to my family dr and asked for a new GI but he told me the quickest way, was to get Devynn to a pediatrician and then she could request a new GI. Thats what we did. We started seeing the Ped in Oct, and she requested that Devynn be switched to the IBD team. She also requested a med change. She switched to Sulfasalazine in Nov 2012 and has been doing very well.
We just went to our first appt today with the GI team :) and were very happy.
This is an awesome place for support, information and a GREAT place to vent!
I hope you get answers and your daughter feels better real soon.
 
First sorry you had to find us.
Swimming is the absolute best sport for kids with Ibd.
Lots of muscle building without stress on the joints.
Great for the aches and pains.

As far as EN- per our Gi whatever shake they will drink is great.
We chose peptamen jr since it is semi elemental _ meaning its broken down so its easily absorbed by the small intestine even when it's injured .
DS is 9 as well.
Your Gi office should have samples of peptamen jr to try.

DS drinks 2 a day as maintence we add one if we want his weight to increase.
Our doc really encourages sports and as normal a life as possible.

Some links for EEN

http://www.nestlenutritionstore.com...n/specialized-nutrition?catpath=pediatric.2.2


http://m.abbottstore.com/abbott/catalog.do?cid=2061136

https://www.neocate.com/shop/p-24-e028-splash.aspx


If your Gi prescribes it through your durable medical equipment clause
Then some insurances will pay most if not all of it.
 
Welcome Pisces'mom! You may also want to consider putting her on a pro-biotic especially since she began having troubles after the Z-pack. I hope she soon gets back to a happy, healthy childhood!!
 
Just wanted to say welcome! Sorry you had to find us but glad you did. You have been given some great advice already. The only other thing I would add is to glance at the treatment section and familiarize yourself with the treatments that are used including EN as said,that way if her doctor ends up wanting to change her meds you will already be familiar with some of the other medications. I hope she gets over this flare quickly and is feeli g better!
 
Hi Pisces'Mom and :welcome:

My goodness, you and your daughter have been through the wringer...:ghug:

I can't add to wonderful advice you have been given about EEN except to also add my support in discussing this with your GI. It certainly is a shame that it isn't used more often as first line treatment in the US. :(

The joint pain your daughter experienced is a common EIM (Extra Intestinal Manifestation) of IBD and being a large joint the issues associated with it do resolve once remission is reached. My daughter suffered with knee pain but has had no lingering problems and sport is not a problem.

Both of my children have had surgery and it is understandable that you would not want your daughter to have to go through it. I would just like to reassure you by saying that should it ever come to that for you daughter both of my children have had wonderful outcomes. It not only saved their lives but they both went from children, much like your daughter - skeletal, to both being in solid remission for 6.5 years and 21 months respectively. :)
You have seen your daughter achieve this once and she will get there again and she will grow up happy and healthy because you will make so. You have done a wonderful job Mum and as you say...you will never ever quit fighting for her...it doesn't get better than that! :thumleft:

I hope this latest setback is reigned in quickly and your girl is soon on top of things again. Good luck! and welcome aboard. :)

Dusty. xxx
 
I know what it's like trying to be strict with the Grandma! My mother-in-law is quite like that as well. Was just going to suggest you "blame the doctors" for telling her she has to watch what she gives your daughter to eat. If she feels it is the doctors upset with her for giving the wrong food, maybe she won't get upset with you for telling her off :)
 
She stays at her grandmother's a lot, which is wonderful for accomodating the long hours I was working. Unfortunately, her grandmother doesn't see any reason she shouldn't have 'normal' foods like everyone else, and often encourages her to eat things she shouldn't. I have been too lenient with grandma, and am now going to put my foot down.



QUOTE]

:ywow: Oh my, her Grandmother MUST be related to my mother-in-law.
Don't get me wrong I love that dear women. I finally blow up at her :voodoo:and said when she starts screaming at night would she like me to call so she can listen to it?
She change her ways after that. Keep in mind we love through our food up here.:D I know she didn't mean any harm and loves Grace more then the air she breaths but still they need to release that their actions are hurting there grandkids.
 
