Medication for Stress

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Amey
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Date Joined Jul 2006
Total Posts : 942
   Posted 1/3/2008 10:19 AM (GMT -7)   

I know this is a little off topic but my Dr thinks that I hold my stress in my gut and that may be why I suffer so much with constipation - even with the ileostomy.  I do not believe that I have that much stress - not like when I was in college studying for exams or when I worked at had demands that needed to be met.  I believe that I just have "normal life stresses."  The type were you're busy all day tending to life and everything that needs attention.  My Dr says I have trained my body to hold stress in my gut and even if I don't "feel stressed" I am still tense in my gut area.  Maybe he is right..I'm not sure.  Can someone please share with me if they are taking any behavior modification medications and if they are affective?  Can you tell me what you are taking so if my Dr recommends something I will know a little about that medication already.  My Dr wants me to see a psychiatrist first before he will give any medications.  I am not keen on the idea of taking any mind altering medicine.  I almost never take any medications - even when I am ill.  I refused my pain meds immediately after each surgery and I opted for natural child birth so I would not have to put these medical products in my body.  So, before I agree to even try any medication, I want to make sure I know what I am taking and what the side effects may be.  And I certainly do not want to take something that may not be beneficial.

 

Thanks in advance for your posts and help. 

 

 


Amey
 
 
Ileostomy 8/2007
Revised Coletomy/ Reset Anastimosis 2006
Revised Colectomy/ Obstructions 2005
Sub-total Colectomy 2001
 
Prov. 16: 20 Whoso trusteth in the Lord, happy is he.
 
Zelnorm, Colace, Motilium, Citrate of Magnesium, Nexium, Amitiza, Potassium, Magnesium, Miralax, Milk of Magnesium, Corgard, Glycerin Suppositories, Sorbitol, Bentyl, Senokot


Fruitcake
Regular Member


Date Joined Aug 2006
Total Posts : 112
   Posted 1/3/2008 11:19 AM (GMT -7)   
Have you tried yoga? There are certain yoga poses that help your gut. Yoga can relieve stress.
do you do any kind of exercise? If not walking is a good way to start. The important thing is not to
stress over what the doctor said. We all have everyday stuff that can stress us out but you have to
take time for yourself and do good things for yourself. I learned the hard way. I put all my energy
into taking care of others and got to the point that I could not even take care of myself. The world
will not come to an end if you don't do the house work, etc. The whole time I was really sick I worried
about everyone else. Since my colon was removed and I have had a long recovery I take care of me
and take time to exercise and enjoy life. My family is fine and now respect that I need some space and
help and my whole life has improved. If mom is well and happy everyone is happy. Ash83 is right.
sometimes doctors give you meds because they don't want to deal with you. The meds you would be
getting might make you worse. good Luck, Fruitcake

Amey
Veteran Member


Date Joined Jul 2006
Total Posts : 942
   Posted 1/3/2008 11:50 AM (GMT -7)   
Fruitcake ans Ash,

Thanks for your comments. I have not decided what to do one way or the other regarding medication. I have had the referral to see the psychiatrist for 4 months but I have procrastinated about making an appt with the psychiatrist. But, I do want to exhaust all of my options. If I do not find help soon, I am going to end up back in the ICU.

Fruitcake, I am a fitness instructor. I take all types of fitness classes, teach classes, run, and bike. I workout abouta minimum of 5 days a week. Thanks for mentioning this. Exercise is my release. It is my time to zone out and not think about the bills, taxes, kids, health issues...and such. It is my time to check my stress at the door and spend an hour to myself.

Thank you for sharing your thoughts with me.
Amey
 
 
Ileostomy 8/2007
Revised Coletomy/ Reset Anastimosis 2006
Revised Colectomy/ Obstructions 2005
Sub-total Colectomy 2001
 
Prov. 16: 20 Whoso trusteth in the Lord, happy is he.
 
Zelnorm, Colace, Motilium, Citrate of Magnesium, Nexium, Amitiza, Potassium, Magnesium, Miralax, Milk of Magnesium, Corgard, Glycerin Suppositories, Sorbitol, Bentyl, Senokot


ME!
Regular Member


Date Joined Aug 2007
Total Posts : 185
   Posted 1/3/2008 6:35 PM (GMT -7)   
Amey,

I'm so sorry you are dealing with all this and the doctors haven't been able to give you a factual reason for what is happening.

I'm not going to comment on if the doctor is off track or not. I have no idea. But I have dealt with AD (anti-depressants) meds so I'll tell you my experience.

