Signs of my disease return after surgery

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Jan 20, 2014
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los angeles area
Hey everyone, feeling extremely discouraged. I had a fairly inolved resection 6 months ago and I have been feeling like my disease is still active even though all my numbers from blood tests show no active inflammation, had an mri 3 months ago and no signs of inflammation either. Have been experiencing nonstop pain, as well as nonstop diarhea, unbelievably extreme fatigue. Plus the freaking pain management docs have me thinking it is in my head and using the "theres no signs of active inflammation", well Ihad a colonoscopy last week, and in a way, I am relieved that my g.i. doc came back with bad news, there are already 4 areas of ulcers starting to accumulate. I am not necessarily happy that my disease is returning, in fact it is somewhat crushing, but on the other hand I have to say that the reason Iam relieved is because, Ihave just been feeling like I am going crazy and tha this has all just been in my head. On the other hand, I am also super discouraged, as the remicade has not been able to work, and the surgery supposedly removed all of the diseased tissue, then I was switched to humira following my surgery, and it seems like nothing is slowing this monster down. I know the pain, discomfort, fatigue are not figments of my imagination. The fact that I am taking pain meds as well as wearing fent patches is scary as it helps extremely but the amount the pain docs feel is adequate, definitely doesnt seem to be able to keep my pain levels under control. Iam more than aware of all the reasons for why these docs feel the way they do, but I now that my happiness and qol is also important to me, but because I was honest with them about how Iwas abusing pain meds before my surgery,they have me labeled as someone with addictive qualities. Iam not disputing that I may have addictive issues, but Iam not looking for a high, nor was I prior to my surgery. I was just in a lot of pain having 2 internal fistulas, 1 large abscess pressing on my bladder, and 2 feet of almost completely closed off intestines, I am not taking nearly as much pain meds as I was prior to surgery, but my body feels like it is dying. I want to give up at times. All of my g.i. visits up until this most recent colonoscopy, my doc is always upbeat and telling me to look at all the positive things that are going for me in life, and when she had to come give me the "bad" news about all the new ulcers, i could tell she was not happy, she looked depressed for me, cuz I think she knows that the disease is pretty agressive in its attempt to consume me. I am pressing on and trying to figure things out, I just have a hard time eing able to find a way to see a real future for myself. Iam 37 and I really don't see being able to have a social life at all. If it wasnt for my own personal experience in grief and losing brothers in life, and me having younger brother, I find myself wishing that I could be put out of my misery, and asking myself "what is the point"....
thanks to those of you that took the time to read my drawn out story.
 
Have you talked to a psychologist àbout your feelings? Have you talked to a doctor about trying Cimzia or Stelara? Or maybe some other options? Hang in there and let us know how you are doing?
 
Sorry to hear this BigBoss I'm in my early 30's and once I got to 7 surgeries I stopped counting they don't really have anything else they can remove.Within the past couple months they found my crohns was back,I've been dealing with this since the 6th grade and it gets rather annoying but what can you do? Just try new drugs and hope this time it works for good.
 
Sorry to hear this BigBoss I'm in my early 30's and once I got to 7 surgeries I stopped counting they don't really have anything else they can remove.Within the past couple months they found my crohns was back,I've been dealing with this since the 6th grade and it gets rather annoying but what can you do? Just try new drugs and hope this time it works for good.
Amen
 
Hi Big Boss. Really sorry to hear about your troubles. I'm in a flare again after 3.5 years remission after surgery and being treated for a related PVT. It can be hard to see the light at the end of the tunnel some days.
It sounds like you have a sympathetic GI which is good. Have you discussed your treatment options now with her? It might be worth also telling her how you are feeling about all this because she might be able to refer you for some help. I don't think you should have to be coping with this on your own.
Hang in there x
 
Hi Big Boss. Really sorry to hear about your troubles. I'm in a flare again after 3.5 years remission after surgery and being treated for a related PVT. It can be hard to see the light at the end of the tunnel some days.
It sounds like you have a sympathetic GI which is good. Have you discussed your treatment options now with her? It might be worth also telling her how you are feeling about all this because she might be able to refer you for some help. I don't think you should have to be coping with this on your own.
Hang in there x
Agree
 
Sorry to hear this BigBoss I'm in my early 30's and once I got to 7 surgeries I stopped counting they don't really have anything else they can remove.Within the past couple months they found my crohns was back,I've been dealing with this since the 6th grade and it gets rather annoying but what can you do? Just try new drugs and hope this time it works for good.