Hi there and welcome. You write your story so beautifully and the love and care you have for your daughter is touching.

Our EEN story is in the EN thread so you have probably read it. I think it is a fabulous treatment to try and second Dusty's comment about mentioning it to her doc. Many docs in the U.S. don't mention it but if you do are very supportive. My daughter drank Boost and Ensure and our doc says the same as MLP's. Our doc goes with Boost and Ensure first as it is more palatable for the kids to drink but if they aren't absorbing from those works his way to the others.

My daughter hasn't had a flare yet but our plan is to hit future flares with another course of EEN (although I have read subsequent EEN courses are not as effective but then again I also read not as effective in colon and thats where my daughters disease is and not as effective when used after prednisone and my daughter used prednisone first and it worked so there!). My theory is if it can't hurt and if you have time (ie the situation isn't dire) then why not try.

Also, second looking into a good probiotic.

My daughter is a swimmer and it is a great sport on so many levels.

We eat a 90% clean diet which is basically no processed foods. While I can't say what it has done for her Crohn's it has certainly helped our family's overall health.

Good luck and keep us posted.
 
I cried reading your story, Pisces'Mom. I'm so sorry that your daughter had such a terrible route to diagnosis, but I'm so glad to hear that she has been diagnosed and is now being treated.
 
Your daughter's infancy sounds very familiar. My son screamed every time he nursed and pooped blood violently. I spent MANY nights pacing the floor trying to soothe him. The Dr finally got it under control with a very expensive predigested formula called progestimil. He was 15 months old before the blood stopped and even then, he could not eat anything with milk proteins in it. He always had trouble growing up, but his crohn's wasn't diagnosed until age 12. He is also very much a worrier!

I can relate to the Grandma thing too. Once, I caught my Mom giving Ryan a cracker. I protested and she said it's just a cracker. I grabbed the box and read the ingredients out loud. When I got to Whey, sodium caseinate...I gave her the evil stare and like farmwife, I told her I'd call her and let her hear him screaming and save the diaper for her! Even now, trying to keep popcorn, corn, nuts seeds, etc out is a chore. Over the holidays, I pretty much had to make a dinner for Ryan and take a plate to family dinners. Makes people mad, but whatever...

I would very much agree that swimming would be easy on her. Ryan says it's calming and quiet under water. That would help alot. He doesn't do anything competitive, but we joined the local indoor pool. I take a book, he swims laps and relaxes. Helps so much! Crohns definitely adds hardship to growing up which is difficult in itself! Our kids mature so much faster than they should have to.

I'd also second/third the probiotic. That is one of the best things we have done continuously since DX. Our whole family is on them now!

As for the shakes, Boost makes Kids Essentials that are good and Ensure has Pediasure. Ryan likes the chocolate in both of these. Find them with the baby formula and stuff usually, but these are what Ryan's GI nutritionist has him drink and he's 15.

I am sorry that you have had such a hard time with all of this. Sounds like you are an amazing Mom and advocate for her! You'll find lots of great info and support here!

Hugs to you and keep up the good work.
 
Lucky for me, my family (those I still bother to talk to, anyway) "grew up" with my Crohn's Disease diagnosed in 1983, and there was a distant cousin of mine who recently died from it, so nobody screwed with my daughter's diet growing up, that I know of.
 
re: Grandmas
ugh, yes, mine too.... something about "well, you were just fine". I think they get defensive and are in quite a bit of denial and don't have any control over the situation. it's better now that I'm a more educated/confident advocate. Thank goodness for this forum for providing support!
 
Hi Pisces....... I hate to read about any child suffering! Crazy roads to diagnosis abound on this thread. :(.

Anyway, hopefully this is just a "bump" in the road and things will quiet down quickly for her.

