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Crohn's Disease Forum » Surgery » Fistulas, Fissures and Abscesses » Fistulas/Perianal Disease and FCP



08-21-2017, 02:28 PM   #1
lgpcarter
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Fistulas/Perianal Disease and FCP

I've been doing pretty well following a laparoscopic resection last year (lost around 25 cms, mostly large bowel, about 6 cms of ileum). Surgeon said my small bowel was "pristine" in terms of disease activity/scarring after taking out the pesky stricture.

My fistulas, however, continue to plague me. Been on Cipro/Flagyl since December and things are getting worse (more pain, inflammation and drainage).

Recently had my Fecal Calprotectin checked and it was 174.8. First time I have ever had it done, so don't have a comparator. Going to do it again soon.

Think my disease is mostly quiet except for fistulas based on BMs and other symptoms, so wondering if you guys have had elevated FCP based on perianal disease alone?

Thanks!
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Diagnosed in with Crohn's in large and small bowel in 2000.

Seton placement (2) and fistulotomy December 2013. Setons removed July 2014.

Laparoscopic Right Hemicolectomy July 2016, 25 cms removed

Current meds: Entyvio every 8 weeks, Imuran 50 mg, Flagyl and Cipro 500 mg twice a day
Previously: Remicade, Humira, Simponi, Pentasa, Sulphasalazine, Entocort, Stelara, Methotrexate, Prednisone
08-31-2017, 01:55 AM   #2
Guerrero
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Dont have perianal disease, but ileum.
Your fcp doesnt look high to me (i was around 300-1000), but better ask to your doctor too.
08-31-2017, 07:50 AM   #3
lgpcarter
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Thanks for the response! I did speak to him after I posted this. He said anything under 200 was good for a Crohn's patient. Going to try to do Entyvio every 4 weeks instead of 8 to see if that helps fistulas.
08-31-2017, 09:27 AM   #4
Guerrero
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Very good
08-31-2017, 10:33 AM   #5
ronroush7
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Thanks for the response! I did speak to him after I posted this. He said anything under 200 was good for a Crohn's patient. Going to try to do Entyvio every 4 weeks instead of 8 to see if that helps fistulas.
Wish you the best.
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Diagnosed in 1990. On Humira, Imuran, Gabapentin, Colestipol, Synthroid, Lialda. Resection in April of 2010. Allergic to Remicade, Penicillin, Flagyl, Doxycycline. Thyroid issues and psoriasis and neuropathy and mild cerebral palsy. Mild arthritis in my lower back.
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