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10-25-2017, 01:38 PM   #1
frenchiemom
 
Join Date: Feb 2015
Location: Chicago, Illinois
Intestinal obstruction and pregnancy

Hi all, I have a beautiful 2-year old daughter, and have been trying to conceive another for about 6 months now. I have CD and have been feeling well for about 6 months with just weekly Humira. I had a surgical consult earlier in the year, but never acted on surgery because I started feeling well.

Now my GI is recommending that I have a bowel resection before pursuing pregnancy. I am confused about this because I have been feeling okay for awhile. I am having MRE next week to see if the area is truly looking better, but I have a feeling he is still going to push me toward surgery

My question is, does anyone know if there is something about pregnancy that actually makes it more likely that you will have an obstruction, even if you are in remission prior?

And has anyone else had a similar experience? I am so frustrated...IBD has already gotten in the way of a lot of things, and now it's interfering with our family planning! I hate it! Plus, I'll be 37 soon, so that is making me nervous, too.
10-25-2017, 07:02 PM   #2
Jabee
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Join Date: Oct 2016
Location: Massachusetts

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Hmmm. Thatís a good question. I didnít get diagnosed with crohnís until after I had my three children so I didnít face any decisions about crohnís and pregnancy. Your guts do get squished a lot during the third trimester. Was the area in question bothering you before you had your first child? Or is your GI just thinking that since you had a consult 6 months ago you should just get it done? Personally I think Iíd want to go through a second pregnancy before doing a resection, but it all depends on how you are feeling and how much inflammation/scarring/stricturing you have. Wishing you well for when you have your second child.
10-26-2017, 08:02 AM   #3
Lisa
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Join Date: Apr 2010
Location: New York

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I would get a second opinion, why would the GI be pushing surgery if you are doing better and he hasn't seen evidence your issues are getting worse?

For many women, me included, I was actually HEALTHIER while pregnant - I did end up flaring after I had my daughter, but during the pregnancy itself I did very well.

I personally would be concerned about recovery time after surgery and trying to conceive - and what a pregnancy could affect with the recovery from surgery....
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30 plus years and counting with UC/Crohn's!
on remicade since 11/05

While my experiences may not be what everyone has had- I feel it is worthwhile to share any and all experiences that may be beneficial to others.
10-26-2017, 08:35 AM   #4
Crohnsmomof3
 
Join Date: Oct 2013
Location: Indiana

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I would get a second opinion as well. It seems that gastro's get nervous when you want to get pregnant. It was that way with my three pregnancies. I had two pregnancies that I was way healthier (crohn's-wise) while pregnant. My third was a different story, but I was flaring when I got pregnant. I was incredibly sick and ended up with an intra-abdominal abscess. BUT, again I was flaring when I got pregnant. Not exactly in the plans, but we now have a healthy 6 year old!

I would wait for the MRE results, but if all looks well I would question his recommendation for surgery anyway. Unless you have scar tissue that is not going to heal. But then I would assume you would have some symptoms? When I had scar tissue I was not feeling good at all and was unable to even eat anything. I was feeling horrible. So, there should be some signs if this is the case.

You do mention that you are on Humira every week? That is quite frequent, maybe he is concerned with that and the pregnancy? I was on Humira while breastfeeding and was fine, but it was every four weeks.

Crohn's is so frustrating and interferes with so much!
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Leslie

Diagnosed: 2004
Abcess: 2011
TI resection 2013 (60 cm of small bowel)

Current: Stelara, Methotrexate, Questran, B12 injections, metoprolol, sertraline

Past medications: pentasa, remicade, humira, cimzia, imuran, prednisone, entocort, 6mp
Adverse reactions: Entyvio, Remicade, Humira, Cimzia, Imuran, 6MP

Diagnoses: Crohn's Disease, Iron deficiency Anemia, B12 Anemia, Osteoporosis, Migraines, Anxiety
10-26-2017, 12:14 PM   #5
frenchiemom
 
Join Date: Feb 2015
Location: Chicago, Illinois
Thank you so much for your opinions. It helps a lot. During my first pregnancy the Crohn's was ok, but I had recurrent c-diff, which has been under control for a year now. I did have a bad flare after giving birth, but I think I know enough this time to catch it really early and get on top of things (and it was controlled medically, no surgery). I know one of the things he is advocating for is that I have to be healthy to care for a newborn, which I completely understand. Part of the big issue is that I started seeing a reproductive endocrinologist recently, and he needs a medical clearance from my GI. I will cross my fingers that he is happy with what he sees on the MRE next week.
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