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05-28-2012, 08:57 PM   #1
lookame
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Anxiety

I've become very anxious recently due to some very stressful issues going on in my life. I wake up several times during the night, have nightmares and when I start to think about the current issues I start to physically shake and my stomache churns. I also have a hard time dealing with stress often forcing myself to sleep and I end up not eating. I'd like to get some anxiety medicine to help take the edge off things(I've always had trouble with anxiety it's just becoming a big problem recently) Do GI doctors prescribe medicine for anxiety...it's really affecting my crohns disease causing bleeding and more bathroom trips the not eating is causing rapid weight loss(I lost 3 lbs in 4 days) and not being able to sleep and having nightmares all night is also causing problems with my crohns. Are there any tricks to dealing with these issues...I've tried talking about the issues but I just seem to get more stressed out and depressed...
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Diagnosis: Confused officially diagnosed in 2010

Bloodwork is indeterminate IBD, biopsies are crohns positive, symptoms and visually it's UC

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Prednisone, humira, 6mp, and lialda
awaiting surgical consult

Mom of Little Z
eosinophilic esophagitis 5/2015
05-28-2012, 10:17 PM   #2
Jennifer
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Usually a psychiatrist prescribes those type of meds but you can try asking your GI and GP but chances are you'll get a referral to a psych. They have more training in dosing meds for anxiety, depression and sleep aids for insomnia.

I take Klonopin 1mg as needed and my fiance takes Xanax. We both have a panic disorder.

Stress is a difficult one and saying to just relax and don't think about it is much easier said than done. For me distraction works the best as relaxation and breathing exercises just allow my mind to wander more and more. Distraction can be simple from reading a book to playing a game (on your phone, console or computer games etc.) to simply toying with an object in your hand (I've got toys I keep in my purse or pocket that I can pick at or twirl around my finger or whatever).

A psychologist knows all the different methods out there to help with anxiety and you can work with them to figure out which method works best for you.

At night time I take a sleep aid (Ambien 10mg), pain pill (Tylenol 3 as needed) and sometimes my Klonopin cause I have insomnia, often have joint and back pain and can't seem to calm down for the life of me from stress (being a care giver for an ungreatful and mentally disabled family member is very stressful, not to mention his wife...ugh).

But besides those I also have a fan on so I can listen to a soothing constant sound and use a trick that my therapist taught me is to image the perfect place (nothing stressful at all). My place is "The Last Realm of Magic" created by the last three wizards from the cartoon movie The Flight of Dragons. Nothing is there but peaceful magical creatures and beautiful landscapes. Sounds corny a bit but its a cartoon I grew up with and the thought is very relaxing. You imagine yourself there a little bit longer each time you think about it. First focus on the landscape and later get to the details and before you know it, its morning. Doesn't mean it will work all the time but its a start.

I'm wondering though if you might be having night terrors caused by stress. There's medication for that too. Even if your GI or GP might prescribe something, you may be better off with a specialist.
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Diagnosis: Crohn's in 1991 at age 9
Surgeries: 1 Small Bowel Resection in 1999; Central IV in 1991-92
Meds for CD: 6MP 50mg
Things I take: Tenormin 25mg (PVCs and Tachycardia), Junel, Tylenol 3, Omeprazole 20mg 2/day, Klonopin 1mg 2/day (anxiety), Restoril 15mg (insomnia), Claritin 20mg
Currently in: REMISSION Thought it was a flare but it's just scar tissue from my resection. Dealing with a stricture. Remission from my resection, 17 years and counting.
05-28-2012, 10:41 PM   #3
PsychoJane
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I really don't know for sure about the GI and anxiety medication but it worth mentioning it to him/her. Worse case scenario, you will be referred to a more proper specialist or therapist.

As far as trick goes, it might be a bit hard over the internet but there are several way to manage anxiety crisis and diminish their intensity. Mostly its cognitive behavioral approches, maybe have you heard of that? Here is a link with some good techniques:
http://www.anxietybc.com/self-help-c...al-therapy-cbt
It is not easy to do all that by yourself, especially when your mind is already racing. The key is to try and put a end to that race the hamster is taking in your head (that's how I visualise it).

