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notsosicklygirl
Forum Moderator
Joined : Dec 2008
Posts : 17173
Posted 1/4/2019 7:53 AM (GMT -7)
I didn't mean they are the same thing, I meant that it is inflammation in the pouch - which is an area that shouldn't be inflamed, considering UCers don't have inflammation in the small intestine.

I think keith has a diagnosis of Crohn's because his pouchitis is chronic. When it comes down to it, if it's chronic, you need treatment options, and I think Crohn's opens up more options for treatment than "nonspecific inflammation".

valli, did you get the results of the biopsy? Did you try metro and cipro before your trip? I hope you have some luck with it. It's good you have a GI on your side now. Very frustrating that your surgeon isn't more interested in helping with aftercare.
Moderator: UC
Currently: no meds 6/15 Step 1 J-pouch Surgery Complete 9/15 Step 2 Complete 11/15 Step 3 Complete
From Sickly to UC Free

Give a man a fish and he will eat for a day; teach a man to fish and he will eat for a lifetime; give a man religion and he will die praying for a fish
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Woogy
Regular Member
Joined : Apr 2004
Posts : 185
Posted 1/4/2019 1:25 PM (GMT -7)
Valli, It great your GI doc was able to give you a diagnosis. I hope the meds help and you start to feel better. ☺️

I had my 1st follow up with my surgeon and GI doc on Weds. I have been having this pain on my left side buttock area for a few weeks now. It almost feels like the pain you get from riding a bike too long. Almost like a bruised butt bone. The only thing is the pain increases when emptying my pouch. And it's uncomfortable to sit down so I lean to the side. The surgeon didn't think anything of it and said it should go away with time. GI thinks it's muscular and said to take Tylenol and use heat/ice. It's not improving but not getting worse either. It really is frustrating when no one has a clue as to why I'm having issues now. Oh well, I will continue doing the heat/ice and hope it goes away. 😒
~Diagnosed in 2001 - Left Side UC
-Vit D, Vit C, Multivitamin

Previously tried colozal, lialda, asipro, sulfasalazine, rowasa, canasa, hydrocortisone enemas, Imuran and Humira - they all failed or made symptoms worse.

**Step 1 of 3 - Surgery on 1/29/18**
**Step 2 of 3 - Surgery on 8/6/18**
**Step 3 of 3 - Surgery on 11/12/18**
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Riseagainstbadmusic
Regular Member
Joined : Oct 2018
Posts : 27
Posted 1/5/2019 1:36 AM (GMT -7)

notsosicklygirl said...
I didn't mean they are the same thing, I meant that it is inflammation in the pouch - which is an area that shouldn't be inflamed, considering UCers don't have inflammation in the small intestine.

I think keith has a diagnosis of Crohn's because his pouchitis is chronic. When it comes down to it, if it's chronic, you need treatment options, and I think Crohn's opens up more options for treatment than "nonspecific inflammation".

valli, did you get the results of the biopsy? Did you try metro and cipro before your trip? I hope you have some luck with it. It's good you have a GI on your side now. Very frustrating that your surgeon isn't more interested in helping with aftercare.

Some doctors will classify it as crohns on paper to make it easier to get their patients on biologics, but that still doesn't make it crohns. That can only be done via biopsies.

Post Edited (Riseagainstbadmusic) : 1/5/2019 1:53:47 AM (GMT-7)

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Riseagainstbadmusic
Regular Member
Joined : Oct 2018
Posts : 27
Posted 1/5/2019 1:53 AM (GMT -7)

valli1234 said...

Riseagainstbadmusic I had a biopsy done of the colon after my first operation, that is why I dont understand why she is doing another biopsy and that was ordered by the surgeon she was the one that thought maybe crohns. My new gastro thinks pouchitis. When did they take your biopsies? And what where your symptoms.

It was weird, had 4 scopes and biopsies done prior to them finding out it was crohns. They didn't know why they couldn't have seen it before. But it was really obvious to them during the last scope and said the biopsies would come back as crohns, and they confirmed it when they got the biopsies back. I had some rather deep ulcers up above the pouch, quite a ways above the pouch. I knew something wasn't right because the blood was dark, not light. I knew the ulcers were higher up in my GI because of that and the awful pain. It was a different kind of pain that I was used to with UC. And I've never had blood that dark before, and it was every single bowel movement. They were treating it as pouchitis and cuffitis and the cipro/flagyl did not work for very long and it didn't stop the bleeding. After it was confirmed to be crohns they put me back on prednisone, methotrexate and remicade. A month after my remicade infusion it came back so now I am every four weeks with the remicade infusions. And I haven't had any ulcer bleeding since. I get scoped next week to see how it's been. My GI did call to tell me I was developing antibodies to it, so I don't know how much longer it will work. But it's nice to not be bleeding 8 times per day.

