Stress, Flare Ups and Anxiety Medication

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LondonRed
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Date Joined Oct 2007
Total Posts : 1184
   Posted 12/22/2009 2:57 AM (GMT -7)   
It is absolutely crazy how any amount of stress leades me to have mild or moderate flare ups. Does anyone else have the same problem?
 
A 42 year old friend of mine died of Bowel Cancer this week and I have been worried about Bowel Cancer ever since what with me having IBD.
 
Does anyone else have an onset of the disease when stressed out? And due to this, does anyone think that IBD may be kept at bay with Anxiety Medication?

Diagnosis Oct 07: Mild Crohn's Colitis. By the grace of God currently in remission. Current Medication: 1000mg Pentasa Tablets x 2 a day. VSL#3. Manuka Honey.


Nanners
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Date Joined Apr 2005
Total Posts : 14995
   Posted 12/22/2009 7:15 AM (GMT -7)   
Hey London,

My condolences for your friend. I have had this dd for almost 35 years now. about 2 years ago I finally figured out that stress and anxiety was causing me these mini flares. They weren't actually real flares, just the anxiety caused flare like symptoms (i.e. nausea, diarrhea). But now I take 25 mg. of Xanax as needed when my anxiety wants to take over. I use it at the first hint of anxiety and I am now able to stop the anxiety and flare like symptoms in there tracks, just by taking my Xanax. I only use it now maybe 1-3 months. Hope that helps.

Hugs
Gail*Nanners*
Gail*Nanners* Co-Moderator for Crohns Disease & Anxiety/Panic
Crohn's Disease for over 34 years. Currently on Asacol, Prilosec, Estrace, Prinivil, Diltiazem, Percoset prn for pain, Zofran, Phenergan, Probiotics, Calcium, Vit D, and Xanax prn. Resections in 2002 & 2005. Also diagnosed w/ Fibromyalgia, Osteoarthritis, & Anxiety. Currently my Crohns is in remission, but my joints are going crazy!
*Every tomorrow has two handles.  We can take hold of it by the handle of anxiety, or by the handle of faith"*

LondonRed
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Date Joined Oct 2007
Total Posts : 1184
   Posted 12/22/2009 7:32 AM (GMT -7)   
Hey Gail how are you? You are so kind to me thanks.

I also bleed if I have an anxiety attack or eat something very bad for me like chillies. For the last two times I have been able to get it under control with extra meds or is that the placebo effect? I am not sure if its the small internal hemmies I have or if it is the Chrohns Colitis. The key issue is that I seem to bleed at the end of bowel movements often after I have gone a few times, when I am straining and its bright red blood.

I definitely need to have something on hand I can take when I get really anxious rather than a regular anxiety med because doctors don't think I need anxiety meds.

The issues I have is addiction/reliance on the meds and the insurance/labelling issues around being on depression medication!

The doc has upped my meds to an enema which I am happy taking given that its only Mesalazine but maybe I am missing something? Maybe a mild anxiety med is the answer?

Diagnosis Oct 07: Mild Crohn's Colitis. By the grace of God currently in remission. Current Medication: 1000mg Pentasa Tablets x 2 a day. VSL#3. Manuka Honey.


Nanners
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Date Joined Apr 2005
Total Posts : 14995
   Posted 12/22/2009 9:14 AM (GMT -7)   
I get the same bleeding you are describing. It is caused by internal hemmoroids after I have had alot of stools in a short period of time. Which usually occurs because of stress or eating something I shouldn't. Much like your chili's?????

I only use the Xanax as needed. As I said I only use it one to three times a month at most. By the way Xanax is very mild, in fact I take the lowest dosage available. But it stops the diarrhea, and nausea I got when anxious. Good luck!
Gail*Nanners* Co-Moderator for Crohns Disease & Anxiety/Panic
Crohn's Disease for over 34 years. Currently on Asacol, Prilosec, Estrace, Prinivil, Diltiazem, Percoset prn for pain, Zofran, Phenergan, Probiotics, Calcium, Vit D, and Xanax prn. Resections in 2002 & 2005. Also diagnosed w/ Fibromyalgia, Osteoarthritis, & Anxiety. Currently my Crohns is in remission, but my joints are going crazy!
*Every tomorrow has two handles.  We can take hold of it by the handle of anxiety, or by the handle of faith"*

LondonRed
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Date Joined Oct 2007
Total Posts : 1184
   Posted 12/22/2009 9:23 AM (GMT -7)   
BUT how come the bleeding has gone away in the past with Foam Enema or was it just a coincidence? I also have confirmed Chrohns Colitis even though the biopsies were not totally conclusive.

