New to the forum...Diagnosed Crohn's 2011

Crohn's Disease Forum

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Hi everyone, I've been reading through this forum a lot recently. I'm trying to find people with a similar experience, and hopefully some people a few more years down the road that have some good advice.

I went to see my doctor for a routine physical in early 2011. One topic that came up was that I was having bowel movements 4-8 times a day. I was 29 at the time and thought it was because I had a "eat anything I want" type of diet, and I've always been a drinker. He sent me to the GI doc, who got me in for a CT scan and colonoscopy. Slight inflammation in my ileum, but no pain. He had me start Asacol immediately and diagnosed me with Crohn's. I thought he was wrong because I felt fine, but I stuck with the Asacol and continued as usual. I was an off and on cigarette smoker but haven't smoked since that day.

A year later, I had my first "flare up" which consisted of about 2 days of abdominal pain and a fever. I had zero energy and was stuck in bed. I had just returned from Europe where I ate a bunch of unusual stuff and drank a lot of vodka and this stuff that's kind of like moonshine (home brewed in Lithuania), and figured that's what set me off. I was back on my feet in a few days and felt 100%.

My GI doc said I had a mild case of Crohn's and that people with a mild case tend to stay that way. He had me increase my Asacol dosage, which I'm still not sure about. He said Asacol is "what all the GI's start with, even though there's no hard evidence that it helps." I'm still on Asacol even though this doc's plan is to put me up to the next level drug, 6MP. I'm hesitant. He's old-school and about 5 minutes away from retirement and seems like he couldn't care less about what happens to me. I live in a small county and he's the Crohn's disease expert here, so as far as GI docs, there isn't someone else to see.

My flare ups have continued since then like clockwork, every 2 months. I would just stay in bed, drink lots of water, and they'd pass after a couple days. Could be worse, but I have to miss work, etc. Now I have a baby daughter, which makes it way harder.

I started seeing a new doctor in the Spring of 2013 who practices "Integrative Medicine." She had me stay on Asacol. I took a food sensitivity test (ALCAT) that outlined Red/Orange/Yellow/Green categories of what was safe for me to eat. This doctor's plan was to heal my gut. She got me on Low Dose Naltrexone, Glut Aloe Mine powder (supplement), B12, Probiotics and a new refined diet of things only on my Green list. I started drinking a lot less, BUT...

The day after we outlined that plan I had the worst flare up yet. It landed me in the ER with a bowel obstruction. Thought I was dying. I had the tube up my nose, lots of vomiting, a no liquid or food diet for 36 hours and an IV. The whole flare up was about 5 days start to finish. That was incentive to really dedicate myself to the new diet.

The diet started August 2013. My flare ups have continued every 2 (sometimes every 3) months now, and sometimes they only last a few hours, so it seems like an improvement. After 6 months on the diet, I was supposed to gradually re-introduce items from my Red/Orange/Yellow lists to test if they had an effect on me. Nothing did. I felt fine. I did notice that dairy made me poo more frequently again, and greasy food made me feel gross, so I still stay away from those. I still haven't been able to make it past 3 months without an issue though.

My last flareup was 2 weeks ago. It was 2 days of abdominal pain followed by 2 days of diarrhea, fever, body aches and headache. This was the worst since my hospitalization a year earlier. I see my doctors again in a couple weeks. Pretty sure the GI doc with say "more drugs!" but I'll hear him out anyway. Now I'm scratching my head and trying to figure out what to do next, which is why I'm here.

Here's my plan: Super restricted diet. No dairy, coffee, sugar, alcohol, processed foods, and limited amount of acidic fruits and veggies.

Meds: Asacol 800 Mg (3 times daily)
Supplements: GlutAloeMine, Probiotics, B12, Vitamin D

I know I've got it easy as far as my flare ups being not horrible, and no surgeries, but I'm looking for advice from people with similar experiences. I like the idea of healthy diet more than stronger drugs. Any advice helps. Thanks!
 
Hi and welcome.

Have you had a colonoscopy in the last year?
Flaring every 2-3 months makes me wonder if inflammation is continuing with few symptoms. No symptoms doesn't mean no inflammation. Over time inflammation can cause a lot of damage down the road.

6MP is a good idea.
Have you had bloodwork lately? With your ileum inflamed you my not be absorbing b12. No amount of oral supplements will fix that.
Full bloodwork will tell you if you're deficient in anything.
Has your upper GI track been checked for crohns.

Hope you feel better soon m
 
Hi there! So sorry to hear of all your struggles!

I'm just getting back to the forum after a long time away, and I'm so impressed with all the Forum Wiki - have you seen it? Here's a good place to start: http://www.crohnsforum.com/wiki/Crohns-Disease

Have you had any recent tests?
-- Labs - like CBC, ERS, CRP ( http://www.crohnsforum.com/wiki/Blood-test-codes-and-results-explained )?
-- Fecal Calprotectin ( http://www.crohnsforum.com/wiki/Fecal-Calprotectin )?

