Spent the evening in hospital.

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valleysangel92

valleysangel92

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Hello all,

Some of you probably saw that I was struggling with pain last night and today it was no better. So I ended up going to my GP as an emergency. She was very concerned because I was highly tachycardic (even going over my usual highest level) so she sent me off to hospital.

I spent about 5 hours there and saw a junior doctor and then a registra. The registra was a lovely guy, very positive and helpful, very friendly and supportive and he remembered me from when I was in for my surgery too. He told me he was proud of me for getting into university which I thought was lovely.

I've got some pred and tramadol, and I've got instructions to go back tomorrow if I dont feel better or I feel worse. If I do go back I'll bypass A+E and be admitted and have IV pred and some investigations.
 
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Like everyone else, hoping you feel better soon and don't have to be admitted. It's never fun to be admitted, but on the other hand you usually get the treatment you need that way.
 
Feel better soon. I hope you don't have to go back but I'm glad you have an expedited way back in if needed.
 
I'm glad to hear that you've finally gotten someone to listen to you! Hopefully you won't need the second admitting, but thank goodness there's a plan for you! Keep you head up girl! Sending hugs your way.
 
Thankyou everyone! Im so exhausted today, only got 2 hours sleep last night because of the pain :( .

I'm planning to go and see my sister with my parents later, it's her little boys 4 th birthday and I would hate to let him down. I'm still in a lot of pain though and struggling to eat much, so if I don't start feeling better I'll be going straight to the hospital when we leave her house.

Thanks again for the support, this place is my rock. I'll let you all know what happens.
 
It can be so hard to let go of the things we want to do when your CD decides you should have a bad day. It's really easy to turn a bad day into a bad week because you pushed yourself a little too hard. I hope and pray you get better soon.
 
I'll just be sitting on the sofa and watching them, I'll not pick the baby up or run around, and I'll let my parents know if I need to leave.. Thankyou for your support! :)
 
I went back to the hospital... At first I saw a different registra who was distinctly unhelpful and a bit rude.. But then the registra I saw last night came on and over ruled him. Im staying in tonight, and currently have IV steroids, fluids and IV tramadol.. I've had xrays and bloods taken. I'll post when I can.
 
Sorry to hear you're not feeling any better. But glad you're getting the care you need. Even if you're being admitted to get it.

When I look back, being admitted last month was actually a really good thing for me and my family. But it was horrible at the time.

Hope they're able to help you feel better really soon. :ghug:
 
Update - Im now taking all my meds orally, still in quite a lot of discomfort , especially after eating.

I've had my IV removed which I'm glad of because it was becoming increasingly bruised and kept bleeding.

The consultant I saw this morning debated taking me off steroids completely, but after some honest discussion he agreed to have me take oral pred instead. Im also being given tramadol and paracetamol (tylenol) . My xray showed that I am backed up even though I've been having D . So I had to have an enema, so far I've passed mostly mucous (or what I think is mucous, this is new for me) . They are hoping that if I get cleared out a bit I will be more comfortable.

The consultant has said he would like my surgeon from the hemicolectomy to see me tomorrow, and that he may do a CT scan. He also said he wants my specialist to take the lead if nothing needs doing surgically (unless it's urgent, I will insist on trying medication first) .
 
Hi all

Just been seen by one of the surgical doctors. He's going to speak to my consultant and ask him to either come up himself or send one of his team up to review me. He's started me on oramorph to try and get on top of the pain. I'll let you all know when I hear more.
 
Glad to hear that you're going to be getting some better pain relief and that they're trying to get you better, valley. I hope they can pin-point exactly what is causing the problem soon.
 
Good to hear that hopefully you'll finally be getting some comfort! Sorry to hear about the possible surgery. :( But, if that's what it takes to get you feeling better than you've been it'll be worth it. Looking forward to hearing the next update. :hug:
 
Thanks both

Cross-stitch gal - I don't think they are contemplating surgery, it's just that since I was admitted on the weekend none of my doctors were available so they put me under a surgical team instead so that I could have some basic treatment etc. The doctor that saw me this morning was a part of that team and he was just checking that nothing had changed too much and that I was comfortable. They are trying to get hold of my GI, I don't know if they managed to or not, but he's not been to see me so far, I'm hoping it'll be tomorrow at the latest, because it takes a while to organise the tests etc and I really don't want to be stuck in here all week just to wait around.. I'll keep you all updated .
 
