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Not an ostomate (yet), but hear my story, and please help me

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 bobj
(@bobj)
Joined: 4 years ago
Posts: 9
Topic starter  

I came from the Crohn's forum, another user named Tony was kind enough to message me and let me know of this forum, which is a lot more active. Thank you Tony.

Anyhow. I live in Alberta Canada, I'm a 31 year old male. I have been suffering from pain in my lower right abdominal area since September. The first 'attack' I have ever felt was so excruciating I have never experienced anything like it, it was literally (and I'm not exaggerating) like a bomb went off inside of me. All I was doing was sitting down at my desk reading something on my computer. I thought this might be appendicitis, and either my appendix burst or was about to rupture. The pain wasn't recurring, subsided quite quickly, and because it was the first snowfall of the year, I neglected to go into the ER because they're usually packed with dolts who forget how to drive and get into collisions and hurt themselves. I digress.

I showed up to the ER and told them I think I have or am developing appendicitis. They did bloodwork analysis, and then the doctor tries poking around in my belly area, I winced in pain when he went to my lower right side. He orders a CT scan and then informs me that my appendix is perfectly fine, he thinks it might be IBS, and to find a family doctor. So I consulted with an online subreddit called IBS and they told me to ask to see a gastroenterologist and to get a scope done. So that's what I did. Or tried to do. And this was the part where I began my nightmare. This 'doctor' that I found, prescribed me Cymbalta when I asked for a pain remedy. I told him that I did not feel strongly that this was IBS, he said that he would do a referral letter to a GI, but did not opt for any further testing. I should have known then..

Anyhow, many other symptoms have manifested since then that have lead me to believe that this is Crohn's disease, namely, ileocolitis or some other condition associated with the ileococal valve. I had a 40 minute bout of extreme intestinal pain from taking just one 200mg tablet of Advil liquigel for pain, I have noticed mouth ulcers appearing in my mouth, I have joint pain right above my hips, whenever I eat solid food, like takeout pizza or when I make homemade pasta from scratch using real ingredients I can almost feel my intestines tightening up like there's a garrot squeezing them, sometimes I cannot defecate for two days or longer. I cannot put any weight on my lower right side, or sleep on it, put my laptop on it, sit down etc. without feeling like pain is building up, I awoke the other night to prickly pain down there because I rolled onto my stomach. I have eye pain frequently, I actually reported to the ER earlier last year because I thought there was cat litter stuck in my eye. There was blood in my stool once, and since then, I notice (not always) that my stools have darker colorings, like half of my fece is brown and half is dark in color. I think this is due to bleeding somewhere in my upper GI tract.

I had a phone appointment with this doctor at the beginning of December. He informed me that "six different GI's have rejected my referral due to not having any time to see me." I tried to tell him of my additional symptoms pointing to it being much worse than IBS, and that I needed a better referral letter or additional testing, but when I tried, he abruptly cut me off in mid sentence to tell me "that's all the time I have for you today!" He has since been fired and reported to the college of physicians and surgeons.

Between that physician and the doctors at the ER, I'm not exactly confident that I'm going to get the treatment I deserve. Not one doctor I have been to see has thought to administer a fecal calprotectin to definitively distinguish between Crohn's and IBS. I had to come to this source of information on my own accord. I went and seen a different doctor recently who obliged to give me the test. I'm deeply thankful for it, but he said, and I quote "I've never before given one of these out." I got no further instructions on how to go about providing the BEST sample to prove of Crohn's. I'm fearful of providing the wrong kind of sample when I'm a state of quasi remission and having it look like I'm suffering from IBS when I'm suffering from something a lot worse. I do not want this test to fail the way that the ct scan supposedly showed no signs of inflammation (I believe I was in 'remission' when that happened, it was three days after the attack and I didn't feel any bloating or swelling), because if it does, I'm right back to square one waiting on some GI to take a chance on treating an IBS sufferer. I need some sort of substantiating evidence pointing to Crohn's in order to get in to see a specialist. I have been left with absolutely nothing thus far in my plight from the good doctors here in Canada: no pain medication, no diagnosis, no treatment plan, no hope. Just a query of something in which there is no definitive scientific method to prove or disprove of.

I strongly feel as though I have Crohn's and I don't say this lightheartedly. Furthermore, I feel as though if I continue to put any pressure on my abdominal region, I could do further, irreversible damage. Since September, I have not sat down at a chair or in a vehicle. At all. I simply lie down in my bed or I kneel down in the house. Sometimes the pain and bloating feels so bad I cannot wear any pants or underwear while lying down. That pain I felt in September was without a doubt the worst pain I have ever felt in my life, easily trumping the pain I felt from waking up to my wisdom teeth having been extracted. This is not irritability, this is downright debilitating.

