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crohns_student

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Hello all. So uh, I'm new here. My parents suggested going online to look for forums specifically catering to Crohns. I'm in college and taking a variety of medications (6MP, Pentasa, Prednisone, plus generic calcium and a vitamin). I'm scheduled to get an infusion of Remicade here in less than 2 weeks. They sent me an information sheet on it and it's really starting to scare me. Apparently some people who were taking 6MP and then started up on Remicade got cancer and died. Now I know not everyone gets cancer from this but it's still a little frightening. It doesn't help that I have a pretty big phobia to needles, injections, etc. If this medication can help then that's fantastic but obvioulsy I don't want to get sick or have something worse happen in the process. Any thoughts? Thanks.
 
Also, what are some things that people use besides medication to combat crohns? For example, eat small meals, excercise, etc...
 
hey student, first thing.. Welcome to the site!

We are all very different with what will work for us, medicines, excercise, foods we can/cant eat etc. its such an individual disease, I think thats why its so hard to treat.

Its very scary to read up on any of the meds they give us, and it has to be a decision your comfortable with.. you have to ask yourself if the possible side effects, or long term problems are worth it to you today.. right now.

For me, It really wasnt a hard choice to make to be on remicade and mtx (similar to 6mp and aza)
I was done.. ready to give up if this wasnt going to work, or I was going to have surgery which I really did not want either.
Of course now that I feel better and am in remission, I think about the drugs a lot more, and what it might do to me in the future, but to be honest I never want to go back to the way things were, so its very worth it to me to keep taking them. Im sure if something happens in the future, I will sing a different tune, but for now, Im happy and feeling a lot more healthy, and am very grateful I finally found something that worked for me.

Good luck with it, I really hope it goes well, and you find some relief.
 
Crohn's Student,

I know that Remicade can be a scary drug. I was offered the choice of trying remicade or surgery. I was seeing two GI's at the same time (one was here in Canada from the UK working with my normal GI so I would see them both seperately... was a good experience for me!) and one thought I should try remicade and the other was not so sure. This was not due to any side effects it has, but rather it was thought I had scar tissue causing narrowing in my intestines and not inflammation, so that Remicade could possible be totally ineffective and just delay surgery for me for a few weeks-months. I had already lost some 25 pounds in 4 months and was now under 100 pounds, so I was not really in the mood to have some injections just to wait a few months before what I saw was definite need for surgery.

So I took surgery. But it was not because I thought that Remicade is a bad drug. People did die from taking Remicade. BUT, that was mostly because they were not aware of the side effects at the time. Tuberculosis was something that they did not think would be a side effect, and when it came it was a surprise. People now take a test before they get Remicade treatments to ensure they are not at risk for TB. Blood tests can also be taken to ensure that the remicade and 6MP do not react negatively. 6MP is known to cause a stop of production of white blood cells in a small minority of people, so regular blood tests will monitor for this. As for the risk of cancer (specifically lymphoma) it is still uncertain. Some say it is for those with long-term use who have a greater risk. Others say the risk of lymphoma has just increased for everyone. Still it is thought to discuss with your doctor if you have a family history of it, as it may put you at a much higher risk.

So I would not be too worried about the remicade. You are monitored when you take it to ensure no adverse reaction. It is not a poison that would kill you instantly, so if something does go wrong (usually like a flushing feeling and turning a bit warm) then you will be given a medication to reduce this symptom or the treatment will be stopped. Some people feel a bit sick for a day or so but usually people feel better soon after taking the Remicade.
 
There are many on this...I believ at the top of this part of the forum there is a section for remicade and humira NOT causing lymphomas.

They dont have any evidence the alpha blockers, like remicade and humira were causing lymphoma, only making it easier to detect pre-existing cancers.
 
My GI recently took me off Remicade, after only 12 months of being on it,
because he heard some rumors about Remicade causing Cancer if used long term

anyone else hear anything about this? I've known people who have been on Remicade for years, so not real sure what there talking about here.

We had talked about switching me to Humira, but nothing definite has been decided yet. He wasn't sure if Humira was approved by the FDA or not yet.

so in the meantime, there not doing anything, not even regular scopes every 3 years, because each doctor thinks its the other doctors responsibility to be doing those, so I'm thinking its about time to see my family doctor again for additional advice and referrals.