Post Edited (Riseagainstbadmusic) : 1/5/2019 1:56:09 AM (GMT-7)

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3timechamp
Veteran Member
Joined : Oct 2009
Posts : 1333
Posted 1/5/2019 9:42 AM (GMT -7)
Valli feel bad with what your going thru. Hope u get on right path to recovery. I changed my primary care Dr few years back bc she gave me anti biotic that caused me big D and put me in hospital for 4 days. When I asked why she gave me that she was speechless. Told her she should know about her patients and what they can and can not take. She wasn't happy at my bedside in hospital. I couldn't give a sh....... how she felt. Drs are like car mechanics u hope u get a good one. Not easy at all. Going to see plastic surgeon Wednesday then we schedule surgery. Hope by end of month. Be well and good luck
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ks1905
Veteran Member
Joined : Sep 2005
Posts : 5438
Posted 1/5/2019 12:49 PM (GMT -7)

3timechamp said...
Valli feel bad with what your going thru. Hope u get on right path to recovery. I changed my primary care Dr few years back bc she gave me anti biotic that caused me big D and put me in hospital for 4 days. When I asked why she gave me that she was speechless. Told her she should know about her patients and what they can and can not take. She wasn't happy at my bedside in hospital. I couldn't give a sh....... how she felt. Drs are like car mechanics u hope u get a good one. Not easy at all. Going to see plastic surgeon Wednesday then we schedule surgery. Hope by end of month. Be well and good luck

We have to be our own and best advocates, I always ask if I can take a medicine and if there are any interactions to UC, bleeding, or any of my medications. If there is a questions then I run it by my GI and go from there. A couple of years ago I did my loading dose of Stelara (4 doses at once) and then four weeks later I was bit with a tick that was confirmed to have Lyme Disease. I called Stelara, my GI, met with 3 infectious disease doctors and nobody had a clear answer for me on what to do with my next dose of Stelara. My GI went and asked the head of infectious disease department at NYP Cornell and got me the best advice available. I never ended up with Lyme.

FYI, now that you are without a colon and UC you still should not take NSAIDs. I confirmed this with my GI.
Keith

DX'd with Severe Pancolitis June 2005
Previous Meds: 5ASAs, Predisone, 6-MP. Remicade, Humira, Simponi, Cimzia & Cyclosporine
3-step J-Pouch surgery: 2013 & 2014

Current Condition: Chronic Pouchitis -- Not as bad as I thought it would be
Current Meds: Stelara
Total Hip Replacement: 12/16 -- Thanks Prednisone!!!
www.healingwell.com/community/default.aspx?f=38&m=3755226
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3timechamp
Veteran Member
Joined : Oct 2009
Posts : 1333
Posted 1/5/2019 1:00 PM (GMT -7)
Keith what are NSAIDS??
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Riseagainstbadmusic
Regular Member
Joined : Oct 2018
Posts : 27
Posted 1/5/2019 3:37 PM (GMT -7)

3timechamp said...
Keith what are NSAIDS??

Pain pills like ibuprofen, Advil, Motrin. They will cause stomach bleeds in people who have a history with ulcers. One every once in a while wouldn't hurt, but anything more than that and you're playing with fire.
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3timechamp
Veteran Member
Joined : Oct 2009
Posts : 1333
Posted 1/5/2019 4:05 PM (GMT -7)
Ok. My wife uses Advil. The one time I tried them I bled
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ks1905
Veteran Member
Joined : Sep 2005
Posts : 5438
Posted 1/5/2019 5:59 PM (GMT -7)

3timechamp said...
Keith what are NSAIDS??

You now know what they are. I had problems recovering from my hip replacement surgery because I couldn’t take NSAIDs (normally prescribed after surgery) and I refused Helprin shots because of the bleeding risk. The surgeon I chose specialized in using a new boot device to lower the blood clotting risk. He sent me home with them to use for two weeks after surgery.

We always need to consider the IBD implications when dealing with any medical issues.
Keith

DX'd with Severe Pancolitis June 2005
Previous Meds: 5ASAs, Predisone, 6-MP. Remicade, Humira, Simponi, Cimzia & Cyclosporine
3-step J-Pouch surgery: 2013 & 2014

Current Condition: Chronic Pouchitis -- Not as bad as I thought it would be
Current Meds: Stelara
Total Hip Replacement: 12/16 -- Thanks Prednisone!!!
www.healingwell.com/community/default.aspx?f=38&m=3755226
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Woogy
Regular Member
Joined : Apr 2004
Posts : 185
Posted 1/5/2019 11:48 PM (GMT -7)
Why can't we take NSAIDS? I was given ibuprofen when I was in the hospital after my surgery and surgeon had me continue it at home afterwards for the pain. I used this with Tylenol instead of painkillers. Now I don't use them often, but sometimes that's the only thing that will help with pains or headaches.
~Diagnosed in 2001 - Left Side UC
-Vit D, Vit C, Multivitamin

Previously tried colozal, lialda, asipro, sulfasalazine, rowasa, canasa, hydrocortisone enemas, Imuran and Humira - they all failed or made symptoms worse.