I feel like I should provide a stool sample for the upcoming fecal calprotectin when I'm having a really bad 'flareup.' Is there any way at all for me to notice or know full well when my bowels are inflamed? According to the Canadian Society of Intestinal Research, you can have inflammation without symptoms and symptoms without inflammation in IBD. So does anyone know when there is arguably a good marker or indicator of knowing when my bowels are inflamed, so as to provide a stool sample with a good amount of Calprotectin?

Thank you for taking the time to read my story.



   
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Lynne
(@lynne)
Joined: 7 years ago
Posts: 74
 

Bob I'm sorry to hear what you're going through.  Hopefully you can find better medical care soon.  You might find some helpful information here Natural Healing for Crohn’s and Ulcerative Colitis (crohnscolitislifestyle.com).  I've worked with Dane and he is excellent at knowing what tests help monitor inflammation.  Calprotectin for sure. (Mine used to be off the charts, now it's almost zero.)  Also your sed rate or CRP in blood tests can be important markers.  Sending you all my best. 

 



   
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 bobj
(@bobj)
Joined: 4 years ago
Posts: 9
Topic starter  

@lynne Thank you for the wellwishes. Is that site you linked free of charge? If I contacted them, would they be able to tell me what signs to observe for bowel inflammation, or better answer my queries without a fee?



   
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VeganOstomy
(@veganostomy)
Admin
Joined: 12 years ago
Posts: 4719
 

Bob, welcome and thank you for sharing that into. 

Your symptoms mirror much of what I went through, but I didn't experience nearly as much frustration with getting help as you have been, especially not through a pandemic. 

A few thoughts:

If you're still looking for referrals for a doctor who can assess what's going on (and you can go through as many doctors as you want, until you find one who understands you), be sure that it's a GI who specializes in IBD - not all GI doctors do.

Your symptoms do sound like Crohn's (especially the mouth ulcers) but you'll likely need a biopsy in addition to any other tests you're doing, as they don't usually rely on a single marker to make a diagnosis. 

If your bowels are inflamed, it's true that you may or may not show symptoms. Many people will experience loose or more frequent bowel movements, but I don't think there's a "right time" to take a sample for your Calprotectin test. 

Since you're also in Canada, connect with Crohn's and Colitis Canada to find additional resources or medical professionals in your area who can help: https://crohnsandcolitis.ca/

I went through several doctors before I found one who was willing to really try.

I don't personally endorse any alternative therapies, especially after I sunk thousands into them when I was really sick, but I understand how desperate you likely feel right now. Do your best to take care of you, and if you have someone who can make the calls on your behalf, please ask them for help. 

You're more than welcome to start new threads with different questions. Hang in there! 


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


   
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 bobj
(@bobj)
Joined: 4 years ago
Posts: 9
Topic starter  

@veganostomy Thank you SO much for the welcoming and the encouraging words of support, I really appreciate it. And thank you for creating this forum!!



   
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 LK
(@dlkfiretruck)
Joined: 9 years ago
Posts: 1698
 

Hi there Bob... welcome to VO ! I'm  so sorry for what brings you here but know your in a good caring place.  It may take a day or two to get replies sometimes but eventually you will get them. So sorry your experiencing such a lack of time & desired results on doctors parts & the run around!! Thats tough enough for what your dealing with.

A few things that may help. Keep a journal or spread sheet, of symptoms & even foods & even activity at the time of attacks.  Take your weight daily & in the mornings if possible.  Maybe a journal can help nail down foods that could cause a situation with your guts. I went thru way too many years of waiting for apts. & wishy washy doctors who couldn't think outside the box . Several telling me it was Irritable BS or all in my head when  I knew deep down in my guts that things were not right, so do not doubt your inner voice.  

Are you near a University or Teaching Hospital?  Are you able to show up in their Emergency Room at the time of an attack?  Please do not drive yourself in the midst of pain to any hospital. An ambulance most always  gets you seen & a bed before the waiting room crowds. Don't be afraid to use this service & always say how much pain you are in or how ill your feeling & unable to *safely drive* when calling 911. 

It was the teaching hospital specialists & doctors that made the difference for me as they keep up to date on new testing,  procedures & symptoms & new disease regularly.  ((... Uh, once In agony & not wanting the usual runaround  but...ever so unfortunately... while "visiting family" near a big Teaching Center I was in a terrible attack & in so much pain we decided to go there instead of the usual low staffed hospital as making the trip home was way too painful for me to make.)) This is when I was finally taken seriously & proper tests done & in turn results that proved issues were not in my pretty little head.  Know that results as you experienced can be hit & miss. I still have times when & please don't apologize, but when I read what someone like you are going thru that it brings back those feelings of supreme inadequacy, rude comments & judgements by inadequate physicians.  I feel led to share a few things that got me thru those desperate years... such as that little trip above to "visit family".