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Glad to hear that there's no surgery coming! Just being able to get the help you need is all any of us are asking for!!! Hopefully you'll be able to see your home and your own bed again soon. In the meantime, sending you lots of hugs! :)
 
Feeling awful today. I've been throwing up since about 7.45 am. I'm not even keeping water down at the moment . I've seen the general doctor and they did some blood tests, I haven't had the results yet though. He said that if I kept being sick I'd probably need a fluid IV, so the cannula I was so happy to be rid of is now firmly in my wrist -_-.

There still isn't any sign of my specialist coming to see me any time soon.. The doctors have asked him to, but pinning him down is very hard and he has a rubbish memory..

I still haven't had any further imaging done because the general doctors want the specialist to decide.

I feel so weak and dizzy. Sigh.
 
Oh god my mother got that bad when they had to cut out half her colon. I hope you don't have a stricture as bad as hers. I'm putting you in my prayers and thoughts and I hope you get better soon so you can play with your nephews again. :)
 
I've been thinking the same thing, the last time I was this sick was before my surgery when I had a suspected obstruction.. It cleared itself but I had a very narrow stricture. I love the nhs but everything takes such a long time and it makes it harder. Thankyou :) .
 
I got seen by one of the gastro team... They've put me back on IV steroids and fiddled about a bit with my other medications. It sounds like I was having steroid withdrawal, the surgical consultant took me down from 400mg IV to just 20 mg oral . I knew there'd be a drop but I wasn't sure how much was in the IVs. I'm now on 100mg IV four times a day, I have the first one running through now.

I'll be in under a different consultant to normal, but his team seem well organized and friendly so I don't mind. It sounds like I'll be in until at least Friday though .

They will repeat testing at some point, probably on an out patient basis, since they want to get everything controlled first.

The consultant will probably come to see me tomorrow or Friday (Thursday is clinic day) and we'll discuss maintenance medication.

Feel so much better now I've seen someone that understands crohns!
 
I was so shocked when I realized what the surgeon had done.. Never been so appalled, my family are livid.. I was so sick that it looked to me like the whole room was shaking and I had pins and needles in my hands and feet.

The gastro doctor that saw me was lovely though, very kind and sympathetic, and made me feel much more comfortable and got everything fixed, and it's her superior that I'll be under while I'm in here.

Thankfully I've had small amounts of water, squash and tea and have kept them all down, plus a small bag of light crisps.. The only food I've kept down all day
 
Hello all, thought it was time for an update..

The consultant I've been under while I've been here has been very good to me and his team are all lovely, I've seen at least one of them every day this week except today, which is a lot more than what my usual GI does, I'm lucky if he sees me even once.

Ive had bloods done, my potassium was a bit low so I had 3 doses of 3 supplements to correct that, they made me feel dreadful but they've hopefully done their job.
I've also had blood tests to look at liver function etc to check suitability for maintenance medications. I'm not sure how they have come back yet or what specific medication they are thinking about, they have said it's most likely immunosuppressants, but they wanted to see my scan first.

I had an MRI yesterday after the consultant had come to chat to me. I wasn't expecting to see him yesterday since there wasn't much to say, but he wanted to see how I was doing anyway.

I came off IV steroids yesterday, had my last dose in the morning. I'm now taking oral prednisolone again. So far the pain has been noticeably worse than when on the IVs, but it's not at the level it was when I was admitted. I'm managing to eat now, not big meals or anything, but decent portions that the doctors seem happy with.

One thing I'm finding is that I'm getting a lot of reflux, I've had it before, but now it's not just acid. It feels a lot like I'm getting food stuck in my throat, like it just can't fit into my stomach any more.. They are trying me on a low dose of omeprazole to see if it makes things easier and will keep an eye on things.

I'll be having more bloods done Monday, and will hopefully see either the consultant or one of his team and get the MRI results. I'm really hoping it's showed something useful.

I'll try and keep you all updated and have a look around the forum when I can, everything is so exhausting at the moment, it's taken me the best part of an hour to write this.
 
I'm sorry to hear you've been in the hospital valleysangel92. :( With the added reflux it definitely sounds like a stricture causing at least a partial blockage if you're still passing stool. I had similar symptoms of increased reflux that was different than normal and all they did was give me more Omeprazole. Two weeks later I was admitted for an obstruction. You're already in the right place so i really do hope the MRI shows something.

