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Questions about stomach pain, fatigue, and moderate flaring

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Ulcerative Colitis
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Posted 12/22/2014 5:34 PM (GMT 0)
Hello everyone,

23yo female here! UC and PSC diagnosis a 7 years ago. Over the past 4 weeks I have started to flare again--I would say it is a moderate flare, not nearly as severe as I have had in the past. I had not been taking medications for the past 4-5 months due to insurance reasons, but luckily I now have a job that helps to pay for them. I have gone to my doctor due to the flare, and I am now taking Lialda, 6mp, ursodiol, and UCERIS, and have been for two weeks. I am slowly getting better (less urgent and more solid) due to the UCERIS.

However, I now have stomach pain and nausea constantly. I have cut foods and drinks that are hard to digest out, so I mainly eat bread, bananas, plain soup, etc. If I eat any heavier foods (such as meat, even plain chicken), the stomach pain after eating is worse. I have even thrown up on occasion. My appetite has lessened as I always feel sick. I also now have pretty consistent heartburn, which I have never had before in my life. I feel an ache in my colon. And I am quite fatigued these days, without a lot of energy.

Are these symptoms related? Are they just a side effect of a flare, or could it be from the medications I am taking? Should they be mentioned to my doctor?

Thank you so much in advance for any information or advice.

Emily
Posted 12/22/2014 5:39 PM (GMT 0)
What meds were you supposed to be taking when you stopped? If you haven't taken 6MP before, some of your symptoms could be due to that. In some, eating breads and ripe bananas could make them worse and if there are a lot of perservatives in the the soup you are eating they could make you sick too. Theoretically you should be on the same meds and diet as you had been in the past when you were in remission.
Posted 12/22/2014 5:43 PM (GMT 0)
I was on the same meds at the same dosage as I am on now, but the UCERIS is new to help the moderate flare. After experimenting with all sorts of foods, I only eat the ones that tend to not make my stomach pain significantly worse or throw up. I just do not know what to do to help regain my appetite and start eating again!
Posted 12/22/2014 6:54 PM (GMT 0)
It sounds like you need a food dairy, to clarify things, even if its only for a month..start off eating simple foods and gradually add to it making a note of anything that causes tummy upsets, pain or diarrhea. I can remember my diet being quite limited at first, and over a period of time I increased and added new foods.

With regards to the heartburn I would try Braggs Apple Cider vinegar, you can take a tbsp in an 8oz glass of water, when you feel the burn, this usually shifts it, and is far better for you than taking heartburn pills. I hope you start to feel better soon.
Posted 12/22/2014 8:18 PM (GMT 0)
Might very well be a reaction to the Uceris I would call M.D.

Uceris (budesonide) extended release is a corticosteroid used to induce remission of active, mild to moderate ulcerative colitis. Common side effects include headache, nausea, abdominal pain, fatigue, flatulence, bloating, acne, urinary tract infection, joint pain, and constipation.

lhttp://www.rxlist.com/uceris-side-effects-drug-center
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