Noticing symptoms and stressful events

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potato
Regular Member


Date Joined Jun 2008
Total Posts : 281
   Posted 9/4/2008 8:00 PM (GMT -6)   
Last night I had an event to go to that I anticipated would be somewhat stressful.  The day went pretty well, with work, shopping, etc., no urges or problems to speak of. 
 
Right before I left for the event, though, with the car running, my stomach started the gurgling, I got a strong urge, and I knew I'd better get into the bathroom.  Sure enough, not only gas and D, but some blood on the TP, too.  I took 1/2 a lomotil and went on to the event.  I did ok the rest of the evening.    
 
It was only the second time for blood (the other was a few days ago) in a couple of weeks.  I maybe going into more of a flare... personally, my symptoms seem to change day to day and sometimes from afternoon to night, but I'm learning to deal with that.
 
I thought it was interesting, though, that I could have such a stark reaction in my colon, kind of a gut reaction (!) to attending this event.  It was like my gut shouted at me telling me to pay attention to myself and how I'm dealing with life, reminding me to stay in the present and quit worrying about the future (and the past.)
 
Anyone else noticed this kind of connection with stressful events and symptoms? 
 
     
Potato...  Female, 58, dx mild left sided ulcerative colitis 11/07
asacol 3 3x a day 
cortenema (generic) am & pm Rowasa every other day 
culturelle, benefiber wafers  generic acidophilus, metamucil wafers
children's vitamin, Vitamin E 400 mg
omeprazole 2x a day
oxazepam when needed, lomotil or ImodiumAD (but not in the same day)
 
 
 
 
 
 


FitzyK23
Veteran Member


Date Joined May 2005
Total Posts : 4219
   Posted 9/4/2008 9:51 PM (GMT -6)   
All the time. It is my number one complaint about this disease. There are times I KNOW I will feel sick. I hate it so much because I feel like it is "in my head." Part of it is the stress causing the gut to act up, part is normal people get bad guts when anxious, but our guts don't hold the bad stuff as well as normal people's. I am finding a low dose of xanax really helps with that, when I know I will be going into a situation where I will feel sick. But I had the rx for fear of flying and haven't asked my doc yet for a new script for this issue. I am just taking my leftovers from my trip maybe twice a month or so. I wish I knew how to turn that switch off. So frustrating.
26 Year old married female law student (last year!!). Diagnosed w/ CD 4 years ago, IBS for over 10 years before that, which was probably the CD. I am sort of lactose intollerant too but can handle anything cultured and do well w/ lactose pills and lactaid. For crohns I am currently on Pentasa 4 pills/4x day and hysociamine prn. I also have bad acid reflux and have been on PPI's since age 13. I have been through prilosec, prevacid, and nexium. Currently I am on Protonix in the morning and Zantac at night. I also take a birth control pill to allow some fun in my life.


quincy
Elite Member


Date Joined May 2003
Total Posts : 30984
   Posted 9/4/2008 9:58 PM (GMT -6)   
The fact that you're bleeding...if it was also on the stool and wiping...means you are flaring and that you're not healed yet.

Anxiety can exacerbate IBS symptoms as well as UC symptoms...it can cause the gut to quicken and the evacuation of what's in the sigmoid....

Tell me again why you aren't on the Rowasa nightly?

Hope the evening wasn't as anticipated.

quincy
*Heather*Status: mini flare Dec 28... tapered to every 4th night
~diagnosed January 1989 UC (proctosigmoiditis)
~5ASA: Asacol (6 daily) + Salofalk enemas (increase for flares tapered to maintenance)
~Bentylol (dicyclomine) 20mg as needed
~vitamins/minerals/supplements 
~Probiotic 3(Natural Factors Protec) bedtime + 1 (Primadophilus Reuteri) occasionally
~multi-digestive enzymes as needed ....zymactive 3 - 5x daily
~Ranitidine,Pariet (reflux) Effexor XR 75mg;  Pulmicort/Airomir (asthma)
~URSO for PSC (or PBC) 500mg X 2 daily (LFTs back to NORMAL!!)
My doc's logic.. "TREAT (FROM)BOTH ENDS"  worth it !!!


potato
Regular Member


Date Joined Jun 2008
Total Posts : 281
   Posted 9/4/2008 10:36 PM (GMT -6)   
Fitzy, it seems to me that it has to do as much as my attitude toward the event in the first place, and all the energy I work up worrying or dreading it.  After last night, I think it's worth as much of my time working on the the stress part as it is the concoction of meds I'm working with.  But it's so easy to get lost in the symptoms that I forget to remember to look for easier ways to deal with the stress. 
 
