Interestingly enough, McDonalds doesn't upset my stomach... unless I eat the stuff that typically ends up being greasier (like fries)... that makes me nauseated, and I usually stay away from that. I guess I never really had a huge issue with foods per say with my disease. I have had a very active, very harsh disease... but can never control it by foods. I actually feel quite sick if I have any salad (I quite like myself a french side salad with pasta), or any raw veggies. I do like broccoli, but it has to be boiled first, and I usually top it with a little bit of cheese for extra flavor. I think the reason the raw stuff doesn't sit well with me because it is making my intestines work harder, which I have learned to give it the easiest food that it can digest to make my life easier.
Once I explain this to people who don't understand my disease and try to be "experts", they seem to understand what I can eat, why I can eat it, etc. I just am a little sour towards the "diet" thing with people as I was once told I shouldn't bring any fast food or "junk food" into work so my coworkers couldn't see it, because they thought I wasn't taking care of myself. In all reality, the "junk food" tended to be easier for me to eat (such as pretzel sticks, combos, etc), which allow me to get the extra calories I need throughout the day. But, of course, they didn't understand it and treated me like dirt because they thought I ended up in the hospital because of that...when in reality, I have learned that many of my hospitalizations for Crohn's weren't necessarily directly related, but a result of the disease (such as MAJOR dehydration, or illnesses like pneumonia).
I will always end up with a diarrhea symptom, due to my ileum being taken out... so fluids aren't getting absorbed like they should. So really, I will never be "normal", but I have accepted this. Usually my flairs are directly related to things that stress me out, such as arguments I had with someone, or someone upsetting me in some way, or an "unknown" bill of some sort. Somewhat tied to anxiety as well, in which I am in the bathroom every hour. But some days, when I am totally relaxed (which I always try to remain in a state of relaxation for this reason), I may only go to the bathroom 3-4 times in a day which is my normal.
Tysabri has been wonderful. I have gained about
15 lbs since being on it, to the highest weight I have ever been in my life (which is great... I have been underweight for many many years). This is one way I know it is working. Energy wise, I am still trying to get that figured out... but I am getting supplements to help with that. In regards to food, I can eat anything I can tolerate on it... my appetite has been fine. I generally find my food intake has to be a variety of "small" portions. I can never eat a lot of one specific item without getting full quick. But if I have many different items in front of me, I can usually eat a good amount of food at one sitting. An example of my food intake today (which I felt pretty good today, very calm and my crohn's seemed to follow): Sausage Biscuit from McDonalds, left over taco meat that I made into tacos for lunch, and chicken stir fry for dinner. I randomly had munched some cheese nips and pretzel sticks throughout the day as well. This type of food is my normal intake that tends to go pretty well for me. Yes, after my main meals... I tend to need to use the bathroom, but I find that to be typical of me normally due to the ileum issue/pushes food through as I take more in.
Side effects on Tysabri... not really anything besides being tired the day of. Often times, I when I get the infusion, my stomach does quite a bit of gurgling, but I attribute that to the fluids my body is getting at that time. Otherwise it has been great. I was on Remicade for 5 years without any issues either (I built up antibodies to it though, so it stopped working). This is the first time a monotherapy has actually worked since my Remicade days.
They do blood work every infusion (so every month) that gets my doctors my inflammation markers. It is actually quite cool, as I can see the results online a day after they are drawn... so I can see the exact number assigned to them, and what the normal ranges are. Ever since starting Tysabri, they have dropped to normal from slightly elevated/higher. A couple times when I was sick, they were higher, but otherwise have been great. It really makes me happy to see results like that..
Granted, I haven't had the disease as long as you, but I have had it since 1998... been through the ringer, many different medicines, many different food changes, to figure out exactly what works for me. This seems to be the key at the moment... until the new medicine that is like Tysabri comes out next year... which is supposed to be safer... really can't wait. I go to a research/academic hospital (actually been on a couple studies there), where the IBD doctors are really up on the latest and greatest, and have been part of many papers regarding Crohn's and UC. I am really lucky to have them in my back yard.
Sorry for my long response, just wanted to explain where I am coming from and my thought process behind my personal disease. I feel like some may be like you, no_pain... which in my opinion, you are the lucky ones... and some like I... who rely on these medicines sadly... it is such an interesting disease in how it works... just hope things keep improving for the sake of all of us!
Post Edited (JakeB) : 11/1/2013 10:55:32 PM (GMT-6)