At the age of 24 I began experiencing changes I knew were
not normal.
Normally slightly overweight, I began to lose weight at an alarming rate.
At first, this was great. I was actually slim. But as I began to
experience other symptoms, I knew this was not so great after all. Foods
that I had
eaten before with no problem would cause me much discomfort. Pain,
diarrhea, nausea, and extreme fatigue became a way of life.
I was raising 2 children at this time and, as young as they were, they
were my support. I depended on them for so much at my worst times When I
remarried I couldn't have picked a more patient and understanding person.
He not only was some one to lean on, but turned out to be very
instrumental in my after care.
It wasn't easy getting a correct diagnosis, I actually was referred to a
psychiatrist, as the Dr. was sure these symptoms were in my head. But he
recognized that I was in need of good medical care and referred me to a
Gastroenterologist. Finally, the diagnosis came, I had Crohns Disease. I
was relieved to find it wasn't cancer, but knew nothing about Crohns.
In the 28 years since my diagnosis, I have learned more than I thought
possible and been through more than I ever imagined I would. But every
day I am learning more about this Disease and its complications.
Two serious complications I have developed are Osteoporosis and Short
Bowel Syndrome (SBS).
Crohns Disease
Crohns Disease is a chronic inflammatory disease of the
intestines. It causes ulceration's in the small and large intestine, but
can be found anywhere in the digestive system from the mouth to the anus.
It is found in men and women, even children.
There are many drugs and treatments for Crohn, but the best we can hope
for is complete remission. The cause is believed to be related to
abnormalities in the response of the body's immune system to the bowel
contents, Although this is just speculation. There are only drugs to help
put it in remission, no cure has been developed.
Some of the symptoms are pain and tenderness, generally on the right side.
This is due to the terminal ileum commonly being involved, and it is
located adjacent to the appendix. This can mimic appendicitis. It is often
that the Dr. will remove the appendix, therefor it wont be questionable
in the future. Diarrhea is common and may be the result of a partial
bowel obstruction. Blood in the stool may be found. Weight loss and nausea
are also common.
There are many complications of Crohns. Bowel obstruction, abscesses,
fistulas, cancer of the bowel, bowel perforation, inflammation of the
joints, spine, eyes, liver and bile duct.
There are various treatments and medications used in treating Crohns.
Dietary changes may be necessary. Low-fiber, even a liquid diet to let the
bowels rest when symptoms are severe. TPN may be used as a nutritional
supplement. This is An Intravenous feeding. Some of the drugs used are:
Asacol, Entocort 6-mp, flagyl, Imurel, Azulfadine, and Prednisone.
Imodium, Colestid, and Questran are a few of the drugs used
to treat diarrhea.
My Struggle with
Crohns
I can only relate my experience with Crohns.
The first serious complication I developed from this disease was a Bowel
Blockage. To say the least, it was extremely painful. I would not be able
to keep foods down at one time, then another time I would have serious
bouts with diarrhea.
I was put on, Azulfadine which I later developed an allergic reaction to.
Then I was put on Prednisone. This was the Steroid I was to be treated
with during most of the flare ups with Crohns. I was fortunate to have
Dr's. that
believed a person should be kept as free of pain as possible, so pain
medication was not a problem to get.
For the Diarrhea I have tried Imodium, Colistid and Tincture of Opium,
Tylenol/Codeine, and none have been effective, although Tylenol/Codeine
does "slow" the bowel some.
I was operated on for the Blockage and at that time a section of my Small
Intestine was removed. Since that time I have had 5 surgeries resulting
in having all but 27 inches of my Small Bowel removed. At one time I had
an Illeostomy but chose to be reconnected. I regret that decision now, as
I can see my quality of life was much better then. As a result, I have
developed, fistulas, skin tags, abscesses, Osteoporosis and Short Bowel
Syndrome.
I also lost my teeth to the disease and have joint pain on a daily basis.I
have been on TPN (total peripheral nutrition), 3 times and developed
severe infection from the IV line. But that is the past, there is still
the future.
Each day I can remain in remission is a step forward.
The End Results
Let me first say that I am in no way as knowledgeable as
many others concerning Crohns and its complications. I can only tell my
story as it relates to me. Each person's experiences are different and the
way they deal with
them can be very varied.
Although I have been in remission for quite sometime, I live daily with
the results of having Crohns Disease. I have been fortunate enough to
have good and understanding Drs. who listen to my complaints and do their
best to see me through. As I said before, I have total support from my
husband and our family. Most of all, I have faith in The Lord that he
will guide me and he will not give me more than I can handle.
Because of the many surgeries I have had to remove diseased bowel, it has
resulted in SBS -- Small Bowel Syndrome. I have diarrhea on a daily
basis. It has become a way of life for me. The urgency with which I have
to go some times can cause some raised eyebrows. I have learned to know
the location of every restroom where we go.
From SBS comes the inability to absorb the nutrients I need to keep my
body on track. Therefore I have a real struggle with B-12, Folic Acid,
Magnesium, Potassium and dehydration. I take magnesium and B-12 shots.
The dehydration is an on going battle, since I am so thirsty all the time
and the more I try to quench the thirst, the worse it is.
Most of the drugs to treat Crohns have been used since I had my last bad
flare-up. So the main medication the Drs. had me on for remission was
prednisone. I was given very high doses at times that resulted in
Ostesporosis. I have it in my spine and hips. I have been on Fossamax for
a year now, but it has not improved at all.
Fatigue is ongoing. I push myself most days, as I hate to give in to it.
But to get up in the morning, and be so tired you don't want to even
dress is awful.
After my last surgery for 6 mo, I had an ostomy. I know there are some
that won't agree, but if I could take it back I would. At least I could
hold down a full time job, and I didn't have to worry about making it to
the bathroom in time. I also had more energy. So to those who are
considering it, please think it over carefully.
If "My Story" helps someone then I am pleased. If anyone has questions or
wants to talk about their problem, please post to the Discussion Group.
Take each day as it comes ---- God bless you,
Lanette
†