I hate taking meds too, but I also understand that sometimes the body needs help. If the body is low in a chemical, just like replacement hormones, etc. either taken the natural way via soy products or other ways, the body needs them. So trying to be "all natural" isn't going to get a person where they want to be, i.e. feeling good and healthy, if their body is depleted in a certain chemical.

Just to give you some background; I was dx'd with MS in 2002. A couple years ago my MS specialist put me on Wellbutrin for fatigue. It did help with the fatigue but after 5 months I stopped taking it because again I don't like taking meds and they cost money. But the end of 2006 was very stressful for me and I was becoming very depressed. I decided to take the Wellbutrin. It didn't make me jump for joy or anything like that but it did keep me from going into that dark place, if you know what I mean.

The Wellbutrin has the least side effects. In fact I didn't notice any side effects. And it doesn't diminish a person's sexual desires, which was very important to me.

I had surgery Oct 07 to have my colon removed and after I got home I just had so much to deal with in trying to recover and was in a lot of pain that I didn't keep up with the Wellbutrin, so I haven't been taking it, but I'm not in the stressful situation I was in back in 06.

When I went to my surgeon for my follow up visit I was having a lot of pain. He gave me some meds that would relax the small intestines and help with the spasming. But he also mentioned that stress really effects the intestines/digestion, etc.

Well I have a perscription for Xanax which I never take but I thought since the Xanax is a fast acting drug and works differently than the other AD drugs I would take it when I eat my bigger meal in the evenings. Well that has seemingly been working. I don't take the pain meds I just take a Xanax and the intestines don't spasm or cramp up on me.

I hope this helps Amey. Please don't hesitate if there is anything else you'd like to ask me. (((HUGS))) Kim

Indabag
Regular Member


Date Joined Aug 2007
Total Posts : 254
   Posted 1/3/2008 7:12 PM (GMT -7)   

Hi Amey:

I, like ME! have been prescribed meds for depression and anxiety. I take fluoxetine (Prozac) for the depression and I have Lorazapam for anxiety. I have been taking these for more than 15 years. I never like to take meds but these meds have helped me to live a normal and healthy mental life. I don't go bouncing off the walls after taking the meds but it does help to replace the serotonin (brain chemical) that seems to be lacking in my system.

My lifelong friends and my wife say they didn't see any drastic change in me after being on the meds but I did feel calmer & more at ease.

I think it is very important to see a doctor who you trust and connect with. I see the psyche doctor only twice a year, basically to renew my scripts, but I saw him more often when I first started.

It was a real jolt to my pride when I first went on the meds, but, I came to accept it after time. I no longer feel there is a stigma in getting help for a problem. The best advice I think I can give you is to try and approach this with an open mind. I don't need to tell you to investigate any suggested meds, I already know that you will do this.

I hope you feel better soon!

Richard


StomaGrrrl
Regular Member


Date Joined Oct 2007
Total Posts : 55
   Posted 1/3/2008 8:18 PM (GMT -7)   
smurf Hi Amey,

We just keep on running into one another here! tongue In response to your post, I've not taken the "life-coping" pharmaceuticals, but I have taken Xanax (when I started my series of surgeries my doc who is definately anti-med wanted me as calm as possible. xanax is situational anxiety medication - as in some serious event that may freak you out.

I also have a standing relationship with diazapam - the generic form of valium. it's ridiculous to take valium brand name cause the generic is precisely the same. I began taking diazapam because my fiancee is a surgeon and as I struggled with endometriosis he found it was more effective than painkillers since it is primarily a muscle relaxant. Not an oozing on the floor muscle relaxant, but a "isolated muscle group" muscle relaxant. During my 90-day ostomy-less period I took one in the morning and one in the evening, which was probably the only way I lasted 90 days at all without serious changes to my personality.

We don't know one another so I can't speak on your stress levels or how you deal with stress, but it's well documented that women especially store stress in the stomach. I don't know. Go for a few different opinions. I also kept with acpuncture for 4 years, it was expensive but reduced my stress levels significantly and endometriosis is intensified immensely by stress so if my stress levels went up i was debilitated, which I could not afford. Note: i continued with diazapam while doing acupuncture.

the prozacs, wellbutrins, effexors all have a distancing effect that my friends who have spent timeon them resent(ed). the same friends have at some point tried diazapam around serious life stressors (my stepmom reently when my sister and i were in a serious car accident as the third in a string of 'bad luck' expensive events ina three-day period) and were much more comfortable with the effect. you just relax, you keep your mind, access to your emotions, etc. just come down a couple of notches in terms of how you "deal" with stressors, how much you allow situations to stress you. I can ask my boyfriend for a "medical" explanation - again. I used to REALLY fight the medications, i was a yogic-breathing something per my upbringing by a yogi/sensei. however, there is a place for pharmaceuticals and it is worth bearing in mind they are usually derivatives of several natural products put into pill form.

