IBS, Crohns, or Celiac?

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Minnesota
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Date Joined Jan 2012
Total Posts : 95
   Posted 2/15/2012 9:21 AM (GMT -6)   
All-I am looking for any comments on the differing aspects of these diagnosis, and which may apply to me at the current time. I have been dealing w/post viral fatigue for 14 months and now this has come up.  A week before Xmas this past year I noticed being bloated more often, burning sensation in the gut, and nauseous more.  This would come and go, but after 2 weeks of this the feeling was constant.  I was constipated, so my GP had me take a laxative. I had BM's, but no relief to the feeling (along with more fatigue, just what I needed) and was put on prilosic.  Finally I had a colonoscopy/endoscopy performed (w/biopsies) and it revealed this:  duodenal erosion, diverticulosis and gastritis.  Shortly after this procedure the D started in.  Again, I had no changes in diet but did start 100 mg of Wellbutrin during this.  I have not had a solid stool for 10 days, and did take a sample to the lab 4 days ago.  Reason being there were "coffee ground" specks in the stool, along with black patches.  Yesterday at my follow up appointment with the GI the results were not back yet.  She mentioned that it appears to be IBS, but could be celiac or Chrones, but less likely.  I take imodium now because I can't work as much when you spend half the day in the restroom.  My instructions for the next 2 weeks are to have no dairy or high fiber foods, and take probiotics.  Concerned because w/o the imodium everything just runs right through me.  Very fatigued and lightheaded as well, probably because few nutrients are being absorbed. Is there any chance the wellbutrin is doing something? Any opinions on what I am dealing with, or questions to ask my GI would be welcomed.  Thank you!

Ides
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   Posted 2/15/2012 6:22 PM (GMT -6)   
What did the biopsy of the duodenal ulcer show? What did the biopsies of the stomach show? Also, there are about 21 feet of your small bowel that they cannot examine via endoscopy and colonoscopy. There is a procedure called a capsule endoscopy that can examine the small bowel they cannot scope. If I were in your shoes, I would want to make sure that I didn't have issues in that area. Not all insurance plans will pay for the capsule endoscopy.

Getting to the bottom of GI tract issues can take some time. Your GI sounds like she is trying to get you a diagnosis. While you await more results, make sure to drink lots of liquids. It's easy to get dehydrated when you have lots of diarrhea. That could be part of your lightheadedness.
Moderator Crohn's disease, Osteoarthritis and Irritable Bowel Forums

CD, Ankylosing Spondylitis, small fiber peripheral neuropathy, avascular necrosis, peripheral artery disease, pulmonary hypertension, degenerative disc disease, asthma, severe allergy and a host of other medical problems.

William Smith
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Date Joined Feb 2012
Total Posts : 36
   Posted 2/16/2012 10:42 AM (GMT -6)   
Hi Minnesota,

I am an 18 year old male from the United Kingdom. I am hoping I can shed some light on your condition/s. I suffer from IBS, now all three of what you mentioned can all come under the same sort of categories symptom wise. Coeliac Disease and Irritable Bowel Syndrome are extremely alike, the only difference being is that Coeliac is a gluten intolerence and IBS is a functional problems of the bowels.

Let's start with Irritable Bowel Syndrome.. as this is what section you're in..

The main symptoms of IBS are as follows:

Pain or Discomfort in any part of the abdomen, The abdomen is divided into four sections, (Upper Left, Upper Right, Lower Left, Lower Right). Pain is generally spasmic or colic and can be dull or achey to severe and extremely painful. Pain generally comes and goes, but can sometimes last for weeks or even months on end without going.

Bloating or swelling of your abdomen may occur and you may find that you belch or pass wind more frequently. Your stomach may gurgle or make noises much more frequently and can sometimes be very loud and feel like a bubbling sensation in your abdominal region.

You might have bouts of Diahrea and/or Constipation. You might have a feeling or urgency that comes on very suddenly or sporadically.

You might feel nausious from time to time, however sickness is not generally assosiated with IBS and you should consult your GP if you experience sickness.

Headaches are common with IBS and can be just as severe or dull as the abdominal cramping pains.

Backache and muscle pains are extremely common in people with IBS, you may experience pain in the rib cage as well, which is generally localised either under the left ribs or right side rib pain may be felt. If you experience pain under both sides of ribs at the same time with other symptoms, consult your GP.