With the reduction in steroids and the increase in symptoms it sounds like it's mainly inflammation that's causing things to back up. If you are put on maintenance medication it'll likely take a few months to fully do it's job so it's possible that you may need to be on a higher dose of steroids until the maintenance meds kick in. Wish you had an idea of which medication/s they were considering.

If you get bored and want to chat I have the chat room open today and I'll check it periodically to see if you come on or you can send me a PM letting me know that you're on chat. :)
 
Hi valleysangel!

It seems like you have been in that hospital forever. (I guess that is because I worry about you!) It is too bad that a rheumatologist can't pop in... I know they think you have fibromyalgia, but a second opinion never hurts! I hope that you have kind and gentle nurses, and that you are comfortable! Hang in there.
 
Man I hate technology. my phone deleted my response.. Twice..

Jennifer - Thankyou :) . that's what I've been afraid of, the pain is so similar to what I had before, and they have said that the main tender point is actually right over where they joined me up after the resection. Hopefully it is inflammatory and they've caught it early enough to avoid it needing surgery again!

I did ask the IBD nurse if she knew which medications they might try, but she said she didn't want to say one thing and it be changed after they look at the scan, which I understand, but it would be nice to have an idea. I think part of them wanting to keep me in was because they thought they would have to tweak the steroids around to get the right reaponse with the least side effects. They are pretty concerned about my bones, since they can't have me on calcium supplements, so it's a juggling act.

The ward I'm on now is pretty dead to be honest, so I'll more than likely be on chat (if I can convince my phone ;) ) .

Fozheart - thankyou :) . I agree this feels like forever, it's actually the longest I've been admitted for, including my surgery, but it's mostly been useful and things have certainly moved in the right direction. Being under a different consultant has definitely made a massive difference.

The nurses have all been lovely too, to be honest they usually are here. The only complaint I have in that respect is about the catering. I know hospitals aren't known for having the best meals, but they are really bad at catering for my gluten free diet. There have been quite a few occasions where they've sent me something different to what I've ordered, including things that aren't on the gluten free menu, and there have actually been times where they haven't actually sent me anything. I've spoken to the dietitian and her answer was to get my parents to bring in food at meal Times, which isn't so bad on the weekend, but it's impossible during the week, since they both work and we live 40 mins from the hospital. If they went home to cook for me I'd have to wait until 7 pm since they can only make the first session by coming straight from work. so I'd only see them one hour a day. And I'd be eating late too. Yesterday and today I've had to go to the canteen and have meals from home, theres been 4-5 times where nothing at all has been sent for me or because they've not sent what I ordered its inappropriate for my disgruntled tummy. Even when they do give what I've asked for, the menu for gluten free is the same afternoon and evening and does not change day to day. Sorry for the moan, but it's getting rather upsetting.

Andy and cross-stich-gal - thankyou! I can't wait to feel better
 
They messed up lunch again.. Seeded rolls packed with salad.. Nurses response 'well it is gluten free so it's ok ' .. Um no, it's not.. I specifically ordered a chicken sandwich with gluten free bread , which doesn't have seeds or salad. They could of at least sent the bread instead of the roll.. I've told them multiple times that I cannot eat seeded rolls or leafy salad. It makes my insides feel like I've eaten a grater.

They made me feel like I should just suck it up and eat it but I'm already in a lot of pain today, and I know even the smallest amount will have me in a ball.

So now I'm sat in pain and hungry, with just snacks to try and get me through until my parents can get here. Sigh.

Sorry for the moan, had to get it off my chest.
 
I guess I know what she was trying to say.. If I didn't have crohns I'd eat what they sent, but I know it'll make me sicker and anyway, it's unfair to ask someone to choose a meal and then change it without reason or warning. They don't do that to people on the regular menu or people who choose to be vegetarian (which I have no issue with) so there is no reason to do it to someone with very specific medical needs. If it had just been a one off thing then I'd of brushed it off and got over it, but there hasn't been a single day where there hasn't been an issue with my food and it's just not good enough now.

