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10-24-2010, 09:46 PM   #31
biteyshark
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Hi, I'm Nikki... 28 year old... recently diagnosed with gastritis, erosive esophagitis & GERD, hiatal hernia, and inflammation in duodenum/terminal ileum/colon which was just called IBD (not specified beyond that). Sooo I consider myself "undiagnosed" because I haven't been told anything other than general "IBD".

I was diagnosed with IBS in late 2007 but had unintentional weight loss, severe fatigue, occasional fevers, and bleeding so now I think it was/is something other than that. I eventually started feeling better, but in November or December of 2009 I started feeling crappy again. My symptoms from the past 10 months are two pages long, and I've had tons of tests for all different things, and they FINALLY found something other than a little odd blood work when I got an upper endoscopy and colonoscopy two weeks ago.

I am with a lot of you - I felt so bad for so long but felt like no one believed me, and got exhausted trying to convince people so it became hard to be pushy and advocate for myself. I also have a history of depression and anxiety, so a lot of times my complaints were poo-poo'd and blamed on the anxiety - which made me even more frustrated and wanting to give up all together.

The GI put me on Lialda for two months, and then we are going to decide what's next.. maybe more Lialda, maybe stopping the med if I feel better, maybe pill cam... he also gave me Zegerid for the esophagitis/gastritis/GERD. No prednisone, which I was on a few months ago on a trial basis and made me feel a LOT better.

But I'm still in horrible pain on my right side and don't have anything for it
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ibd dx oct.2010... now crohn's dx dec. 2010
meds: pentasa (4 g), bupropion (200 mg), sertraline (100 mg)
tramadol, calcium + vit + probiotics
10-24-2010, 09:47 PM   #32
biteyshark
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Oh and I also have joint & muscle pain - so now I'm wondering if I should go to a rheumy or an immunologist next - maybe they can help with a CD or more specific diagnoses?
10-25-2010, 10:39 AM   #33
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Melanie: Welcome, and please do tell your story in the "My Story" forum so that everyone can get to know you! Good luck at your GI appointment, let us know how it goes.

Nikki: I get joint & muscle pain as well - mostly the joint pain is in the larger joints, like hips & knees. It's always much worse when I'm in a flare. I remember reading in another thread that this is common with IBD, and that the inflammation can sort of "spill over" into other areas of the body like the joints and inflame them as well. Sorry to hear you are in pain and are getting no relief - I also experience lower right-side pain and haven't been given anything for that. I'm currently on Entocort and that's been helping with my symptoms, although I still do experience pain/d/etc if I overdo it or if I eat something I shouldn't (am currently experiencing a little of both - I overdid it on Saturday, cleaned the whole house and did 4 loads of laundry, and then ate something I shouldn't have on Sunday - definitely paying for that today!). And I also had a positive reaction when I was on prednisone, although like you I was only on it for a trial basis. You may want to ask your doctor about Entocort - it's similar to pred, but it only affects part of the intestines rather than the whole body, so there are far fewer side effects and it's safe to be on it for a longer amount of time. I've been on it for about a month now and it's been working pretty well so far.
10-25-2010, 12:39 PM   #34
biteyshark
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Cat - Thanks for the good info on Entocort, I appreciate it. Will definitely talk to my doctor about it. My joint pain is worst in my hips and knees too, but also seems to affect my lower back.

I hope you get a diagnosis soon!
10-26-2010, 10:19 AM   #35
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Nikki: Yeah, I get lower back pain too, especially during a flare. Fortunately I've got a massage therapist who makes house calls (and since he's also a family friend, he gives me a discount too!). Massages are one of the few things I do splurge on, definitely worth the money.

I hope you get a proper diagnosis soon too - at least you know you've got some form of IBD. I know I have something autoimmune that is probably in the IBD family, as I respond to both prednisone and Entocort, but since my doctor has yet to see any actual evidence of illness in any of the tests I've had, it's still impossible to say what exactly I've got or even to say for sure if it's an IBD.
10-31-2010, 08:14 AM   #36
StarGirrrrl
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It sucks being undiagnosed, feel I am in total limbo! Finally got my Gastro appointment 2 weeks ago but feel no further along, heard nothing about the colonoscopy, follow up appointment or my blood results which I asked to be sent to me. Just so unwell now, my life has changed so much from even 6 weeks ago
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2006. Tummy issues (more IBD than IBS).
2009 joint pain/worsening tummy issues.
CRP 20-36 2006-now. C3/C4 inflammation markers huge,
2014 IDA & low B12.

