Ways to curb hunger while on Prednisone??

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Julie1014
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Date Joined Oct 2005
Total Posts : 1245
   Posted 5/4/2009 2:51 AM (GMT -7)   
Good morning, everyone!  about a month ago I was in a severe flare with vomiting, diarrhea, and extreme nausea.  I couldn't eat and could only tolerate liquids.  It's been a long road, but I am slowly getting better.
 
My Pred was increased, which I am sure contributes to the flare getting better, but my appetite is out of control!  Does anyone have any suggestions/tips on how to curb your appetite while on higher doses of Pred?  I could eat the house!  I'll also eat when I am bloated, and then I make myself even more uncomfortable. nono
 
Thank you for any suggestions!  Blessings, Julie :-)
Diagnosed with Crohn's March 2006, Fibromyalgia Nov. 2008, Anxiety Disorder since childhood
Asacol 3 times a day, Remicade 10mg/kg every 4 weeks, Prednisone 10 mg, Miralax,  Prevacid 30mg, Vit B12, Vitamin D, Slow-FE (Iron), Hydrocortisone enemas
Imuran stopped 9/8/08 (possible Pancreatitis)
Paxil 40mg daily (for Panic disorder)
Xanax .5mg three times a day, 1mg at bedtime (for anxiety attacks)
 
 
 
 
 


Dave D
Regular Member


Date Joined Aug 2005
Total Posts : 404
   Posted 5/4/2009 1:15 PM (GMT -7)   

On my last big flare I could eat everything in sight. Did and gained 60 POUNDS!

My only advice is lots of water and lots of exercise. The Pred will rob you of muscle as well as increase your appitite.

Dave D


Grandpa Dave is 70.
IBD since 1977
Perforation and resection 1993
Diagnosed as Ulcerative Colitis 1994
Received J-Pouch 1997
Diagnosed as Chron's 2004
Redo, resection, and remove camera capsule 2005
Unsucessfully tried LDN 2007
Contracted Scleritis of the Eye 2008
Four Grandkids
Older than dirt


Julie1014
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Date Joined Oct 2005
Total Posts : 1245
   Posted 5/4/2009 1:44 PM (GMT -7)   
Thanks, Dave! It's a viscious cycle, lol! I figured I wouldn't get many responses to this thread because most of us have been on Pred and don't know how to control their hunger either, lol! I guess I should be thankful that I'm not vomiting and am able to eat; however, my appetite is crazy! I will increase my water intake to see if that helps at all. It certainly can't hurt, and will be good for me. Blessings, Julie
Diagnosed with Crohn's March 2006, Fibromyalgia Nov. 2008, Anxiety Disorder since childhood
Asacol 3 times a day, Remicade 10mg/kg every 4 weeks, Prednisone 10 mg, Miralax,  Prevacid 30mg, Vit B12, Vitamin D, Slow-FE (Iron), Hydrocortisone enemas
Imuran stopped 9/8/08 (possible Pancreatitis)
Paxil 40mg daily (for Panic disorder)
Xanax .5mg three times a day, 1mg at bedtime (for anxiety attacks)
 
 
 
 
 


Zanne
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Date Joined Apr 2005
Total Posts : 3763
   Posted 5/4/2009 1:53 PM (GMT -7)   
I'm not much help. I've never had much success but you could try the fruit Popsicle. At least they are good for you, not so much fiber, and lower in sugar and calories than other treats. I tend to go for salty things which just makes things worse! If you can handle fiber then go for the traditional things that fill up all the dieters, salad veggie stuff and fruit. But I can't tolerate any of that, so I am stuck with starch and protein which really adds to the problem.
Suzanne

CD 20 years officially, 30 unofficially. 3 resections '93, '95 '97
Managing with strict low residue diet, keeping symptoms to a minimum. All test show small amount of ulceration, still have occasional blockages. But still have a great time with my 2 daughters and husband!


Prednisone, 6MP,Prevacid, B12 shots, Bentyl, Xifaxan.....