How do I tell if it is Hemmies or Inflammation? And what you describe is exactly what happens to me. Bleeding when I go too many times in a short period of time due to anxiety, IBS, a 'bad' food or whatever.

I feel well except for the stress/anxiety of it all which makes the stools worse!

Diagnosis Oct 07: Mild Crohn's Colitis. By the grace of God currently in remission. Current Medication: 1000mg Pentasa Tablets x 2 a day. VSL#3. Manuka Honey.


Nanners
Elite Member


Date Joined Apr 2005
Total Posts : 14995
   Posted 12/22/2009 9:59 AM (GMT -7)   
I personally think its a coincedence. I am telling you I think its just irritation from going so much and wiping so much. I am currently in remission, but in times of stress or eating the wrong thing it will do it to me every single time. I have learned to recognize "that" kind of stress and stop it in its tracks with the help of my Xanax. When I have eaten the wrong thing, Librax, which is another med much like Bentyl, works really well for me. This med also has a built in anti anxiety med in it. Maybe ask your doc for a rx for Librax. May kill two birds with one stone for you. Its an IBS drug, and works well for those bad days. If you are concerned with a inflammation, I would suggest a repeat c-scope. But I think you are getting IBS attacks, much like I do. Good luck!
Gail*Nanners* Co-Moderator for Crohns Disease & Anxiety/Panic
Crohn's Disease for over 34 years. Currently on Asacol, Prilosec, Estrace, Prinivil, Diltiazem, Percoset prn for pain, Zofran, Phenergan, Probiotics, Calcium, Vit D, and Xanax prn. Resections in 2002 & 2005. Also diagnosed w/ Fibromyalgia, Osteoarthritis, & Anxiety. Currently my Crohns is in remission, but my joints are going crazy!
*Every tomorrow has two handles.  We can take hold of it by the handle of anxiety, or by the handle of faith"*

LMills
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Date Joined Apr 2008
Total Posts : 1753
   Posted 12/22/2009 10:34 AM (GMT -7)   
I'm going to have to second what Nanners has said about Xanax. I was given a small dose for stress when I was traveling, and it really helps. I notice it helps in calming a lot of other problems down as well, and the only real side effect is falling asleep. Always nice at the end of a long day!
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."


LondonRed
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Date Joined Oct 2007
Total Posts : 1184
   Posted 12/22/2009 1:46 PM (GMT -7)   
I am a weird case, they keep saying that my biopsies are inconclusive. Usually I bleed after scopes, once I had no bleeding, and then was scoped and then kept bleeding until I was inflamed.
 
Twice I have been diagnosed buy two different GI's with Hemmies and IBS.
Then one of them diagnosed Chrohn's Colitis.
Then my main GI diagnosed Non Specific Colitis.
 
Basically what they see (mild patchy inflammation) doesn't match then near normal biopsies and normal blood tests.
 
Then they look at my symptoms, blood in stools, increaed Bowel Movements (caused by anxiety) and there is my Chrohns. Once on a capsule endoscopy they saw the mild inflammation on the right side but I had ZERO symptoms. So it is all very confusing.
 
I have accepted I have Chrohn's though due to the scopes and the blood from time to time... this Librax looks like a miracle drug, it wuld kill so many birds with one stone - anxiety, IBS and stomach cramps. (I suffer from Duedonal Ulcers too!)

Diagnosis Oct 07: Mild Crohn's Colitis. By the grace of God currently in remission. Current Medication: 1000mg Pentasa Tablets x 2 a day. VSL#3. Manuka Honey.


LondonRed
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Date Joined Oct 2007
Total Posts : 1184
   Posted 12/22/2009 2:08 PM (GMT -7)   
Forgot that my GI who is at the best Gastro Intestinal Hospital in Europe - St Marks http://www.stmarkshospital.org.uk/ says that there can be inflammation and no UC/Chrohns or Mild UC/Chrohns that do not need meds. He said 20% of people have mild inflammation in colon without symptons so never get scoped. It was interesting... the reason us UBDer's have the diagnosis is because of the Diarrhoea, Blood and other symptons... although some of those can also be explained by Hemmies and IBS.
 