So pretty much, you need to break the pattern that wants to settle if I may word it that way. You need to learn to be aware of what is making you anxious and to perceive the anxiety at it's very early signs (often we don't even see it coming). You want to avoid the negative inner speech which exacerbates the physiological response. Things you can do once you perceive that anxiety is getting to you are "basic" relaxation techniques.

I like what is called cardiac coherence: it's a particular state of fluctuation in heart rate that balances the autonomic nervous system and emotional management. It's not random esoteric concept, it's recommended by psychologists and all. It is simple to do and it's something to add to a daily routine.

The site I like is in french and does not seem to have an english version but this is the direct link. The exercise is simple so i'll explain it here: you inhale when the yellow dot go up and exhale when it goes down. You focus on feeling your heart beat. There is a little mp3 thing. Thats the "hu" sound which on its own, is relaxing. http://coherencecardiaque.ca/cc-org/...eo/page36.html

There are other techniques you can try but to me I had hard time doing it at first. You can, for instance, take a raisin (yes it sounds stupid but it's not) and then you look at it and analyse everything from it. All the component, the texture, the color, the way it feels if squished, how it feels when you roll it between your fingers, etc etc. You could do it with pretty much any object. The idea is to allow your brain to stop focusing on emotional thinking and break hamster race I was mentioning up.

Walking and really paying attention to everything while walking like, how your feet rolls against the ground, how the sun feels on your skin, how the noise of the wind that blows in the tree leaves, etc etc. Perceive all senses and try to focus on the "actual" feelings. All that with breathing exercise. The idea is the same as above.

I hope this may help you a bit. I wish you good luck with everything and I hope you will be able to get some relief soon. Get these emotions back on track!
Stay strong!
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Diagnosed UC 1999 then refractory CD.
Past Meds: Prednisone, asacol, cyclosporine, cyclophosphamide, mp6, Humira

Currently taking: Omega-3, D-3, med-free for the time being.
~~Oh! n sorry if what I write seems strange at times, English is not my main language!~~

You'd like to chat and feel facebook would ease this point,
send me a private message and i'll do so =)
05-28-2012, 10:43 PM   #4
lookame
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Crabby your awesome with helpful answers.

As for the night terrors it's very possible they are stress related. The nightmares always deal with what happened that day but with a worse outcome (or likely the outcome I felt happened) or they are of my ex taking my son away from me. I wind up waking up in sweats and I wake my fiance up which makes him cranky towards me but I try to get him to talk to me and take my mind off the nightmare.

My sister is on prescribed sleeping pills and she gave me a couple to get through the weekend to take when I felt I needed them the most. I took one and fell asleep very quickly but still woke in the middle of the night sweating.

I feel like my health and how good of a mother I am are suffering because of the anxiety I've been having. I'm tired because I wake up with nightmares and need to nap during the day. Then I can't seem to calm down often feeling sick then extreamly tired *shrug*
05-28-2012, 10:52 PM   #5
lookame
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Thanks Phsycojane the things you suggested sound very easy to do. My main problems lie in driving though. I'm fine in places I know but as soon as I get out of my comfort zone I start to panic and feel my heart begin to race. I try to focas on the familiar but sometimes I start going haywire. I also have trouble when I feel pressured into making snap descions, especially ones which affect my or my sons life. When people talk very fast and I talk it the descions through also make me feel very stressed and I become paniced. Thank you both for the help I'll try to the visualizations

I think it also may be worth mentioning that my mom suffers from anxiety and depression and my sistersuffers from vitamin d defiancy and has trouble sleeping. she was prescribed antidepressants and sleeping pills to help but they don;t seem to be helping very much...
05-28-2012, 11:14 PM   #6
Jennifer
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With all the issues you're having with your current flare having your vitamin levels (B12, Vit D, Iron, Zinc, magnesium etc) checked would be a good idea as well. Being low in certain ones can make you tired, irritable, depressed ect. So make sure it isn't that as well and if it is a factor then at least some of your issue should diminish with proper supplements or shots.