I really didn't need to go last night and even if I did, I could have let someone else do all the talking.  Next time something like this comes up, that's what I would do. 
 
Quincy, I was using the Rowasa nightly when this flare began, about the beginning of August.  If you remember, I was trying to cut down on Asacol, although I went right back up to the previous dosage within a couple of days.  So essentially I was getting more mesalamine, with 9 asacol/day plus the Rowasa.  Still the flare came on, with bleeding 3 or more times a day.
 
I talked to my new NP then and decided to go with the cortenema (generic) twice a day rather than to go on Prednisone.  Within a couple of days I'd say the flare was about 50% better, no blood but still lots of D.  A couple of weeks ago I added the Rowasa back in every other day and for about a week I've been using the cortenema just nightly.  The two instances of blood haven't freaked me out yet but they will if I have lots more.  As of tonight I'm going to Rowasa one night Cortenema the next.  That's the plan but it could change.
 
In terms of flares, for me it's not black and white.  I've had too many freakin' symptoms that change from one day to the next.  Sores in my mouth, thrush, burning under my right ribs, headaches, watery no consistency D for days then some solid UCish stuff...  oh and then there's my hair which went through some weird shredding resulting in little hairs sticking up all over my head now.  And lately head aches, which could be from lomotil, asacol, or too much thinking!
 
This is one weird disease, and I'd bet most of us agree.
 
     
Potato...  Female, 58, dx mild left sided ulcerative colitis 11/07
asacol 3 3x a day 
cortenema (generic) am & pm Rowasa every other day 
culturelle, benefiber wafers  generic acidophilus, metamucil wafers
children's vitamin, Vitamin E 400 mg
omeprazole 2x a day
oxazepam when needed, lomotil or ImodiumAD (but not in the same day)
 
 
 
 
 
 


quincy
Elite Member


Date Joined May 2003
Total Posts : 30984
   Posted 9/5/2008 12:02 AM (GMT -6)   
Hi...how long have you on the omeprazole?

Have you tried Zantac instead of it? The reason...for some, it can contribute to symptoms without even realising...since it's a constant in your meds, maybe try another one???

I remember the Rowasa nightly...maybe you cannot use it anymore??

Keep us posted as to how you're doing.
quincy
*Heather*Status: mini flare Dec 28... tapered to every 4th night
~diagnosed January 1989 UC (proctosigmoiditis)
~5ASA: Asacol (6 daily) + Salofalk enemas (increase for flares tapered to maintenance)
~Bentylol (dicyclomine) 20mg as needed
~vitamins/minerals/supplements 
~Probiotic 3(Natural Factors Protec) bedtime + 1 (Primadophilus Reuteri) occasionally
~multi-digestive enzymes as needed ....zymactive 3 - 5x daily
~Ranitidine,Pariet (reflux) Effexor XR 75mg;  Pulmicort/Airomir (asthma)
~URSO for PSC (or PBC) 500mg X 2 daily (LFTs back to NORMAL!!)
My doc's logic.. "TREAT (FROM)BOTH ENDS"  worth it !!!


landcruiser
Regular Member


Date Joined Jun 2008
Total Posts : 80
   Posted 9/5/2008 6:42 AM (GMT -6)   
Quincy, omneprozal is Nexium right?  How can it contribute to some symptoms for some?  I switched to Nexium from Protonix about  a year ago and it coincides with my UC coming back......My Gi knows I am on Nexium.....can yo elaborate?

quincy
Elite Member


Date Joined May 2003
Total Posts : 30984
   Posted 9/5/2008 2:16 PM (GMT -6)   
Not exactly but all meds can have the same effects that affect the gastro tract. I took one, can't remember which one, I think omeprozole and felt weird on it. Weird like more beyond my sometimes spaced out feeling. Pariet is good but I should take it regularly,...Zantac I take when I need it, which works better for me because of the flexibility with it. I should give Pariet the full consideration. Oh, the reason I ended up on the meds was because I lost my voice from reflux..not comfortable since I talk a lot..haha and doing hair with some products, it made it worse.