Hey tubes, I appreciate the reply, but its more than annoying, at least for me. If all it were, was annoying, I could deal with that, but, in my head, I still feel like I can do everything that I could do before I had this initial flare. This flare or my flare originated in 2011, and I just had the surgery in sept. 2015, and I am not sure if I am still in flare, but the disease is def still actively present in my body, maybe not in the form of inflammation, but the ulcers have already returned as I already stated, and I have a fatigue that is not even describable. I still feel like there are all these things I can do in my head, and then when it comes to actually doing them, I feel like I have been playing basketball for 6 straight hours... I used to be able to go to the park at like 3pm and play game after game of pickup basketball till the lights shut off at 10pm, and I was a pointguard so I ran around more than most did on court, now, I cant even think about doing stuff like that... I just don't know how to deal with this, and don't get me wrong, I am not a twenty something anymore, but I know if my brain still feels like I should be able to do all this crap, then I know it is the crohn's. I can't even wash my cars or work on on my cars, and not being able to work on my cars, has become utterly crushing. sorry for the tangent, but what my point was, that this is more than annoying. I wish it was just annoying. My body feels like it doesnt work properly.
 
Hey tubes, I appreciate the reply, but its more than annoying, at least for me. If all it were, was annoying, I could deal with that, but, in my head, I still feel like I can do everything that I could do before I had this initial flare. This flare or my flare originated in 2011, and I just had the surgery in sept. 2015, and I am not sure if I am still in flare, but the disease is def still actively present in my body, maybe not in the form of inflammation, but the ulcers have already returned as I already stated, and I have a fatigue that is not even describable. I still feel like there are all these things I can do in my head, and then when it comes to actually doing them, I feel like I have been playing basketball for 6 straight hours... I used to be able to go to the park at like 3pm and play game after game of pickup basketball till the lights shut off at 10pm, and I was a pointguard so I ran around more than most did on court, now, I cant even think about doing stuff like that... I just don't know how to deal with this, and don't get me wrong, I am not a twenty something anymore, but I know if my brain still feels like I should be able to do all this crap, then I know it is the crohn's. I can't even wash my cars or work on on my cars, and not being able to work on my cars, has become utterly crushing. sorry for the tangent, but what my point was, that this is more than annoying. I wish it was just annoying. My body feels like it doesnt work properly.

Annoying may have been the wrong choice of words I'm not trying to downplay the disease but for me atleast I've been dealing with this for over 20 years and having crohns at such a young age I've already gotten over not being able to do certain things because in reality since I was 12 I've never really got to do those things cause I've pretty much lived at the hospital or Doctor's offices since I was a kid.I will completely agree that it's crushing to not lead a normal life but I got over that a long time ago because I really had no option.
 
Big boss did you try some counseling?Maybe therapy could help you deal with all your emotions and help dealing with this? Sending you support
 
thanks for all the replies everyone. I am sorry to hear that you have had to deal with crohn's for over 20yrs. Although I have only been diagnosed with crohn's in 2012, I am pretty sure I have had crohn's for most of my life, or at least since I was 13yrs old, although not nearly as active as it has been since 2011/10. I have had abscesses and fistulas since I was like 12. Have always had issues with stomach aches especially regarding stress or stressful situations.
I have not looked into counseling, however I have been meaning to get an appointment with someone so I may talk with them, but I know that the pain that I am experiencing is not in my head, and I struggle with thinking I have a problem with addiction, as my pain management doc mentioned that and I am not against the fact that I may, but I just know that I have pain daily, and especially after eating, so I limit myself to usually 1 meal a day, usually dinner because of the pain, discomfort, and the need to use the bathroom for the rest of the evening.
There is no active inflammation, and I am aware of adhesions and scar tissue causing pain, but she took pictures of the new ulcers that have now formed, which in turn will eventually heal over and create scarring, then creating a more narrow or constricted intestinal tract. So I am not looking forward to this lovely revolving door that seems to be unavoidable. I will look into the link you posted for me, thanks. I just havent the time at the moment.
thx again everyone.
 
