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Rock Bottom

Hello my fellow survivors haha..

To start off, my name is Robert. I'm 17. I've crohn's for a couple of years but only diagnosed about a month or 2 ago. It's been a rough ride but hopefully I'm over the worst of it. I just really needed somewhere that I can talk about what's happening and people can understand. Unfortunately my experiences with crohn's is a great deal different from other stories and symptoms.

Anyways my "adventure" started about 2 years ago when I started feeling discomfort in my stomach. It was never bad enough that it effected my daily life so I kinda just put it in the back of my head. The discomfort did unfortunately start manifesting itself as pain, which again wasn't bad enough to warrant a call to the doc but I did mention something to my doctor the next time I had visited him. He mentioned that it was probably an ulcer forming due to the amount of energy drinks I was consuming (2-3 a day), so he perscribed some antacid pills and sent me on my way. The pain didn't go away yet was still not bad enough that it warranted imediate attention so a couple months later I brought it up again. He was covinced I hadn't taken the antacid pills so he perscribed more and advised me to stop drinking energy drinks. Again nothing. Upon returning and some convincing he decided to amuse me with an h. Pylori test which he said may also cause related symptoms which turned out to be very high. I was sent off with a string of antibiotics this somewhat made me feel better but didn't exactly sure the problem. This back and forth went on for about a year and a half and only ended up getting worse from there.

One day in the shower I noticed I had a lump in my right but cheek. I new right then and there something was very wrong. I imediately called my doctor and made an appointment. After some looking over he said the area looked irritated and suggested I drink some prune juice. A week later I came to my senses and saw another doctor. This doctor noticed that something was definitely growing that shouldn't be and really wanted me to see a surgeon but hospital rules said that he was required to prescribe some supositories and suggest a diet for atleast 2 weeks first. Unfortunately my butt cheek had other plans. That weekend the pain in my rear had gotten so bad I had decided to make the trip to the emergency room. While there a surgeon had determined I had an abcess which was then lanced, packed, and medicated with antibiotics and pain meds. That night it only got worse, the next morning I returned to the emergency room in even more pain then before. While waiting for a surgeon to look me over my infection quickly spread to my blood where my temp shot up to about 103 and I started turning blue (according to my mom haha I was so doped up on morphine and focused on the horrible pain I don't remember much). I was then rushed top surgery where they cleaned out multiple other abcesses and did a more thorough job of cleaning and putting me back together. I then spent the next couple of days in the hospital hooked up to IV antibiotics to make sure that I was getting better, which I did, for the most part.

I started getting better after this. Or atleast I think I did. I think my pain/discomfort was just overshadowed by the whole butt cheek ordeal. However it never completely went away. I was left with quite a good sized fistulate(sp?). For those of you who don't know what that is, it's a small canal type thing that leads from your rectum to the outside, like an extra butthole. It wasn't big enough for fecal matter to exit but gas had no trouble making it's way through. This wouldn,t have actually been such a big deal if it didn't expell so much puss. This unfortunately haunted me for months while I waited for it to close. It got so bad at times it would leak through the gause I had taped up and leak through my pants at school. I attempted to solve this problem with a surgery to remove it which didn't work. It did however move it closer to my rectum and make it small enough that the puss evaporates and goes away before it can reach my pants and make a stain.

This is where the crohn's really kicked in and started making itself known. I switched doctors once again because I figured that it was time I stopped going to the pediactric department and started going to the teen clinic and it couldn't have been a better time anyways because I needed a doctor that knew what they were doing. This was the best medical decision I've made to date. She is what really got me on track to diagnosing my disease and getting me better.

The discomfort/pain in my stomach had started to become debilitating soon after this procedure. I talked to my doctor and she right away said that this was something out of her league and recommended I see a GI specialist. The pain was so bad that I was forced to take norco (double strength vicodin) just to do my daily activities like goto school. The soonest appointment available was about a week away and she knew that there were things that the GI would want like a CT scan, some blood work, and an ultra sound to rule out causes like gaul stones and infections.

By this time the pain was effecting me even while I was on the norco and I had manifested a different pain in my lower abdomin. This was a sharp pain that mostly appeared when I had gas or when I had a full bladder. After visiting the GI he said that he was about 98% sure that I had crohn's because of all the extensive inflamation in my illieum and small intestine but that he really wanted to do a colonoscopy and take a couple of samples to be 100% sure but was sure enough to prescribe me prednisone/asacol/mercaptopurine. The sharp pain in my lower abdomin quickly got better. But as far as the slow waxing/waning pain halfway between my belly button and chest nothing changed.