MY greatest fear was addiction. Now I am glad I had access to the help I needed because I needed it. I don't need it now so i don't take it. My last diazapam/valium was in the hospital a couple of days ago before discharge and even then I only took them when I'd had an 'exciteable' day (2 hour conversation about my dad's health) otherwise i was just on my pain meds for post-op pain.

I have been advised to used diazepam to assist with elimation (not with ostomy, but prior to ostomy discussion). Obviously it's a medication I am comfortable with and I can say it has served a positive purpose in my life. It is NOT in the same league as the anti-depressants by any stretch of the imagination. I was shocked when I learned I was taking valium cause i knew valium was suppposed to be some big thing, but 10 mg is not 100 mg or whatever abusive levels are.

I'll be happy to ask my questions if you like and get answers.

Gillcom
Regular Member


Date Joined Nov 2007
Total Posts : 272
   Posted 1/4/2008 8:42 AM (GMT -7)   
Hi Amey,

I have been taking AD for the past 2 and a half years even before my ileostomy. I don't think i would have got through all i have without them. I am on 40mg of Citalipram, i started of on 20mg but when things got bad around the time my husband left it was upped to 40mg. I have also been on Fluoxetine but i prefer the one i'm on now. Nowadays the stigma around AD has calmed down a great deal, you should speak with your doctor,

Take care, Gillian x
Ileostomy - Feb 05, Hernia on site.
Fluoxetine - 20mg March 05 - july 06
Citalipram - 20mg July 06 - upped to 40mg now.


Amey
Veteran Member


Date Joined Jul 2006
Total Posts : 942
   Posted 1/4/2008 9:28 AM (GMT -7)   
I only have a minute to respond....I just wanted to say "THANK YOU" for your responses. I am still praying about what is the right course of action for me but I feel that I should be informed before I make a decision. Today, I am running to the health store to see if they have any natural calming resources herbs. I have not ruled anything out at this point...I am just doing all of my homework.

Have a fabulous weekend!
Amey
 
 
Ileostomy 8/2007
Revised Coletomy/ Reset Anastimosis 2006
Revised Colectomy/ Obstructions 2005
Sub-total Colectomy 2001
 
Prov. 16: 20 Whoso trusteth in the Lord, happy is he.
 
Zelnorm, Colace, Motilium, Citrate of Magnesium, Nexium, Amitiza, Potassium, Magnesium, Miralax, Milk of Magnesium, Corgard, Glycerin Suppositories, Sorbitol, Bentyl, Senokot


Amey
Veteran Member


Date Joined Jul 2006
Total Posts : 942
   Posted 1/10/2008 2:13 PM (GMT -7)   
For those of you who do get medication for mood problems, can you get them from a family Dr or do I need to make an appt with a psychiatrist? I have a referral to see a psychiatrist but that is going to be a very expensive appt.

Any thoughts?
Amey
 
 
Ileostomy 8/2007
Revised Coletomy/ Reset Anastimosis 2006
Revised Colectomy/ Obstructions 2005
Sub-total Colectomy 2001
 
Prov. 16: 20 Whoso trusteth in the Lord, happy is he.
 
Zelnorm, Colace, Motilium, Citrate of Magnesium, Nexium, Amitiza, Potassium, Magnesium, Miralax, Milk of Magnesium, Corgard, Glycerin Suppositories, Sorbitol, Bentyl, Senokot


Gillcom
Regular Member


Date Joined Nov 2007
Total Posts : 272
   Posted 1/10/2008 3:38 PM (GMT -7)   
Amey, my local GP put me on mine, so shes the same as your family doc i think. I have never been to a psychiatrist, touch wood! lol .
Ileostomy - Feb 05, Hernia on site.
Fluoxetine - 20mg March 05 - july 06
Citalipram - 20mg July 06 - upped to 40mg now.


Amey
Veteran Member


Date Joined Jul 2006
Total Posts : 942
   Posted 1/10/2008 5:22 PM (GMT -7)   
Thanks. I think I will make an appt to see my family Dr first and then go from there. I figure that has to be the cheaper route. I like to start with the least expensive alternative first. My family Dr is only $15 co-pay. Seeing a psychiatrist is not something my insurance covers.
Amey
 
 
Ileostomy 8/2007
Revised Coletomy/ Reset Anastimosis 2006
Revised Colectomy/ Obstructions 2005
Sub-total Colectomy 2001
 
Prov. 16: 20 Whoso trusteth in the Lord, happy is he.
 
