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My Crohns Story

So my Crohns started around 9 years ago. I was in Year 8 of High School. Used to wake up and frequently go to the toilet 6-7 times ( liquid) before leaving the house. Used to feel generally unwell until around lunchtime every single day. Didn't tell my parents or anyone about it. The school bus journey used to be a real tough ask. Noise, a lot of people, misbehaviour, all the sort of stuff you don't want when your feeling unwell. So around the February time of 2004 i started getting some symptoms with my bowel habits. My hair became very thin, my nails started to crumble, i was very very pale and i had lost a lot of weight within a year. To show a before and after picture would be scary. To attend the Aston Villa matches, which was and still is my main hobby in life was really tough. So i got sent to have a blood test by my GP. I went up the hospital to have my blood test and that same afternoon whilst i was at school my parents had a call to get me to the GP asap. So i came in from school, was whisked off to the GP without having any tea or a drink and feeling quite scared at what was going on. My GP was a young fella and he had the blood results in front of him and told us that the local Hospital had a bed waiting for me on the Childrens section and he personally felt it could be Leaukemia. Now i knew what that was, despite being young and you could imagine how scared i was. So we went up to the hospital where this bed was waiting for me. As it was night was just admitted onto the ward, my parents sent away and that was it til the morning. Knew nothing at all and as you can imagine it was very distressing for a young teenager.

The following morning a top paediatrician, specialising in Asthma came and saw me. He was shocked at what my GP had said about Leaukemia and he said he suspected either Ulcerative Colitis or Crohns disease which i hadn't heard of at the time. I was put on Iron because i was anaemic and 2 weeks later had a Colonoscopy at the Birmingham Childrens Hospital. The consultant straight away diagnosed Crohns Disease following this and recommended they built my weight up first. So they put me on a Fortisip/Fortijuice diet. This contained 8 nutrient drinks a day and nothing else but this taste was really unbearable and i couldn't hack it. So they fed me for 8 weeks through a NG tube which is quite an experience in itself. I totally lost all confidence to do anything, even go out and i was off school from Easter through til the following September. So this NG tube feed diet helped me put on about a stone, hardly seemed worth it as when they pulled it out, my symptoms quickly returned and some weight fell off again. They then tried to put me on a very high fat diet. Told me to smother everything in butter etc. Dream to me if they said that now :p but that didn't work and i remember all of a sudden i had no urge to eat anything. Like it was physically impossible to eat anything. So i was taken back into hospital, they suspected a blockage and i was put on IV Pottassium etc because i wasn't eating at all. At the time also i had a badly infected toe which had to be sorted out with IV anti biopics but they never did find out the cause of that not able to eat stage. So it came to the point where my local hospital was scratching their heads at what to do with my Crohns, so i was in my local hospital for a month awaiting a bed back at the Birmingham Childrens.

I finally got my bed and the lady who performed the colonoscopy became my consultant. At this point i was on Steroids to help control it and to build my weight up again and it worked to some extent. I remember having a week full of different people coming to see me. Surgeons, Stoma Bag experts- you name it. It was a lot to take in for a young kid but they did decide to halt the surgery and try this one last drug they though may have some success. This was Azathioprine. So they put me on 200mg of Azathioprine aswell as keeping me on the Prednisolone and the Pentasa sachets. I was discharged from there on my birthday on 1 August 2004. I had a district nurse come to see me during the first few months and after about 3 months the Azathioprine started to work and i was taken off the Prednisolone. Had some issues with the Pentasa but changed the type of Pentasa and was ok again. My weight built up, my hair grew, the horrible scabs on my scalp disappeared, my nails went healthy again and i had a colour in my face again. At the start of this treatment my Platelet count, which they can monitor inflammation from was at 1,400. A healthy person's platelet count is between 200-300. Azathioprine really has worked, they even dropped my dosage from 200mg to 150mg and this is how it remains now. I was also on some blood thinning tablets but they were stopped quite quickly after too.

