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Wonk

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Hi everyone I've lurked a bit in the past six months. I won't go into the whole story here because well I hate telling it, I hate repeating it plus I figure if I start posting here regularly it will all come out eventually.

Anyways I was in the hospital with an infection early august and after treating it with antibiotics and taking Pentasa for a few months I still have a lot of pain. I started to feel better and then pain started to get worse again. I had a colonoscopy and my surgeon said that he didn't see any 'active' i nflammation just spots that looked healed over and when he poked the camera up to the illeum where the infection appeared to be on the CT he said that it was very narrow and he thought that the stenosis was due to fibrotic/scar tissue and not inflammation. However this is where he confused me, he wants me to go to medicine GI to see if a different drug therapy will help before a surgical intervention.

So here is where I am confused, will drug therapy have any effect on fibrotic tissue? Will the scar tissue causing the stricture go away on its own? Reason being I am fairly convinced that the inflammation is under control and I don't want to try a bunch of new drugs with new side effects for no reason.

Also I am working with my family doctor to try and find a pain reliever that works. We started with Tyelonl 3s which actually did an ok job at masking the medium pain I live with all the time although I could feel some of the stronger cramps break through but they weren't as intense. However the day after taking T3s I always have worse pain. T3's have always bothered me even before crohn's but you know how docs can be about pain meds, she wanted to see if it would help before moving on to other drugs.

Any suggestions on what I should ask for next? Family doctor won't try buscopan so I will have to ask my GI about that when I see him.

And yet another question, it seems like everyones symptoms are so different, I was wondering about the different subtypes of crohn's. I have had two flares and the first one went by undiagnosed and went away with antibiotics, but in both flares I have had no perianal disease and for the most part no 'D' it was only when I began only eating low residue foods after the hospital stay and to deal with the stricture that my stool changed to loose or rabbit pellets. My doctor didn't say anything about subtype, was wondering if anyone knew if it was significant in predicting what I might expect in the future. It took a fever of 105 and falling unconscious in public to actually get people to pay attention to what was happening to me because I didn't have any of the classic bowel movement symptoms only pain and infections which they were calling bladder infections.
 
I can answer at least the pain med question. In my opinion I think you should look into percocets. I have been on just about every painkiller that exists for a wide range of ailments - and nothing has worked better for moderate to slightly severe pain like percocets.

Welcome and glad to see you posting! Hopefully others can answer questions (cause I really should not be on here right now, I should be getting ready for a doc appointment!!)

:)
 
Hiya Wonk (great name by the way),

I haven't heard of any subtypes of Crohn's, but I may be wrong.

No 2 people in here seem to have the same symptoms, but we all share a variant of symptoms. All the symptoms are just labeled as Crohn's as far as I know.

It's difficult at first to get the medication that suits your needs, but you will eventually find one that suit you. It may only be for a short period of remission, but remission is remission in this world.

As for pain relief, I have never found any painkiller, apart from ones that make me dopey or drowsy, that will work on a day to day basis and still allow me to get on with my life. I try to stay off them as much as I can and deal with the pain, or if I have to, simply used over the counter pain relief.

I'm sorry you've been sucked into our secret garden, but hopefully the folks in here will help you understand whats going on in your body.

Remember, as my mother used to say... "there's always someone worse off...." ;)
 
I really am skeptical that a narrowing can be enlarged in any way other than surgery.

The only other procedure I have heard of is using a balloon type thing to force it open. I think that is more of an experimental procedure.

I saw a photo of my resected chunk of gut and it had a very thick wall and I do not see how that process could be reversed by treatment. Possibly there are different types of strictures. I really do not know.

Crohn's is very unpredictable. I just hope for the best and do what makes sense to me to keep me off the table.

Dan
 
n

Thanks MBH

D Bergy said:
I really am skeptical that a narrowing can be enlarged in any way other than surgery.

The only other procedure I have heard of is using a balloon type thing to force it open. I think that is more of an experimental procedure.

I saw a photo of my resected chunk of gut and it had a very thick wall and I do not see how that process could be reversed by treatment. Possibly there are different types of strictures. I really do not know.

Crohn's is very unpredictable. I just hope for the best and do what makes sense to me to keep me off the table.

Dan

I think you are right Dan. Its kind of scary how uninformed my family doctor is. I asked her what drugs can help a stricture caused by fibrotic scar tissue and she mentioned Remicade and Immune system suppressors so I just looked them up and its obvious that is not what they are for. Thankfully she gave me some percocet for those days when I just want to have a normal day with my family. But she was trying to get me to go on steroids because I was complaining of the pain....hello my inflammation is under control how are steroids supposed to help me now!!!

I have developed some ways to deal with it...I call it mini mush meals, I eat like a bird picking at low residue mush...its really helping but I am still losing weight ):
 
D Bergy said:
I really am skeptical that a narrowing can be enlarged in any way other than surgery.

The only other procedure I have heard of is using a balloon type thing to force it open. I think that is more of an experimental procedure.

I saw a photo of my resected chunk of gut and it had a very thick wall and I do not see how that process could be reversed by treatment. Possibly there are different types of strictures. I really do not know.

Crohn's is very unpredictable. I just hope for the best and do what makes sense to me to keep me off the table.

Dan

I'm booked in for a stricture dilation early in November. I'll probably post how it goes. My GI says he's done quite a few now, and they're pretty successful.
 

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