Porr apetite which might also leed to tiredness caused by lack of essential vitamins.

Also bladder complaints are often assosciated with Irritable Bowel Syndrome, which is called Irritable Bladder. ( Which is what I have, you see I suffer from both D: )

Now for Coeliac Disease (or Celiac if you're American :D)

I must stress, it is extremely important that you know the difference (even though slight) between IBS and Coeliac, the longer you leave Coeliac the worse things can be in the future.

Abdominal Pains that come and go. If the pains are persistant and constant for several weeks or months on end, it's generally NOT Coeliac.

80% of people with Coeliac have Iron Defficiency Anaemia, however the other 20% may not necessarily have this type of Anaemia and you may need a biopsy of the small intestine to rule out Coeliac for good.

Most of the Symptoms of IBS are also extremely common in people with Coeliac Disease.

You may feel weaker then normal, due to lack of iron (anaemia) in the blood. Pins and needles or numbness in the hands or feet is often common for Coeliac Sufferers, but not always.

Mouth Ulcers (Aphthous Ulcers) which are big white ulcers with a red halo surrounding may occur frequently. These can be painful, however i'd advise checking your tooth paste if you do get these type of ulcers, as some toothpasts contain Sodium Lauryl Sulphate which also causes these types of mouth ulcers.

Weight loss can be due to Coeliac, if you do not have weight loss.. it is most probably nothing serious and not Coeliac Disease. In saying this, most adults who hace Coeliac, do not lose weight and are at their normal weight even with the disease and without knowing that they have the disease.

Occasionally and itchy skin condition called Dermatitis Herpetiformis occurs in people with Coeliac.

If you have any of the symptoms of Coeliac Disease which are NOT present with Irritable Bowel Syndrome then please consult your local GP, ask for a blood test that includes an FBC (Full Blood Count) and EMA, an ESR and IgA and IgG antibody testing. Tell the doctor all your symptoms and why you feel the need for a blood test. If they come back negative then it is possible that it still could be coeliac, thus more tests will need to be carried out (an Endoscopy will be needed to take a biopsy of your small intestine to check the villi of the small intesting to see if they're normal or abnormal). However, once again it might not be Coeliac so we shall now move onto Crohn's.

Again, Crohn's causes abdominal pains, that can be mild or severe. However diahrea or loose stools are the most common cause of Crohn's.

If you're generally feeling unwell all the time (a constant feeling of being ill like having the flu or cold all the time) then this is highly linked to Crohn's if you're not currently suffering from an illness or flu.

Again, unintentional weight loss can occur, your doctor might need to take your weight every few weeks, or of course you can do this at home.

An ulcer can occur in your gut, which might rupture and cause you to bleed from your rectum. Blood in the stools might be visible (old blood may look tar like or black in colour, new blood will be bright red and vibrant in colour). Even a small spot of blood might be cause of Crohn's.

If you're loosing a lot of blood a lot of the time, you might have anaemia, however most people with Crohn's don't have iron defficiency anaemia. And also in people with crohn's they're platelet count is slightly below average in most cases, but not in all.

Again not to be confused with Coeliac, mouth ulcers can be common, so please get some blood tests if you get mouth ulcers.

You may experience anal fissures, these are small lumps and/or cracks around the anus, these can be extremely painful when wiping after passing a bowel movement and be located inside the anus or outside, they should also not be mistaken for haemorroids or piles, which is also likely in these cases.



I suffer from IBS, I have had it for 2 months now. I am not a qualified doctor and you should not take my word for it. Please do not use this as a self evaluation, your GP knows best, trust me. A blood test can rule out Crohn's and/or Coeliac Disease, which might ease your mind. Don't forget it is easy to be mistaken for having either of these two and the easy option is to say it is IBS. Trust me, all three are bad. My Nan suffers from Crohn's and she's had it bad the last few years. My cousin suffers from Coeliac, and my late granded had Type 1 Diabetes, these are all auto immune disease that can be heredatory or they can come on at ANY point in your life. If you have any relative, even if it's just one with any of these three (Coeliac, Crohn's or Diabetes, especially type 1), there is a chance that your more likely to have one of these diseases. Like I said, get it checked out, see your GP, have a blood test and any other tests that you feel comfortable having to rule out any other possibilities. I want to ask you one thing that is worrying me though, How long have you been seeing black spots in your stools for and how frequent are they?

