Partner hoping for answers...

Crohn's Disease Forum

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Feb 24, 2011
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Hello all,

This is my first post here, so please be gentle! I've been browsing the forum for a while now, and not sure that I've found the information I'm looking for, sooo here goes...

I'm the partner (boyfriend) of a Crohn's patient. We've been involved for approximately 7 months. She was diagnosed in her late-20's (we're both early-to-mid 30's now) and has had a few procedures done over the years. The one that most disconcerting for her (a few years ago, long before I even knew her) involved a rectal absess that she ignored for too long (didn't know what the pain was) and it ended up going septic and almost died before they got her into surgery.

When I met her last year, she was in remission and had been so for about a year+. It seems like as soon as we passed that magical 3 month mark in our relationship (you know... the point where the party gloves come off and people begin to really let their guard down), the current situation began. Since mid-November, she's probably been to the ER about 30 times. (An average of twice a week.) Her complaints have varied from rectal pain, bleeding/draining, to nausea, to lower abdominal/appendix-area pain, to more 'female' type pain which she's related to the endometriosis she had as a teenager. Each time, according to her (i've only gone with her a couple of times... she now says that she doesn't want me there with her) they give her fluids, a few runs of either morphine or dilaudid, occasionally do a CT scan and/or X-rays, and send her home with either percocet or vicodin. It's gotten to the point where, almost like clockwork, 3 or 4 days after she's out of the ER, she complains of pain again and is back in there. Through all of this, she's not been terribly motivated to sit her regular team of doctors down and find out what the hell is really going on. Which leads me to...

Now, my question... and gosh, I hope I don't offend anybody, but this is why I'm here -- to find out what other Crohnies might think of what's going on. I realize "normal" is a loaded word, but is this normal? Is she experiencing a flare-up? Or (and this is the part I hope doesn't offend) is she a prescription drug addict? I don't doubt her diagnosis of Crohn's one bit. But I'm wondering if there's a substance abuse issue going on. She's admitted developing an addiction to narcotics in the past. If there was no chronic medical condition involved, I would have been through with the whole thing months ago. I've spoken to friends who are nurses, ER techs, etc, and they all seem to think I'm just being stupid by not seeing that she's clearly an addict. Yet there's that slim possibility that all of this really is legitimate and eventually, on one of these twice-a-week ER visits, they're eventually going to find something and I'll end up feeling like a jerk.

She's very resistant to the idea of counseling/therapy. And she's resistant to the idea of getting a second opinion. This sort of contributes to my gut feeling that there's an addiction issue in play. It's almost as if she doesn't really *want* anyone to look too closely at her guts; she almost seems to enjoy the idea of this enigmatic disease. "I'd go see my GI doc, but I know they won't find anything anyway."

When we started dating, I didn't know anything at all about Crohn's disease. I've tried my best to educate myself, done a lot of reading. I don't really feel that my issue is with her illness. I'm fine with the associated bathroom issues, don't even have any negative feelings about the possibility of her having an ostomy at some point down the road. But then, when I consider the possibility that this all really IS her illness, perhaps I'm really *not* strong enough to handle it. Can I really handle a relationship with someone who ends up spending every holiday (so far, Christmas, New Year's, and Valentine's Day, plus a weekend getaway that had to get cancelled... will we ever be able to make special plans for anything??) in the ER?

*deep breath*

Thanks for any light y'all might be able to shed on this.
 
I feel, from what you've said, that she probably has an addiction issue. Needing to go to the emergency room twice a week either means she's trying to get a pill fix, or she's legitimately in pain. If she's legitimately in pain then I would think she would need a round of Prednisone to stop the inflammation which would be causing pain. Since she's not up for meeting with her GI, she must know its not her Crohn's causing problems. Here's how I look at it: ER visits are VERY expensive... she's wasting a TON of money going when she could have a GI appointment and get meds (non-narcotic) to help fix instead of mask her problems.

I have a severe case of Crohn's Disease and I've only ever need to go to the emergency room once in the 4.5 years I've been diagnosed. I don't think her trips are "normal". I think she needs some help.
 
