charlie11 said...
Hi, 4 months ago i was diagnosed with Crohn's disease. I am 24 years old (female) and my body seems to love chronic illnesses - epilepsy, poly-cystic ovary syndrome and now CD. I'm trying to stay positive but my smile is wearing thin. My symptoms are starting to weigh me down because I'm scared to get up or leave the house, nervous that I'll need to 'run' at any time. I'm tired all the time and have had to stop eating some of the foods I love as they aggravate and the consequences are not so much fun. My doc put my on a medication that I had an allergic reaction to - my liver rejected it - and she is now at a loss as to where to go. I have been told my options are steroids or Imuran with all of it's lovely side effects - "you'll need to have weekly blood tests to check for liver/kidney function, avoid the sun due to photosensitive and keep a look out for risk of Lymphoma". I realise that most people on this site are going through the same if not worse than me so I hate having a whinge, but I am just looking for some advice, something practical; how do I help myself win the little battles when it is all I can do to cry... I guess its all just raw and I'm scared...
Hi Charlie, I've had this disease for almost 24 years. It really hit me emotionally when I was 24 years old, too. I was having a lot of symptoms for several months, and it didn't seem like I would ever get past them. I know it is especially hard in those early months to figure out which foods you can and cannot eat. Which drugs do and do not work. Take heart in knowing that for a large majority Crohn's patients, there are treatments that work. The path for each person is a little different. I've responded well to a variety of medications, and there are others that have no effect. I do well with carbs and dairy (in fact during flares, about
the only thing I can eat successfully is carbs) but others have to go dairy and/or gluten free.
I'd suggest, if you haven't already, reading about Crohn's on informative websites (like CCFA, for example). Talk to your doctor about drug and diet options. I always talk to my doctor before adding any over-the-counter supplements.
For me, other meds have worked to keep me in remission, but I've always needed a short course of steriods (6-8 weeks) to put me is remission. Within a a few days, the steriods give me more energy, better appetite, fewer symptoms, and overall feeling better. Yeah, the side effects start to suck after a couple of weeks, but it is what I need to get into remission and it only lasts a month. Sometimes the steriods themselves is all I need for energy...sometimes the doc finds via other tests that my iron counts are low.
There are the anti-TNF drugs (Remicade, Humira, Cimzia) that you haven't mentioned, though carry some of the same risks as Imuran. Instead of a pill, you take these either intravenously or via self-injection. I have been on Remicade (IV) in the past and am currently on Humira (injection).
I was on 6mp (similar drug to Imuran) for over a decade. I was allergic to Imuran and couldn't take it. Why do you have to have weekly liver/kidney tests? Is it because of interaction with your other drugs/conditions? If I recall, when I first started 6mp, I did have to take blood tests every month at first, then every 3 months, then every 6 months.
You will find a treatment that works for you. You won't be confined to home. You won't have to avoid the sun like a vampire. I'm an outdoors person and have found on these meds just to make sure to take breaks or be outside in partial shady areas, use plenty of sunscreen and drink plenty of water.