This could indicate that there is something else wrong with you large or small intesting and it is best to rule out disease that can cause gastrointestinal bleeding and such.

I hope you found this substantial, and I hope you feel better soon. IBS can be a pain but so can Coeliac and Crohn's and it is best to get it checked out by your GP. I am only an 18 year old male from the UK, however as my family has a history of these disease I am knowlegable on these issues/subjects and I know my stuff. But, once again don't take my word as gospal, it's true and valid but only your local GP can fully test you for these diseases.

Kind Regards,

Have a question about IBS, Coeliac or Crohn's? Ask if you like!

Irritable Bowel Syndrome (IBS), Irritable Bladder Syndrome (assosciated with Irritable Bowel Syndrome), Chronic Asthma (since birth), Eczema (Dermititis).

18 Years Old, Male.
United Kingdom.

Post Edited (William Smith) : 2/16/2012 10:07:11 AM (GMT-7)


Minnesota
Regular Member


Date Joined Jan 2012
Total Posts : 95
   Posted 2/16/2012 11:30 AM (GMT -6)   
Wow, this is great information!!! I will start with the biopsies showing now cancer, only confirmation of inflammation in the stomach lining and where the small intestine enters the stomach.  At the start of this, I was told to take priolsic, 20 mg daily to see if that helped.  Well, it didn't....1 week after starting this I began having Diarehha (monday 2/6).  That is when I noticed the coffee ground/black sploches in the stool.  The D intensified with each passing day....going 8-9 times per day, all liquid coming out.  Now, my GI told me to stop the prilosec 2 days ago.....this morning was the first semi solid BM I have had since 2/6.  Weird color, but nothing black.  My next step...go lactose free and start on a probiotic, see the doc again a week from tomorrow to report in.  However, I STILL need my stool lab results back which may shed light on something new.  I do however, feel like I have a bit of the flu with all this...no apetite, some nausea and the crushing tiredness like any energy is being sucked away, or like I am fighting something.  My question is can someone become intolerant to something (like dairy) in a very short period of time?  And if so, what would cause this? Same with gluten...before this I never had problems eating anything.  I do know that if this persists, I won't be able to work a full schedule much longer...too draining.  I have lost about 8-10 pounds through all of this....haven't been this light (172 versus 180,182) for 25 years. Finally, I should probably get some blood work done?

Minnesota
Regular Member


Date Joined Jan 2012
Total Posts : 95
   Posted 2/16/2012 11:32 AM (GMT -6)   
Oh, one more thing....the bubbling feeling you mentioned. Yes, very noticeable, all down the left side of my abdomin. Can hear it from 5 feet away.

kazbern
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Date Joined May 2010
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   Posted 2/16/2012 12:12 PM (GMT -6)   
yes, your DR should do blood work to look for inflammatory markers as well as vitamin D and iron levels.

The fatigue you're describing plus the weight loss should motivate your DR to work harder at solving your problem.
 
Stomach viruses can make you temporarily lactose intolerant.  But lactose intolerance is also extremely common and can vary day-to-day for anyone.  Most adults become lactose intolerant to some degree eventually.
*******************
49 yrs old, IBD diagnosis in spring '01. Proctitis, gastritis, ileitis.
Currently taking Pentasa (3g/day)Colazal (9 pills/day), Sulfazine (1.5 g/day), Prevacid, folic acid, vit. D (2K iu), flax seed oil (2 tsp/day), mesalamine enema as needed. Gluten free as of 5/30/11.

Minnesota
Regular Member


Date Joined Jan 2012
Total Posts : 95
   Posted 2/16/2012 1:42 PM (GMT -6)   
Kazbern-I see you are on some medication for IBD....do they help you?  How did you come to be diagnosed?  Just curious.

William Smith
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Date Joined Feb 2012
Total Posts : 36
   Posted 2/16/2012 2:30 PM (GMT -6)   
"I do however, feel like I have a bit of the flu with all this...no apetite, some nausea and the crushing tiredness like any energy is being sucked away, or like I am fighting something. My question is can someone become intolerant to something (like dairy) in a very short period of time? And if so, what would cause this? Same with gluten...before this I never had problems eating anything. I do know that if this persists, I won't be able to work a full schedule much longer...too draining. I have lost about 8-10 pounds through all of this....haven't been this light (172 versus 180,182) for 25 years. Finally, I should probably get some blood work done?"

