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OK, so here is my story and wondering if anyone has any suggestions or comments.

Since the age of 8 I started have colon concerns. At the age of 15 I was told that I had Colitis and was offered many treatments and all were unsuccessful. At the age of 19 I had my entire colon removed and was given an ileostomy. Shortly after the surgery I started have complications with the rectum, which they left in hoping to do a resection. They wanted to remove it, but found a doctor that wanted to do a pull through and a J pouch. Approximately 3 months after surgery I started to have back pain and they felt it was pouchitis (spelled wrong I am sure). I was given medications with no change. They thought is was my sciatic nerve inflamed and basically told me there was nothing they could do. Since this time I have had pain after I had a blockage or slowing of my system. I have been seen several times for this pain and always treated as pouchitis, with no little to no relief. I had have one complete blockage, which required emergency surgery and was able to be fixed. About one year ago I had another blockage and was admitted. During the test they felt I might have Crohns and waited to see if it would clear, which a nice NG tube did help. After several test they have found out I do have Crohns.

Ok here is where it gets good - so to see how back he Crohns is they send me for a special MRI test. I go back to see the doctor and he ask me if I ever have back pain - laughing I said I sure do, every time I get a slowing or blockage. I then ask why is he asking. He informs me they they found something in my that he has NEVER seen before. He found I have a fistula coming off my J pouch and connected to my spine. He was so shocked as well as the radiologist, so it was sent several places, including Brown Medical Ctr, to have them review it. After them reviewing it they confirmed the fistula. I was immediately sent to a surgeon. He reviewed the films and found that my J pouch as connected itself to my spine. He did not see a fistula and after a scope said he did not see any opening. He then sent me to an infectious disease doctor to make sure I did not have a bone infection. Now I was sent for a CT Scan and after this they again see the Fistula that is going towards my spine and the j pouch connected to my spine. Since this was found I have starting having severe left sided kidney pain radiating to my left testicle. I have seen a urologist and he found no reason for the severe pain, but feels it is from this growth.

No one has seen this before and they are NOT sure what to do. They have talked about surgery and want to remove my J Pouch and give me a permanent ileostomy, which I am fine with.

I am wondering if anyone has ever heard of such a thing and if anyone has any suggestions or comments that might be helpful.

I have about 10 doctors that are currently involved in my care / treatment and no of them know what to do.


Thank you for your time.

If anyone would like to view the MRI of this recent fisutla send me an email and I will send it.
 
Wow Semicolon. Oh, first :welcome: to the forum. I've never heard of that happening before, but then again I haven't been in the Crohnie family long enough to have heard it all I'm sure. Sounds interesting, let us know what they decide!! Sorry you've had to go through so much, and at such a young age.

Hopefullly someone can offer some advice or answers for you.
 
First off, I'm digging the name :roflanim:

And welcome!

As far as help, I don't think anyone here will be able to help much more than the 10 specialists you have scratching their heads. Do know, however, that people here are very supportive concerning other aspects of this disease.

I am new here too and already feel comfortable and at home, and have had many questions asked.

Anywho, I wish you well and hope they can sort out your problems. Keep us updated!
 
That's one crazy situation
sorry too hear ya having to go through it all
hope they sort it out soon for you
and welcome
 
Hi, Semicolon, and welcome. I agree that maybe answers will be hard to come by (although with this knowledgeable bunch, I bet a few people might have information for you), but in terms of support, as Rose City said, you've come to the right place. Hang in there.
 
Hi semicolon
and welcome

gosh you've been thro the mill! And so young too. Admirable!
I haven't had CD surgery yet, so can't help you, but I'm sure someone on here will, and we're here to offer our support and advice, glad you found us.
Lotsa luv
Joan xxx
 
i love your username, Semicolon - very apt! :) welcome to the forum.

i have read that fistulas can form anywhere when you have Crohn's, so i guess yours is proving that point. very unfortunate to have it attached to your spine though :(

if the docs are giving you an option of having the pouch removed, a permanent ileostomy formed, and no risk to your mobility with the surgery being so close to your spine, i would say go for it.

if you're at all concerned about life with a stoma, there are many of us on here who have one (me included) and we will support you every step of the way, and answer all the questions we can (even the weird and yukky ones lol).

let us know what you decide! and good luck :)
 
Welcome :)

I feel bad that you are and have been going through that. I hope that the doctors are able to help you
 
Thank you all for your support. I honestly live a fairly good life and this only makes me stronger, as I am sure it does for all of you. LIVE life one day at a time and know where ALL the rest rooms are, LMAO (might have to change LMAO to LMPO (laugh my pouch off) soon).

Just got a call on Friday they think my J pouch has a hole and I leaking inside my body, thus the reason for the pain in my back and left kidney pain. So should know more this week.

