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LondonRed
Veteran Member


Date Joined Oct 2007
Total Posts : 1184
   Posted 12/29/2009 2:09 PM (GMT -7)   
Can anyone try and piece this together for me?
 
11 days ago I had blood on the tissue after a period of anxiety and a loose bowel movement which I put down to piles or a mini flare. I was prescribed Pentasa Foam Enema but as  the bleeding had stopped immediately I decided not to take the foam but to use suppositories in addition to upping my Pentasa to 4.5 grams a day.
 
I still can't seem to recover from this and I have had 10 days normal to loose stools no matter what I eat or try. During that time I took Imodium but it gave me constipation and small stools so stopped it last week.
 
Now these past two days the stools have got even looser with the BM I just had showing diarrhoea.
 
I cannot put my finger on what's wrong.
 
I have two bowel movements a day with no urgency, I don't feel unwell or anything even though I am mildly conscious of this which is making my IBS worse...I don't seem to have any mucous or anything, just loose stools/diarrhoea.
 
My question is:
 
1. When should I start the Foam Enema?
2. Should I take Imodium?
3. Should I up the fibre intake?
4. What is the best solution for diarrhoea only?
 
I am mindful that this might be the beginning of a flare up and I want to ensure I can stop it before it goes any further. The thing with upping the meds and adding foam etc is that Mesalzine can often cause Diarrhoea if taken too much?
 
Many thanks for your help.

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.


ivy6
Elite Member


Date Joined Sep 2005
Total Posts : 10404
   Posted 12/29/2009 2:40 PM (GMT -7)   
Can you ring your doctor? Maybe a short pred burst would do the trick?
Co-Moderator Crohn's Forum.

Medications for Crohn's ~~ Diet and Nutritional Therapy for Crohn's ~~ Dealing with Abscesses and Fistulae ~~


LondonRed
Veteran Member


Date Joined Oct 2007
Total Posts : 1184
   Posted 12/29/2009 2:42 PM (GMT -7)   
Pred? I've never been on steroids before, both my flares were controlled by Asacol and then Asacol Foam Enema. I am wondering if I should start the foam again. I am also wondering if it is a flare or a tummy bug thats lasted a couple of weeks.

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.


ivy6
Elite Member


Date Joined Sep 2005
Total Posts : 10404
   Posted 12/29/2009 2:45 PM (GMT -7)   
Yeah, I'm wondering that too, which is why I suspect it might be a good idea to hold off on the Imodium until you know exactly what's going on.

If you talk to your doctor, you might be able to have a blood test and stool examination (or whatever) done to make sure you're dealing with infection and not a Crohn's flare. If it is an infection, then I doubt the foam will make any difference.

I do wonder about the blood, though...

If you can't find your dr, what if you try the foam for a few days, and see if that makes a difference?
Co-Moderator Crohn's Forum.

Medications for Crohn's ~~ Diet and Nutritional Therapy for Crohn's ~~ Dealing with Abscesses and Fistulae ~~


LondonRed
Veteran Member


Date Joined Oct 2007
Total Posts : 1184
   Posted 12/29/2009 2:49 PM (GMT -7)   
I don't have any blood and haven't done so for 10 days God willing. I have just taken an Imodium and some Fibreto try and bulk up the stools.

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
Veteran Member


Date Joined Oct 2007
Total Posts : 1184
   Posted 12/30/2009 2:16 AM (GMT -7)   
I am going to be pragmatic and get a blood test done and have my stool samples checked before I go on the foam. It could be a virus or an infection. I hope it isn't anything too sinister God willing.

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.


snohare
Veteran Member


Date Joined Oct 2004
Total Posts : 2088
   Posted 12/30/2009 7:05 AM (GMT -7)   
This is par for the course with my mini-flares. Some slight increase in frequency usually, but the main difference is what number I am on the Bristol Stool Scale (I'm not kidding here, there is such a gauge ! yeah ) and I start getting blood on the toilet paper. Sometimes it can be enough to turn the water red in the toilet bowl, and the other day I had what simply looked like fresh chicken liver on the toilet paper, which looks really alarming - but bear in mind, bright red is good here, dark red/black/"coffee grounds" are bad, despite what instinct says.
I have had this so often, in this pattern, and always in conjunction with Crohns symptoms, that I no longer worry about coincidental infections. If I had been in hospital, having surgery maybe, I might be concerned about C. difficile.
I find in fact that any kind of "stomach bug" that is going around misses me out, even when all my relatives and friends are going down with it one by one.
The way I see it, the enhanced immune response that Crohns triggers, if not competition with the Crohns pathogen, is enough to wipe out any normal, mild opportunistic gut infection. Imagine a couple of street punks trying to cause problems in a Mafia restaurant.... nono skull shocked shakehead cry devil tongue

Nanners
Elite Member


Date Joined Apr 2005
Total Posts : 14995
   Posted 12/30/2009 7:10 AM (GMT -7)   
If you are only having 2 bm's a day, I wouldn't call that a flare. More than likely its something in your diet or stress. But I am in remission and I have 1-3 stools a day, that really isn't something to be concerned with. I personally think your anxiety is causing all your problems. JMHO
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 12/30/2009 3:57 PM (GMT -7)   
Thanks Gail. It probably has been made worse by my anxiety. We shall soon find out from the blood test and stool samples. I normally go twice a day anyway, but my stools have changed, they are smaller, less formed and often diarrhoea which is very strange. I don't really get diarrhoea even when I am flaring.

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
Veteran Member


Date Joined Oct 2007
Total Posts : 1184
   Posted 12/31/2009 2:49 AM (GMT -7)   
Just had my blood tests back - all normal including inflammotory markers according to the Doctor Surgery.
Now waiting for the stool sample.

So I have mild diarrhoea/soft stool - going two or three times a day which isn't normal for me. No blood.

I am freaked by this.

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 12/31/2009 7:09 AM (GMT -7)   
I am telling you 2-3 times a day is nothing. Even healthy people can go that many times a day. I really think you are just freaking yourself out, and its causing the increase in stools. Thats exactly what happens to me when I am anxious. Thats when I take the Librax I told you about, and it stops it without constipating me. 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"*
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