Zelnorm, Colace, Motilium, Citrate of Magnesium, Nexium, Amitiza, Potassium, Magnesium, Miralax, Milk of Magnesium, Corgard, Glycerin Suppositories, Sorbitol, Bentyl, Senokot


peggy113
Veteran Member


Date Joined Aug 2007
Total Posts : 1998
   Posted 1/10/2008 7:43 PM (GMT -7)   

My GI doc prescribed one of mine and my gyn nurse practitioner prescribed the other...   don't have to see a psych dr for them.

 


Peggy
      
Diagnosed with CD in 1979, many resections and meds
Perm Ileostomy July 1984 at Cleveland Clinic
Disease free since surgery 
 


flchurchlady
Veteran Member


Date Joined Jul 2007
Total Posts : 2765
   Posted 1/10/2008 8:08 PM (GMT -7)   
Amey,
I think yoga would be very relaxing for you, and it would help promote movement internally. Do they offer yoga at your gym? If not, you could get a DVD and use it at home. Since you're not comfortable with taking medicine, I would try that and natural herbs first and see if you get any positive results from it. I'll also keep you lifted up in prayer. eyes
Cecilia
 
Dx'd Crohn's in '99 at 28. Proctocolectomy & ileostomy in '06.
Pain-free, med-free, and very thankful to be healthy again :)


Indabag
Regular Member


Date Joined Aug 2007
Total Posts : 254
   Posted 1/10/2008 8:22 PM (GMT -7)   
Hi Amey:

I think any doc can prescribe these meds. However, you might benefit from some "talk" therapy too.
Psychologists are less expensive than MDs and I have found them to be better listeners. Maybe your County Health Dept. has a program for subsidized providers.

With all of the medical issues and trauma that we have all been through I think it is natural that it may affect some of our psyches.

One of the "natural" remedies for this is St. John's Wort (an herb?).

I hope you feel better soon.

Richard
Indabag
 
Ileostomy since August 2005.
As result of surgery (modified whipple) for necrotising pancreatitis. Removal of gallbladder, 2/3 of pancreas, resections of large and small intestines. Massive infection. 8 months in ICU at Westchester County M.C. (I think that's a record). Second surgery for resection due to fistulas in January 2007. Been slowly recovering since then. Possible reconnection candidate.


Indabag
Regular Member


Date Joined Aug 2007
Total Posts : 254
   Posted 1/10/2008 8:22 PM (GMT -7)   
Hi Amey:

I think any doc can prescribe these meds. However, you might benefit from some "talk" therapy too.
Psychologists are less expensive than MDs and I have found them to be better listeners. Maybe your County Health Dept. has a program for subsidized providers.

With all of the medical issues and trauma that we have all been through I think it is natural that it may affect some of our psyches.

One of the "natural" remedies for this is St. John's Wort (an herb?).

I hope you feel better soon.

Richard
Indabag
 
Ileostomy since August 2005.
As result of surgery (modified whipple) for necrotising pancreatitis. Removal of gallbladder, 2/3 of pancreas, resections of large and small intestines. Massive infection. 8 months in ICU at Westchester County M.C. (I think that's a record). Second surgery for resection due to fistulas in January 2007. Been slowly recovering since then. Possible reconnection candidate.


Amey
Veteran Member


Date Joined Jul 2006
Total Posts : 942
   Posted 1/11/2008 9:23 AM (GMT -7)   
Thanks Richard, I think you have to qualify to meet with someone at the County. My husband probably makes too much money for me to qualify. I appreciate your comment. I will look into a psychologist vs. a psychiatrist. Your posts aways make me feel better. I hope you are doing well. I have been feeling much better this week. I am not feeling dehydrated or fatigued. Last week was awful. I'm not sure why this week is better, but I am certainly grateful for the respite.
Amey
 
 
Ileostomy 8/2007
Revised Coletomy/ Reset Anastimosis 2006
Revised Colectomy/ Obstructions 2005
Sub-total Colectomy 2001
 
Prov. 16: 20 Whoso trusteth in the Lord, happy is he.
 
Zelnorm, Colace, Motilium, Citrate of Magnesium, Nexium, Amitiza, Potassium, Magnesium, Miralax, Milk of Magnesium, Corgard, Glycerin Suppositories, Sorbitol, Bentyl, Senokot


flchurchlady
Veteran Member


Date Joined Jul 2007
Total Posts : 2765
   Posted 1/12/2008 6:56 AM (GMT -7)   
Amey,
I'm so glad to hear that you're having a good week! :-)
Cecilia
 
Dx'd Crohn's in '99 at 28. Proctocolectomy & ileostomy in '06.
Pain-free, med-free, and very thankful to be healthy again :)

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