About a week later and the day before my colonoscopy. I was rushed to the emergency room by ambulance because of severe abdominal pain (under my belly button). The pain was the worst pain I had ever felt in my life and was so bad that no amount of morphine or delotted could dull it. They had me on half hour shots of phentynol(sp?). After a CT scan they determined that the cause of my horrible pain was a perforated intestine. I was then rushed into surgery where the cut out aproximately 13cm of my illieum. I got incredibly lucky that the prednisone had actually reduced a significant amount of inflamation. Enough in fact that they were able to attach good intestine to good intestine which according to the previous CT scan would not have been possible and they would have been forced to attach my intestine to a bag while they tried to get my intestines healed enough to put me back together.

I am currently still healing from that surgery but am doing quite well thankfully. I got my staples taken out about 5 days ago and am trying to get my body back into my normal daily functions and habits. Everything is going good except for 2 problems that I am still trying to get under control which is that I can't sleep and I have the most horrible constipation I have ever had. I stopped eating fiber after reading a many diet suggestions against it but have now decided that that is completely redciulous and that anything that can happen to me from eating fiber can't be worse than this horrrible constipation. I also just bought a costco bottle of benadryl which should solve my sleep problems.

So that's my crohn's story, and to anyone that actually read all that I thank you. It's nice to know there are people out there that understand my pain and actually sympathize.

Thanks,
Robert
 
Wow! what a 'war story'. It's probably the pred that is giving you insomnia - lots of stories on here about that stuff.
Welcome to CF!
 
hi Robert, & welcome to the forum.

heck, you've been through a lot, and so young too.. :(

i hope this surgery is the turning point for you, and after healing, you can get your life back on track. keep an eye on the diet though - it's true that normally people do need fibre in their diet to promote good bowel health and action, but Crohn's sufferers can find that fibre hurts them and causes problems... it's all about trial and error, and gently/slowly introducing things back into your diet to see if you're ok on them. keep us posted how you're getting on!
 
Thanks, I'm trying out citrucel because it's supposed to be just as good if not better then metamucil and not create any gas whatsoever.. it'sapparently perfect for people with irritable bowel syndrone which I know is completely different then crohn's but at this point nothing can be worse then this constipation.. I think I would even welcome the horrible burning diarrea that comes with my flare ups...

Man it feels good to be able to openly talk about this kind of stuff.. bowel movements aren't the hottest subject subject among my friends haha
 
Thanks, and yea.. I am actually on my way to read other stories.. the benadryl worked but my mom just woke me up because she can't sleep, she's having boy troubles.

Mmanjane have you posted your story? I'd like to hear it if you have (link?)
 

Crohn's 35

Inactive Account
:thumleft: Welcome tweaks! My you did have a rough time and so young! I admire your bravery to come on here and post. As you know WE do understand. A bowel obstruction is the worst pain.. Morphine doesn't even touch it and I have had many, my worst nightmare. You are very lucky they operated when they did. Crohn's is very hard to diagnose and inexperienced doctors scratch their heads alot.
The meds you are on are the typical drugs for Crohns. It takes some "tweaking" to figure out what works. There are many people here to help you with questions and if you need to vent we are here!

Glad you found us, hope you get long term relief...hang in there!
 
Thank you, and your right.. morphine actually made it worse because it did nothing for the pain but made my breathing shallower and slower which on top of the pain was very scary, a couple times before and after the surgery I honestly thought I wasn't going to make it. I was lucky enough to get an on-call surgeon who perscribed me a phentynol patch which worked well enough for me to get up and walk around after my surgery which also got my bowels movin again. This was a godsend after 3 straight days of baby sitting a clock waiting for my next shot of demorol (sp?).
 
Welcome tweaks. I have been where you are. Its hard for a young person to have such a horrible disease. I remember getting a sponge bath after my emergency surgery and thinking "I thought they only did this to old people." I hope you are on the road to healing and you get a nice long remission.
 

LOSTnut

Poopy
Hey Tweaks, quite the story. I sure hope everything will work out well now and you can on the road to "recovery". Prednisone is sure a love-hate relationship with almost everybody. It does help in most cases but the insomnia can surely get to you. The good thing with me was that while I couldn't sleep much it also seemed that I didn't need it that much, meaning that even though I slept a lot less I still felt like the "Energizer Bunny" and it didn't interfere much with the regular work days. Although , I dreaded going to bed at night since sleep would be rather elusive. So, I just kept telling myself that in the end it'll be worthwhile because all that matters is getting rid of the pain.
Oh, and the best thing about this forum: we are talking sh** all the time! :)
 

ameslouise

Moderator
Hi Robert - Welcome!

Interesting, heartbreaking story - but very well written for such a young lad!