My brother's partner is currently putting a report together of what's been happening. She's got a law degree and knows a few people who deals with this sort of thing. She came to see me yesterday and was appalled by what had been happening. So she's had enough and she's getting involved. I'd be marching to the catering manager myself if I had more strength in me. They keep looking at me like I'm being difficult and saying I should eat, but I refuse to make myself worse just because the kitchen staff are too lazy to make one sandwich.

My parents should be here soon with food. Tomorrow they have work though.. So Lord knows what will happen if it gets messed up again.
 
Hey all... Still in the hospital.. On day 10 now. I've finally been moved to the gastro ward , and things are MUCH better, the nurses are attentive and friendly and will bend over backwards to help.

The other ward I was on was hard to get a nurse, and hard to get painkillers, I kept being told to wait and see if tramadol was enough (I'd tried it all day) , then I was told I couldn't have oramorph because they'd let themselves run out before requesting more.. they were only doing my obs once a day and since my heart rate has been 120-150 at least once a day since I've been here and I'm asthmatic, that's simply not enough.

Since I've moved , the nurses here have been appalled by what happened. I've had a nurse practitioner (a nurse that has extra qualifications and can prescribe medications) come chat to me about my pain management and hes got me to try having the oramorph in with my regular meds. He says if I'm still in pain doing that then he'll up the frequency for me.
He's also concerned I'm losing weight, I've lost 5 kg since I've been in here. 1.7 of that was in one day.

Food wise we seem to have got through. I was given a week's worth of menus to do and they've said they'll photocopy each one and double check that what I'm getting is what I'm ordering and not just whatever they pick out at random.
 
Thanks for the update. Hope you can get out soon in full remission and get ready for school.
 
Hello all.. I'm HOME :)

I got discharged late yesterday.. My MRI scan came back clear, so it looks like the iv steroids did their job and settled things down before it got too far.

I've been discharged on Pred, currently at 25 mg, tapering down 5mg a week. I also have omeprazole for reflux, vitamin D to try and prevent further damage to my bones, tramadol and paracetamol for the pain, laxido incase the tramadol slows my gut and my regular amitryptiline..

I'm still having pain and I'm totally exhausted, even the simplest of tasks makes me feel like I've just run a marathon so I'll have to take it easy for a while. I'm a little disappointed at the timing as I was just getting back into my stride and have even been attending interviews for jobs.. One of which contacted me while I was in hospital and asked me to attend an induction..of course I had to say no which was a bummer, but I know my health is the most important thing so I'll be handing in a sick note to my jobcentre and taking a few weeks out to recover. I know I have to take care of myself before anything else and I know that getting myself well now and not pushing myself too soon will give me the best chance at being fit for university.

I will be getting sent an out patient appointment in the post to see my consultant. I have made a request to be seen by the same team I've been under in hospital as their care has been 100% better.

Thankyou everyone for all your support :).
 
I think it's just another bump on the road to remission. I have no doubt with time, and the proper medication, you can show everyone your yummy cookies and have an awesome job again. :) I'm really glad you're doing better now, strictures are the devil.
 
Glad to hear you're home. Take care of yourself...trusting you'll be healthy enough to attend university and get on with life.
 
Hello, sorry I've not got round to updating sooner..

I've been having some problems with reflux, they started me on omeprazole in the hospital but it was wearing off by evening, so I saw my GP today and they've upped my dose to 20 mg ( was taking 10).

My stomach pain is slowly improving, I've successfully got down to 25 mg, I go down to 20 Friday which is where I had issues last time, so I'm hoping it'll go smoother. My BMs are starting to be more formed and have a better frequency. I definitely feel like I dodged something much worse by going to the hospital when I did and by having the IV steroids. The side effects weren't pretty but they made such a huge difference.

One thing that has happened is my joints have decided they would like some attention too. They've really played up the past few weeks. I discussed this with my GP today and we've decided to up the dose of amitryptiline. 20 mg a night starting from tonight. If that doesn't work then we can up it again or discuss additions /alternatives.

I've also been given a sick note, starting with 3 weeks, which could take me up to my follow up with the hospital (not sure when that is yet because I've insisted on seeing the consultant I saw in hospital) and I've got strict instructions to rest and take it easy.

Thankyou for asking fozheart and thankyou everyone for your support :). I'm sorry I've not been around so much lately, hopefully it'll be normal service resumed soon :) .
 