June 2014 admitted to Hospital 3 nights as emergency transfused 2 units of blood. Dangerous case of anaemia.
Caught by pure chance!
Cause currently unknown but suspected CD.

Waiting on blood & stool results from January.

Hoping to stop anaemia treatment soon & lower B12 daily dose!

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11-01-2010, 04:57 PM   #37
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I'm sure most people feel this way, but it's what scares me the most...I don't remember what it's like to be symptom free: no abdo pain, no back pain, not crazy tired, no nausea/dizziness. Even when I take pain killers or anti-nausea, I still don't have the 'what it's like to feel normal' feelings because I get the wooziness from the meds. If only I knew what was making this my new normal...
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11-07-2010, 02:23 AM   #38
flamewolf6
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So i all ready said hi in the other forum but i figured id put my story here. I am 22 years old and december 19th i was taken to the hospital with severe abdominal pain,nausea and vomiting. doc said its just my gall bladder and left it at that. I kept having these attacks until august,where i found i had an inflammation in my small intestine and was kept two days to find out i had an infection or so i thought. the flagyl and ciprofloxin had me symptom free until last week(thats about 2 months) where i had another attack right before my gi appointment...this last week i had a barium x-ray and they told me no obvious signs of crohn's that it is probably an irritable colon...What the hell!?
12-01-2010, 08:28 PM   #39
TheyCallMeRC
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Sorry to hear that you are having so much uncertainty...... I will say that it took the better part of 2 years and no less than 3 different hospitals and 5-6 different doctors to finally diagnose me....

I was treated for parasites, colitis, ulcers, everything.........

Finally I was admitted to a hospital and a G.I. saw me that was famillier with Crohns and he diagnosed me....

If you think you may have chrohns, then try to find a GI who has experience to check you out. I have had GI's tell me that every GI has their own certain specialty and so it wouldn't hurt to ask if there is someone available that is more famillier with what you think you may have...
12-01-2010, 11:37 PM   #40
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Wow, I really though my story was unique. I am saddened to see that so many people are having to deal with uncertainty also. Thanks, Cat, for starting this thread!

Just want to share a quick summary of what's happened to me recently....

I was dx with CD 22 years ago at age 10. 3 weeks ago I had a colonoscopy (one of many) because I've been in relentless pain and practically living in my bathroom.
When I woke up I was in complete shock from what my GI specialist said. She believes I have been misdiagnosed all these years and I that I have UC and need my entire colon removed!?!
She's sending me up to Mt Sinai to get a second opinion - which I have scheduled for tomorrow. I still can't believe it...

Thanks for reading! Good luck to everyone here. I hope you get a definitive answer soon!
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Loop ileostomy 12/20/10
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Total proctocolectomy in near future
12-03-2010, 08:07 AM   #41
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Having a colonoscopy date I know I could be diagnosed in a few weeks. I welcome this with mixed feelings because I have always thought a diagnosis would be wonderful- and it will, it's just hitting home what that'll mean. You know, like with more medication (which I welcome if it'll give me my life back) and stuff, and Mum will start fussing, when I have had to work really hard to stop the nosy questions, which I did and then had no life, so nothing to ask, so that is all going to come back again, and again I have to work really hard to stop it. I know Mum's are supposed to fuss but mine goes past what is reasonable and sees nothing wrong with it (I am 23 and she would ask every single month on your period? how's your period? stopped your period?, this went on until last year when I finally snapped!).

Having said this the lifting of the stress I and my family are under will be worth anything that will follow after, and the fact that I should get mt life back, at least part of it. Having been the same for 3 years and then worse for 1 I can't wait!

I'm in a slightly different position I know as IBD been confirmed with the WBC scan (even if Gastro trying to cover their mistake told me they were 90% sure it was IBS, er duh, you do not get active inflammation with IBS! The WBC scan found inflammation in my bowel and blood CRP has been raised every single time it was tested over the last 4 years) so basically I know they will find it again and tell me it's Crohn's, just a case when, so from visual with scope, biopsy with scope or MRI follow through which is planned if scope all normal.

