Brittle bones from UC meds?

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aksnowbunny
New Member


Date Joined Dec 2007
Total Posts : 13
   Posted 12/29/2007 4:03 PM (GMT -7)   
My son broke a tooth chewing on a piece of hard candy.  Do any of the following meds that are prescribed for UC cause brittle bones?  Asacol, Colazal, Prednisone, 6-MP, Remicade.  And if so how long after stopping the meds could you expect bones to return to a normal level in a teenager?
Christine, Mother 34, of 13yo boy
Diagnosed October 2006 Ulcerative Colitis
Meds: Colazal 750mg x 9, 6-MP 50mg, Vit D 400iu, Vit C 1000mg, Iron 50mg, Remicade 3rd infusion


jujub
Forum Moderator


Date Joined Mar 2003
Total Posts : 10405
   Posted 12/29/2007 4:19 PM (GMT -7)   
Prednisone is notorious for causing loss of calcium from the bones, resulting in osteoporosis or osteopenia. Both conditions can lead to dental problems and fractures. Another skeletal side effect of Prednisone is avascular necrosis, where a bit of the head of the bone in the hip or shoulder begins to die from lack of blood supply. A very painful condition.

Your son should be taking ample supplements of calcium (1000 - 1500 mg/day) and possibly an anti-osteoporosis drug such as Fosamax.

Once off the prednisone, continuing the calcium and vitamin D intake and getting weight-bearing exercise such as walking, running, etc. will help to promote calcium deposition in the long bones. If you're concerned, a simple x-ray can be done to check his bone density.
Judy
 
Moderate to severe left-sided UC (21 cm) diagnosed 2001.
Intolerant to Asacol and rectal mesalamine preparations.
On Prednisone then Entocort 2001-2006 with only short periods off. 
Current meds are Colazal, Azathioprine and Remicade.
In remission since April, 2006. Remicade has been my wonder drug.
 


Old Hat
Veteran Member


Date Joined Feb 2007
Total Posts : 5135
   Posted 12/29/2007 7:48 PM (GMT -7)   
The bone density test is called a dexa-scan. If you're in rural Alaska, this will likely be hard to find-- because most of the major urban medical centers house the required scanning equipment. For now the best thing you can do is to have your son keep up his calcium & vitamin D intake. Hard candy is best avoided, for the sake of UC improvement as well as his teeth. Would he switch to creamy peanut butter on rice cakes or crackers for his snacks, or cheddar cheese on crackers? There would be some crunch but better nutrition & less sugar. My 1st gastro also told me yrs back that sloshing hard candy around in the mouth leads to swallowing air, which then increases stomach & intestinal gas that can cause more cramping for UCers. / Old Hat (nearly 30 yrs with left-sided UC .. [etc.])

aksnowbunny
New Member


Date Joined Dec 2007
Total Posts : 13
   Posted 12/29/2007 7:54 PM (GMT -7)   
See these are the things I NEED desperately to hear.  The only thing his GI ever says is take your pills!  Outside of the meds I have gotten what little info we have through my own research.  I should try to get my son on here so he can see this advice for himself.

Christine, Mother 34, of 13yo boy
Diagnosed October 2006 Severe Pan Ulcerative Colitis
Meds: Colazal 750mg x 9, 6-MP 50mg, Vit D 400iu, Vit C 1000mg, Iron 50mg, Remicade 3rd infusion, Laughter
Prior Meds: Asacol, Prednisone, various antibiotics, homeopathics, special diets


dakotagirl
Veteran Member


Date Joined Apr 2006
Total Posts : 3402
   Posted 12/29/2007 8:01 PM (GMT -7)   
The broken tooth could be an effect of the prednisone. I know that I had very sensitive teeth after my prednisone stints. I also now have osteopenia from the darn stuff. The side effects of prednisone are something that docs don't usually discuss - which I find to be negligent on their part. It can be a dangerous drug!

Searching through old posts will give you lists of other side effects from this med.

Oh - BTW - welcome to HW! Glad to have you, sorry you had to find us.
Pan-colitis and GERD diagnosed May 2003
 
Asacol 12 per day,  Azathioprine 75mg, Rowasa and Canasa as needed
Aciphex, Effexor XR, BCP, Rhinocort nasal spray
Forvia and a Probiotic
 
Osteopenia (hip and spine) from prednisone use.  Started Azathioprine because I was steroid dependent.
 