Hi again Minnesota,

You say flu like symptoms, it is quite possible that Crohn's can be brought on after your body is trying to fight off infection like a virus (cold & flu's) or bacterial diseases. Might I ask how old you are? If that's not too personal. I know i'm only 18, but this sounds to me like you have a case of possibly IBD (Inflammatory Bowel Disease) which includes Ulcerative Colitis and Crohn's Disease. I might be young, but I do know a lot about this stuff as my family has a huge past of these conditions. Both these IBD conditions should not be taken lightly, as they can do irreperable damage to your stomach and intestines.

You say you have inflammation? This sounds to me that this could be Crohn's, and the weight loss is extremely common in Crohn's. You mentioned about become intolerent to a food type like dairy or gluten. Any person at any age can suddenly become intolerent to any food product. Gluten intolerence is Coeliac Disease, Dairy intolerence can indicate a multitude of things. Lactose Intolerence can indicate other problems with your intestinal tract. It is definately advised that you speak to your GP and have a blood test. If the biopsies are comming back that you do not have cancer, then this is very promising.

In answer to your question about intolerence, yes one day a person can be tolerent to let's say gluten, the next day they may become intolerent and become Coeliac. Same goes with any intolerence, the effects are almost instant and may be a sign of an unexpected illness in a patient for example Crohn's or Coeliac.

Again, with the bubbling sensation.. all three disease are very similar in symptoms. So even if you don't have Crohn's it could be a case of just bad IBS, but the fact that you're loosing weight suggests that your problem is not IBS.

I would like to ask a few questions, starting with your age? If you don't mind. How long exactly has this been happening? Was it sudden or gradual? What was the first symptom? Did you have a cold or the flu before these symptoms occured? Do you eat a lot of high fibre foods? Have you had any mouth ulcers lately? Where is the main area of pain in your abdomen, left, right, middle, upper or lower? Is the pain spasmic or colic? Is the pain persistant and constant, or intermittent?

Please answer these as it will help to get a better picture of what you might be suffering from.

Regards,
I will open up my mail if you would liked to contact me personally. :)
Have a question about IBS, Coeliac or Crohn's? Ask if you like!

Irritable Bowel Syndrome (IBS), Irritable Bladder Syndrome (assosciated with Irritable Bowel Syndrome), Chronic Asthma (since birth), Eczema (Dermititis).

18 Years Old, Male.
United Kingdom.

Minnesota
Regular Member


Date Joined Jan 2012
Total Posts : 95
   Posted 2/16/2012 3:19 PM (GMT -6)   
I think you should go into medicine with your background and approach!  I am 48 years old, male.  The start of all this was December 15th 2011 when I felt flu-like symptoms.  That abated, but I noticed intermittant bouts of nausea that came about for no reason. This progressed into a bloated feeling/cramps, and stinging sensation mainly in the stomach.  I then noticed more rumbling in my system.  Went to my GP who said I was constipated given a CAT scan of my abdomin (showed I was backed up with gas/stool).  One week of laxatives and I had BM's, but symptoms persisted.  As this continued, hence the tiredness.  I couldn't eat much (still can't) becaus of the fullness in the stomach.  That led to the colonoscopy/endoscopy and the results I mentioned earlier.  I have never felt this type of feeling in my gut all my life until this incident 2 months ago.  Pain is mainly from bloating now that I am 2 days off dairy.  Obviously something is off inside me.....I just would like to know what so I get start the right treatment.  Oh, I didn't have any changes in my diet that coincided with the start of this....only the flu-like feeling.  Very acute.

William Smith
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Date Joined Feb 2012
Total Posts : 36
   Posted 2/16/2012 3:45 PM (GMT -6)   
You're very kind :D!

Yes it is likely that a blockage of your intestines after the CAT scan could be due to your intestines contracting (getting smaller and larger), some people go through stages of this which can block gas and stool from passing into the rectum. I too had flu/cold like symptoms around the same time as you, and near enough the same happened, although I had tension headaches for 14 days straight which was non-stop for 14 days, it was a nightmare! Then these subsided and I started getting bowel problems.

