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Jamci
Regular Member


Date Joined Nov 2009
Total Posts : 27
   Posted 3/11/2010 7:47 AM (GMT -7)   
Long story short.....I had a colonoscopy in Oct 09 after 6 months of pain.....3 on scale of 10. Dr. said very small ulcers in terminal ilieum. Labs reports: ileal ulcers - no diagnostic abnormality recognized, Colon biopsy - multiple fragments of colonic mucosa, some appearing normal and some with mucosal hyperplastic changes ???don't know what that means???

Anyway the doctor is treating me as having crohn's disease with Apriso. I also have a hiatal hernia which causes gerd so I'm taking Protonix.

I was feeling no pain for about a month and now back to pain, but also not having regular bowel movements. Things were usually solid once in the morning but now loose but not watery and with undigested food and not regular about once every two days and I also had to take a laxative after 4 days of nothing. I'm also having acid reflux even though taking the protonix.

I'm assuming that the protonix might be causing the food to be not broken down in the stomach and maybe sitting in the small intestine too long? But my pain in right side is worse than normal 5 on scale of 10.

Could I have a partial blockage? There's not alot to my bowel movement and kind of loose.

What if I stopped the protonix to help my food digest better? I seem to be having acid reflux anyway. Maybe from food sitting in my stomach too long.

What does the lab report mean? My doctor doesn't give me any clear answers....I don't think he knows exactly what's wrong yet....I'm seeking another doctor.....current one has too many patients and always seems in a hurry. Usually about 20 people in the waiting room when I go for an appointment.
Daily Multi Vitamin, B Complex, B12 sublingual, Probiotics, Fish Oil, Protonix (GERD), Wellbutrin (Anxiety). Apriso (Crohn's), Trilipix (cholesterol), Welchol (cholesterol), Cardizem (blood pressure)


NiceCupOfTea
Veteran Member


Date Joined Jan 2010
Total Posts : 8566
   Posted 3/11/2010 11:34 AM (GMT -7)   
The mucosa is the inner lining of the GI tract, lungs, mouth, etc. Hyperplastic refers to the abnormal proliferation of normal cells within an organ or tissue. But don't think cancer! It relates to hyperplasia, which Wiki explains:

en.wikipedia.org/wiki/Hyperplasia

In terms of a Crohn's diagnosis, I don't know the significance however. I would guess that it's a signifier of a "chronic inflammatory response", but I don't actually know. Deducing something in 10 minutes from a Wiki article isn't the same thing as years of training in interpreting biopsy results.

I don't think you have a partial blockage. Your pain doesn't seem bad enough and also partial blockages tend to either resolve themselves or turn into a full-on obstruction, which nobody could miss. But if you wanted a check, a CT scan would be the way to go.

I don't have a clue about protonix, sorry.

PinkFlipFlops
Regular Member


Date Joined Dec 2008
Total Posts : 73
   Posted 3/11/2010 12:16 PM (GMT -7)   
Jamci, when I had my first colonoscopy in October, 2008, I had small ulcers in my terminal ilieum. My GI gave me an unofficial Crohn's Dx and started me on Entocort. I had colonoscopy #2 in November, 2009, still had ulcers in my TI, as well as some Crohn's "sleeping" in my colon. At that point I received an official Crohn's Dx, and my GI started me on Apriso as a maintenance med. I asked you about side effects in a previous post because I was curious about how you were tolerating it. Once I started taking it I had the worst pain EVER but higher up in the stomach area (below my rib cage - in the center) and the most incredible sour stomach - words cannot describe. I made an appt. with my GI, described my symptoms and he took me off the Apriso immediately. I'm not sure this info is helpful but if you continue having pain and it's getting worse I might be inclined to speak to your GI about it.
 
Definitely find a Dr. you like and one that will give you clear answers. I know I had tons of questions over the past year and if I wasn't able to get answers I would have been pretty darn frustrated!!!
Diagnosed with Crohn's this year at age 38.


Jamci
Regular Member


Date Joined Nov 2009
Total Posts : 27
   Posted 3/11/2010 1:14 PM (GMT -7)   
I've been on the Apriso I think now for about 4-5 months.....my one month reprise from the pain was in end of January into February so I don't know if there's any side effects but lately my stomach has been bothering me and acid reflux is worse. Right now I have a burning pain about 2 inches above the belly button. I'll have to call the dr about that.

Alot more stress at work though since the beginning of the year, personal money worries, and of course health worries.....I seem to stress out about everything.....so who knows.
Daily Multi Vitamin, B Complex, B12 sublingual, Probiotics, Fish Oil, Protonix (GERD), Wellbutrin (Anxiety). Apriso (Crohn's), Trilipix (cholesterol), Welchol (cholesterol), Cardizem (blood pressure)


Peaceandhappiness
Regular Member


Date Joined Mar 2010
Total Posts : 131
   Posted 3/11/2010 1:30 PM (GMT -7)   
Jamci said...
I've been on the Apriso I think now for about 4-5 months.....my one month reprise from the pain was in end of January into February so I don't know if there's any side effects but lately my stomach has been bothering me and acid reflux is worse. Right now I have a burning pain about 2 inches above the belly button. I'll have to call the dr about that.

Alot more stress at work though since the beginning of the year, personal money worries, and of course health worries.....I seem to stress out about everything.....so who knows.

 

 

Yes, stress sucks. I usually have to keep in check with faith, vitamins, more sleep/rest and relaxation, thinking positively. It's funny how stress can make one think so negatively and that is not like me!


-Mom of a preschool boy and teenage girl and wife to a wonderful man.
 
Hypothyroid, newly dx'd Crohn's, Gerd. I love to look for natural ways to heal first, conventional ways second and keep my faith.

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