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New kid on the block

So, I've been having a look around here for the last week and though I should finally dip a toe in the water, so here goes..

Just over a year ago I came back from an extended holiday in Asia, and had lost a fairly significant amount of weight while I was travelling, only to find I was still losing weight when back in the UK. Then symptoms began - lots of toilet visits, and still losing weight so off to my GP to be told I had suspected Giardia. Antibiotics ensued, and seemed to help at first, but symptoms returned with a vengeance so I gave blood and 'other' samples but nothing conclusive was detected. So, I was passed on to a Gastro specialist for a colonoscopy but nothing conclusive found again apart from some signs of ulceration in the top end of my bowel. By this time my symptoms had started to decrease (we're about 8 weeks in now) so I was sent away and told not to worry.

So far so good, and I started putting weight on again, eating normally and feeling much healthier - able to exercise again (keen cyclist) and generally getting back to normal.

Mid July I had a pretty serious bike accident, including a head injury which left me with memory problems, anxiety issues and vertigo. Loads of medication for all of this over the course of about 8 months, which clearly weren't doing me much good in a general health sense, and I was still unable to exercise or do very much but was slowly getting back to work with support from a neuro-psychologist (ongoing).

Fast forward to 4 weeks ago, and still getting vertigo but stopped all medication around Christmas time as it just felt as though my body was utterly ravaged by so many drugs over such a long period of time. I started to notice I'd been losing weight again, then my bathroom visits began and got progressively worse, leading me back to my GP who put me back on antibiotics - these worked initially and he also prescribed Mebevirine (anti spazmodic) which also worked for a while but left me in terrible stomach pain, especially overnight, with incredible bloating (and everything that goes with bloating), and frequent bathroom visits mainly in the mornings. These symptoms are still ongoing.

I've now been sent back to the specialist I saw a year ago for another colonoscopy in a few days time for what I hope is at least some form of diagnosis, but in the meantime weight is still falling off me (over 2 stone) and I'm really struggling to find anything my system can cope with food-wise. I feel extremely emotional most of the time (I'm a man, we don't cry!) and have felt really desperate at times lately as nothing I eat seems to be able to be processed by my system.

I've tried everything wheat free, gluten free, dairy free etc but still no luck. I know from extensive reading that finding foods to manage your symptoms is key when you have Crohns, or in my case suspected Crohns (specialists words here) but as I said, so far not good. I tried some chicken yesterday for the first time (terrified of everything, especially meat) with potatoes and I wasn't bloated last night (hooray!) but bathroom visits this morning only partially better. I am also now taking some supplements in an attempt to gain some control - digestive enzyme and Acidophilus tablets with each meal.

I'm not here to ask for answers, and I guess I'm not sure I even have Crohns, but thought I needed to share this with you good people who are clearly very supportive to one another, so thanks for listening and apologies for the long-winded post....I do tend to go on a bit sometimes!
 

Angrybird

Moderator
Location
Hertfordshire
Hello Allan and welcome to the forum. I am sorry to hear that these symptoms have returned when you already have enough to deal with, I won't say anything about diet as you have clearly already been looking at this area. The good thing about the scope is that the doc is able to tell you a fair bit straight away and whilst I hope you don't have crohns, if you do at least you then have a diagnosis and the doc can get you on a treatment that will get you feeling better in this area at least. You also have us as well to give you plenty of advice and support. Please keep us updated on how you get on :hug:
 
From the history you mentioned (symptoms initially following a trip to a foreign country) I really feel strongly they need to investigate further for something you may have picked up. Ask for more in depth testing (there are many microscopic parasites, bacteria etc.). The fact that it improved with antibiotics originally also seems to indicate an underlying trigger, and maybe you had wiped out most of the 'colony' but it regrew in time.
So sorry to hear about your suffering. Sometimes we are really tested with multiple situations, but keep reaching out for support. Good luck!!
 
Hi guys - thank you both for the replies and kind words. It's good to know there are people out there, if indeed my diagnosis does turn out to be Crohns (or not).

I appreciate its easy to think the worst (!), and although I was away travelling last year, no parasite was ever actually found in my system back then - only ulceration, so gardia was only ever suspected. This time around, the same specialist has mentioned only Crohns, hence my leanings toward the same diagnosis. I'll keep you posted as to what they find on Wednesday, and of course feel rather silly if I've over reacted!
 
AllanH - Thanks for the story. Sounds somewhat similar to mine (though yours is certainly more traumatic), but getting the overseas bug and maybe leading to Crohn's sounds eerily familiar. Please update us with the findings!
 
As I was reading your story, flashbbacks came to mind when I was only able to tolerate water and dry rice krispies. A fellow Crohnie who knew I was having troubles directed me to the chicken and rice diet. Anything chicken anything rice as long as its not spicy. I sincerely hope you get some answers soon so that you can be on the road to recovery!
 
As I was reading your story, flashbbacks came to mind when I was only able to tolerate water and dry rice krispies. A fellow Crohnie who knew I was having troubles directed me to the chicken and rice diet. Anything chicken anything rice as long as its not spicy. I sincerely hope you get some answers soon so that you can be on the road to recovery!
Well the last couple of days I've stuck to rice and chicken/potatoes, and it's not been too bad. Still clearly not right but any improvement is a positive, right? Looking forward to diagnosis, and again thanks to all of you for your words.