I have heard that this is the leading J pouch specialist in Ohio, that I might go fly and visit, to see if there is anything else we can do, if not Bagging my S*#t to go, LOL.

Will keep you posted.

If anyone has any questions let me know, about me or the disease. I am a paramedic and like helping people anyway I can and since I have being dealing with this since I was 15 and now being 36, have some life experience. I tend to talk openly about this to educate and support new member of our club.

Word of the day - "CHARMIN" :)
 
semicolon306 said:
LMPO (laugh my pouch off)

HILARIOUS! I am a j-poucher myself, rediagnosed with Crohn's. I will def use this acronym in the future - so funny!

You sound like you have a good head on your shoulders and are taking this all pretty well. A positive attitude is so important!

I hope they find answers for you soon. And I sure do hope your pouch isn't leaking!

Good luck and please report back and let us know how you are doing.

- Ames
 
Haha...Semi colon...LMPO....it never ceases to amaze me how Crohnies can have such senses of humor. :lol: Welcome to the forum and I hope you get answers soon! I have never heard of something like that!
 
So, a call to two doctors and NOT one of those NICE gentlemen called me back. I mean they pay all this money for education and at NO time during this higher education they teach them how to use a phone, LMPO. It is like there are all scared to make a choice on how to treat me. They are probley thinking if we do not call back he will just go away, WRONG. They made me to a perfect ASS, now they have to deal with it - HE HE.

As anyone see my colon, I have seem to misplaced it - no shit
 
Hi Semicolon, glad to see you have a sense of humour! Doctor's will eventually figure it out. I had gp's trying to figure out my dx of Crohns. The only one who believed in my and pushed for answers was my Gi. What ever happened to saying " I just dont know but let me find out for you" instead of "it is all in your head!":angry-banghead:
 
Well not sure how many people are still looking at this, but found out today surgery the 1st of June to remove the pouch and perminate illeostmy. I guess it is time, since they found I was leaking inside my body. So I take another step down the road, LOL See you all on it :)
 
Hi semi

Keep that wonderful positivity!
and good luck with the surgery, hope it gives you peace and a long healthy life!
Joan xxx
 
I'm glad you updated Semi!! I was wondering how everything was going with your situation and what was decided. Since you are leaking, do they think that waiting to June 1st is going to be ok? How are you adjusting to the permanent ileo?
 
Semicolon,

I would contact the top experts in the U.S. on this issue.
Even if you were being seen at Yale medical center, I don;t
think they see a large number of complex fistulas, let alone
what you have. Castle Connolly has lists of the best colon
rectal surgeons broken down by region. Boston, NYC have
some of the best in the world.
 
Good luck with the surgery, Semi. June 1 does seem a long time to wait with a leakage!

I am sure you will be feeling tons better after the surgery. There is a long thread started by Jeff D who is about to get a permanent bag - you can find lots of good advice there.

Keep us posted after the surgery, okay?

- Amy
 
Thank you for all your support. The leakage is so small, but they found it in the last test. The other problem with this is I am not having daily pain, in my right leg and at time in the kidneys. They are sure the leg pain is from this pouched connecting itself to the spine. The kidneys they feel is referred pain. Have seen about 10 different doctors and my films have been sent to like 20, some of the best in the world. They did speak about doing a temp disconnect from the pouch, but feel that this will not heal and since I am getting weaker not suggested by any of the 10 doctors. They have tried all the meds and nothing seems to be working, and since I have crohn's they want to get this out. I was also recently told that my pouch was never really working as well as it should have, since I have a leakage all the time and going on an average day 12 times. Currently on pain meds and antibiotics. The reason for June 1st, I have to see a neurosurgeon (due to nerves being involved), my surgeon is going to pouch conference in the middle of May, Just started a new position as a paramedic director, and finally wife has a vacation planned. Only thing that will change the date is if I become septic. I will keep you all advised of my situation - at least I will be the PERFECT asshole, when this is complete, LMPO.
 
Ok, figure why stop being abnormal now, LMPO. just found out the pathology Did NOT SHOW and evidence or Crohns at all. So needless to say they are all so confused, since all the blood results say I do & having the fistulas. So no meds and see where it goes from here, by new best friend in a MRI machine, lol.
 
Woah, that's a ton of things happening at once. Glad that so many people are on the case with you!
 
Hi Semicolon,

Thank you so much for sharing your story. I really hope you will get the best help there is.

Have you had the surgery now? How did it go? I hope you are feeling all right.

Keep smiling and laughing!
 
Welcome & I do have some of the best doctors. The nice thing they talk to a network of dr's. Surgery was June 1st and went well. Feeling better everyday back to work July 5th & I am ready, lol
 

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