After a few years i was finally discharged from the Birmingham Childrens and for about 4 years the care has gone over to a Gastro consultant at my local hospital. He is very good but have had no problems at all since. I go to see him once every 6 months and have a blood test done every 3 months to monitor. I get my off days, often if i overeat or something upsets me and have had my first little flare up lately but seems to be wearing off again. 8 years ago seems a very long time ago, i'm not sure i can explain to you how low i was back then. It really hit my confidence more than you can imagine and kids aren't very forgiving then. Whilst i was off school at the start i had only one friend come and visit me. Others spread vicious rumours about me around the school and when i finally returned to school a month after i was discharged from hospital, i got some great support from some teachers in particular but found myself having to find a whole new friendship group, which in Year 9 is tough. Its not nice going through that once, but twice is tough. But these friends stuck with me and most are still around me today. I went through the denial stage at first. People asked me why i was away for so long and i said '' it was my asthma playing up'' but as I got older you feel more at ease to explain Crohns and what it really is and how it affects you, people don't understand the severity of it at first.

So i got through school, with around a 97% attendance rate which was quite good in the end, achieved my GCSE's, went on to do A Levels and got 3 good grade A Levels which i was pleased about.

And now here I am, i'm 19 ( 20 in August). I'm a second year Student Nurse at the University of Wolverhampton. I have a brilliant family with 2 little nieces and nephews and also living with my boyfriend of nearly 2 years who is incredibly supportive of me. He built my confidence back up despite it being 6 years on ( yeh thats how long it knocked my confidence for) and life is good right now. In decent health too and halfway through training for a career which helped me so much and inspired me to do it. I'm so sorry if this has bored anyone, i know its an essay but I hope it can help some of you guys. I know how your confidence can be easily knocked but don't think you won't come out of it because you will. I never though i'd find love, i thought wow Crohns is too hard a disease to discuss to anyone i like, dates etc will be too hard to get through and it was tough but if the person you are embarking on a relationship with is as supportive as mine has been and is, you'll be blessed.

Crohns is such a debilitating disease and has so many factors involved but you can easily lead a good and healthy life with the people you love around you. Keep your chin up and the light at the end of the tunnel will come, that's what i always say.

Thanks,

Simon. :)
 

Angrybird

Moderator
Location
Hertfordshire
Hey Simon and :welcome: to the forum. That is such a lot to go through at a young age, the disease itself is nasty enough without the added stress of then having to go back school where as mentioned you have to practically start again with friends. I am pleased to see you have someone supportive by your side now though, that can make such a difference when things are not going so good.

I take it the Aza is still doing a good job for you? I am on it myself again and so far so good....

Wishing you all the best

AB
xx
 
Yes, doing the job well. I have had about 10 days episode of loose stools which I'm putting down to a light flare up but hoping things are settling down again now.
 
Sure i'm in the middle of a bit of a flare at the moment. Stools varying between pure diarrhoea and then a bit more formed... few times every morning. Stomach is making some odd noises and not feeling 100% in myself. Had it for a good 11 days now, went for a blood test other day but didn't hear back so assuming the results were fine as usual. Hope it goes away soon, i start my Community Nursing placement on Tuesday for 7 weeks. :( First ever flare up.
 

Angrybird

Moderator
Location
Hertfordshire
Hiya, I would definetly chase up on those blood results given how you are feeling at the mo. Do you know if they would be checking ESR or CRP? These can indicate whether there is inflammation going on in the body. Please do make the GI nurse aware that you are not feeling right so they can check this for you.
 
Yeah im going to give the doctors secretary another call Monday just to see about the results. He always looks at my platelets to see my inflammation.

Definitely not right, been to the toilet like 6-7 times today and went to see Oliver! The musical at the Birmingham Hippodrome tonight with my partner and had to go at the interval and at the end and sort of had the feeling throughout, probably psychological. But I'm gonna check it out. Is it ok to take Imodium?
 