You could be lactose intolerent if the dairy free diet helps, i'd suggest trying it for a week, but if the symptoms come back or persist please see your doctor, it is likely that is is just a case of IBS.. but some of the symptoms just don't add up to me and it's best to get some blood tests done to rule out inflammation and coeliac.

Sorry I couldn't be of any more help. I wish you all the best, if you need to email me with progress or on here, please feel free to, you're more than welcome to. :D

Kind Regards,
Have a question about IBS, Coeliac or Crohn's? Ask if you like!

Irritable Bowel Syndrome (IBS), Irritable Bladder Syndrome (assosciated with Irritable Bowel Syndrome), Chronic Asthma (since birth), Eczema (Dermititis).

18 Years Old, Male.
United Kingdom.

William Smith
Regular Member


Date Joined Feb 2012
Total Posts : 36
   Posted 2/16/2012 4:00 PM (GMT -6)   
I have found out that you can have IBS and have a high chance of being lactose intolerent. Also, have you taken any antibiotics for the flu symptoms you had possibly to treat a sinus infection? This could have caused these symptoms and given you IBS.

Take a couple of minutes out to watch this video, it's very educational and should ease your worries, :D!

http://www.healingwell.com/videos/?517245873
Have a question about IBS, Coeliac or Crohn's? Ask if you like!

Irritable Bowel Syndrome (IBS), Irritable Bladder Syndrome (assosciated with Irritable Bowel Syndrome), Chronic Asthma (since birth), Eczema (Dermititis).

18 Years Old, Male.
United Kingdom.

Minnesota
Regular Member


Date Joined Jan 2012
Total Posts : 95
   Posted 2/17/2012 10:55 AM (GMT -6)   
Mr. Smith-Just an update.  I did take amoxicellan (sp?) for a week in early january for a suspected sinus condition.  Intersting you ask that. Also, had lunch yesterday (sandwich, protein bar) and then the stomach bloated out, pain, and an overall ill/tired feeling.  This really sucks.  Stool sample from the lab came back, and was negative.  Have gone twice this morning, the last stool back to being runny and coffee ground appearance.  GI wants me to call on Monday after being off the prilosec, no lactose, and taking a probiotic.  The fatigue/lightheadedness with this is as bad as the other symptoms...can barely make it through the day feeling like this.  Any comments????

William Smith
Regular Member


Date Joined Feb 2012
Total Posts : 36
   Posted 2/17/2012 11:04 AM (GMT -6)   
Hi again Minnesota,

It's nice to hear your stool tests came back negative that's always a positive sign.

Are you sure there is definately black areas or black spots in your stool, because you might be getting confused with the colour?
Yes - Amoxiciilin is a type of antibiotic which fights off a sinus infection if suspected. I had the same thing happen to me, they put me on antibiotics for 5 days, and a few days after I started getting abdominal pains after eating + diarrhea. So it's possible that your gut is not functioning properly after having these antibiotics, did you watch the video I sent you? Did you feel as if you were full up after eating such a small lunch? Fatigue can be caused by IBS as I suffered from slight fatigue a few weeks back. The probiotics should help you to replace the good bacteria that might have been lost due to the function of the gut being changed.

Update me after you have been back to your GI and tell me what they said.. you might want to get a blood test (as I said), and or an endoscopy to rule out Coeliac, and an Upper GI test and/or another colonoscopy just to be sure.

Regards,
Have a question about IBS, Coeliac or Crohn's? Ask if you like!

Irritable Bowel Syndrome (IBS), Irritable Bladder Syndrome (assosciated with Irritable Bowel Syndrome), Chronic Asthma (since birth), Eczema (Dermititis).
Treatment: Colofac, Fybogel, Vitamin Suppliments, Berocca.