It makes a massive difference :)
 

DustyKat

Super Moderator
Hi Allan and :welcome:

Whoa, you have certainly been through the wringer!

What were the medications you stopped taking at Christmas?

Did you have a frontal lobe head injury?

Dusty. xxx
 
Hi Allan and :welcome:

Whoa, you have certainly been through the wringer!

What were the medications you stopped taking at Christmas?

Did you have a frontal lobe head injury?

Dusty. xxx
Hey Dusty,

I was taking Tramadol, Betahistine, Naproxen, Amitriptyline, Tylex (codeine) and some Sumatriptan occasionally. They were all making me feel dreadful so I stopped taking them, and my symptoms were the same so I feel I made the right decision.

The head injury was indeed frontal lobe - someone opened a car door on me while cycling pretty fast and I landed on the front of my head - luckily I always wear a helmet!

Allan
 

DustyKat

Super Moderator
Well the Naproxen wouldn't have helped any gut issues you have and perhaps some of the other meds may have left you feeling none too good.

Anxiety and/or depression is not uncommon with IBD but I also wouldn't rule out your head injury as a contributing factor to emotions at present. Your frontal lobe injury may well leave you with some lability that will take time resolve, it may account for the crying.

I hope you are able solid answers soon. Good luck!

Dusty. xxx
 
So yesterday I had my second colonoscopy in a year, and this time my bowel was found to be completely free from any inflammation or ulceration. Good news.

So the next step has been bowel biopsies (again), more blood & stool testing (again). I'm back with the specialist in a week for results, and an MRI scan. Current train of thinking from the gastro-guy is that I might have a bile problem, which means potentially Malabsorbtion Syndrome or similar. So, not Crohns after all according to him, but does a lack of inflammation and/or ulceration really rule out any type of IBD?

I guess I feel a little better with this half-diagnosis, but only partially closer to resolution. I'm now down to 9stone 9, from what was 12st 5 so not feeling my best! That's down to 138lb's from 175lb's for anyone in the US :)
 

DustyKat

Super Moderator
No, you couldn't confidently rule it out, particularly in view of the fact that scopes don't touch most of your small bowel, which is approx 7 metres long.

An MRI may go some way to helping out visualise your small bowel. An enterogram would be better whether it be CT or MRI. There is also a pill cam as well.

I know it's long road to hoe but if after the biopsy results and MRI you still don't have answers don't be discouraged. IBD can, for some, be very difficult to diagnose and it does take a long time and bear in mind it highly individual in its symptoms and presentation. Of course you may not have IBD but I am just saying don't ever rule it out until you have an alternative definitive diagnosis.

Good luck!

Dusty. xxx
 
OK, thanks Dusty - I do feel kinda better over the last few days (physically), not withstanding the obvious drug intake required before a colonoscopy. I'm totally unsure of what's going on now though, and feel possibly even more confused than I did before - I guess that's half the battle, the understanding.

Can I ask one other thing, before I shut up for a while? Now I know that Crohns as you say, is a very different experience for each individual but my problems only ever seem to present themselves overnight and in the early morning - is the nocturnal aspect something anyone else has come across? During the day, like today/now for example, I have eaten and feel completely normal.
 

Angrybird

Moderator
Location
Hertfordshire
Hey Allan, I agree that at this stage an IBD cannot be ruled out because not all of your bowel has been looked at, the biopsy results may even show an unexpected result for crohns....you just never can tell with this disease.

I would say when my crohns is flaring up I would be off to the loo throughout the day but evenings/night would definetly be worse, I assume this is because I am eating lightly through the day and of course then having more food at teatime which then causes the more frequent visits at night. Not sure if that answers your question :yrolleyes:
 
So, the update after seeing my specialist again:

Nothing wrong with my pancreas, still awaiting liver results (possibly tomorrow/Tuesday)and being re-admitted for a video endoscopy (Pillcam) sometime in the next week. I currently have Focal Active Colitis showing up in the biopsies in my large bowel.

He seems to now think things are indeed pointing to IBD, which of course could mean Crohns, but could be so many things as you all know.

All in all, still stuck in the nightmare of not knowing - it really is the hardest part so far, apart from the obvious physical symptoms. Not being treated at all by any of my doctors, just told to go home and 'manage it best you can' which isn't great but I guess all that one can do before any firm diagnosis.

Diet is coming along nicely too - bloody hard finding the right foods though!
 
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Angrybird

Moderator
Location
Hertfordshire
Hey Allan and thanks for the update. Seems weird to say this but it's good the biopsies did show something, I think if they had come back normal the docs would have just sent you on your way with an IBS 'diagnosis' I don't see how they can do this now with that result.

Good to see the diet is doing well, it is hard to figure it all out as some things you think may be a problem aren't and the super healthy stuff that you think will be fine make you run to the loo....

Let us know how things go next week hun.

xxx
 
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