I have the scope date but no follow up appointment yet, so may well be a case I am limbo again for a while, as I have learnt positive tests do not equal a call in!
12-03-2010, 04:04 PM   #42
StarGirrrrl
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I think I could have put that alot better- I have been focusing so much on the postive side of being diagnosed, I have not given much thought to the negative, which is why now I can't seem to get past the negative!
12-17-2010, 12:51 PM   #43
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hey cat a tonic have you ever thought of getting tested for addisons disease?
12-17-2010, 12:59 PM   #44
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hey cat a tonic have you ever thought of getting tested for addisons disease?
Yes, I've had several tests for Addison's including the ACTH test, and all the results have come back in the low range of normal. Both my GI and GP agree that normal is normal, even if it's a bit low, so both have said that I do not have Addison's.
12-17-2010, 06:18 PM   #45
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what was your range? did you also get your aldosterone and renin tested?
01-03-2011, 08:29 PM   #46
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Hi I def belong here right now lol. I am 25 years old. I am new here and with no diagnosis am looking for some advice. Since the beginning of 2008 I have had horrible stomach problems. It starts usually at night with nausea, abd pain and vomiting. The first occurance I had a lot of bloody diarrhea and lost a lot weight. They ended up taking out my gallbladder due to it not working anymore, no stones were ever found though, just sludge. I thought after that I was fixed!...wrong! Ever since then about every 3-6 months I go through the same symptoms. Pain, nausea, vomiting, a lot of watery diarrhea sometimes bloody. I had a colonoscopy and endoscopy which showed multiple bloody striations or gastritis through my stomach with a lot of bile. My CT's always show inflammation in my small intestine and WBC are always high (21-23). Neg h-pylori, celiac test and stool cx. I also have occasional nausea and right lower abd pain on a daily basis. I was wanting to see if anyone else had similair situations. My GI thought it was crohns but now is unsure. He said to just come back if still having symptoms. It gets really old fast though because I never know when I'm going to get sick. If crohns is dx in the small intestine, is that only seen through a pill cam? I had never heard of the pill cam before and wonder if I should request this since the CT's always show the inflammation in there and my WBCs are always so high during these times. Any advice?!? Thanks!
01-05-2011, 01:23 PM   #47
Cat-a-Tonic
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Hi Ash, welcome. To answer your pill cam questions: I've had the pill cam myself, although unfortunately it still wasn't able to see anything out of the ordinary so I am still undiagnosed. Colonoscopy can see your entire colon and a little bit into the far end of your small intestine, and upper GI endoscopy can see your esophagus, stomach, and a bit of the beginning of your small intestine. But there's a ton of small intestine that these scopes cannot see, and that's the point of the pill cam. Ideally (assuming your stomach empties at a normal rate and it doesn't get stuck anywhere along the way), the pill cam sees your entire small intestine, and the battery usually dies around the area where the colonoscopy can see. So it's a useful tool to see what's going on, although it can't take biopsies or anything like that.

If you do have disease in the small intestine, then a pill cam would be a good test to have. You might have to specifically ask your doc for it - it's not done very commonly. I believe the reason for that is because it creates a lot of work for your doctor - instead of just looking at scope or scan results, they have to look at each image taken by the pill camera, which can take hours. I believe when I had mine done they said the images are assembled into a "movie" of sorts, which takes about 3 to 4 hours to watch. Most doctors are very busy and don't have a lot of extra hours in the day with which they can sit down and watch a 4 hour movie of one person's digestive tract, so a lot of docs aren't too keen on ordering the pill cam to be done. But if you feel like it might shed some light on your illness, I would say definitely ask for it! Good luck, if you do the pill cam let us know how it goes, and I hope you get some answers and some relief soon.
01-05-2011, 01:26 PM   #48
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Oh, and one more thing, Ash. If your doc seems to be blowing you off, as you seemed to indicate, please seek a second opinion from a doc who takes your symptoms more seriously.
01-06-2011, 09:00 AM   #49
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Ash, with those symptoms a "wait and see" approach is totally unacceptable. I'd see another Doctor and soon. Scream and shout and make a nuisance of yourself until you get the help you need!
01-06-2011, 10:40 AM   #50
littlemissh
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Ash,
I would think about a change doctor or ask to see again and have a constructive yet firm discussion
. It is NOT normal to have bloody diarrhoea and not acceptable for a wait and see approach in my humble opinion. I have had the pill cam which is how I was diagnosed (after having having my gallbladder out...no stones)...it cannot take biopsies though which has created some issues for me as I had an area with multiple nodules as well - may also be crohns ..may not.
I Find out on monday if need to go for double balloon enteroscopy which is an endoscopy of the entire small bowel and can take biopsies..takes 2 hours though so I have resisted so far...long story really and don't want to bore you so won't go into it.
Sounds like you need a pill cam. Pain free unless gets stuck ( only if have stricture so may do small bowel follow through first...mine was delayed in nodular area for 3 hours but got through eventually thank goodness) but you need them to tell you what is causing your bleeding and what is causing your inflammation seen on scan. Until they tell you those things you should not be satisfied.
01-06-2011, 12:40 PM   #51
allieinwonder
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Hello Everyone! Some of you know my story, but I wanted to add it to the undiagnosed club.