You have been thru hell and back already. I hope it gets easier for you from here on out. What is your long-term plan in terms of maintenance meds?

I find benedryl to be a great sleep aid. The pain killers really can bind you up - have you tried a stool softener like Colace? Not sure where you are, but here in the US they usually don't let you out of the hosp until you have pooped!

Good luck - keep us posted. And talk poop all day long - my favorite subject!! You'll even find a threads where people describe their daily poops!

- Amy
 

Astra

Moderator
Hi Robert
and welcome

What a wonderful articulate lad you are! What a rough trot, and now, you'll do ok.
I hope you know, Pred saved your life! It saved mine too 3 months ago in hospital with a blockage, no surgery thank god. It's an evil drug, but once you taper down, things will become more manageable. I take my Pred at 6am, then go back to sleep. I found that the later I take it, the longer I'm awake at night, insomnia is a killer, and sleep deprivation exacerbates and stresses my Crohns more.
On high doses of Pred you will be very energised, jittery, wizzing about, so make the most of that, but don't do too much, cos Pred masks symptoms too, and you'll hit the deck!
besta luck Robert, glad you found us, we're here if you want to talk poo or just vent
Joan xxx
 
Yes I have heard of colace and happen to be taking it at the moment and have been ever since I left the hospital.. they did let me out of the hospital before I pooped but that's because I was farting enough that they knew my bowels were awake and I had a bowel movement soon after leaving the hospital.. I am loading up on fiber at the moment to hopefully get some temporary relief.. but unfrotunately about every 2 days I end up in the same routine of loading up on the highest dose of pain meds I can find in the house, taking an hour bath while it kicks in, then spending another half on hour on the toilet trying to distract myself on my new motorola droid. That's how I ended up here actually haha I find myself on my phone a lot now that I spend a good portion of my day in the bathroom..
 
Welcome Robert and I am so sorry you have had such a rough go of it.
The prednisone will give you sleepless nights.
And the pain meds constipation...I have that problem on and off
due to pain meds...but I really watch my fibre intake as I know
how hard that can be on your system.

I take Metamucil and also gel caps of stool softeners.
Also apple juice and lots of water helps.

Any questions just ask away...
someone is usually around to help you out.

Once again....Welcome,
Nancy
 
Hello Robert! Nobody should have to go through Crohn's, and I feel horrible that you have to go through so much at such a young age. You are one tough cookie!
 
Thank you once again, this support is really helping me get through this. Makes it feel like I'm actually working towards getting better, but unfortunately I've everything to soften my stools and the only way I can bear the pain is doubling up on percocet 20 minutes before a movement. My mom just informed me that there is a supository that numbs and lubes the rectum but because it's easter I'm going to have a hard time finding an open store that carries something along those lines. Haha get it? "Hard" time?


Yea I didn't think it was funny either.


I am open to other fast/immediate remedies and oldwives tales that anyone may have for softening stools though!! All suggestions are appreciated because the only thing I could find online was drink water and eat fiber, both of which I'm doing.
 
do you have a telephone health advice service there? if so, you could give them a ring and find out which pharmacies are open just now....

i'm not sure if this would be classed as an old wives tale lol, as so far no-one else i've mentioned it to has heard of it.... but i discovered years ago that if i ate milk chocolate along with a hot drink, like tea or boiled water, it made me go to the loo... worth a try :) also, maybe cut down the fibre a bit while you're constipated - it might be making it worse.
 
I hate tea, I actually just ate some chocolate covered macadamia nuts because I can't stop eating haha, and I've had this constipation since I left the hospital and for about a week and a half after I made it out of there I severly cut down on my fiber intake as suggested by every single crohn's diet I read.. eating fiber is something that I just added to my diet yesterday to help me..
 

ameslouise

Moderator
I use Kondremul for my son when he gets really backed up. It's kind of an old fashioned product and I can only find it at a local pharmacy, not at the big chains. It seems gentler than ex-lax but quicker than metamucil.

Mineral oil might work too.

Good luck! We'll all give a big cheer when you finally go!

-Amy
 
Yea I didn't have too many.. just enough to fill my craving for that food group haha. And I have been going. I went just an hour ago, but it was the size of a red bull =/ and I'm not exagerating either..
 
I do, I know that every bite I take means that much more I have to suffer though, and with the prednisone I can't stop eating.. everything I see I need to eat haha
 
Just a suggestion for your constipation. I take Psyllium capsules (it comes in powder too that you can put in water or juice or whatever you drink). I prefer the pills. It works for both constipation AND diarrhea, believe it or not. It absorbs extra fluids for the diarrhea end of it, and signals the body for more fluids if you get constipated.