I mostly agree with Katiesue. She seems too content with going to the ER for drugs rather than seeing her doctor to find out what's really going on and treat it. I wouldn't write off her not wanting to see her GI as her thinking it's not Crohn's. It's strange that she doesn't want to, but I think that's reading too much into it. The fact that she has been addicted to narcotics sounds like a huge red flag to me. The resistance to seeing a therapist or another GI for a second opinion sounds like it could be related to addiction, as well. It's not pretty to address, but it's necessary. This isn't something to sweep under the rug.

I personally haven't gone to the ER for Crohn's but I have a high pain tolerance. I'm not fond of taking drugs like that unnecessarily, either.
 
Its possible to get addicted to pain medication and easy to get when you do have a chronic illness like crohns. I would really question addiction if she doesnt seem to want any medication for her disease besides narcotics.

I did have an issue with codeine once. I thank the lord that I became allergic to it.

Its also ok to not be strong enough to handle a relationship with a crohnie. That does not make you a bad person. In fact its good to figure out all that stuff now. You are not married, and you have time to choose somebody that is right for you. Seriously take into consideration that this disease is for LIFE. She may go into remission here and there, but its a life long condition. Its frustrating to be with someone that doesnt want to help themselves no matter what there affliction is.
 
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Ditto everything Lydia said ^, minus the codeine part! :)

I'm suprised they haven't flagged her at the hospital yet...
 
100% agree with Troy (above post). I have been on your side of the addiction train wreck. A life time disease in conjunction with the life time Crohns. A lot to handle/take on.
Be careful,
Michele
 
Hi again,

Just wanted to check back in and thank you all for your responses.

I did end up sitting down with her over the weekend and confronting her about her drug use. Well, I didn't really even get the words out. All I did was sit down beside her, take her hand in mine, and say, "There's something I need to talk to you about..." and she immediately put her head in her hands, started shaking her head "no" and saying "no, no, no, don't say it, please don't, I can't, I can't... I know, I know."

Sooooo... At least she didn't deny it. She claims that she has an action plan of sorts in mind already, but I'm not 100% convinced. The verdict is very much out on what I'm going to do from this point forward. (This is where I go find a Narc Anon partners forum, I guess, eh? *insert wry, sarcastic, sheepish grin here*)

But I do want to thank you all for taking the time and offering your input, simple as it may have seemed at the time. Between reading your responses, and seeing an empty percocet bottle that she left sitting out in the open the other day (a 7 day/24 pill supply of 10/325's that she burned through in 3 days or less), that pretty much solidified it in my mind that she was, in fact, an addict, and gave me the last nudge of courage I needed to have that very difficult conversation with her.
 
You sound like a very supportive, caring person. Do not forget you are a person with needs too. I don't want to sound like I am preaching or on a soap box or anything. I just want you to be very careful.
Take care of you,
Michele
 
Hi Mouse - Well, it seems weird to say that I'm happy for you, but I am relieved for you that she came out in the open - admitting it is the first step, right?

I guess you have to follow thru, or make sure she follows thru. I've seen enough episodes of Intervention to tell you that you have to "stick to your guns"!

Thanks for giving us an update - stop back anytime and let us know how you are, how she is and what's going on.

Take care of yourself, too! -amy
 
Hello Mouse. I'm glad that you sat down and had the talk with her, and that she has admitted she has a problem. I hope that she is able to have much success in battling and defeating her addiction. I think it's amazing that you are sticking by her through this, it shows that you really love and care about her.

That said, take care of yourself too.
 
Heheheh, thanks Michelle and Amy... Yeah, I know what you mean. And I do feel a sense of relief now that the cat's out of the bag, so to speak. It's very much a "wait and see" situation now. I've had enough years of therapy myself to know that healthy detachment is the only way to go, for my own sanity. I'm trying to let her know that I will "be there" for her, but I'm not her personal saviour by any means. And as someone up there a little ways earlier (sorry I don't know how to use the bells and whistles on this forum to cut 'n paste little bits from various posts!) mentioned, this is a relatively new relationship; we aren't married or even engaged yet. My emotional investment is still relatively small. As much as it would suck to have to do so after 8 months, it wouldn't be the end of the world to reach my breaking point and decide I'd be best just cutting my losses and walking away.
 

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