My name is Alisa, and I have had symptoms of an IBD for about 6 years now, starting at 15. My stomach would feel like it was ripping to shreds, and my parents just thought I was faking it or going crazy. Because of that I pretty much just ignored it. A few months later I went to the doctor, and she said, "oh, it must be acid reflux"...um, ok. Took the pills, nothing happened, went back. She realized she hadn't let me finish my symptoms, and then referred me to a GI. I was scared, so I didn't go. I went back to her at 17 to get some immunizations for college, and she asked about the GI stuff, and when I told her I didn't go, she freaked. She told me it is probably either crohns or colon cancer, and if I didn't go, it would get worse.

So I went, lol. The GI didn't even touch me, told me I had IBS, and gave me a prescription. He told me to come back in a month to see how it worked. When I came back, I explained that it didn't help much, and that my throat would close up on it. He called me a liar, said it must had been the flu. I told him I would not take it anymore, so he scoffed at me and wrote other RX. I never filled it and I didn't go back.

I lived with the symptoms for several years, knowing it could be something worse, but I didn't think anyone would listen. I hid it from all of my significant others, friends, and family.

Last January I ended up in the hospital from ab pain. It ended up being a ruptured ovarian cyst, with another one along side of it. It was detected by a CT scan, so my husband (BF at the time) said "you must not have crohns then, if the CT didn't show it!". 6 months later the abdomen pain came back full force, and I went to an urgent care to see if it was another ovarian cyst (I am on BC, so it was almost impossible that it was). He said it must be, gave me some antinausea meds and off I went. I ended up in two different ERs within a week because they kept telling me I wasnt dying and to go see a regular doctor (the pain was so bad, that I thought it needed to be taken care of THEN). The second ER diagnosed me with a abdominal hernia. I went to a surgeon later that week, and he found a hernia, but on a completely different area of my stomach than where I was in pain. I didn't understand, it wasn't even where the ER doc had poked me. I had hernia surgery (8 days before my wedding ~.~), and the rest I had from that made the other pain go away. So I assumed it was a hernia for so many years (which doesn't make any sense) and went on.

Last September the pain came back full force. I lost 12 pounds in one week, and I wouldn't eat for days. My husband was moving to Germany at the time (without me, I was in school, he is an officer in the US Army), and I was under a lot of stress. I went to my GI a week later, and he said this wasn't IBS, that I had an IBD or colon cancer. I was so glad someone was finally listening! When my husband found out, I was told to come to Germany to be with him while I got this sorted out. So within a week I was on a flight to Germany.

Since then I have had a colonoscopy and upper endoscopy (dec 10th), but the Army takes its sweet time to get things done. The GI who did my colonoscopy told me he saw nothing, but the army still hasn't released the biopsy results to see if it is microscopic. I had a doctors appointment yesterday (because the results were suppose to be in), and she said the next step, if the biopsies come back negative, is to either follow the GI's recommendations or go to a military hospital 4 hours away for a second opinion. I asked about the pill cam, and she said they wont do that, only exploratory surgery. I also asked for a "trial run" of crohns meds, and she refused that as well. She says I need to be on tramadol to keep the pain down until they diagnose me with something.

I think this is only located in my small intestine, because I have almost every symptom but the D multiple times a day, and I have seen that if it isn't in your large intestine, the D isn't as bad. I do however, have terrible inconsistency in my BMs. Mostly constipation, but D when I eat something that aggravates my condition. And when I do have it, it takes hours to get it to go away. Other symptoms I have is bad ab pain (about an 8 on the 1-10 pain scale) that is in a certain spot, lots of mucus in my stool, mouth ulcers, lots of gas, joint pain and muscle aches, fatigue, hair loss, hemmroids, and nausea. I'm probably forgetting something too, lol.