As for the driving, that's a difficult one because I also have issue with driving. All I can suggest is to do a little bit at a time. Having someone else in the car really helps too so you can have the thought in the back of your mind that if something were to happen to you, they will be able to help gain control of the vehicle (helps me some anyway). Not to mention you can pull over and say that you need to stop and they will take over. That's what my fiance did for me. Go slow, stay in the right lane and pull over when you need to. Its ok to stop the car. Anti anxiety meds help as well but be careful of the dose as it could make you drowsy. You get used to taking them after a while though and they wont make you as drowsy over time. A lot of the time even just having the medication on your person knowing that its there anytime when you need it can be a comfort so you wont even need to take it all the time.
05-30-2012, 04:39 AM   #7
alex22
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Anxiety is really a common term for many problems that create nervousness, concern, stress, and stressing. These disorders impact how you feel as well as behave, plus they may show itself real physical symptoms. Mild anxiousness is vague as well as unsettling, while serious anxiety can be very devastating, using a serious effect on everyday life.
06-03-2012, 05:18 PM   #8
Spooky1
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Lookame,

i read your post and saw so much of what i go through. i eventually got sleeping tablets from my gp and today was the first day i thought to myself, why don't i just take 5mg of temazapam? so i did, didn't send me to sleep but calmed my nerves. must say if i take the actual 20mg tablet i am irritable the next day. i also get the jerks in my body just as i am drowsing, but i can also become zombified and just lay there in an unhappy stupor. but i know how you feel. when i first had my very first temazapam a year ago i still didn't go to sleep for six hours. strange.

mostly though i offer my understanding. i am also going to study a raisin!
06-03-2012, 10:52 PM   #9
tots
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Your Dr can give you an Rx. I use Welbutrin and I dont know what I would do without it.

Good luck I really feel for you anxiety sucks!

Lauren
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CT enterography May 2015 !!


Waiting for the ok from my Ins company to restart Remicade. Will also start Imuron to get into remission!
I know it's out there somewhere and I WILL find it!


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06-04-2012, 07:18 AM   #10
lookame
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Well i am now about a week from the original post and things havent improved much. My stomacge hurts daily i have nightmares every night and although ive been able to eat its very little. Im starting to feel sick all the time. *sigh*
06-06-2012, 02:16 AM   #11
Gculk
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Your gp should be able to get you on something. My GP tried to push zoloft on me last week when I was having a really bad go of it, even though I repeatedly said I've got no stress. Though you know how doctors are.
"I have no stress in my life. I don't stress."
"I think your stress is causing your stomach problems to get worse, which is stressing you out more."
"No. Seriously, I have been feeling like this for 2 months, I'd be honest if stress was a factor"
"Well, we'll give you these stress pills and see how you do in 6 weeks."

I don't know if it's a possibility in your situation, but risk simulating activities (think rock climbing, skiing, or anything that you'll bite your nails while the kids go doing) have been shown to have great results on anxiety. Sort of, getting used to being in that position and just thinking your way through the stress makes you more comfortable dealing with stress when it comes.
06-06-2012, 05:23 AM   #12
Spooky1
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Its so hard to get a council anywhere here in england, unless you pay loads. huge waiting lists and no i'm not coping with my own issues. the menopause and the effect on crohns is unbearable. I have had a little success with taking quarter of my temazapam tablet when stress with zonks my mind into calmless somewhat. its early days though
06-08-2012, 03:19 PM   #13
doriono
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I use L-Tyrosine. Great alternative to prescribe medication. I was having panic attacks everyday and after two month of taking som l-tyrosine never had them again. Anyhow, here are some more reviews of the NOW L-Tyrosine I took. http: //dailysupplementsreview.com/?reviews=san-top-fuel-launch-240-caps
06-08-2012, 08:27 PM   #14
Supreme_2
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I have UC and my GI Dr. Gives me Librax which slows down the colon and sedates me. I also see a psychiatrist an am on Cymbalta 60 mg, Doxepin 10 mg, and I also take Klonopin .5 as needed. I have lots of anxiety. My psychiatrist always have given me the right combination to keep me going.
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