Angrybird

Moderator
Location
Hertfordshire
Hi, it should be ok to take Imodium for now, perhaps just use it as sparingly as you can to get a bit of relief until you are at least able to speak to your doc. Other than the loo visits I hope you enjoyed the musical.
 
Hi, it should be ok to take Imodium for now, perhaps just use it as sparingly as you can to get a bit of relief until you are at least able to speak to your doc. Other than the loo visits I hope you enjoyed the musical.
It was brilliant thanks, loved it so much. Don't do that sort of thing often so was a nice treat. Had a nice meal before hand aswell.
 
Thanks for the welcome.

Still suffering with the diahhroea nearly two weeks after it began again. First flare up ever and not too sure how to deal with it. Had a blood test last week which I'm going to try and find out the results for tomorrow, but not sure whether I need to speak to the Gastro nurse or try the consultant directly. Not really getting any more symptoms apart from the diahhroea. Got the feeling that I'm full quite a bit but not that severe. Still on my Azathioprine, 3 tabs a day (150mg) and its kept me quite well for 7/8 years since the start. So this is frustrating. It's also come at a really bad time because tomorrow I start my Community Nursing placement for 7 weeks. Also doesn't help with people in your family saying to you, " oh you need the toilet AGAIN", you know, like I can help it. Just feeling a bit miserable at the moment, hate being ill and because it's been in remission for quite some time I'm just not sure how to deal with it or what to do.

Trying to eat fruit and drink fruit juices to replace what I'm losing but I'm guessing that's not helping with the diahhroea. :(
 

Angrybird

Moderator
Location
Hertfordshire
Hi there, the GI nurse should be able to check your last results and see if the inflammation markers are raised- the may be more easily contactable? Shame to hear you have some less understanding family members, the problem is the cannot 'see' the illness and therefore cannot understand it properly, we can though so :hang: hun we are here for you.

AB
xx

NB Glad to hear you enjoyed the show
 
Thank you, I've left a message on the answer machine of the Gastro nurse and they should call back at some point tomorrow. Not had a good day at all today, been to the toilet a good few times, appetite hasn't been great ( took me ages to eat my small dinner) and I've felt really uncomfortable in my tummy all day. Feel a bit nauseas too. Just been lying around the house today, not done anything. Just worried with my placement starting this week, it's so hard to retrieve time that you have missed. :(
 

IJP

Location
London
Simon

I hope the tests go well, I also hope that those that run the Community Nursing scheme are understanding if you need a bit of time - they certainly should be understanding than most!

Take care of yourself buddy.

Ian
 
Hey guys, so after another bad night i decided to try my Gastro Nurse again at 8am this morning. To my surprise she answered, told her my problems. She got my blood results up on the system and my bloods show increased platelets and MCV. She said i need Steroids so told me to go see her during the morning at the hospital. As it happened, i was at the hospital anyway for my Community Nursing Placement induction which begins tomorrow. So i went and saw her, she was lovely, first time I've met her.

Commenced on Prednisolone 40mg daily for 2 weeks, then reduce to 30mg daily for 2 weeks, then reduce further by 5mgs per week until course completed. She's rechecking bloods in 2 weeks including 6TGN and B12 levels as the b12 levels were quite low. And she is seeing me back in clinic in 2 weeks. She has also put me on Adcal, 2 tablets a day.

Taken my first dose and hope to feel a quick effect as tomorrow i begin my Nursing placement for 7 weeks and don't want to miss time. Do you think ill get through it ok on the steroids?

Thanks for all your advice and help.

Simon.
 

Angrybird

Moderator
Location
Hertfordshire
Hey Simon and thank you for the update, I am pleased that your were able to get things sorted so quickly - I previously worked in the same hospital at my GI team and it certainly can help with getting things moved along. The pred doesn't usually take long to kick in so hopefully you should be feeling better within the next few days. Also glad that she has got you on a calcium supplement and is checking your B12, is is common for us crohnies to be deficient in this so don't be surprised if you need to start jabs for this. Did she mention anything about the Aza? Will the dose be increased?

