Cup, there can be periods of time when we really do go into a true remission and have relatively no pain ( or at least very little pain). I have been there, although not for quite a while. It seems that as time goes on, things are getting worse for me but I am still hopeful that with treatment, I'll get things back under control.
No one has the answer as to what will get us into remission. For some folks, surgery of almost any kind will do the trick. Perhaps it's a simple reaction of the body to the surgery, even if it's in another area. I had my Gall Bladder removed 15 yrs ago when my docs couldn't think of anything else that could be causing my terrrible gut pain and D. I was young for GB in general, but have a huge family history of stones and my 21 yo cousin had hers out 3 weeks after mine came out. Anyway, we now know that my problems were CD, but having that surgery tricked my body into a real remission. For at least 2 years. Sure, I still had the occasional bout of D, but so do "healthy" people and I did have occasional pain in my LRQ, but I wrote that off to possible adhesions because I had terrible adhesions removed from my TI and Cecum during the Gall Bladder surgery.
I have also had other spontaneous periods of remission that occurred from out of nowhere. I just woke up one day feeling better. And I've also had remission brought about by medication. I'm hoping now that I'm back on Humira to see a gut remission again.
Depression is a huge problem that we face and I hope that you'll seek treatment for it from a real psychiatrist. Sure, a Primary Care Doc could write a script for an anti-depressant, but I don't let my Primary treat my gut or my joints and I won't let her treat my depression either. I honestly believe those are 3 things I need a specialist to treat. There are many anti-depressants out there and not every med works for every patient. I've tried quite a few over the years and most recently was on one that worked quite well for me 20 years ago, but it hasn't been too good now. This is something I need to have treated by a Doc who is very familiar with the gamut of meds available as opposed to the Primary who is familiar with the few newest on the market which the sales rep drops by to talk about. Also, there are many anti-depressants which also help relieve pain and that can be an added bonus for us.
The intestines are sometimes referred to as the "enteric brain" because levels of neurotransmitters like serotonin, dopamine and norepinephrine in the gut are second only to the brain. An imbalance of these chemicals can cause depression and gut trouble and this is why there is at least a small percentage of people who benefit greatly from treament with nothing but an anti-depressant.
Several years ago I had a conversation with a friend who had always tried hard to be as supportive of me as possible. She was relating how sick she had been that previous weekend when she had a 48 hour stomach bug which left her wondering which end to put on the bowl first. She said she had felt so bad and the whole time kept thinking about how that was what I suffer through. When she finished explaining her ordeal, I told her about the awful night sweats and gut wrenching cramps and then told her that really the worst of it was feeling that way so often, for many years and still having the Doc's tell me that there was nothing wrong with me!!!
I don't know what I would have done without me friends. I try to thank them for putting up with me whenever I have the chance.
I hope you find relief soon and can at least take comfort from the friends around you.