Newbie to GI docs & This horrible Disease

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New to GI docs & Crohns

In 2005 my son was only 5. He had bronchitus and was prescribed an antibiotic. After the 10 days, he was still not well, so the doctor prescribed a more potent antibiotic. It turned his stools to water consistency and after 5 days on it we quit giving it to him. He then continued to have diarrhea for 9 months. In May 2006, our pediatrician sent us on to a children's GI doctor. They did a colonoscopy and said he had mild ulcers in lower bend in large intestine. They suspected Crohn's. They prescribed all sorts of medicines and he continued to get worse. He was starting to panic, as school was going to begin second week of August. I was certain that the medicine was causing his troubles (sulfasalazine and flagyl) so with the help of my pediatrician I weened him off the drugs while giving him a gentle Gluten Free diet. He got better. It took about a month or 2, but his stools returned to 'logs' and he wasn't cramping. I slowly added back in glutens to see if he was a celiac kid. He tolerated everything well. I didn't like the GI doctors at all, and decided they had misdiagnosed him. I never took my child back and they never called to check it either. All went great...until February of 2010. My son got sick with a virus...diarrhea returned. After 2 months of it, and my son was cramping pretty hard...I thought maybe they had been right after all. My son is smaller than most of the kids his age, and my husband and I decided to make an appointment with the GI clinic. Immediately they did blood work and his SED rate was 26 and CRP was 1.6 and they scheduled a colonoscopy. After biopsies and finding granulomas, they concluded he had Crohn's for sure. They did a small bowel follow thru and all looked great. (But by now he was on Prednisone, pentasa, azathioprine, prilosec for 6 days). His SED rate went down to 17 and CRP 0.5 after a month on prednisone his SED rate went down to 10. We were amazed how quickly he got better. Its been disaster since. He was done with pred on July 23, with SED rate still at only 11...but by Aug 30, his azathioprine was now at theraputic levels and his SED rate had climbed to 18...next month 21...next month 38. He is cramping so bad now. He keeps getting sick, or having a bacteria that needs treated with an antibiotic. We are in a viscious cycle of meds fighting each other, and all the while my little sweet 10 year old is suffering. We have another appointment tomorrow and I'm going to request we stop the azathioprine. How can this be helping him when it seems to only be letting him get sick. He's never been a child that get sick very often from school, and now he's missed that past week of class. I wish this whole Crohn's thing wasn't a scientific experiment in progress. It seems they don't really know what to do with each child because everyone responds differently to foods and meds. Our GI doctor has mentioned Remicade often lately. After only 6 months of meds, and only trying one group of them, I feel like Remicade is going to the most extreme too quickly. Does anyone else have a young child on Remicade? I'd love to hear how its going. Our Gi doc says the kids begin to grow and feel great. I'm worried she's not telling about the ones with adverse reactions or side effects. I'm just worried...its different if you are doing things to yourself...I'm in charge of my young son who is depending on me to make good decisions for him. Thanks for any advise.
 
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Hey there and welcome that is one hell of a post haha. Im really sorry for your son and you. How old is he? Im 19 and just started remicade and gotta say been a life changer for me. I just gained 13 lbs. So far in about 6 weeks which is outstanding for me. I talk to the remicade people lots while I sit in my chair with the IV and they all say they have never seen severe reactions to it. My doctor told me she is actually more worried about the colds and flus which are easier to get because of the suppressed imune system. I really hope your son gets better for the holidays here. Best of luck and any questions at all fire away. Welcome!

Edit: Sorry wanted to add my mom was very very opposed to remicade at first too but she was very blunt with how she felt and her concerns and my doctor completely put her mind at ease. Remember your GI is there to help you and it wont hurt their feelings you asking all the questions you need.
 
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Hi,

I am so sorry your son is going through this.

I understand totally your concerns with the biologic meds (remicade). I was VERY afraid of them for quite some time.They were very very new when I was diagnosed. I personally feel that the immunosupressants are harder on the system than the biologics. I have taken them both.

Humira has been a god-send to me. I was in remission maybe a year out of the last 12, with Humira I have been in or close to remission for the last 6 months. If I had it to do over I would have taken it from the clinical trials I was accepted in.

Talk to your sons GI doctor, tell him your concerns let him teach you more about the medicines. Yes there are some very scary possible side effects, You have to weigh out the benefits to the risks. Remember not everyone gets the side effects and some are extremely mild, not enough to mention or stop the meds for.

It sounds like your son has Crohn's Colitis (meaning only in the colon) I also have that. Extra-intestinal complaints are quite common with that type of crohns. The only way to slow them down is to stop the inflammation. I wish I would have known what I would deal with for not stopping the inflammation early on. (not that there was many medicines to use).

I hope this helped you some.
 
Crazycanuck and Nica,
Thank you so much for your response. My son is 10. We met Wednesday with GI doc. She spent at least an hour with us discussing our fears about Remicade. She also told us that she thinks Prednisone has far more risks for our son (I never thought about that) and that he isn't responding to the steroid either. After our visit I feel like we should try Remicade. Our son recently battled the flu, which has made him lose 4 pounds in a week. He looks in such poor health right now. I feel like my opposition to this drug will just make him worse. After reading your posts, and how good your response has been, I feel even better. I'm so thankful for this forum. It lets you vent, and then talk to people who have been there before you. Thank You again. Doc's are trying to get his first infusion for Friday or Monday. That's the part my son is terrified about. Being only 10, the needles are scary.
 
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I am glad we helped you make a choice. Remi infusions don't hurt they just take a bit of time is all. (humira hurts!!)

Pred has so many side effects long term, and with Crohn's its always the "go to" med when you flare. I would reserve pred for when nothing else is working or at the start of a flare, if I had it to do over. I can't take it anymore.
 
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