Nausea AFTER liquid diet

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DarrylP
Regular Member


Date Joined May 2006
Total Posts : 214
   Posted 3/3/2010 5:57 AM (GMT -7)   
So a little background, havent been on here in a while.
 
Was Diagnosed with Crohns 4 years ago at 21 years old (was a VERY active, VERY healthy individual before Crohns out of the blue reared its ugly head, ate clean, worked out 5 days a week, was in impecable health, didnt smoke, didnt drink, blah, blah) and did the usual steroids regime first round, tapered and two months later it came back, did prednisone a second time, then tapered onto Imuran at 250mg/day, succesfully went into remission and had been in remission for approximately 2 1/2 years until a month ago had a flare, which hasnt gotten too bad yet (only going to the can maybe 3 times a day, but for the most part no pain and definitly no bleeding, so only in beginning stages), doctor had tapered me down to 175mg/day of imuran by this point but am now back to 225mg/day of Imuran.
 
I am going for both a colonoscopy and gastreoscopy (spelling? right name? the procedure where they stick a tube/camera down into your stomach) in a week and a half since my new GI wants to see what areas are being affected this time around.
 
So through lots of reading about flares i decided to on my own implement a liquids diet to try and give my intestines a bit of a rest and maybe slow down the process until i get the scope done to see what options i have to get things under control, i did a full blown liquids diet for 4 days, and despite feeling empty and hungry, felt much better by the 4th day, as obviously all the cramping, washroom urgency, random pains, had gone away....so i started onto a BRAT diet on day 5 and now, ever since i started back on solids i feel nauseas around the clock, especially when i wake up in the morning, been that way for 3 days now, today i thought i was going to have to stop the car on the way to work to throw up. Has anyone ever experienced this? I even took some Pepto Bismol this morning to try and calm the feeling down but no such luck at all. i am still on the brat diet and drinking lots of fluids, getting lots of sleep etc, but it wont go away.
 
As a side note, even when my Crohns was bad, i NEVER got nauseas, the only time i have ever thrown up in my life was from eating too much crap a couple times at parties and halloween as a kid, and once or twice when i got the flu or stomach flu, so this is concerning for me since i am not used to the feeling of being nauseas around the clock.
Hope someone else has experienced this and says it will go away and that its part of the diet change?
 


sickandlucky
Regular Member


Date Joined Oct 2009
Total Posts : 253
   Posted 3/3/2010 6:55 AM (GMT -7)   
I am one of the lucky ones who has nausea as a main symptom... I've gone on a liquid diet before and always found that it helped and haven't experienced significant increases in nausea upon stopping it so I'm not sure what this could be caused by for you. Could you have a stomach bug?
Maybe the nausea is a result of increasing the dosage of imuran, though I'm not sure that would make sense if you'd never experienced nausea before with the drug. I'm not very much help I'm sorry :(
I can offer some tips on dealing with the nausea though... natural source gravol is great! It's just ginger capsules. I take them alot and they always help me. So does peppermint/ginger tea.
Good luck I hope you're feeling better soon!
female 19, diagnosed crohns december 2008
entocort/pentasa previously, now prednisone(tapering) & 100 mg imuran, probiotics, calcium w/d3, biotin, folic acid, zinc, omega 3s, digestive enzymes & prenatal multivitamin


Nanners
Elite Member


Date Joined Apr 2005
Total Posts : 14995
   Posted 3/3/2010 7:12 AM (GMT -7)   
I agree it could be the increased Imuran causing your nausea, but it could also be a possible stricture or narrow area causing the nausea. At least thats what I have experienced in the past when I had some narrowing going on. I think your upcoming scopes should provide some answers for you. Do keep us posted. 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"*

WriterMum
Regular Member


Date Joined Apr 2009
Total Posts : 166
   Posted 3/3/2010 7:20 AM (GMT -7)   
Check with your doctor, but my GI told me that the BART diet isn't much good. The apple sauce especially is actually not so good for a sore digestive system. I personally find bananas hard to digest when I am flaring. The rice and toast are pretty nondescript, and they don't provide much in the way of nutrition either, unless it is brown rice. Do you feel the need to have something other than liquids to eat? Otherwise I would just stick to the Ensure or whatever you are drinking, until your tests.
45 years old. Diagnosed with moderate to severe Crohn's in April 2005. Hiatus hernia diagnosed in 2008. Had Crohn's under control until March last year when I had a major flare up and ended up in hospital. Diagnosis is now CD and IBS. Getting it under control again.
Currently taking: Salofalk 2000 mg, Nexium, Calcium and Vitamin D, Matamucil, Yogurt for probiotics, Salofalk suppositories as needed.