Nanners
Elite Member


Date Joined Apr 2005
Total Posts : 14995
   Posted 5/4/2009 1:53 PM (GMT -7)   
Julie honey if you figure that out, can you let me know:) I will eat so much when I Pred that I almost get sick because I am so full. That stuff is crazy, but it works....
Gail*Nanners* Co-Moderator for Anxiety/Panic Forum
Been living with Crohn's Disease for 33 years. Currently on Asacol, Prilosec, Estrace, Prinivil, Diltiazem, Percoset prn for pain, Zofran, Phenergan, Probiotics, and Calcium and Xanax as needed. Resections in 2002 and 2005. Also diagnosed with Fibromyalgia and Osteoarthritis and Anxiety. Currently my Crohns is in remission.
*Every tomorrow has two handles.  We can take hold of it by the handle of anxiety, or by the handle of faith"*

Julie1014
Veteran Member


Date Joined Oct 2005
Total Posts : 1245
   Posted 5/4/2009 2:58 PM (GMT -7)   
Suzanne, thank you so much for the suggestion. It is so funny to read your reply, because I just got home from the grocery store and bought fruit bars, lol!

Nanners, I am the same as you. I'll eat until I feel so full I'm about to explode! I guess I should feel thankful that the Pred is helping and is only temporary.....

Now, what to have for dinner.....LOL!!

Blessings, Julie
Diagnosed with Crohn's March 2006, Fibromyalgia Nov. 2008, Anxiety Disorder since childhood
Asacol 3 times a day, Remicade 10mg/kg every 4 weeks, Prednisone 10 mg, Miralax,  Prevacid 30mg, Vit B12, Vitamin D, Slow-FE (Iron), Hydrocortisone enemas
Imuran stopped 9/8/08 (possible Pancreatitis)
Paxil 40mg daily (for Panic disorder)
Xanax .5mg three times a day, 1mg at bedtime (for anxiety attacks)
 
 
 
 
 


FitzyK23
Veteran Member


Date Joined May 2005
Total Posts : 4219
   Posted 5/4/2009 9:28 PM (GMT -7)   
Eat things high in protein and fiber and you will feel full longer. My friend was on pred for asthma and was able to get prescribed an appetite supressant. I don't know if that was the drugs main purpose or if it was prescribed off label. I don't know if they would do that for crohns though. Also, when I was on prozac (not for depression, for pain) my appetite was very supressed. Maybe you could see about going on a low dose.
27 Year old married female law student (last year!!). Diagnosed w/ CD 4 years ago, IBS for over 10 years before that, which was probably the CD. I am sort of lactose intollerant too but can handle anything cultured and do well w/ lactose pills and lactaid. For crohns I am currently on Pentasa 4 pills/4x day and hysociamine prn. I also have bad acid reflux and have been on PPI's since age 13. I have been through prilosec, prevacid, and nexium. Currently I am on Protonix in the morning and Zantac at night.  I take xanax prn for situational anxiety (aka no easy bathroom access). 


pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20576
   Posted 5/4/2009 10:36 PM (GMT -7)   
Try and avoid as much salty foods (and added salt on your food) as possible, drink lots of water (or other healthy fluids, chamomile tea, ect) try not to eat junky or take-out (which is usually loaded with salt and sugar), exercise with cardio at least 30 minutes/day 3X/week (following these tips if you're a CDer that tends to have some overweight issues can also be a huge benefit) ans watch your carb intake, pastas that aren't whole wheat and same with breads (try and avoid white).

:)
My bum is broken....there's a big crack down the middle of it! LOL :)


ladybug0709
Regular Member


Date Joined Dec 2008
Total Posts : 60
   Posted 5/5/2009 4:21 AM (GMT -7)   

I like the fruit pop idea. As for 'salty' foods I like to get "popcorn' flavored rice cakes. They are easy to digest and only about 35 calories. So you can have 2 for a snack and only have 70 calories. Exercise is important - I suggest long walks. It takes up time where you cant be eating, burns calories and also helps you relax. (Being on pred always makes me very 'moody.' When I am on the pred I really try 'mind over matter' concerning the food/hunger. I take small bites, eat slowly and try to enjoy what I am eating so I feel somewhat satisfied. (Eating slow will also help with digestion.)

Good luck.