How long have you been on remicade? Have remicade levels tests or an antibodies test been run? Has your remicade dose or schedule been adjusted since the scope showed active disease?

It can take some time for remicade to work and still may require dose adjustments or scheduling adjustments to get the most effective benefit. If those have been done and there is still active disease(ie ulcers) then possibly adding an immune modulator or a a course of steroid (pred or entocort) could help jump-start the dampening of active disease. Also a course of EEN (exclusive enteral nutrition) may be helpful.

Possibly, even without your disclosure of pain med overuse the docs would have limited pain meds. Since, CD is chronic most docs steer away from long term pain med use opting to aggressively treat the CD since that will alleviate the pain. So, don't beat yourself up for what you have disclosed.

Counseling may also be of some benefit putting an emphasis on finding some one who works with those with chronic illness and pain.

Hope you find remission soon.
 
Oh how I can relate to your issue. KEEP READING, THIS WILL HELP YOU !!!!
I too had resection surgery over 14 yrs ago. Sent home with major drugs. Felt pain still too! I had a strong conviction to "heal" myself! I searched online for a natural anything that reduced inflammation and boosted my immune. I found CATS CLAW! Its the ground up bark of a tree found in Peru and other rain forests. A scientist discovered it in the 1970's, saw that the people there were using it for all kinds of health issues for centuries! I haven't stopped taking this for over 14 yrs now. Within 2 weeks of my surgery back then, I weaned myself off of the prescription drugs (without my Dr. knowledge!!) and replaced them with 2-3000 mg of Cats Claw a day. Within 4 days I felt it WORKING! Cats Claw is the most powerful anti inflammatory I have found, it also regulates or boosts immune system. I dont EVER get colds or flu even when highly exposed to them.
I tell everyone I know about this herb. Sadly most just think its another gimmick!

I believe in the God that created this body of mine, I also believe that when he created these bodies, he put HIS OWN medicine on this earth to HEAL them. Why on earth wouldn't he? We surly weren't expected to have the means to spend thousands on Dr's and Tests and Surgeries & Prescriptions so that we could be healed.

There is a GOD GIVEN natural product, Oil, Herb or plant for EVERY health issue this world conjures up!
Start thinking for YOURSELF! Crohns is INFLAMMATION of the Gut!! There are a TON of NATURAL anti inflammatorys! Cats Claw is just one and its worked more than I ever expected!
It is safe for all those who are NOT Pregnant or Nursing a baby!
Do your research people!
I have tried all types of brands but have stuck with the "Source Naturals" brand, its cheap, $12 for a bottle of 120 tablets, 1000mg each. Lasts me 4 MONTHS! If your having active Crohns symptoms, I suggest taking 3000 mg a day, no need to work up to it, just get it in your gut!!!
If you "trust" a prescription with all kinds of side effects that MIGHT reduce the inflammation in your gut why wouldn't you trust a God Given herb! He knows what he's doing people!! Dr's are in it for the money, God is in it for the LOVE!!
He wants you WELL!
Another thing! Quit "CLAIMING' this disease, don't even say you have it, your only giving it power when you do.
Instead, REBUKE it like your life depends on it. In the name of Jesus!!!
Get online (drugs stores don't carry it) and buy yourself some CATS CLAW today!! One last thing, anyone who has had a resection surgery, WILL have diarrhea!
I went 2 yrs before a Dr finally told me about Cholestyramine or Questran powder. Its mixed with water, taken once daily to ELIMINATE diarrhea. And YES IT DOES JUST THAT.
I had a FOOT of bowel taken out and anyone who looses bowel needs this simply because your liver is still producing the same amount of BILE. This bile is what breaks down your food. Your intestine are getting TOO MUCH bile for the smaller bowel now. Cholestyramine is a known cholesterol med, it works in the liver and reduces bile! It is safe to take for the rest of your life, its been on the market for years! It is the ONLY prescription drug I take. Comes in 4 gram powder packets OR a tub of powder that you can measure out yourself. I don't need a full packet so one last me 2 days. It has been a true Blessing, without it I don't function well in public at all!! lol God Bless to all!!
 
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