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Crohn's Treatment after ileostomy?

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(@jdanh)
Joined: 5 years ago
Posts: 41
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Hello all - I was diagnosed with Crohn's in the mid 1970s and at that time the only 2 options were prednisone and sulfasalazine. Thankfully (I guess) sulfa got me about 35 years of semi-remission with a few serious flare-ups that needed prednisone. But by 2013 I had to have surgery and got an ileostomy that was supposedly reversible. The reversal surgery was in 2017 and it did not take, so I had to get a new ileostomy. After this I had my GI doctor do an ileoscopy (colonoscopy without having to come through the rear lol) - and he claimed I was `Crohn's free'.

In the meantime my wife has heard of all the new and exciting treatments in the USA - things have come a long way as none of the medications except Remicade were familiar to me. I couldn't get that one anyway because I had been stable for too long and wasn't a candidate for that super expensive infusion treatment.

Anyway, I wanted to ask this group if anyone that had Crohn's and got an ileostomy ever had to go back on newer medications. My GI doc said that I should come back if I had symptoms, but so far other than skin irritation I don't seem to have any bowel issues.

I may just get another ileoscopy just to confirm things, but I think that once you have been under the knife things will never be the same regardless of the science that has been discovered since the 1970s!

 

Thanks in advance

 

Dan


   
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VeganOstomy
(@veganostomy)
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Joined: 11 years ago
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Posted by: @jdanh

My GI doc said that I should come back if I had symptoms

This is usually the protocol. 

I was non-responsive to meds before my surgery, so my GI said that unless I begin to have symptoms again, there was no need to try new meds prophylactically. 

But, Crohn's is one of those illnesses that can manifest in other ways. For me, it's chronic joint pains that can't be treated because there is no inflammation to treat - it just hurts. 

It's not a bad idea to get checked every once in a while, even if you aren't symptomatic. 

In the unfortunate event that you are showing signs of Crohn's, there certainly are newer meds available since the 70's that can help! 

Just your friendly neighborhood ostomate.
~ Crohn's Disease ¦ Ileostomy ~


   
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