It's awesome you got yourself a sick note so you can get out of working while you're recovering! I can't imagine being on my feet after something like that. You have a lot of guts. Amitryptiline is a powerful tricyclic antidepressant (has three fused rings) with a boatload of side effects and lots of offlabel uses, including neuropathic pain management.
 
I don't work anyway, but I was on jobseekers support and would get called to interviews with a days notice, some of which were a 2 hour bus ride away from where I lived, which is hard enough when your well but there is no way I could do that right now! I had to have a 2 hour nap just going to the doctors. I did get a job offer while in hospital though, and they did say to give them a call when I feel better and if they still have space they will see what they can get me. Other than that Ive been offered voluntary work supporting people with using computers and things which will still be there in a few weeks or even a couple of months. Our system means that if you're on jobseekers you have to jump when they say so and I've been told on no uncertain terms that I'm not allowed to go putting myself through the stress of interviews etc and I have to rest and only do what I need to do.. Hence a sick note (and a stern look off the IBD nurse before I left hospital on Friday haha).

At first the thought of an antidepressant wasn't fun at first I'll admit but I've been on 10 mg of amitryptiline for about 6-8 weeks now and so far had no side effects, and they've even stopped the usual Pred insomnia, even when I was on the IVs. It did seem like 10 mg might be enough for a while but now my fibromyalgia has really flared, it's been really hard to get out of bed most days so it's time to try a bit more. My doctor was telling me today that in the past people would take up to 250mg for depression (they tend to stick more around 150 nowadays) so what I'm taking is only a fraction of the maximum and shouldnt cause problems. I'm still being careful though, I take them last thing at night because they make me sleepy and I don't have alcohol or anything. If I start getting side effects with 20 mg then it could be alternative time. But amitryptiline is seen as the gold standard first treatment for fibro and they've really improved my headaches and sleeping pattern.

The things we need to do to feel sort of well huh? :)
 
I woke up to a pleasant surprise today. There was a hospital letter waiting for me, I opened it up and my GI appointment is the 19th. Which is next Tuesday. Less than 2 weeks after discharge.. It's like a minor miracle to get an appointment that fast in the UK. I must say I am really liking this new GI :). Will let you all know how it goes.
 
Wonderful! I am soo glad that you are finally moving forward a bit, and it seems like your doctors are doing everything that they can, so you can finally get back to Uni and work!

The joint issues bother me.... I am not second guessing your doctors, and I know you had that scan, but with the history of how you have described your pain and swelling these past months, at times it seems like more than fibro to me. You have describes quite a bit of visible swelling at times, and at other times when you have been on steroids, you mentioned that your symptoms improved. I did not think that these symptoms indicated fibromyalgia. But then again, I am not a doctor, so sorry if I am out of line! I just would hate for something to be overlooked! (I have 20+ years of experience with being a Lupus patient, plus mixed connective tissue disease, which can be very elusive!)

Regardless, that is great that the amitriptyline helps you, and I hope that you feel better and better each day!:hug:
 
I finally seem to have found the best team for me, it's a shame it took being in hospital for 2 weeks but it's definitely a huge bonus.

I can understand what you're saying, I didn't think that swelling and improvement on steroids were signs of fibromyalgia. I do have a lot of other things that are though.. I scored 14 out of 18 on the trigger points, including my ribs, back, knees and hands, I get horrible headaches that last days and my periods are really painful which is apparently really common with fibromyalgia too. Since I've started the amitryptiline, I do seem to be less sensitive to knocks than I used to be, and my headaches have really improved, if I get them then they last an hour or two now.
It has been mentioned that it's possible that I have a touch of crohns arthritis, which wasn't active when I had the scan and doesn't do the same damage as osteoarthritis or rheumatoid. I've also been told that some people with fibromyalgia do see improvement on low doses of steroids, but I have no idea how accurate that is so don't quote me on that one.
I don't think you are at all out of line. I agree with you that some of the symptoms still aren't really explained. The rheumatologist did say that sometimes long term severe pain can trigger inflammatory responses and cause the joints to swell.. It was the first time I'd heard of that, so I'm not sure what to make of it.
If anything, I think it's a case of fibromyalgia with the possibility of something else going on too. I'm still keeping records of my symptoms and taking photos of visible swelling, and if things don't improve enough then they'll be used with the doctors. The real test will be when winter comes back and it gets colder, then I'll really be able to see what's being helped by the medications and what still needs addressing. The only thing is I have no idea what I'd ask for next.. I've had xrays, ct, MRI, DEXA (due again this year), isotope and enough bloodtests to sink a ship.. So I'm open to any suggestions there.