18 Years Old, Male.
United Kingdom.

Minnesota
Regular Member


Date Joined Jan 2012
Total Posts : 95
   Posted 2/20/2012 10:59 AM (GMT -6)   
William-Just an update on my deal.  I have been off prilosec for 6 days now, and lactose free as well.  Hard to know what is up....my D subsided each day until last night.  I ended up having 11 BM's (even with taking imodium!) from Midnight until 7:30 a.m. this morning.  All I had for dinner last night was chicken, and a bratwurst. Before this happened I could again feel all this churning inside me...mainly on my left side, chest down to the groin.  Still contending with the bloatedness/stinging pain, and general ill feeling.  GI wants to put me on an antibiotic with a long name, starts with a V.  I am starting to get worried here...basically no symptom relief with what I have tried so far.  I can't continue to try to work with all of this,  too fatigued and uncomfortable, never want to eat...but I do because I have to have nutrients.  Hard to get any sleep when you make that many trips to the bathroom.  Thoughts?????

kazbern
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Date Joined May 2010
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   Posted 2/20/2012 11:15 AM (GMT -6)   
Minnesota - just catching up to your question above about the meds I take and how I got diagnosed. A few months after the birth of my first daughter I had diarrhea with mucous and blood that did not stop. It took a while for me to tell my DR this, and the GI that I went to see did not think anything was terribly wrong - he diagnosed me with IBS and gave me some suggestions for diet. Stupid Dr. Anyway, about a year after all this started he finally did a sigmoidoscopy and discovered that I had pretty extensive inflammation in the rectum, so he prescribed a steroid foam, which helped a little but not a lot. Then I got pregnant again, and all of my symptoms disappeard. Once my 2nd daughter was born and my symptoms returned in force I went to see another GI. Since I was nursing we did not schedule a colonoscopy, but he prescribed mesalamine enemas, which helped a lot with the blood and the mucous, but not the diarrhea or the digestive problems. Then I added oral meds, Asacol, and felt somewhat better. It wasn't until my 2nd daughter was 2.5 that I had a full colonoscopy, at which point my GI discovered that I had inflammation in the rectum and cecum, pointing more directly to a Crohn's diagnosis than an ulcerative colitis diagnosis. He significantly increased my oral Asacol, but the diarrhea stayed.

Another year went by and I decided to switch to Pentasa, which is targeted higher in the bowel than Asacol. Like magic, my diarrhea disappeared. But I was still not in remission, and it took another couple of years, plus 3 months on prednisone, to get it all worked out.

So yes, my meds help me a lot.
*******************
49 yrs old, IBD diagnosis in spring '01. Proctitis, gastritis, ileitis.
Currently taking Pentasa (3g/day)Colazal (9 pills/day), Sulfazine (1.5 g/day), Prevacid, folic acid, vit. D (2K iu), flax seed oil (2 tsp/day), mesalamine enema as needed. Gluten free as of 5/30/11.

Minnesota
Regular Member


Date Joined Jan 2012
Total Posts : 95
   Posted 2/20/2012 11:33 AM (GMT -6)   
Thanks Kazbern. So, is the inflammation the main differentiator in dx crohns over IBS? My colonoscopy/endoscopy has me with gastritis, duodenal erosion, and divertculitis. My main area of discomfort is the stomach..and of course needing to go use the toilet so often. Does my body see something it wants to flush out of my system with the multiple loose/runny bm's? Again, just trying to avoid getting a blanket IBS dx if in fact it is crohns.

kazbern
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Date Joined May 2010
Total Posts : 6414
   Posted 2/20/2012 12:29 PM (GMT -6)   
IBS = irritable bowel disorder. It is a functional disorder of the bowel, meaning there is no disease present. Inflammation is abnormal. A colonoscopy and endoscopy is a great start to diagnosis, but this does not cover the entire bowel. There are 20 more feet of bowel (small intestine) not visualized in these scopes. To see the small bowel, you must swallow a pillcamera, or undergo a new kind of scope called an enteroscopy; this is not performed everywhere to my knowledge. Sometimes when Crohn's is suspected the GI will order an x-ray series of the small bowel, where you swallow barium and then films are taken of your belly as the barium solution passes through. This will identify areas of significant inflammation, but not everyone with Crohn's has significant inflammation. Sometimes the pillcam will show small ulcers in the small bowel - these would not show up on a barium series. There is also an abdominal MRI with contrast that is meant to show inflammation, but it is also not a full visualization of the small bowel.

Bloodwork and stool samples can often show inflammatory markers, which would indicate inflammatory bowel disease.
*******************
49 yrs old, IBD diagnosis in spring '01. Proctitis, gastritis, ileitis.
Currently taking Pentasa (3g/day)Colazal (9 pills/day), Sulfazine (1.5 g/day), Prevacid, folic acid, vit. D (2K iu), flax seed oil (2 tsp/day), mesalamine enema as needed. Gluten free as of 5/30/11.

