endoscope today- more news, and confused

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christinakm
Regular Member


Date Joined Aug 2009
Total Posts : 23
   Posted 10/7/2009 1:49 PM (GMT -7)   
So, we go to the doctor today for the endoscope- he told my husband to stay on the omeprazle becauuse of his high acid content.
 
He is "hesitant"to call my husba'nds condition crohn's because hethinks it is IBS-
the pahtology report said that he had profuse peyers patches (what the heck are those anyways) and the differential diagnosis is crohn's colitis along with medicne induced colitis- i'm thinking that was from the osmo prep.
 
THey also told my husband that he is not making any pancreatic enzymes- so they want him to take something called creon 10. Can't he just take a digestive enzyme instead of going right for the big stuff?  He's supposed to take 2 at each meal and one at every snack-
he has too much fat in his bowels- which is obviously why he is so tired and lost more weight, because he's noteven breaking down his food.
He also had a moderate case of diverticulosis.....
 
This doctor is not big on any "natural"anything- but from w hat i've read
he should be on a good multi vitamin
probiotics
fish oil (omega fatty acids)
calcium/magnesium
digestive enzyme-
 
I'm not a doctor, but I think that it cant hurt to try these things, first.. before we go right for the creon 10- which is full of other stuff that i'd rather not go down that trail if we don't have to, right now.
 
I need a few opinions from been there/done that people.

Sunaddict
Regular Member


Date Joined Jun 2009
Total Posts : 354
   Posted 10/7/2009 7:36 PM (GMT -7)   
I strongly suggest you and your husband get a second opinion,I've learned the hard way if you feel unformertable with what the doctor is saying you may be right and it is time to see someone else.
I've seen 3 different docs in the 6 and half years of knowing I had crohn's. Each one has told me something different. One said I only had cronh's in the small bowel. Another said I had in the small, colon and stomach with ulcer's. The newer doc says there is no crohn's showing on the scope... I think it is time for another opinion myself!
Tracy from Montreal,Diagnosed with CD at age 18 but went undiagnosed for 10 years. 17 years with CD, Remicade for 1 year 4 months. Caused remi induced RA, crippled for 8 months
on humira, working for RA but CD is getting worse everyday,been on humira only 4 weeks
Pantasa 8 tabs a day
Provacede 1 daily for the ulcer's
Imuran 1 and half tabs (50mg)
Previous meds: Pantoloc, Predizone, tapered down from 10 pills 8 different times.(horrible side effects),Lots more,list is way to long.
Unable to work last 2 years and counting.Scope says I'm clear of CD,waiting for biopsie. May have Endometrioses, again waiting for another apt.


pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20576
   Posted 10/7/2009 7:55 PM (GMT -7)   
I second what RA&CD says and I also agree that naturals can be very beneficial, top 3 that have helped me is probiotics, bee propolis (avoid if you're allergic to bees) and fibre supplements...you'll see in my sig I use others and I've also altered my diet, it takes more than just one route to find a way to feel better, it's often a combination of things (which is why I exercise regularly as well), but keep in mind everyone's combination slightly differs since it's a very individualistic disease.

:)
bee propolis caps 500mg one cap twice/day
omegas 369 caps one cap twice/day
probiotics 10 billion cfu once/day
vitamins C-calcium ascorbate (easy on the gut) and vitamin A each once/day
Prodiem fibre supplement one cap before bed
I've also altered my diet (no junky stuff at all, processed, fast-foods, refined sugars, ect) and exercise regularly.
I went from 30+ bloody BM's/day with lots of lower back pain to an average of 5/day no bleeding no back pain and completely formed stools, still have severe urgency issues.
~~~~~~~~My bum is broken....there's a big crack down the middle of it! LOL :)~~~~~~~~


Writer
Regular Member


Date Joined Aug 2006
Total Posts : 443
   Posted 10/8/2009 8:34 AM (GMT -7)   
Creon 10 IS digestive enzymes. It is a combination of three digestive enzymes (typically produced in the pancreas for delivery to the small intestine) that your husband apparently isn't making on his own. The three digestive enzymes it contains are lipase (used to digest fats), protease (use to digest proteins), and amylase (used to digest starches). The body normally makes these on its own.

Keeper
Veteran Member


Date Joined Jun 2008
Total Posts : 1058
   Posted 10/8/2009 10:02 PM (GMT -7)   
He needs to be getting the oil soluble vitamins because he won't have been absorbing them due to the undigested fats. That's vitamins A,D and K. I don't know how a doctor can skip over such an obvious observation - it's as if there is an off switch on any connection between dietary influences and their specialty. Which is pretty weird when they are GI doctors. Anyway, multivitamins usually have adequate vitamin A and your diet provides a lot of carotene usually, so that is less urgent. The vitamin D requirement depends on where you live and how much sun exposure he has been getting. Normally, people with Crohn's are vitamin D deficient and a supplement should provide 2000 IU to 4000 IU per day. Vitamin K should be taken at about 1 mg per day.

The pancreatic insufficiency is the probable cause of his GERDs. When his small intestine does not digest fats, sensors in the SI slow down peristalsis and that causes the stomach to empty slowly. The normal stomach contractions don't pass digested food into the SI, so it is squeezed up into the esophagus. The use of pancreatic enzymes should reduce the GERDs.

CrohnieToo
Veteran Member


Date Joined May 2003
Total Posts : 9448
   Posted 10/9/2009 9:11 AM (GMT -7)   
Peyer's patches = an aggregation of lymph nodules found chiefly in the ileum near its junction with the colon. They lie in the mucosal and submucosal layers and always occur on the side of the intestine opposite to the attachment of the mesentery.
 
So what's his problem w/a Crohn's disease Dx? Anyone ever tell him in gastro school that IBS doesn't cause ulcerations? and that UC only affects the mucosal surface of the colon and not the subsequent layers?


Some people are like Slinkies... Not really good for anything, but they still bring a smile to your face when you push them down a flight of stairs.

Post Edited (CrohnieToo) : 10/9/2009 10:15:04 AM (GMT-6)


LMills
Veteran Member


Date Joined Apr 2008
Total Posts : 1753
   Posted 10/9/2009 11:52 AM (GMT -7)   
I just thought I would chime in and reiterate: Get a second opinion!
Diagnosed with Crohn's in May of 2008.
Currently taking: Prednisone, pentasa, omeprazole, and humira. Using probiotics and a multivitamin.
bonniegriffith.blogspot.com/
Learning how to live again.
"He who has a why to live for can bear with almost any how."

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