DarrylP
Regular Member


Date Joined May 2006
Total Posts : 214
   Posted 3/3/2010 7:57 AM (GMT -7)   
Too be honest i had a hard time with the liquid diet. I am used to eating a 3000-4000 calorie/day diet, which is obviously VERY hard to keep up on liquids (if i was drinking Ensure Plus i would need to drink at least 9 bottles a day to make even 3000 calories). I have been on Imuran for a long time now, even on an empty stomach i have never experience any nausea, so i find that to be low on the list of causes for the nausea, especially since i was already at the 225mg/day WELL before i tried the liquid diet out, and the nausea only started when i came off the diet.

I will say the liquid diet was quite a horrible experience as far as hunger goes, i felt at times like i hadnt eaten in days as far as my stomach was concerned. Anywyas, i might try out some form of Gravol as suggested, maybe if i hid the nausea for a day or two it will go away on its own, or so i hope.


 


onedaymore
Regular Member


Date Joined Apr 2009
Total Posts : 111
   Posted 3/3/2010 8:06 AM (GMT -7)   
sickandlucky said...
I am one of the lucky ones who has nausea as a main symptom...


Me too! And my moron of a GI insists that it's "impossible" to have nausea with Crohn's. *eyeroll*

As those before me have said, Imuran can cause nausea. So can strictures, other medications, and gastroparesis. You might want to call your GI or PCP to see if they might have any insight.
Diagnosed with Crohn's in 2008 at the age of 22.
Currently on: Remicade, Imuran, Pentasa, Zofran, Tramadol, Welchol, Phenergan, Ambien, Metoclopramide, Omeprazole, Hyoscyamine


Writer
Regular Member


Date Joined Aug 2006
Total Posts : 443
   Posted 3/3/2010 8:46 AM (GMT -7)   
If, when you were on the liquid diet, you weren't getting the 3000 to 4000 calories per day you normally eat, it's not surprising you were hungry. You really do have to replace your full calorie needs with the liquids. Some people with high calorie requirements who don't like having to drink so many bottles of formula use tube feeding at night to cut down on the amount needed during the day. I wonder if the nausea now is from reflux as your stomach not only has been used to liquids only for the last few days, but also hasn't had enough in it (since you weren't getting enough calories). Now you may have an adjustment period as it learns to cope with solids and adequate nutrition again.

DarrylP
Regular Member


Date Joined May 2006
Total Posts : 214
   Posted 3/3/2010 9:50 AM (GMT -7)   
Writer said...
If, when you were on the liquid diet, you weren't getting the 3000 to 4000 calories per day you normally eat, it's not surprising you were hungry. You really do have to replace your full calorie needs with the liquids. Some people with high calorie requirements who don't like having to drink so many bottles of formula use tube feeding at night to cut down on the amount needed during the day. I wonder if the nausea now is from reflux as your stomach not only has been used to liquids only for the last few days, but also hasn't had enough in it (since you weren't getting enough calories). Now you may have an adjustment period as it learns to cope with solids and adequate nutrition again.
That could be the case.....and if it is, maybe i will just eat like a pig tonight and stretch it back out LOL. Although i will just pay the consequence for that later. I do notice that its worst in the morning when i wake up on an empty stomach, and doesnt bother me as much in the day (in the day i just have that "off" feeling in my stomach as opposed to actual "i want to throw up" nausea). I started doing the whole water diet yesterday as well in the hopes of flushing the system a bit. I read a couple of different articles where they suggest you take your weight in lbs, divide it by half and drink that many oz's of water, so for me thats 120oz of water or 3.5 litres. This isnt really that big of a deal for me though, when i am heavy in the gym i drink usually 3 litres of water through the day, so i should be able to achieve it.
 
I think after being in remission for so long i have become a little desperate to try any means to settle things down without having to go back on prednisone. My DEXA scan i got done scared me a bit and has me not wanting to touch the stuff ever again.
 
My doctor should have my blood tests today so i should for the first time in a LONG time get to see what my WBC is like.
 

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