At this point, I just want answers. I am worried about the exploratory surgery, but if gets me a diagnosis, then I will deal with it. This disease, whatever it is, has pretty much taken my life from me. I went from a workaholic to a very slow individual, and I can't wait for that to change.

If anyone here wants to vent, at any time, my PM box is always open. I know exactly what all of you are going through!
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DXed with Behcets disease December 7th, 2012. Behcets disease is a very rare autoimmune disease that mimics both Crohns and Lupus, attacking blood vessels all over the body, causing inflammation and damage.
www.behcets.com

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Last edited by allieinwonder; 01-06-2011 at 12:43 PM.
01-06-2011, 01:40 PM   #52
littlemissh
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Hi alien wonder,
Sounds to me that pillcam would be better than exploratory surgery as they cannot see insde your bowel with a laparoscope...though apparently they can see fat wrapping around the intestine-would they see small early ulcers...I would ask that question before I let them do surgery.
Have you had a small bowel follow through. I would go for the second opinion if it were me...but thats just my opinion..having been through the whole thing myself.
01-06-2011, 01:48 PM   #53
allieinwonder
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I agree. When she said no pill cam I was very confused. But either way, if the result from the german off-base GI come back completely normal they are having me get a second opinion from the military hospital 4 hours away. I almost want to go there and refuse to leave until they give me some answers. ~.~ They seem to think I can wait forever to get this diagnosis; at home in the states I would have had many more options in GI's and opinions, and they would have been faster. But the Army thought this was the better solution.

I am definitely going to ask about the small bowel follow through! I don't want them to cut me open if it isn't going to find anything!
01-06-2011, 01:56 PM   #54
littlemissh
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There are lots of small bowel investigations available that avoid the surgical route though some only done in specialist centres...you can be referred to these. It may be worth doing some investigation and seeing if the hospital you are being referred to is able to do a pillcam or can refer you for one.
Nearly all can do SBFT and you need this prior to pillcam anyway to make sure no stricture.
There is also MRI enteroclysis of the small bowel which could be used but only some centres can do this and then double balloon enteroscopy-this is only done in 2 centres in england-sheffield and london.
01-07-2011, 07:12 PM   #55
ash
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Thanks everyone for your advice. I will def make an appt and figure out what we can do next. I just hate going to the doc. I grew up in a family that if you weren't dieing...then you should suck it up. Even though during these "flare-ups", I do feel like I am. I am even a nurse lol but I know I need to take care of myself and get some answers.
01-08-2011, 08:33 PM   #56
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Hi everyone! I hope someone will have a familiar story for me. I am 16 years old and have had abdominal pain, bloody stools, diarrhea, weakness, sores in mouth, swollen lips and tongue, weight loss and no appetite for the past year or so. On my mom's side her sister has one of the worse cases of Crohn's the doctors at Hopkins said they have ever seen and her 2 brothers have ulcerative colitis. The past few months all of my symptoms have gotten so much worse. I went to a GI and he did stool samples and blood tests and they came back normal. Then he did an endoscopy and colonoscopy which came back normal. Then he did another stool sample to test for parasites and it came back negative. Then he did a cat scan which again came back normal. He diagnosed me with IBS and put me on dicyclomine which doesn't do anything. I feel like since they don't have any proof they don't believe me. It's really frustrating... Please help
01-16-2011, 05:41 PM   #57
lorraine
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I want to point out to everyone complaining of joint pain that there are also several autoimmune inflammatory arthritis conditions that are comormid for IBD conditions. I happen to have one myself- a codiagnosis of Psoriatic Arthritis/Undifferentiated Spondyloarthropothy. RA, Ankylosing Spondylitis, Reactive Arthritis and I'm sure others also have links to UC, Crohn's and others. It's worth visiting a rheumatologist if you're experiencing chronic joint pain. My joint pain affects quite literally every joint, but is worst in my low spine, sacroiliac joints, hips and hands.