AB
xx
 
I had a b12 injection a few years back but haven't had one since. I was put on the Aza when i was 11/12 and it has stayed the same dosage through ( 150mg) so in terms of me getting bigger as i'm now 19 she reckons the dosage might have to be upped and could be the reason for this flare.
 

Angrybird

Moderator
Location
Hertfordshire
Makes sense, when I was on it the first time round I ended up on 200mg. The jabs most probably would be something that you will now need to be on on a regular basis - you can see on my sig that I have them every 3 months and others have them more often than that.
 

David

Co-Founder
Location
Naples, Florida
The elevated MCV is potentially due to the low vitamin B12. Anemia due to vitamin B12 deficiency is a macrocytic anemia which means elevated MCV.

Get on vitamin B12 injections and get those levels tested regularly. And get the actual levels each time you have them done so you can keep track and advocate for yourself.
 
Will be discussing the B12 in my appointment in 2 weeks time. I've known the b12 levels have been low since my last appointment with the consultant in January. Short term thinking, just hope the Steroids pushes me back into remission, my Aza dose increases and i become well again, especially for these next 7 weeks of placement and then on June 5 me and my partner are going to Spain on holiday.
 
I and my partner went out for a meal this evening because I got through my first day on placement and really enjoyed it and because I didn't feel like a big heavy meal, I had a kids meal whilst he had a full big meal. And what? Haha

On the health side, feel better already, not been to loo as much and ( sorry for tmi) the stools seem to be hardening up. Whey!
 
Hi guys. Bit of an update.

I had a appointment with my Gastro Nurse today. I have now dropped to 6 a day Prednisolone instead of 8. Still feeling good, no symptoms at all. Anyway, my platelet count has dropped about 100 in 2 weeks. She said not as fast as she hoped but still reducing. When I was really ill my platelets were in the thousands. Normally when going to see my consultant they are between 400-550. They are now 640 so not majorly majorly increased. My Azathioprine level has been checked and is still normal for my body so can't increase the dosage. The low dose hasnt caused this flare up, she said it could be stress with me being worried about my placement which started around the same time. Told me to continue on this course, see how I am after, see if I go back into remission. If I do show signs of flaring again, she said they'd get me an earlier appointment with the consultant, Get an MRI to see the activity and possibly alter treatment. She mentioned using Humira alongside the Aza if need be, but said will cross that bridge when we get there. She said a lot of people go back into remission following a course of Steroids so hoping this is the case.

Mentioned to her that me and my boyfriend are going to Majorca for a weeks all inclusive in 5 weeks and she said if I flared during holiday just buy some Pred over the counter. But hoping things continue to settle down. Also, 3rd week of my Community Nursing placement nearly over and no problems with my Crohns during it and I love it! :D
 
Also, my B12 levels were 87 so starting me on some injections. 3 times a week for 2 weeks then once every 3 months. Getting in at the GP's at a time which fitted around work was a pain in the ass. Wish they'd just give me the equipment so I could do it myself. Do loads of B12's every day at work on patients!
 

David

Co-Founder
Location
Naples, Florida
Thanks for the update! 87 pg/ml is VERY low for Vitamin b12. I'm glad they have you on injections and good call on their part with the loading doses. However, with a level if 87 I strongly disagree with the every three months thereafter. In my opinion you should, at the very least, get them at least once a month for at least six months and then have your levels tested again. If you are well above 500 pg/ml (ideal) then you can try going to less frequent durations. But you want to stay above 500 pg/ml so get tested regularly. You DO NOT want to have "just enough" B12 or start to get symptoms of deficiency before you get your next shot. You want plenty in your bank.

Please be careful as B12 deficiency is bad news.
 
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