I tell yah, sometimes having multiple doctors is a real pain.
 
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scared also

I am also scared to take remicade. If it does damage it cannot be reversed.
I am new to crohns. and my doc keep talking remicade to me. I am getting a second opinion this month. I want remicade to be my last choice.
june
 
Hi, i just had my second remicade shot today. just want you to know that i was terrified too - but i came to a point where nothing else was helping and I decided that quality of life was more important to me.
i also want to say that so far it has been a miracle for me. i no longer have joint pain, have more energy so i can go to the gym and carry on with life, my fistulas aren't draining - it has given back to me everything that crohn's took from me. it has been truely amazing.
 
yeah well, I too feel much better on Remicade,

but I've been taking it now for 12 months, and my GI doesn't want me on it no more, because of the fear of getting Cancer.

even though it is working well for me

I understand he doesn't want me to get Cancer, and its impossible to come up with $12,000 every 2 months as it is, so I completely understand both those points

so I haven't decided what to do yet. the GI wants to push for additional surgery,
which personally I can't imagine what else they could do that they haven't tried already. although I haven't had anything removed or sliced off yet, so maybe thats what he was thinking I have no idea.

Its not exactally something I want to go thru by any means, but I think about it like this, "do I have a choice"?

RIght now, I'm just trying to figure out what to do about the pain.

I would be able to live with Crohns just doing what I have been doing, with a diet change and everything, but the Fistulas hurt so darn much, that I haven't figured out what to do about that part yet.

GI wants me to have more surgery, surgeon wants me on Remicade, and its just been a real headache for me trying to figure out what these doctors want me to do then.

In the meantime, I cannot sleep due to the pain.. I was up for 5 days in a row last week. and its been like that off and on for about 6 months now, The pain is just so strong, that it affects my sleep. I don't get any REM sleep for a week at a time, usually until I just pass out in exhaustion, not to mention the fact that I'm probably addicted to Darvocet now.

Now my family doctor, he'll give me as much Darvocet as I ask him for, because he does understand the pain is real bad, and he was there when they stuck a tube down my nose 6 years ago without any pain medicine or anything, without saying a word, so he knows that if I complain about pain, that it must be real extreme or I wouldn't be complaining at all.. He's know me long enough to know that.

Darvocet is the most wonderful drug for this problem though, because it also has a side effect of Constipation, which is not what I need, I know, but brief periods of Constipation helps, because the problem I'm having is located thru the sphincter muscles, so whenever they move, I feel it, and BOY do I feel it. :(

I literally dred having BM's now.. I actually try to "hold it" until the end of the day, because having to clean up and sit in sitz baths is not practical to do while at work.. Doctors don't understand I can't exactally take a 'sitz bath' with me to work everyday, besides being made fun of by other employees, I work in manufacturing so its not exactally a field you want to take a sitz bath into.

I mean, it would be different if I had an Office job, but since I do not, I have to do what I have to do to feed my family, which right now means working in a heavy labor intensive job, I just don't have a choice. nobody is exactally knocking on my door with a Computer job offer, so I gotta do what I gotta do until then.

so really I don't see what these doctors expect me to do that's practical. Do they want me to quit my job? because if I do, I won't be able to pay them for their services, I won't have income at all, or insurance at all if i quit my job, I won't even get unemployment if I quit, so I don't really understand what they expect me to do.

The most frustrating part, I have lost count of all the times I've brought all this up to my doctors directly, but they don't understand, I don't have an office job, I work in manufacturing, I am on my feet all day, usually standing in one place..

At home, yeah I can sit in a bathtub most of the day, usually sitting in a bathtub is the only thing that takes the pain away, then because I live with 2 other people with 1 bathroom, I can't sit in there all day long, so I gotta run out and sit on a heating pad to settle the pain down, otherwise if I don't do those 2 things all day, the pain is so bad I can't move hardly. and its not practical to go visit the ER every day either, so I mean, what do they expect me to do?

I have a friend here in my area, Mark, who is having similar troubles with doctors and pain. For a different problem, but still same difficulties talking to doctors. They don't want to give you too much Darvocet, so they tell him to take Tylenol.. hehe, it was funny, my friend Mark was saying to me the other day, just as a joke of course "here doc, let me stab you in the back with a chefs knife, and let me know if over the counter Tylenol does the trick for you, ok?" LOL it was rather funny, but still there is some truth to that, its like he was saying, the pain really IS that bad, but they just don't want to listen no matter how many times u tell them..

its frustrating to say the least..