With the frequency of your flares, it sounds like you have a inflammation going on. Drugs do carry risks, but so does uncontrolled Crohn's inflammation ( http://www.crohnsforum.com/wiki/Inflammation ).

Kudos to you for seeking out the best diet for you - I'm finding fine-tuning my diet/nutrition is very helpful, and glad to see so much activity on the forum about this. But "stronger drugs" in my experience have been necessary - so read all you can around this forum and wiki so that you can advocate for your best treatment! (Sorry about your GI situation - my own is not ideal, either, and I know this is rough)
 
Thanks for the info!

I hadn't considered that issues occurring every 2-3 months might just be inflammation that hadn't completely gone away...and now I'm worried about long time effects of that. I'm currently researching 6MP...InkyStinky how has that gone for you? Are you experiencing troubles with it?
 
I've been on immunosuppressants for over a year with no problems.
 
I've been on 6MP long-term - since '09 this go 'round. I had elevated liver levels a few years ago which my GI monitored, and eventually they evened out. It's been years since I've flared - I currently have no gut symptoms. So for my Crohn's this is a great drug.

(On-going fatigue and "brain-fog" have been my struggles for a very long time - no clear "cause" in my case so it may just be the nature of my type of Crohn's, and not a result of the 6MP.)

6MP needs monitoring to see how an individual reacts to it - here are some great places to start reading:
-- http://www.crohnsforum.com/showthread.php?t=40438
-- http://www.crohnsforum.com/wiki/6-MP
-- http://www.crohnsforum.com/wiki/TPMT

I just listened to a great webinar last week from CCFA (USA) about "What's Best For Me? Treatment Options in IBD". Really liked how the presenter stressed treating IBD patients as individuals, and detailing risks/benefits of different treatments. If you're interested it looks like you can sign up and watch the archive here: http://www.ccfa.org/resources/webcasts.html
 
Good to hear both of you haven't had issues with 6 MP. Some of the side effects are a little scary, that's been my only hesitation.

DJW, to answer your other questions from earlier...
I haven't had a colonoscopy in a few years, but have had a CT scan about a year ago.
My upper GI track hasn't been checked as far as I know.
It's been a while since I've had blood work, but I do it every time my docs ask.

Thanks so much!
 
Hi I am sorry you are dealing with all of this! I had my large intestine removed 13 years ago due to being diagnosed with ulcerative colitis, but go to find out it looks like I was miss-diagnosed I just found out 2 weeks ago I have active crohn's disease I am dealing with a fistula that was suppose to of been repaired in December which was my second surgery at this point. However it did not take and I am looking at another endoscopy & sig- colonoscopy done next month to figure what they can do for me next.

There is nothing like getting a second, third, forth , and fifth opinion until you feel better and comfortable with the medical information they are giving you.

When I first was diagnosed with ulcerative colitis back in the 90's there wasn't much to go by back then but other then treating the disease and controlling it. I was taking heavy meds for 9 years before I decided to have my large intestine removed. I was on high dosages of (PREDNISONE) 60 mg which is an evil drug to me, it's like a steroid and makes you gain tremendous amounts of weight well in my case it did. However it is a great powerful drug and helps with inflammation. It doe's what it is suppose to do though. I have just been put back on it but just 10 mg the only thing is that when you want to get off this drug they have to tapper you off slowly.

I was always in remission only about 3 months out of the year. The rest of the time I had active flare ups, that consist of the same thing you are talking about. Severe cramping that put me in the fetal position, could not get out of bed, 9-10 blooding bowl movements a day, headaches, body aches, nausea, vomiting, fatigue, terrible mood swings due to the Prednisone etc.. and now I have acquired a fistula 13 years later and that's why after blood work and all the symptoms I am having again they have diagnosed me with Active Crohn's disease. I am scared on what might be my next step because there is a chance I will have to wear a bag outside of me the rest of my life due to the fact that the J pouch they made for me 13 years ago is now not functioning right.

I hope I helped you or gave you a little advise you can use, I hope I did not scare you in anyway because it was not my attention but I feel the more information that you have the better it will be for you. I wish you all the luck in the world and make sure you see another Dr. even if he is not in your area. I drive 365 miles to see my specialist and he is wonderful people come from nation wide to have him do there surgery he is at the University of Washington in Washington state
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My daughter seems to have symptom pattern with her crohn's disease similar to you.

Leading up dx she would have periods who severe pain and time between them shorted over time. We were told to each occasions it was gasto but no one else in the family ever become ill. She had no bowel symptoms.

She takes azathriophrine then sister drug to 6mp. She is in remission.
 

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