William Smith
Regular Member


Date Joined Feb 2012
Total Posts : 36
   Posted 2/20/2012 1:10 PM (GMT -6)   
I think Kazbern has said it all really. Inflammatory Bowel Disease (Crohn's and Ulcerative Colitis) is often misdiagnosed as IBS.

Finally there's a few facts you should remind yourself.

If you get a seriously itchy skin rash on your back, buttocks, legs or arms that blisters or causes scratch marks alongside your abdominal pains then this is most likely Dermititis Herpitaformis (DH) which is caused by the same reasons as that Coeliac Disease is caused by. A biopsy will likely diagnose a person with DH and Coeliac simultaneously.

If the abdominal pain is located mainly in the lower right area of the abdomen and the pain is severe and accompanied by excessive Diarrhea with bleeding, then it is probably Crohn's. However if the pain starts in or around the naval (belly button) and then moves to the lower right area of the abdomen and you have not had your appendix removed, then this could also be Appendicitis and needs to be treated immediatley.

If you have bouts of Diarrhea and/or Constipation that can come and go and is associated with bloating of the abdomen but the pain is generally of a dull nature and not painful, then this is most probably IBS (a functional disorder of the gut).

If you are urinating more frequently with crystal clear urine and this is accompanied by abdominal pains generally in the upper abdomen and left side of the abdomen, and also you feel more thirsty than normal and you feel the need to eat more after already eating then this might possibly be Type 1 or Type 2 Diabetes, which needs to be treated promptly because if this is left untreated can cause serious damage to some of your vital organs and also cause serious complications is masses amounts of salt is lost through crystal clear urine.

My family if you can remember has all these problems. 3 Cousins have had their gallbladder's removed and all had problems with IBS after they had their gallbladder's removed. Another cousin has Coeliac Disease, 2 of my auntie's have Ulcerative Colitis (IBD), my nan has Crohn's (which is what I think I have, due to my age (18), family history and symptoms), and my late grandad had Type 1 Diabetes.

Best thing to do is to not get too stressed, as stress can make things worse. Stress and Anxiety can lead to depression which often creates more problems or often worsens ongoing problems already diagnosed. Scientists have discovered a link between Stress (a lifestyle factor) and Type 1 Diabetes however this doesn't confirm you have the disease, but just be aware that it can spark symptoms of Type 1 Diabetes and this needs to be looked into for further investigation.

I hope your mind is at ease and you can try to relax, stress brings on burden's to your body and it's unhealthy to be stressed over illnesses that "It could be" and that "it might be". So try to relax and be calm about this situation, it's probably nothing major and a good course of antibiotics could help you, or sticking to a strict diet.

Have you recently seen your GP? or GI?

Regards,
Have a question about IBS, Coeliac or Crohn's? Ask if you like!

Irritable Bowel Syndrome (IBS), Irritable Bladder Syndrome (assosciated with Irritable Bowel Syndrome), Chronic Asthma (since birth), Eczema (Dermititis), Blepharitis (Inflammation of the Eyes).
Treatment: Colofac, Fybogel, Vitamin Suppliments, Berocca.

18 Years Old, Male.
United Kingdom.

Minnesota
Regular Member


Date Joined Jan 2012
Total Posts : 95
   Posted 2/24/2012 12:41 PM (GMT -6)   
William-Just to update you.  My GI put me on valcom....something.  An anti biotic, even though my stool sample didn't indicate anything bacterial.  I started this last Wednesday.  It has helped a bit, mainly in taking away the constant bloating/cramping feeling.  I still get this, but now off and on.  BUT, I have not had a solid BM in almost 3 weeks now.  I am now going 4-5 times a day still.  And, I still have the rumbling feeling all the way down my left side.  Not sure what to do anymore.  I am supposed to take the antibiotic for 2 weeks which I will do.  Just curious why I would be given this when there was no sign of anything in my sample.  Thoughts?  Sticking to lactose free diet as well.

William Smith
Regular Member


Date Joined Feb 2012
Total Posts : 36
   Posted 2/25/2012 4:30 PM (GMT -6)   
Minnesota,

You could a parasite?

Could be possible, just a thought.
Have a question about IBS, Coeliac or Crohn's? Ask if you like!

