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New to Forum, New to Crohn's

I've been browsing around in the last couple of days, and it looks like there's a lot of good support and information here, so I decided to sign up.

I was officially diagnosed with Crohn's Colitis at the beginning of October, after having been tentatively diagnosed with Ulcerative Colitis in July.

As a kid, I had some stress-related stomach problems, mainly mild pain and nausea, that only lasted about a year (age 6). I've had some trouble with depression/dysthymia officially from when I was 15, but potentially as far back as age 8; I mention this, because I have read in a few places that there seems to be a correlation of pre-existing conditions such as depression, schizophrenia, etc, and Crohn's.

At 21 I became mildly lactose intolerant. A few slices of pizza or a bowl of ice cream was ok...taking a lactase supplement would help with anything more, and I switched to non-lactose beverages for cereal (Almond milk having become my preference).

About 3 years ago (I was 25) I had what I think was my first real flare-up. I was going through a stressful move, and started having diarrhea, which later became bloody. I was given antibiotics, went to a GI specialist, and almost had a colonoscopy, but the bleeding seemed to come and go with Zyrtec--I stopped the Zyrtec in prep for the colonoscopy, and the bleeding stopped. When my allergies started to bother me again, I asked if I could resume it and was told it was ok. The bleeding came back when I started the Zyrtec again, so I stopped it, and the bleeding stopped, too. I did a little research and found it as a rare but documented side-effect. The GI doctor said that was probably the cause, and I figured that was the end of it.

This past June (just a few days after my 28th birthday--my body seems to like giving me health problems as birthday presents) I started with bowel problems that took a path much like 3 years ago. Initially I thought I had overdone dairy and such--the night before the diarrhea started, I'd had taco bell for dinner, and then ice cream later on. When it persisted, I went to the doctor, and they gave me an antibiotic. I called them back when it didn't improve for a few days (and I was seeing blood by then, and having bad pains in my gut), and they switched me to something stronger--Metronidazole, I think. Every few days I seemed to be back and forth with feeling better or not. I finished the course, feeling a little better, and then got worse again...that time when I called the doctor, he said go to the ER.

I spent 19 days in the hospital. Basic blood tests were inconclusive, the colonoscopy looked like Ulcerative Colitis to the GI doctor, but the biopsies didn't give results for anything particular. Pretty much my entire colon was ulcerated and inflamed. They had to slowly rule out various sorts of infections before they could do much. A sigmoidoscopy showed some signs that were looking more like Crohn's, but another blood test had a weak positive for Ulcerative Colitis. In the midst of all this, they had to give me percocet for the pain. They also started giving me Asacol and Prednisone. I was also on a liquid diet for most of the time.

They started me on Remicade, which had me starting to improve by the next day, started giving me some semi-solid food, and within a few days of that I was discharged.

I'm a teacher, so I didn't have to worry about missing work or having to go back right away, which was a big relief. I had Remicade treatments over the following weeks, but I found myself tired and achy in the days before the next one would come. My GI doc also ordered a prometheus test to check for genetic markers...ultimately that came back positive for Crohn's, and he changed my diagnosis then. Looking at my symptoms and my bowel movements, things seem consistent with that diagnosis.

I've been switched from Remicade to Humira, since the Remicade seemed to be wearing off too soon, and an injection at home, even though more frequent, seems more convenient to me than taking a day to visit the hospital.

I'm tapering off the Prednisone...I had been almost off of it before, but with the Remicade wearing off too soon, the GI brought my dose back up. At this point I'm trying to be careful with my diet...I get the occasional twinge in my bowels and more gas than I used to, but otherwise that seems almost back to normal--it's close enough that I can deal with it. I had lost 30 pounds in the hospital, but gained it all back--a bad thing in my case, since I'm overweight. I'm hoping it's because of the Prednisone... I'm also having recurring problems with aches and fatigue, some days more than others...I haven't noticed a pattern yet. Also losing a lot of hair...it isn't obvious to look at me, maybe since I have a lot of hair, but way too much comes off when I brush it, wash it, or just run my fingers through it. GP said it's not unlikely from the medications and my condition. Emotionally, I think I've gotten through the worst parts for now...it's just the frustration of the ongoing things, not always having energy, and the responses I imagine getting from other people (stuff like "but you're still young," which thankfully hasn't come about yet).
 

David

Co-Founder
Location
Naples, Florida
Hi Elektrikhd and welcome to the community!

Goodness, it sounds like you've been through a lot. :( I'm so glad you're doing a lot better now though. Long may it continue :)

Regarding the fatigue, have you had your vitamin B12, vitamin D, and magnesium levels tested? All are common deficiencies in people with Crohn's Disease (though they would be more common in someone with disease in their ileum). Obviously your medications can lead to that and if you check our wiki entry on fatigue located here, it may give you some additional ideas to discuss with your doctor.

Be sure to check out our Humira and Prednisone subforums under our Treatment forum to connect with others on the same medications.

Again, welcome to the community. We're here for you anytime you need us.
 
Thinking about it now, my GI doc may have said some sort of vitamin B level was low on my last bloodwork. My iron was a little bit low, and I believe he advised a multivitamin that includes it (my current one does not). Magnesium and Potassium were low, and I'm already taking a supplement--they were also consistently low in the hospital.

Vitamin D is a new one...I'll look into that. The B12 as well...I was considering adding a B-complex already.

I have some very supportive friends (and my boyfriend especially), but all the same I've felt a bit alone...it will definitely be good connecting with people who know what I'm going through.
 

David

Co-Founder
Location
Naples, Florida
I'd definitely look into which B vitamin was low and specifically how low it was. If it's B12, chances are a multivitamin or B complex will NOT provide you sufficient B12 if your deficiency is due to Crohn's.

You mention the low magnesium and potassium. What kind of supplement are you taking for them?
 
I take tablets twice a day for the magnesium and potassium. The magnesium is combined with calcium and zinc. They're the standard type sold at the grocery store.
 
Luck to you on your journey. I'm an assistant principal (no summers "off" for me) but this illness has been difficult to manage at times with the school schedule (and stressors)
 
Welcome to the forum. I hope you feel better soon. When I was first diagnosed I had hair falling out too- so much that I had to clean out the plug hole in the shower each day to stop it from flooding. I was told by my GI that the aches and pains are pretty much related to the inflammation in the bowel. Once they treat that and bring your inflammation down, the aches and pains resolve as well. Hopefully yours resolves soon ! I'd definitely check your B12 out as they can give you injections to boost this- which makes a huge difference to the fatigue (most people with IBD need B12 injections rather than tablets if their levels are low). Prednisone can also make people tired- especially when they reduce your dose. Hope things get better for you soon x
 
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