So if you have inflammation and no symptoms you will never get diagnosis as you are well and you wouldn't go to the doctors. However, if you then go to the doctors with bleeding and you have Hemmoroids and IBS - you will get a UC or Chrohn's diagnosis because of the symptomless inflammation showing on the scope.
 
Now you might ask "why does the blood go away" after meds like 5ASA and Pred and that I can't answer except to say that bleeding Hemmies can often go away on their own and the meds are a coincidence? I don't know.
 
Just something to talk about I guess.


Diagnosis Oct 07: Mild Crohn's Colitis. By the grace of God currently in remission. Current Medication: 1000mg Pentasa Tablets x 2 a day. VSL#3. Manuka Honey.

Post Edited (LondonRed) : 12/22/2009 2:15:29 PM (GMT-7)


pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20576
   Posted 12/22/2009 4:29 PM (GMT -7)   
According to researchers (in Canada) there is an association to intestinal bacteri, mood and increased sensitivity to colitis...studies done in mouse models of IBD show that depression can reactivate IBD that is in remission, and that antidepressant treatment that results in normal behavior has a beneficial effect on bowel inflammation. They believe that depression can cause changes in the intestinal flora (gut microbiota). There are a number of things that point to evidence to support a relationship between depression and gut flora...researchers believe that changes in brain function can alter the gut flora and that this in turn can make the intestines more sensitive to inflammation. Based on their speculations, they believe it's possible that control of IBD could be achieved by normalizing the intestinal flora, which might be achieved by the use of dietary manipulation, and/or antibiotics and/or use of probiotics.

:)

FunGuy
Veteran Member


Date Joined Oct 2009
Total Posts : 1070
   Posted 12/22/2009 8:14 PM (GMT -7)   
I notice that when I am really stressed my Crohn's seems to take a vacation. Like yesterday was the toughest day of the year at work and I did not use the toilet, after a couple of times in the morning. What I suspected though was that after a period of time under stress that it will hit me then. Like when one of the kids gets in trouble. Maybe a few days later it will hit me. I can't be specific on the time frame but bottom line is sometimes I get so hyper and focused on my work I forget to be sick. It remains to be seen if my blue dye will keep the disease at bay after my Xmas rush is over,
I use FD&C Blue dye number 1 and it really seems to help me.  There is SCIENCE behind this.  Just ask me and I will explain it to you.  U/C and Crohn's for 34 years.  Blue dye for two months and I am feeling pretty good!  I am so excited by this but I need others to try it with their doctor's permission.  Simple food coloring!!  BLUE1.  
Your doctor will know nothing about this being for Crohn's, it is my observation.  Question is is it safe for you. I can't make money on this, it's already in your kitchen.  I just want to help.
I do 2 drops in 6 ounces of water when I get up, 2 or 3 drops in 16 or 20 ounces of water that I sip all day and then 2 drops in 6 ounces of water at bedtime.   Max of 7 drops a day.  Give it about ten days.  I am NOT a healthcare professional.   Ask your doctor if this is safe for you.  Same Blue dye that is in Gatorade etc.


LMills
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Date Joined Apr 2008
Total Posts : 1753
   Posted 12/22/2009 11:06 PM (GMT -7)   
I second what funguy said. I'll get really stressed out, for example, and have one of those days where you just have to cry. Things are calm for a little while around that period of time, but they're a lot worse afterward. Doing things that you enjoy or eating mild comfort food does help as well though if you don't have any medication to take for it.
Diagnosed with Crohn's in May of 2008.
Currently taking for Crohn's: Pentasa, omeprazole, Loestrin birth control, and Align probiotics.
Also taking Elmiron and RE Methylphen for Interstitial Cystitis.
bonniegriffith.blogspot.com/
"He who has a why to live for can bear with almost any how."


LondonRed
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Date Joined Oct 2007
Total Posts : 1184
   Posted 12/23/2009 12:51 AM (GMT -7)   
My bleeding (God willing) seems to have subsided since I started on the suppositories and started using one Imodium (Loperomide) a day to stop going to the loo all the time. This will obviously stop the irritation should it be piles. I am mildly constipated, the stools are very formed but small - maybe this episode was down to stress, IBS and Piles? The acid test will be when I stop Imodium and see what that does, I certainly should try some Husk to get my stools bulked up.

I think I am going to continue with the suppositories and hold off the Salofalk unless it gets worse. The suppositories, the Imodium and double dose VSL#3 seems to help me a lot.

I really do want to try Librax for these episodes though.