Because of my arthritis diagnosis, I'm fiiinally dragging myself back to my GI doc. I was diagnosed with IBS in '08 and began experiencing symptoms in '06 or '07. My colonoscopy and upper endoscopy in '08 only found my hiatal hernia. Since that supposedly ruled out Crohn's, UC and Celiac Sprue, I got the fun diagnosis of exclusion. I thought that was that, and when fiber and probiotics did nothing for me, I just figured this was my "normal". When I'd visit my GI, he would just suggest I get back on probiotics and call it a day. I stopped bothering to pay the copay to be told to do ineffective OTC treatments.

Now that my rheumatologist is highly suspicious that I have some worse condition, I'm more confident in pushing for more tests. I had a small bowel follow thru last week, but they couldn't see much because my intestines dip very low in my pelvis and I guess there were too many layers of intestines over what they wanted to look at. It also took 5 hours for me to pass the contrast and I think the radiologist was getting antsy to be done with it.

I have a flexible sigmoidoscopy on Thursday to biopsy for microscopic colitis. I also hoepfully will do a pill cam soon to look for Crohn's in my small bowel. My GI is very skeptical that it's anything besides IBS because I used to occilate between constipation/diarrhea and am now just 10+ painful bowel movements everyday, some D, most loosely formed. He thinks I wouldn't have had constipation with any of these more serious conditions, but I see that symptom listed constantly by folks in this forum? I don't know. We'll see if the tests show anything this time. His receptionist kind of laughed at me about my IBS, "Oh, we ALL have IBS here. This job is stressful!" Okay? I have crippling gastro pain everyday even when I don't have a care in the world. But thanks?
01-17-2011, 05:04 AM   #58
allieinwonder
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I feel for you lorraine. I was diagnosed with IBS in 08 as well, but I have always had a hunch it was something more. And I am the same as you in the D department....switching from constipation to D, now all loose stools and sometimes bad D (maybe once a day? sometimes twice). From my research, if the disease is limited to just your small bowel, you wont have D as much because the large intestine can function more normally than other IBD patients. But because it is in your small intestine, your body can't absorb the nutrients it needs. I hope your next test gives you the answers you are looking for!
01-17-2011, 10:56 AM   #59
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Hi! I guess this is my club too.

I am a 28 and have been suffering of weirdness since the fall of 2009. Probably before that as well but it wasn't severe enough to warrant a doctors call. You can read my story in 'Your Story' the tread is called "Undiagnosed and Super Frustrated".

At this point I am trying to live my life fully and deal with the pain. I am busy working Mom, I travel a lot for work and pleasure, I am active and social.....this agony, discomfort and fear has really gotten in the way of all of that.

I have an appt with the GI Doc on March 29th who will then set up a colonoscopy (if you read my story you will see I already missed one but it is entirely my fault... ). I am hoping I will have a diagnosis and some answers by Spring but things move slowly here.

I am having a lot of trouble dealing with how much all of this effects my day to day life and I don't even know for sure yet. I am gearing up mentally for the worst case cause I am warning you all now I will not take it well!! I am trying to accept that they will tell me I have Crohn's now so it will be less of a shock if they do.

I am terrified.
01-18-2011, 11:59 AM   #60
Cat-a-Tonic
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Location: Madison, Wisconsin

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Hi Bliss, welcome to the club. I know the feeling of being frustrated and just trying to live life as usual! I don't have kids but I do work full-time and try to travel and try to have fun with my family & friends, etc. And your story is all too common around here, with being given the "you've got IBS, eat more fiber and avoid stress" line. It seems like most GPs don't even know this (I've had to explain this to a few docs myself) but with IBS you do not get things like weight loss, blood in stool, dehydration, or nocturnal diarrhea. So if you've experienced even one of those, it is NOT IBS. It sounds like your level of pain is above and beyond what IBS would be, too.

I hope you get some answers when you have your GI appointment. Are they not able to get you in any sooner? I would call them frequently and see if they've had any cancellations sooner. One thing that I have discovered is that crying on the phone really works! I called around March or April of last year to schedule my colonoscopy, and they told me the soonest they could get me in was June. I tried to wait it out, but after a few weeks I couldn't deal with the pain and I called back in tears, asking if they could bump me up. The receptionist was snippy, but after I asked to speak with the nurse I got some sympathy and she bumped me up to the following week. So if you really are struggling, call back and don't hold back your tears! Let them know how miserable you are (and make sure to speak with the nurse or doctor instead of the receptionist, they have more authority to bump you up.) Good luck!
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