This is long - sorry about that. I want to describe all the recent changes I made in my medication and supplements in case anyone has input or thoughts. Okay - that's a little bit of a lie. I want you all to tell me that I'll be better in another week or two.
I guess I also just need to vent. I have no one I can talk to about these things. Who wants to hear about my BOWELS?
Here's my story, and what I'm currently dealing with...
~~~~~~~~~~~ FINALLY IN REMISSION AFTER 10 YEARS OF FLARING ~~~~~~~~~~~
I had 10 years of being unable to get into remission with my UC, then finally I did when I discovered that iodine supplements really helped. (Long story there - I can talk about that more, if anyone is interested.)
I'd had a couple of Remicade drips, and I was on 12 pills a day of Asacol (now discontined due to greedy drug companies since it's off patent, so I'm switched to Delzicol, which I don't like because the pills are bigger), and I'd been taking 6MP until I discovered I have a genetic mutation that makes 6MP dangerous to me (another long story, I'll just say that 23andme.com is a cool service).
I was doing so well after I started on the iodine (the supplement I take is called Iodoral) that I stopped the 6MP, especially since my body couldn't metabolize it properly and I was still in very solid remission. Several months later and I remained in solid remission, without 6MP.
~~~~~~~~~~~ AN ASIDE (MY HISTORY) ~~~~~~~~~~~
I'm 57 years old, I've had ulcerative colitis for over 40 years, and I'm dead sick of it. The first excruciating gut pain was at 12, the first blood was at 18, the diagnosis of universal ulcerative colitis was at 25. I can't tell you how sick of it I am. I'm sick of having ulcerative colitis. It BORES me. I absolutely HATE having this disease. When I flare and the excruciating spasms come that have me with "dry heaves" on the back end, crying on the toilet, with nothing coming out but blood and mucous, it just makes me MAD. When I have to spend the first 2-3 hours of every day on the toilet, it just makes me MAD. I'm sick of having ulcerative colitis, and I'm mad that I have it. Just needed to say that.
~~~~~~~~~~~ STARTED TO TITRATE OFF SEVERAL MEDICATIONS ~~~~~~~~~~~
Back to what happened recently... I also have a problem with migraines, and I've been taking Topomax for migraine prevention, but it was doing jack. Since the iodine had been so amazingly effective with my UC - first solid remission in 10 years - I thought I'd research some nutritional solutions to migraine, and I found one - very effective (magnesium, and secondarily Vitamin B2 - I can say more about this if anyone is interested). So I decided to titrate off the Topomax.
I also have trichotillomania. (Don't ask - it's horrible and embarrassing.) My psychiatrist, who gives me Adderall for ADHD (is this good for UC?), suggested I try Zoloft for the trich. I did, and it did nothing, but I continued with the happy pills for a while - what the hell. But since I was discontinuing non-essential prescription meds and giving my poor liver a rest, I decided to titrate off that, too. I also had found a nutritional cure for the trich (NAC and Inositol - I can say more about that for anyone who is interested, but trich is a rare disorder, so I doubt anyone is interested).
So now I'm off 3 prescription meds: 6MP, Zoloft, and Topomax. This was all well thought out and for good reason.
Then there was the Delzicol, the in-patent substitute for Asacol, an anti-inflammatory for UC. I'm supposed to take 12 per day (maximum dose). Asacol tablets are small, and I can take several at once. Delzicol comes as Size 0 capsules - much larger. I don't like taking pills, and I especially don't like taking large pills (they make me gag), so I wasn't taking them. Nothing bad happened at first, so I continued to not take them. I wondered if I still needed them - thought I'd do an experiment and find out.
~~~~~~~~~~~ HERE'S WHERE IT WENT DOWN HILL ~~~~~~~~~~~
First I started to get a little gassy. I should have immediately started taking the Delzicol when this started - I have DECADES of experience with this symptom and I KNOW what it means - but I didn't.
I told myself it was because I wasn't taking lactose enzyme when I had milk products (I'm slightly lactose intolerant). Also, I take a high dose of Inositol (aka Vitamin B8) for the trich, and this has a side effect of gassiness. But I'd been taking Inositol for a while and had already adjusted. That didn't even make sense.