Irritable Bowel Syndrome (IBS), Irritable Bladder Syndrome (assosciated with Irritable Bowel Syndrome), Chronic Asthma (since birth), Eczema (Dermititis), Blepharitis (Inflammation of the Eyes).
Treatment: Colofac, Fybogel, Vitamin Suppliments, Berocca.

18 Years Old, Male.
United Kingdom.

William Smith
Regular Member


Date Joined Feb 2012
Total Posts : 36
   Posted 2/25/2012 4:30 PM (GMT -6)   
You Could Have*
Have a question about IBS, Coeliac or Crohn's? Ask if you like!

Irritable Bowel Syndrome (IBS), Irritable Bladder Syndrome (assosciated with Irritable Bowel Syndrome), Chronic Asthma (since birth), Eczema (Dermititis), Blepharitis (Inflammation of the Eyes).
Treatment: Colofac, Fybogel, Vitamin Suppliments, Berocca.

18 Years Old, Male.
United Kingdom.

Minnesota
Regular Member


Date Joined Jan 2012
Total Posts : 95
   Posted 2/26/2012 10:39 AM (GMT -6)   
Wm-My GI says if things don't change by this tuesday, to go gluten free for a week.  Then, the capsule option would be needed to see if the small intestine is suspect. That is the only area that has yet to be evaluated....the stomach and large intestine were covered already.  Since I have duodenal erosion she wants to see that part of the GI tract.  I am still having BM's often, but now they are not runny like before....soft but somewhat solid.  Should I take that as a good sign?  Also, an crohns be dx'd by looking at the small intestine?  If inflammed I suppose so.  So far I am defying the.  The coffee grounds are still present in the stool.  Could that be from old bacteria  being killed off?
 
That is all for now...Thanks again doctor William!

kazbern
Veteran Member


Date Joined May 2010
Total Posts : 6414
   Posted 2/26/2012 12:10 PM (GMT -6)   
You'll need more than a week to evaluate a gluten free diet. At least 2 weeks in my experience, perhaps longer.
*******************
49 yrs old, IBD diagnosis in spring '01. Proctitis, gastritis, ileitis.
Currently taking Pentasa (3g/day)Colazal (9 pills/day), Sulfazine (1.5 g/day), Prevacid, folic acid, vit. D (2K iu), flax seed oil (2 tsp/day), mesalamine enema as needed. Gluten free as of 5/30/11.

William Smith
Regular Member


Date Joined Feb 2012
Total Posts : 36
   Posted 2/29/2012 4:22 PM (GMT -6)   
Minnesota,

It could possibly be old bacteria, but it's most likely old blood in your stools.

This means that the bleeding must have started long before the pains started happening.

Crohn's causes bleeding but can often be misdiagnosed for piles or anal fissures (tears in the lining of the anux, very painful as I have had experience of these, they cause horrible irritation, itching and pain when passing stools and wiping).

Your ulcer might be the cause of the bleeding? Have you thought of that one.. the ulcer might have been perforated when you ate something that was quick hard and solid? Maybe something sharp like a potato chip, could have made a slight cut in it.. and bleeding from the duodenal area, can take a long time to be extracted from the body in the stool, thus becomming black in the process as you described.

Finally, Have you been back to your GI? What did they say, keep me posted!

Regards,
Have a question about IBS, Coeliac or Crohn's? Ask if you like!

Irritable Bowel Syndrome (IBS), Irritable Bladder Syndrome (assosciated with Irritable Bowel Syndrome), Chronic Asthma (since birth), Eczema (Dermititis), Blepharitis (Inflammation of the Eyes).
Treatment: Colofac, Fybogel, Vitamin Suppliments, Berocca.

18 Years Old, Male.
United Kingdom.

Minnesota
Regular Member


Date Joined Jan 2012
Total Posts : 95
   Posted 3/1/2012 11:42 AM (GMT -6)   
Wm-My Gi wants me to try gluton free for 2 weeks, and see what that does for me.  I am only having 2-3 bm's a day now, but still very soft (not runny mind you).  My problem is still some cramping/bloating/nausea feelings.  The feeling ill is the worst....it just sucks you down.  So something is obviously still there.  My next step would be to take the camera pill to see the small intestine area.  Curious if crohns can manifest itself there.  I am just about done with my anti biotic.....not sure if that really did anything.  Maybe it cut down on the D...thoughts?
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