Unfortunately  it is going to take time either way to get  diagnosed. Keeping journals of things such as foods,  duration & activities at time of attacks pain levels from 1 to 10 or worse, what was your stool like,  length of time in attack , how you felt before & after & how long... will help in a diagnoses. Document your apts.  I learned of this from Eric & the others here after my diagnoses & surgeries but it will help you & has helped me since. Keep your journals preferably on something the doctor can read.  If they ask, Never leave your original journals with them, but offer "them" to make photocopies & always glance that you have back everything you lent *while you waited & never say take your time as they will. I've missed an apt. afterwards because I said take your time to a receptionist who went to lunch before photocopying 5 pages! Ugh!   If you have no one to go with you to these apts.  then do a voice recording on your phone so you can make notes later & not forget what your told. Always ask Permission 1st. I was never turned down especially when I said I didn't want to forget anything.  It's is a stressful time, plus often **family who can't be there will want to know later what was talked about & ask questions you may forget answers to.  I always asked the Drs. permission to record (while recording with my phone recording & in a pocket)... then turned it on when he said yes.   No mix up or  forgotten answers later if talking to a concerned party. Oh how I wish I had recorded that one doctor that was particularly rude to me. 

Know who you are seeing in terms of their ability & how it can help you. Ask the referring doctor why this person? Is it someone they would send family to?  How ling have they been in practice. The newer Docs often have more up to date knowledge are more  eage.  There is a difference between a  Gastroenterologist &  a Gastroenterologist Surgeon. Two years were wasted there. Don't be afraid to request to be seen by a specialist at a University or Teaching Hospital. You have that right & the worst they can say is no, if they do say no ask why & if its not a good enough reason for you ... move on. You are allowed as Eric said to see & request to be seen as you need to be. Be upfront with questions to referring GPs. 

Do you have family history of any bowel disease or disorders?   Intestinal or Stomach cancers?? Allergies. Start asking questions of family if you haven't already. I live in B.C., hello neighbour! I have many family in Alberta, Saskatchewan  & Manitoba that I don't know as an adult. In later years I found out I have family with Crohns & several with undiagnosed bowel issues.  Crohns in the family will also get the Doctors attention. So start chatting with those who are close to you & make a few unexpected *phone calls* to those you are not.    Be willing to share your experience with them.  Its amazing how many people will open up that have  suffered in silence because its embarrassing or they have been put off by Doctors or someone who used the hypochondriac word on them.  

I certainly understand your frustration & you are so  right to reach out. There are a few things doctors do understand well.  Your **Quality of Life** and missed work  are a few. Don't be afraid to talk about these things with them.  Missed work can mean food & home purchasing issues.  If you live alone it puts you at risķ. Are you Anemic??   Symptoms of Anemia can be... your more tired then usual,  can you discern if it's lack of sleep or from pain or an increase in darker stools? I'm sure by know you know that the darker stools can mean loosing blood in your gut, this can lead to Anemia. If this is a concern for you tell this to your GP & if you find one you like try & nail them down as a permanent GP you or maybe they can recommend someone to save you the riffraff.  If your dizzy, feel like you can't catch your breath at times, are you eating as well as usual? If not, is it because of pain or too dizzy to safely cook a meal? All these things are important. Hair falling out? Skin drier then normal, your nail health, chipping , cracking?  Are your feet & lower legs unusually dry? You may wish to journal these things also. You should be tested for Anemia & if you haven't been, make sure to set up so you can check your lab results on your phone or¿ to know what your lab results are. 

This is long, my apologies. But I hope it helps you in some way or another. Please don't be a stranger here & keep us in the loop. Your experiences may help another newbie down the road..  if not now. Unfortunately covid19 does  mean longer waits but if you need to be seen in emergency please do not hesitate.  The more they can document & look back on may help in diagnoses. Plus you may meet that one doctor who will make the difference for you. Tip, Our hospital is able to send a patient home in a taxi if we went by ambulance & need a ride home.  All the best Bob, stay strong.


Linda


   
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(@john68)
In Memorandum
Joined: 9 years ago
Posts: 2059
 

Hi Bob, Welcome to the forum, I really hope that you will get answers and treatment. I had a period of not getting the right answers. I echo what Eric has said about alternative treatments. Don’t go there on the promise of a quick fix. You have great advice here and support. Ask plenty and best wishes 💪💪


ileostomy 31st August 1994 for Crohns


   
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