I do appreciate all the support you've given me, so please don't ever think you are out of line. One of the things I like about this forum is that we can all be honest with each other and I can see what other people think, it really helps to see what others agree and disagree with and how they would go about things.

Onwards and upwards :).
 
Hello everyone

I saw my new GI this morning,

It turns out that my fecal cal is 'very, very high' so that's why my outpatient appointment was rushed through. I've had some more bloods taken, my pred taper has been slowed down dropping 5mg a fortnight instead of 5mg per week. I'm on a higher dose of omeprazole, now at the maximum dose of 40mg. I've also been started on pentasa to try and stop things getting worse while I taper the pred and wait for a colonoscopy and after that the treatment plan will be reviewed and we will look at other medications too. The colonoscopy has been marked as urgent, so hopefully it will be within the next few weeks, but could take a month or so. I will keep you updated with things as I find them out.
 
Hi valleysangel92,
I noticed your post on arthritis -- both my daughters have Ankylosing Spondylitis (which is often associated with Crohn's). In women, AS is a bit different and harder to diagnose than it is in men and is often mistaken for fibromyalgia. Enthesitis (inflammation where a tendon or ligament attaches to the bone) is a part of AS/Spondyloarthritis and many enthesitis points overlap with the fibromyalgia tender. The fact that you have visible swelling does make it sound more like arthritis than fibromyalgia (though it is possible to have both - my older daughter does).

The Spondylitis Association of America has a lot of good information and resources. CCFA also has some good info about different types of arthritis that are associated with IBD.

In terms of tests, spondyloarthritis is often diagnosed after an X-ray or MRI of the sacroiliac joints (which is usually where it starts, although in kids and teenagers it often starts with peripheral joints like knees, ankles etc.).

Good luck!
Maya
 
Hi maya -

Thankyou for getting in touch

I've already had both the blood tests and xrays for AS, it was the first thing my GP thought of when I got hip pain and all the checks came back clear and so have all other checks for forms of arthritis.

I'm responding really well to fibromyalgia treatment so far, and I hope that I continue to do so and that once I get this crohns flare under controlled I will be able to be much more active.

My joint swelling has actually improved a lot since starting the amitryptiline too, I can wear skinny jeans for the first time in about a year and my feet fit my shoes much better. I just have puffy hands now (Pred).

Although I'm not completely discounting the possibility of some form of arthritis, infact I think there is good evidence I have some form of crohns related arthritis, I do think a big part of my issue is fibromyalgia, it fits so well with so many other things I've been dealing with, crippling headaches, aching head to toe, rib and sternum tenderness, horrid period pains, fatigue, brain fog etc. It's one of those things that just seemed to make sense.

Altogether I've had general bloods and xrays, xrays for AS, bloods for AS and RA, MRI, CT, DEXA, bloods for lupus and a isotope bone scan, no sign of joint inflammation or tendon/ligament damage has been picked up on any of them.

I will keep an open mind though and will see how I am when the weather cools down again as that's when I get the worst issues so that's the time I really get to judge how I'm doing joints wise and I'll keep you all posted :) . Thankyou
 
To be honest no single blood test can rule out AS (blood tests tend to be for HLA-B27, but you can have AS and be HLA B27-) but an MRI and x-ray could. Damage from AS can take up to 10 years to show up on an x-ray which is why MRIs are used early in the disease. Rib pain/sternum pain can be costochondritis which is common with AS (but of course, could also be fibromyalgia).

My daughter did well on Elavil (amitriptyline) for fibromyalgia.
Sounds like you have a great and proactive rheumatologist! Hope your joints continue to do well.
 
I had 3-4 xrays of my back and 2 of my hips I think and I've also had MRI.

I don't see a rheumatologist anymore since there's nothing they can do that my GP can't and it's a massively over stretch ed specialism in my area, so if you don't need them for a type of arthritis etc then you don't keep seeing them. The nhs is very cash strapped and facility clogged.

At the moment our main focus is on finding out where I'm at with my crohns and getting that back on track so I can get off to university. I think at the moment a fair amount of my remaining joint discomfort is from being exhausted from fighting this flare, you know? But they are definitely improving.

Thankyou again :).
 

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