Co-Mod for the UC forum
Keep HealingWell running smoothly:  www.healingwell.com/donate


Old Hat
Veteran Member


Date Joined Feb 2007
Total Posts : 5135
   Posted 12/29/2007 8:19 PM (GMT -7)   
Snowbunny-- that might be a good idea if your son could connect with a young member here, like Bratcat. She's a high school student with UC whose mother, Bennie, also posts from time to time. You can try starting a new post addressed to them, like "Help, Bratcat & Bennie!" They'll be more likely to see it in the headlines that way. / Old Hat

ks1905
Veteran Member


Date Joined Sep 2005
Total Posts : 4809
   Posted 12/29/2007 8:26 PM (GMT -7)   
The boneloss can also be due to the disease itself (UC) http://www.ccfa.org/info/about/complications/boneloss

I was just told by my dentist that I have more boneloss in my teeth than a normal person my age (shown in my dental xrays).

The dentist suggested that I go to a periodontist for a special deep cleaning (sounds painful).

I plan on going for a dexa-scan to see if the rest of the bones in my body are suffering too.

--Keith
DX'd with Pan-Colitis June 2005
Current Status: Flaring since May
 
Current Meds:  50 mgs 6-mp, Colocort, Oral Cyclosporine (500 mgs)
Supplements:  None 
 


Mamas Boys
Veteran Member


Date Joined Oct 2005
Total Posts : 1460
   Posted 12/30/2007 7:16 AM (GMT -7)   
You can give your son the Viactic calcium chews.  They taste more like a chewy candy and he won't have to tolerate swallowing another pill.  My current favorite flavor is Fudge Brownie.  But caramel and chocolate a great as well.

KTM


ledaebel
Regular Member


Date Joined Jul 2006
Total Posts : 339
   Posted 12/30/2007 5:04 PM (GMT -7)   
I broke a healthy tooth into 3 pieces just biting on soft food. It felt awful. After having it pulled I spoke to my GI about it. He reminded me that he put me on extra calcium for a reason. The disease kinda uses up you calcium reserve and acan make teeth and/or bones very brittle. I now take calcium with Vit. D. I was checked to make sure I had adequate vit. D in my system to metabolize the calcium.

I'm sure the prednisone just makes the situation worse.
  • LINDA
         
Prescriptions: Lialda (on a study) asacol, hycosamine, protonix, synthroid, zyrtec, avalide, nasocort, Miacalcin spray and Trazadone for sleep.
OTCs:  Usana multivitamins and multiminerals, Usana Procosa, Usana Mega Antioxidants, Omega 3, Vit. E,  Healthy trinity probiotics, Calcium Citrate


MoonShadow
Regular Member


Date Joined Dec 2007
Total Posts : 52
   Posted 12/30/2007 7:46 PM (GMT -7)   

 

This is the very reason why I chose to give up drugs/medication in the first place.

 

I could not see the point of taking a certain drug to “heal” UC but at the same time suffer from serious side-effects in the form of other disease brought on by that that drug.

 

It’s like robbing Peter to pay Paul!

 

 

 


MoonShadow.

Australia.

Female 37.

Sick since 1998 – finally diagnosed 2003.

No drugs (last drugs were taken in 2005).

Healing myself thorough diet & natural methods.

Using plant derived MultiGest Enzymes capsules as part of diet.

 

Feeling fantastic!


aksnowbunny
New Member


Date Joined Dec 2007
Total Posts : 13
   Posted 12/31/2007 10:38 AM (GMT -7)   

Moonshadow:

What form of UC were you diagnosed with and what was the severity?  Also you say that you have healed yourself through diet and natural methods.  What would those consist of?


Christine, Mother 34, of 13yo boy
Diagnosed October 2006 Severe Pan Ulcerative Colitis
Meds: Colazal 750mg x 9, 6-MP 50mg, Vit D 400iu, Vit C 1000mg, Iron 50mg, Remicade 3rd infusion, Laughter
Prior Meds: Asacol, Prednisone, various antibiotics, homeopathics, special diets


MoonShadow
Regular Member


Date Joined Dec 2007
Total Posts : 52
   Posted 12/31/2007 4:33 PM (GMT -7)   
aksnowbunny said...

Moonshadow:

What form of UC were you diagnosed with and what was the severity?  Also you say that you have healed yourself through diet and natural methods.  What would those consist of?

Hi aksnowbunny

 

I will find the report from my gastro and let you know the exact form he diagnosed. It’s so long since I have thought about him or it, that I can’t remember exactly what he said.

 

It must have been quite bad because almost immediately he put me on high doses of medication and at one stage I was taking 15 tablets per day.

 

By the time I had the colonoscopy in 2003 I was pretty sick. I started bleeding from the bowel in 1998 and did the rounds of doctors for years etc….before I was finally properly diagnosed in 2003.

 

Please have a look at my posts under the section entitled FODMAPS, as there are explanations there about my severity and diet I am following.



MoonShadow.

Australia.

Female 37.

Sick since 1998 – finally diagnosed 2003.

No drugs (last drugs were taken in 2005).

Healing myself thorough diet & natural methods.

Using plant derived MultiGest Enzymes capsules as part of diet.

 

Feeling fantastic!

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