you know what, i'm greatfully relieved that so far inflammatory bowel disease has been ruled out.
but what i was thinking...ulcer disease could fall into a different categorie. people have peptic ulcer disease but that's not part of IBD (for all reading this who are unfamiliar Inflammatory Bowel Disease [IBD] and Irritable Bowel Syndrome [IBS] are 2 COMPLETELY different things; IBS being almost comletely benign but with major symptoms and upsets and IBD being chronic and progressive in nature).
so what i'm thinking is you could have an ulcer disease affecting parts of your colon significant enough to cause problems but categorily not falling into IBD...but perhaps IBS.
again, ya never know. with one AI issue there can arise many others. be vigilant with your GI problems and keep track of them.
hah, funny you mention me & nsaids. they make me bleed bleed bleed. but now, i really want to take an ADVIL instead of steroids! i hate steroids.
hang in there my friend.
just wanted to add something:
the meds you take now, if it is the case where there is some sort of inflammatory bowel process going on...your medication you're on now would be helping a great deal to care for it.
Thanks Curley and Erin. Erin, my GI doctor told me I probably had IBS, but as far as I know IBS cannot cause ulcers anywhere within your GI tract. When I brought that point up, she came up with the NSAID theory. Then, she promptly dropped me and told me not to come back because she has really sick patients! Admittedly, people with IBD can be very very sick, but not all of them. Nevertheless, I won't be going back to see her. If I need another GI doctor I'll have to continue my search. This lady I went to was an expert in IBD at Johns Hopkins, so I'm sure she has a patient list a mile long.
I think a lot of people are sensitive to NSAIDS whether they have IBD or not. Both of my parents were. My father has IBD/Ulcerative Colitis, my mother did not. Both had problems, however, with upper and lower GI systems in connection with NSAID use.
Erin, you also mentioned that enbrel can treat IBD? I've heard it's not very effective for that--both remicade and humira are much much better. That being said, perhaps it's better than nothing in comparison to what and IBDer would feel like without taking it.
Post Edited (Ides) : 6/5/2006 4:40:39 PM (GMT-6)
Very interesting research Ides. GI doctors, from what I've found so far, do not tend to make a big deal about NSAID therapy and its effects on your GI system. My rheumatologist, however, is very sensitive to that. He pulled me from NSAIDS when my colonoscopy showed the ulcers just in case I did have IBD. When I mentioned to my GI doctor the other day that I cannot tolerate NSAIDS, she rolled her eyes? I think if I told him what the GI doctor said about NSAID ulcers, he might agree. Since he uses the NSAIDS for a lot of his patients, I imagine he's well aware of the risks associated with their use.
My mother had an intestinal perforation that required surgery about a month or two before she died. I've often wondered how much of that was caused by chronic NSAID use as well as prednisone use (I think prednisone can cause ulcers too, can't it?). She did not have IBD, so I think a lot of her GI problems stemmed from medications. Back then, they used candy coated aspirin a lot for RA symptoms, and other joint problems. I can remember her taking 12 a day (years prior to her death).