About the only peace I have found in my life lately, is prayer. God and I have become so close over the last few years, and he is the one who has given me the courage and strength to deal with extreme amounts of pain like this, otherwise just sitting in this chair right now I'd be screaming at the top of my lungs in pain, even after it was drained a couple of weeks ago.

a lady at work was telling me I should have a stoma, er whatever that thing is called, a "poop bag?". She was saying her sister with Crohn's had that done, and her rectal pain went completely away with one of those.. I mean, its not exactally the treatment I look forward to, lord knows the cathetor treatment was bad enough I'll never go thru that again if I can possibly help it, but they don't give you a cathetor with a stoma, do they?

I know these are things I should be discussing with my doctor, but, when they don't tell you nothing, what u supposed to do? ya know?

read and ask questions on the computer is all I know how to do otherwise. Closest thing I have to a Crohns support group around here.
 
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Hi Bubazoo, I too had anal fistulas and they were extremely painful, I had them operated on twice to drain them and eventually opted for surgery this year. I too dreaded having a stoma (you don't have a catheter by the way with a stoma). But, I can honestly say that my quality of life has improved tremendously since having one. The pain I used to have has totally gone. I never envisioned being able to sit normally again or do normal things as the pain was so bad. I couldn't even walk properly. I went in through A&E twice the pain was so intense. I am no stranger to pain either, I have had 2 caesareans before my bowel surgery and never complained once about the pain as I thought it wasn't too bad at all. So I agree that the pain is really bad. It might be worth considering surgery, it worked for me, it may work for you too.

Ruth
 
I was on Remicade on and off for a couple of years. It worked well. But I can no longer take it because my body has built up immunities to it.

My doctor tells me there is a drug the FDA is working on approving for Crohns that is much like Remicade, but has a less chance to build immunities to.
 
hey bubazoo, i have a perianal fistula and i know how you feel regarding extreme pain. i havent fully considered it yet, but i'm thinking of doing the procedure using a seton to fully open the fistula and let it drain for a while until it heals? of course you would have to be away from the job for a while i think. if anyone has any real info on this i would love to know.. im just going by wikipedia lol

because of the fistula, i've learned to sit either on one side or just lift my legs up a little when sitting down so it doesnt press against a surface...

when it drains its so horrible.. i feel ur pain... but at the end of the day im just happy to be alive :D
 
Dekar said:
hey bubazoo, i have a perianal fistula and i know how you feel regarding extreme pain. i havent fully considered it yet, but i'm thinking of doing the procedure using a seton to fully open the fistula and let it drain for a while until it heals? of course you would have to be away from the job for a while i think. if anyone has any real info on this i would love to know.. im just going by wikipedia lol


Hi Dekar,
I have had 4 setons fitted before I had my resection as I too wanted to try other things first before having major surgery. The first 2 setons seemed to work really well to start with, the fistulas drained as they should have done but every time I had a loose BM they swelled right back up again and I would have 2-3 days of agony until they started to drain again. The second 2 setons had to be fitted as the fistulas had worsened and become more complex. These 2 didn't really do anything at all, in fact one of them fell out after a week!!. Unfortunately setons are not an instant cure and even my surgeon didn't rate them very well (that may have been just in my situation tho, as my fistulas were really complex) He did make a point of saying that they may not work but that they were worth a try as I really didn't want major surgery at that time.

You can actually go back to work with a seton fitted, it can be done in day surgery and you can be back at work the following week as the surgery is usually quite mild.

In the end I had another MRI which showed that no amount of setons were gonna make my fistulas better.

The problem with setons is they don't stop the fistulas from swelling, and that is where the pain comes from. The other thing is, they are made out of a soft rubber like material and you're right in saying that they are placed in the fistulas to keep the tracks open to allow drainage but the end of the seton if it is on the outside of the body as mine were, is a great big knot and it gets in the way when trying to keep the area clean and dry.

I'm not trying to put you off them, they may be ok for you, I'm just telling you my experiences with them. Hopefully you'll find something that will help your fistulas.
 

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