You'll have to do some of the research for side effects...but I must add that hairloss can be one of them....maybe in combo with other meds.

Remember I have had no side effects from 5ASA and do take aspirin...others cannot at all.

Do the research on side effects and it might be beneficial to change the med.

quincy
*Heather*Status: mini flare Dec 28... tapered to every 4th night
~diagnosed January 1989 UC (proctosigmoiditis)
~5ASA: Asacol (6 daily) + Salofalk enemas (increase for flares tapered to maintenance)
~Bentylol (dicyclomine) 20mg as needed
~vitamins/minerals/supplements 
~Probiotic 3(Natural Factors Protec) bedtime + 1 (Primadophilus Reuteri) occasionally
~multi-digestive enzymes as needed ....zymactive 3 - 5x daily
~Ranitidine,Pariet (reflux) Effexor XR 75mg;  Pulmicort/Airomir (asthma)
~URSO for PSC (or PBC) 500mg X 2 daily (LFTs back to NORMAL!!)
My doc's logic.. "TREAT (FROM)BOTH ENDS"  worth it !!!


LondonRed
Veteran Member


Date Joined Oct 2007
Total Posts : 1194
   Posted 9/5/2008 2:26 PM (GMT -6)   
IBD - 100% stress related - it is the ONE common denominator on these boards.

Diagnosis Oct 07 and then Aug 08: Inditerminate Patches of Mild Colitis (including Rectum) - Currently Minor Bleeding
Medication: 1000mg Mesalazine Suppository at night.


potato
Regular Member


Date Joined Jun 2008
Total Posts : 281
   Posted 9/5/2008 9:45 PM (GMT -6)   

Well, that fast urge and bathroom trip was definitely a signal of more flaring to come.  After the first night of Rowasa, I saw blood 3 times today, so it looks like my gut is not ready to accept just that and the asacol.  I think I'll try the generic cortenema at night and Rowasa in the morning for a few days and see how it goes.

I've been on omprezole for about 6 years and never had problems with it other than it's more pills to take.  My PC prescribed it after my gall bladder was removed but I still had pain.  He was pretty vocal that I use it.  Next time I see him, I'll ask him about it again.  

Wouldn't it be great if figuring out our symptoms and treating this disease were as clear cut as that urge, cramps, and D I had the night of the stressful event?  Just one more irony about UC. 

 


Potato...  Female, 58, dx mild left sided ulcerative colitis 11/07
asacol 3 3x a day 
cortenema (generic) am & pm Rowasa every other day 
culturelle, benefiber wafers  generic acidophilus, metamucil wafers
children's vitamin, Vitamin E 400 mg
omeprazole 2x a day
oxazepam when needed, lomotil or ImodiumAD (but not in the same day)
 
 
 
 
 
 


Kiss520
Veteran Member


Date Joined Jun 2008
Total Posts : 742
   Posted 9/5/2008 9:54 PM (GMT -6)   
I just went to my doc yesterday, who diagnosed IBS due to my stress-gut connection. I will be starting Zoloft tomorrow morning to FINALLY address my stress/depression. I'll let you know if I see improvement with my stress levels.
Katie, 30.   Chicago 'burbs.
DX:  Ulcerative Proctitis (10cm) January '08, IBS September '08
Current Treament:  Rowasa 60 ML morning, Cortenama 100 ML night, Zoloft 50 MG daily, Bentyl 20 MG and Tylenol (as needed).
Diet/Exercise:  Avoiding trigger foods.  Yoga or walking, when possible.
Previous Treatment:  Canasa suppositories, Cortifoam, Prednisone, Colazal, Symex DuoTabs, Vitamins.
Status:  Flare (finally showing improvement)
 
 

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