Becoming undone
Veteran Member


Date Joined Jul 2007
Total Posts : 927
   Posted 5/5/2009 8:52 AM (GMT -7)   
Wow...the million dollar question...if you figure it out you'd be Rich, Rich I tell you. shocked
Hmmm...I use the prednisone for me and work out...you don't feel as sore...you can work out longer and harder, just look at all those pro athletes...they take a course of prednisone after a serious injury and back out a day or two later?
Oh yeah...I do lots of protein...Peanuts (PB4...FresH & Easy has some decent nuts & other "healthier" kinda things...not sure if you have these in your area)...other nuts without too much salt...fish.
"The earth laughs in flowers"

Post Edited (Becoming undone) : 5/5/2009 1:17:55 PM (GMT-6)


isergodur
Veteran Member


Date Joined Jan 2009
Total Posts : 831
   Posted 5/5/2009 9:34 AM (GMT -7)   
I just vent with the flow and gained 40 pounds in 3 months hehe.

But next time I will just have a carrot to snack on where ever I go :P
Or something super healthy..

I had to eat 24/7 on pred otherwise my tummy would hurt so bad don't know what it is called in English but I got swollen and I had really bad heartburn :S
24 year old female
Diagnosed with Crohn's disease in December 2008..
Medication - Asacol, Remicade, Entocort, Cipralex and Cerazette.
My wonderful dogs :) ~ www.poodle.is ~


Jen77
Veteran Member


Date Joined Mar 2006
Total Posts : 2690
   Posted 5/5/2009 10:35 AM (GMT -7)   
Wish I had the answer for you. I tried to keep healthy snack foods around me, so that when I ate at least it wasn't bad for me. But the problem I found was that I was craving all those bad for me things! It was like I really didn't have much control over it. I gained 20 pounds unfortunately.

But I felt GREAT!! So even though I hated those 20 pounds, I wish I could feel like that every day. I felt like I did pre-Crohn's.


~Jennifer
 
Diagnosed with Crohn's Disease 2/06, and Health Anxiety/OCD 12/08 Taking Asacol, Questran, Toprol XL, and Lexapro.


FitzyK23
Veteran Member


Date Joined May 2005
Total Posts : 4219
   Posted 5/5/2009 12:42 PM (GMT -7)   
You could also go places where food isn't an option. If I study at home I eat eat eat. If I study at school I hit the vending machines. So I study at the public library. If I get hungry I have to go all the way home. By then I've usually lost the craving. Don't bring snacks to work and lock your wallet in the car. It is pure torture but the day I forgot my wallet I realized I could go a day without snacks lol.
27 Year old married female law student (last year!!). Diagnosed w/ CD 4 years ago, IBS for over 10 years before that, which was probably the CD. I am sort of lactose intollerant too but can handle anything cultured and do well w/ lactose pills and lactaid. For crohns I am currently on Pentasa 4 pills/4x day and hysociamine prn. I also have bad acid reflux and have been on PPI's since age 13. I have been through prilosec, prevacid, and nexium. Currently I am on Protonix in the morning and Zantac at night.  I take xanax prn for situational anxiety (aka no easy bathroom access). 


78SilvAnniv
Regular Member


Date Joined Apr 2008
Total Posts : 289
   Posted 5/5/2009 7:39 PM (GMT -7)   
I couldn't fight the Pred eating compulsion. It was crazy: eat a meal and 15min later I could eat *another* full meal, 20min later my body told me it was hungry *again*. When I was at 60mg of Pred, I gained 50# in about 3mo. It was awful, it really messed with my back and joints to carry that much weight. I wore scrub-pants (cheap, at $8-$10/pair) and I was so *hot* all the time, I didn't wear a coat whenever I was outside all winter.
I tried drinking water whenever I would feel hungry. It only worked minimally (as the 50# attests) for me.
heidi
I have the ability of single-minded determination and accurate project focu....Hey, look, a cat!
 
Crohn's and UC are pretty darn crappy, but if you can't laugh at yourself, you'll cry......I'd much rather laugh.
2001 Dx'd with UC.  No remission.  No improvement with Remicade.  5/2008 surgery, removal of 6" of left side colon.  Dx changed to Crohn's.  Remission for 8-9wks after surgery, symptoms returned after resuming 6MP.  Changed maintenance med to Methotrexate (MTX) and had great results with IM injections.  Nausea and symptoms returning with oral MTX.  Switched back to IM injections and am slowly improving.

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