Diagnosis Oct 07: Mild Crohn's Colitis. By the grace of God currently in remission. Current Medication: 1000mg Pentasa Tablets x 2 a day. VSL#3. Manuka Honey.


Nanners
Elite Member


Date Joined Apr 2005
Total Posts : 14995
   Posted 12/23/2009 7:06 AM (GMT -7)   
London you should ask your doc about the Librax. I really like it alot. It stops the cramps and d and I feel so much better in no time.  By the way I saw the response you got on the UC board, and I want you to know that everyone is different.  Maybe this med didn't work for one person, but I am telling you it worked great for me.  I think you should give it a try, and see for yourself.  Hugs!


Gail*Nanners* Co-Moderator for Crohns Disease & Anxiety/Panic
Crohn's Disease for over 34 years. Currently on Asacol, Prilosec, Estrace, Prinivil, Diltiazem, Percoset prn for pain, Zofran, Phenergan, Probiotics, Calcium, Vit D, and Xanax prn. Resections in 2002 & 2005. Also diagnosed w/ Fibromyalgia, Osteoarthritis, & Anxiety. Currently my Crohns is in remission, but my joints are going crazy!
*Every tomorrow has two handles.  We can take hold of it by the handle of anxiety, or by the handle of faith"*
*~* http://www.healingwell.com/donate *~*

Post Edited (Nanners) : 12/23/2009 7:34:28 AM (GMT-7)


LondonRed
Veteran Member


Date Joined Oct 2007
Total Posts : 1184
   Posted 12/23/2009 8:11 AM (GMT -7)   
I have had a response back from my doctor and he said he can't find it on the list of Medications on his computer? I am in the United Kingdom, do you know the name for it in the UK or the real name for it? It is a combination of two drugs I think. One helps anxiety and one helps the bowels - sounds perfect doesn't it?

It must be available here in some form, who manufactures it?

Diagnosis Oct 07: Mild Crohn's Colitis. By the grace of God currently in remission. Current Medication: 1000mg Pentasa Tablets x 2 a day. VSL#3. Manuka Honey.


Nanners
Elite Member


Date Joined Apr 2005
Total Posts : 14995
   Posted 12/23/2009 8:32 AM (GMT -7)   
GENERIC NAME: chlordiazepoxide hydrochloride and clidinium bromide. BRAND NAME: Librax.

Sorry not sure who the maker is.

Hugs
Gail*Nanners*
Gail*Nanners* Co-Moderator for Crohns Disease & Anxiety/Panic
Crohn's Disease for over 34 years. Currently on Asacol, Prilosec, Estrace, Prinivil, Diltiazem, Percoset prn for pain, Zofran, Phenergan, Probiotics, Calcium, Vit D, and Xanax prn. Resections in 2002 & 2005. Also diagnosed w/ Fibromyalgia, Osteoarthritis, & Anxiety. Currently my Crohns is in remission, but my joints are going crazy!
*Every tomorrow has two handles.  We can take hold of it by the handle of anxiety, or by the handle of faith"*

LondonRed
Veteran Member


Date Joined Oct 2007
Total Posts : 1184
   Posted 12/23/2009 1:52 PM (GMT -7)   
It's Roche and their UK headoffice is 8 miles from my home. I have emailed them, thanks.

Diagnosis Oct 07: Mild Crohn's Colitis. By the grace of God currently in remission. Current Medication: 1000mg Pentasa Tablets x 2 a day. VSL#3. Manuka Honey.


FunGuy
Veteran Member


Date Joined Oct 2009
Total Posts : 1070
   Posted 12/24/2009 8:58 PM (GMT -7)   
Hey Red. Consider taking half imodiums instead of whole ones. That is what I sometimes do to prevent the rebound or constipation.


jeanneac
Veteran Member


Date Joined Feb 2009
Total Posts : 1812
   Posted 12/27/2009 3:51 PM (GMT -7)   
I had to go back on zoloft because it is the only med that keeps me from flaring when I get overworked/anxious/tired. I don't know why it works this way for me, but it seems to smooth things out for my colon. Perhaps a positive side effect-:)
diagnosed 1/09 with "diverticular colitis" ?? location: sigmoid colon
localized scleroderma & IBS, low thyroid,claritin, advair, singulair, lisinopril, progesterone, colazal, fish oil, synthroid, zoloft, wellbutrin, VSL#3 probiotic, Vit. D
Blood test positive for Crohn's via prometheus ibd serology panel
 

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