We're glad you're here. :)

Julie

PS - ditto ditto and ditto on misbehaving grandmas!!
 
Wow. Just... wow. I came back to check this thread just now and teared up reading all of the support and advice you've given me. Thank you, to all of you. :ghug:

I have spent the last 2 days reading more about the paleo diet (as I just started crossfit myself, and they are having a challenge in February) as a possibility for her diet as well as mine. It seems like it would definitely be worth a shot, as I don't want her (or any child!) to have to face the things I know some of your brave little ones have endured.

I will definitely look into the swimming, the probiotics, the boost/ensure, and the diet! Anything it takes for my girl!!

PS. She really enjoys swimming and horseback riding. I'm going to give up all notion of any competitive sports (she doesn't need any extra stress) and just get her to do these things regularly, for fun. I'm also going to try and incorporate a "Mommy & H" yoga session each weekend, again, for fun. ;)

Great news: H went back to school today, and managed the whole day without incident. Yay!!
 
hello, and a late welcome!
we did paleo last summer, shopping only at the local farmers market. we did a ton of local food, free range grass feed meats, and organic. I found that it was easier to stick to fruits, veggies, and meats than to try to scour labels in the grocery store, and cheaper to boot. I have as hard time following paleo when there is . no market, as our local grocers leaves something to be desired, but will try to buy extra and preserve next year.
I also agree with antibiotics, although they didn't help us, and en, which did. Vsl3 was the pb and we used peptamen Jr for en
 
I just wanted to update a bit: I began testing out Paleo in mid-january on myself first, and learning a few recipes. Then, on Feb 1, I switched both my daughter and myself to paleo completely. She is only about 50/50 Paleo, as she doesn't get it at her grandma's house, but she *does* prefer and make Paleo choices when given the options. We are both feeling much, much better. I have lost 18 lbs without really trying (I need to lose about 40 more to be at a healthy weight for my height) and have regular movements and little to no gas ever. I have allowed myself a few 'cheat' times, and have regretted every single one!! It's not a very difficult diet to stick to, and I can find something to eat at almost every restaurant (fast food is generally out, although there are a few exceptions), but most importantly, my little girl is back in remission, grinning, and growing normally. She even thanked me a week ago, for putting us on the diet, saying, 'it's just more delicious and I feel soooo much better!'

So, I'm not saying it will work for everyone, but I am saying that it seems to be working well for us right now. Thank you, to all of you, for your help/advice/opinions this thread, which has helped me make some changes we both needed to make!:thumright:

ETA: I will have her this week during spring break, so she will get 100% paleo with me. I'm interested to find out how she feels, her bm's, her gas, etc.
 
Congrats- that is wonderful news .
Does her labs and imaging and scopes reflect remission or are you relaying on symtpoms only ?
 
Pisces' Mom - I just noticed you're a Kentuckian too. :) Howdy neighbor!

J.
 
I wanted to offer a glimmer of hope for the normal kid, normal activities, normal life segment...

We too have been battling Crohn's since the preschool years (with very similar symptoms of constipation, food avoidance, pain, etc...). My son has had his share of flares, strictures and medical procedures. He is 13 yrs old now and in the middle of a really nasty flare (he missed the entire 3rd quarter of school and is scheduled for surgery in two weeks).

Still, he had an AWESOME spring break! He was able to ski for four days...in a row! He had a great time. Normal kid, enjoying normal activities!

He is currently on TPN (IV nutrition) and prednisone. He also just started Stelara (2 doses so far). Since he is getting all of his nutrition via the TPN, we allow him to eat what he wants (which isn't much).

My son has a very healthy attitude about his Crohn's. He thinks that everyone has something that they are good at and something that they have trouble with. His difficulty just happens to be the Crohn's. When he flares, we address the problem and move on. We just try to keep everything as normal as possible in between and, as a result, my son only sees a world of possibilities in front of him!!

Best wishes to you and your daughter.
Cheryl
 

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