Hi Doc,
I had surgery last December because Crohn's caused a stricture in my ileum that almost shut it down completely. They took out the ileum, part of the cecum, the ileocecal valve and the appendix. I've been on Remicade now one year. My 8th infusion is coming up early Oct. Along with the Remicade, I have to take 50mg of azathioprine daily so that my body doesn't build up antibodies to the Remicade. I hate the fact that I am dependent on these two drugs now, and I do worry about that huge list of side effects, especially lymphoma. I have been reading about the lymph system and how it is an important part of the immune system. Two important parts of the lymph system are the tonsils and appendix, both of which I don't have. So I am trying to learn about anything I can do to help my lymph system- things that don't involve drugs. I bought a loofa and do daily dry skin brushing, and my husband has an inversion table for his back that I now use daily. (Haven't found any other techniques yet and just started these). Remicade also makes us susceptible to infection- I keep getting small fungal infections everywhere, and often feel like I am getting a cold. But I drink lots of herbal teas and use tea tree oil on the infections and so far my immune system can fight those off in a matter of a few days. My goal is to one day get off of these drugs but at our age (I am 67) that is hard, because the immune system weakens with age. I have cut gluten and dairy out of my diet, and try to limit sugar and processed foods, but I have not adopted any specific diet yet. As I see it, the best course of action is to do anything we can do to boost the immune system.
Also, as an aside, I am not even really sure the Remicade has put me in remission. I generally feel okay, but I felt generally okay last year until the stricture got so bad. So if I can't tell if inflammation is going on or not, it is maddening. The last colonoscopy in June showed all clear except for a "little bit" of inflammation at the anastomosis. GI doc said it could be a little left over from surgery. Well, it could also be Crohn's starting up again, so does that mean the Remicade isn't working???
I guess I am not really sure whether or not to recommend the Remicade route. Most people on this forum seem to benefit by it, and maybe I am even benefitting by it. But each of us is individual and Crohn's is so different for every patient.
Sending best wishes your way- please keep us posted on how you are doing!