I was lying to myself - in denial. That is a very dangerous thing to do.
Then this past Monday (September 23 - 5 days ago), I woke up flaring badly. It was the Full Monty - friable mucous, blood, spasms, pain, can't get off the toilet for the first several hours after I wake up. I get excruciating intestinal spasms when my UC flares - horrible, horrible IBS.
I immediately became compliant with the Delzicol, and have been taking it as directed ever since. I also did a little self-medicating with some leftover Prednisone I had. I took 60mg on Monday, then tapered off 10mg per day each day after, like those steroid packs you can get. I did this without consulting my gastroenterologist for two reasons:
(1) I'm scared to tell him I went completely off my medication because he'd be so angry, and
(2) He's been telling me for months that I need to come in for an appointment and I don't go - also, I'm overdue for a colonoscopy.
The Prednisone helped. I didn't see any blood on Tuesday, and there was little pain in the morning. As I've come off the Prednisone, the pain and blood has come back, but not as bad as it was that first day. This morning I took 10mg of Prednisone, and now I'm off it - I won't take any tomorrow. I'm hoping it kickstarted some healing.
I haven't had a great day so far today, but that may be because I ate like a crazy person yesterday, for some reason. I do that sometimes when I'm flaring - I think because not being able to eat pisses me off. I rarely overeat, but yesterday - of all days - I overate on (drum roll), candy and ice cream (huh??). I'm scared and upset and feel bad, and perhaps the child in me thinks this will make me feel better. Or perhaps I'm just rebelling. In any case, it didn't help matters. Overeating is not a great idea during a UC flare. I've eaten almost nothing today (it's 5pm). I haven't been at all hungry, after yesterday's junk-fest.
~~~~~~~~~~~ WHAT I'M DOING TO HELP MYSELF NOW ~~~~~~~~~~~
Here are some things I'm doing to help myself (besides taking the Delzicol as directed, and no more eating like a crazy person):
- I have a really great "damp heat" heating pad I got on Amazon, and when I put this on my gut it helps to calm things. It feels wonderful, and mitigates the morning spasms.
- I didn't take the Inositol yesterday in case it's increasing my gassiness. It's the NAC I need most for the trich, and I don't want to take anything that makes my bloating worse. My lower belly is very distended.
- I'm trying to sleep at night (challenging with the Prednisone - it will be easier now I'm off it). Before the flare, I'd frequently been staying up all night and not getting adequate sleep. This is a classic setup for me to flare, so I've been trying to make sure I get adequate sleep every night.
- I started mixing in some L-Glutamine with the diluted juice I take my pills with (I mix in other supplements, as well). L-Glutamine, for those who don't know, is an amino acid that is used in maintaining muscle mass (so body builders like it) and in rebuilding the wall of the bowel. I should take more than I am. I'm just taking it once a day, but I could be taking it 3x per day, every time I take the Delzicol.
I'm NOT back on the 6MP. I think I flared because I stopped the Asacol/Delzicol. I don't want to take more prescription meds than I really need. Also, as I mentioned, I have a genetic mutation that makes this immunosuppressant especially dangerous to me, and my mother died of lymphoma. I don't want to be on it.
~~~~~~~~~~~ I'M SCARED I'M SCARED I'M SCARED I'M SCARED ~~~~~~~~~~~
I have a fear that I'll never get back into remission. That by changing too many things at once, I've hopelessly rocked the boat and I'm going to be sick and in pain for the rest of my life.
I want this flare to go away - desperately. I want to be back in remission. I want to feel good. I want to feel in control of my body and my life.
If anyone has actually read this long missive, I thank you from the bottom of my heart. I really needed to express how I felt. I know everyone has their own problems and I'm not the sickest one here - or the only one here. So thanks in advance - very much - to anyone who reads this or responds. I don't know if anything I wrote here is of any help to anyone else - I guess it's all about me. Sorry about that.
I wish good health to all of us.