Surgery and Weight Issues

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Hi,

I have had Crohns for about 12 years and had surgery a little over a year ago to treat the Crohns and related complications. I had fistulas connecting my bowel and bladder, resulting in almost a year straight of bladder infections. The Crohns pain, when it flared, was cripplingly intense and would take over my life for 3 days at a time. I was, and still am, maintaining the Crohns through pills and Remicade.

I had never wanted surgery and only did it because I knew the fistulas weren't responding to anything else. I was shocked by how broken I felt after the surgery -- I couldn't do ANYTHING. And mentally, the feelings were slow to leave, even though my life is filled with wonderful people and passions.

By now, I've gained back the weight I lost in the year leading leading up to the surgery, as well as (thanks to one of my Crohns maintence pills) a few additional pounds. It makes me feel silly to type all this out, but clearly, it matters to me. (I know it has to be said for reference - I'm 5'3" and weigh 110, and it makes me feel sick) I think I've been allowing myself harmful thoughts and have started harmful habits of ridding myself of the food I've eaten. And I hate it -- I can feel my logical side struggling with all the rest of me. I can examine what I'm doing and thinking and see how it is the start of a very unfortunate road that a lot of women go down. And I don't want that. But I dont want this. I don't feel like this is the body I was made to be in -- I don't feel like me.

When suffering through the Crohns pain, especially being off and on without insurance and just not incredibly wealthy, I feel I developed an attitude I think most must find familiar -- "If I did this once, I can do it again." In retrospect, I don't think that was healthy in many ways. I probably should have gone to the emergency room several times when I didn't, when I felt I couldn't because I knew I could handle the oncoming pain.

I'm afraid I've associated this attitude with... a lot of things in my life. I feel like there's not a reason as to why I shouldn't be a smaller weight, a weight I previously held. And I KNOW that there are factors as to why I weighed a certain number at a certain time -- nonstop infections, crippling pain, ect. It might not even be healthy to maintain my previous weight (103) but I can't separate it from myself that I know I can do that. And then I can't help but think I'm the stupidest person to get hung up so much on 7 little pounds. But it's just tied to so much more. The medicine I take, the inability to regularly consume healthy foods (fiber sucks), the fact that I'm only (relatively) recently finding a workout routine that doesn't hurt me and my stomach..... I think the next step involves talking to a professional, but it's so hard to comprehend that. I've already had to see a physical therapist earlier in the year, and it's nearly impossible to align myself with the fact that that is the type of person I now am. I don't know if I can take this step too. And then I think if I just get to a weight I feel happy with, then I'll stop being unhealthy to myself and I won't have to see anyone, and it can all be over. But even I know how naive that sounds.

My head has just been in such a mess recently. Am I even still a person with Crohns? I don't have any infected areas in me. How am I supposed to identify now?

I'm really at a loss. Does anyone else experience this struggle following surgery? Or has anyone applied their pain management attitude in some other way in life? Can anyone help? I was finally able to bring this up in a very difficult conversation with a friend, and I think knowing that he knows, and knowing the amount of respect I have for him... I think I'd be ashamed to continue. But I dont know if I can necessarily stop.

Please share in whatever way you'd like. This is very hard to open up about, but I have spoken very honestly.

Thank you.
 
i hear everything you are saying. my weight has fluctuated so much over the years and i find myself overly critical of myself from time to time when it would get too high. i was always on the heavier side until crohn's reared it's ugly head at 18, i am 37 now. there were times i felt that i was making myself sick in some sort of strange way to lose weight. hmmm......

one thing that has been so helpful for me is yoga. i began practicing ten years ago and traveled to india in 2003 to do a teacher training program too! 4 months in indian eating spicy food and no problems!!!

the yoga helps me to relax and put things into perspective.....i feel healthier, happier and more peaceful when i practice regularly. try it! find a place that is into more than just the physical aspects of the practice and start to breathe deeper and feel lighter, emotionally, physically and spiritually. it is the most helpful thing i have found. i love it and would not live without it.

i hope this helps! feel free to message me anytime if you have any questions. good luck!

susan
 
Being 5'1 and 119 lbs, I feel you have an very unhealthy body image. At this height and weight I feel I look wonderful and I imagine that you must look wonderful too. This is definitely as problem that needs therapy and not strict diet, exercise and self loathing. Its the harmful thoughts and the harmful habits that really concern me.

I did some therapy in my early 20s after my colostomy reversal and I feel it was one of the best things I ever did. It helped set my priorities straight and taught me to love myself. There are places to get therapy and councelling even if you dont have the money, so there is no reason not to do it. I even took medication for a few months and I feel that combined with therapy worked really well. Medication alone wouldnt have done it because I would have still had they same issues when I stopped medicating. Ask your GI for references if you dont know where to go.

I also second the yoga/meditation. It does wonders for the psyche and the body.

My biggest fear for you is that you lose that 7 lbs and its still not skinny enough for you. This problem is so much bigger than that 7 lbs.
 
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