I would be careful loading up on the fiber. It can actually have a 'rebound' affect in which it will actually make you more constipated. Take it slow when adding the fiber foods.

Oh, and the Psyllium fiber won't affect the other meds you are on. Hope this helps.
 
Hey Robert,

Welcome to the forum! Sorry you've had such a rough go, I'm seventeen as well, so I know it can definitely be tough for our age group going through this and dealing with school and social lives. I'm on Prednisone as well and the insomnia is quite the killer along with being so hungry! I find the longer you're on it though the more the insomnia lessens, so hopefully you won't have to take the benedryl long. The hunger is just something I work through with small snacks that don't bother me. If you're not drinking a lot of fluids already, I would suggest drinking lots of water, it'll help with the constipation. :)
 
That's my problem, my body doesn't know to send any of my fluids to my stool, I will spend the night getting up every hour with a full bladder going to the bathroom like 7-9 times yet none of it ends of in my stool. I've been taking the citrucel pills hoping that it will soak up the water and keep it in my bowels.. but in the mean time I am going to have to resort to supositories =/ not my favorite but is definitly a step up from half hour workouts on the toilet..
 
Welcome Rob.. my you have had a tough time at such a young age. I hope that the recent surgery gives you relief and remission. Good luck.
 

LOSTnut

Poopy
I have heard that Psyllium evens out the stool. Softens when needed and abates the D. Basically it is supposed to even it out. I asked my doctor about it and he said that Psyllium is used in Metamucil but he told me that I shouldn't start it when I have a flare. You can get natural Psyllium at the Health drug stores like Whole Foods and add it to some yoghurt, if you like that. Personally, I haven't tried it yet.
The last time I was in the hospital and talked to the dietician to find out what's new in terms of Crohn's diets she told me about the Greek yoghurt which (her words) is the most natural yoghurt currently and has the most natural good bacteria. I can buy it at Walmart's and they have vanilla, blueberry, honey and natural. The natural is a little rough but I just love the honey. Sooooo gooood!
 
I don't care for hunny, and I have considered add psyllium fiber to my diet but I would like to try this methylcellul,ose fiber first because it is supposed to work ad good if not better then psyllium fiber and not have any of the side effects like gas..

Citrucel is actually made for people with ibs, which I know is different then crohn's but I'm guessing that with ibs the diet might atleast somewhat similar to crohn's
 
I noticed in your signature it says you're taking Advil? I would try to take one that isn't an NSAID, especially if you're bleeding because it could be part of the problem. NSAIDS can make us bleed among other GI issues. Just something I thought of that might help :) I was taking ibuprofen for the longest and when I stopped I felt A LOT better. (Also an NSAID)
 

Astra

Moderator
Good shout Crohns08 !

Robert be careful, I hammered the ibuprofen and ended up in hospital
xx
 
I'll be stopping the advil as soon as I can get my constipation under control which will hopefully be soon. I think I found that the culprit is the 6 mp
 
hay!

tryin to send you a pm my friend, but your box rejects me ?

lemme know, i will be happy to send it or just retype here k?
 
Robert,
You've had a terrible time and you're due some major good times ahead!
I've had constipation on and off for many years and I can't say that any one things works every time. I use suppositories when I'm desperate though. They soften things and make the hardest BMs easier to pass.
Here's to your speedy recovery,
Gail
xx
 

Nyx

Moderator
ZenLiving said:
You should take tylenol instead of advil. Also as others have said I believe prednisone can cause constipation sometimes. And munchies. Are you eating a lot of pasta, pretzels bread or other things too much, maybe chill eating so much. Only eat regular amount of food. Good luck.
omg...When I was on 60mg of Prednisone I ate everything in sight!! Couldn't control myself. I was constantly hungry. But I was also very active at the time. I felt I could move mountains! I needed to gain weight though....so I guess it was a trade-off..
 

Astra

Moderator
ZenLiving said:
You should take tylenol instead of advil. Also as others have said I believe prednisone can cause constipation sometimes. And munchies. Are you eating a lot of pasta, pretzels bread or other things too much, maybe chill eating so much. Only eat regular amount of food. Good luck.

There's no way you can regulate the Pred munchies, is there Cindy?
By the bloody hell!! I couldn't stop eating everything, it was frightening me to death! And I was whizzin! Couldn't keep still! But... fab drug, healed me and I gained some much needed weight too! Still recommend it!
 
Ohhhh yea, the prednisone gives you the worst munchies ever.. had me a little scared too, I solved my constipation problems by eliminating the percocet and adding prune juice to my diet though. My god prune juice is a godsend. Unfortunatly it came too late, I apparently have a couple good sized fissures annd with my history of abcesses/fistulas softer stools couldn't have come any sooner.
 
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