**Step 1 of 3 - Surgery on 1/29/18**
**Step 2 of 3 - Surgery on 8/6/18**
**Step 3 of 3 - Surgery on 11/12/18**
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songlady
Veteran Member
Joined : Aug 2009
Posts : 3730
Posted 1/7/2019 3:13 PM (GMT -7)
Woogy - NSAIDs can cause GI bleeding. Ibuprofen products (Advil, Motrin, ETC) CAN CAUSE UC - like symPtoms in people who do not even have UC.
My guess is that we all respond differently. about 30 years ago I took Advil for a few days for a bad backache and went into the bloodiest flare of my UC career. So, for me - I won't chance them. Two c-SECTIONS, two hip replacements, not a single NSAID. Some opioids, but I don't seem to suffer effects from them and can get off them easily.

After reversal surgery my CR surgeon told me never to take them again. (But, since I gave them up 30 years ago, I didn't even question him!)

In other news.... I have been doing OK. December is the busiest time of my work year, and it was really difficult with my mother's death early in the month. I'm still dealing with her affairs, minimal as they were.... so emotionally I'm sort of blah. Even with the holidays (my favorite!) I just didn't feel much of anything, highs or lows. I've lurked some but haven't signed in lately.

I have a regularly scheduled appt with my CR surgeon tomorrow. Will ask him about the possible pouchitis (after being off the antibiotics awhile, I am not feeling as perfect as I was when I was on them..... except that they made my hands and feet more numb and tingly, which worried me. They already feel that way from last year's chemo. )

Then DH and I are driving to see family, away for a week. It's a 12 hour drive, and we are splitting it over 2 days. I think I am getting psyched - a week ago I was almost paralyzed with nervousness about it! But I know I need to get away and I am hoping this will help.

Valli, sorry for all your trials; and Champ, sorry about the hernia. Let's hope for a good 2019 all in all!
Age 62. Diagnosed UP 1983, UC 1986
Step One surgery on 12/28/17.
Surgery: planned. The colon cancer they found: a surprise.
Prior meds: sulfasalizine, Asacol, Delzicol, Lialda,
6 MP, Humira, Metamucil
two hips replaced thanks to pred.
6 months of chemo finished 7/9/18
Reversal to J pouch 8/9/18
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3timechamp
Veteran Member
Joined : Oct 2009
Posts : 1333
Posted 1/7/2019 4:17 PM (GMT -7)
Song we need some Valli blood in us,you know jet setting all over the world weeks after surgery[just kidding Valli].Holidays were kind of blah for me also,but i was grateful i had work up to xmas.Now the tough months ahead until spring for me.Im see plastic surgeon Thursday then we schedule surgery.I'll be fine,just a bump in the road.If anyone wants a tic tac toe board my stomach is available[HA HA].I feel like a steak at Benihanas,kidding aside hope we all get everything figured out.Song happy driving,safe trip
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valli1234
Regular Member
Joined : Aug 2017
Posts : 299
Posted 1/7/2019 8:17 PM (GMT -7)
Thanks for the post guys I wrote back two nights ago and like a few times before instead of the submit key I hit the cancel.... that is it no more late night computer time for me lol. My other half is a shift worker ( police officer ) so when I stay at his house I am forced to stay in bed all night just bathroom trips when I am at my house 6 houses away I can stay up as long as I like. lol

Fantastic news I feel NORMAL yes I actually for the first time since May 2017 the beginning of my nightmare feel like Valli again, no running to the bathroom all night long, no serve gas pains and no back door pain.I started taking the cirpo and flagyl Thursday morning and by Saturday there was a day and night difference. My BM look normal ( ok they are black but who cares) they do not cause spasms coming out and I only go maybe twice a night compared to 10 times a night on average, I literally had no control of when I would get up..
My boyfriend is so pissed he wants to make a follow up appointment with my surgeon just so he can say" Look here after just 2 days she feels normal again and she should have put me on cipro and flagly months ago when she said none of this is right what she is experiencing are all the symptoms of pouchitis". I told him she is most not worth the heartache lets move on and enjoy good health.
I have my pouch scope with the gastro Wednesday, curious to see if my pouch is already simmered down and if it would still show signs of inflammation but it really doesn't matter because I am showing no signs of all the symptoms I had they are no non existing.

And regarding the NSAIDs I never take them when I had my colitis I once took the gel ones and ended up with a flare for 6 months. I would still avoid them just because I am guessing not too many of us have a lot of luck with GI issues and Advil is notorious for causing stomach issues. I would stay away from them and stick to Tylenol.
47 year old female mother of 4
UC since 1993 remission off and on
The last flare-up was 2008 till 2009 then remission till June 2017
Hospitalized November for 5 weeks removed my colon Dec 12
Anemia 4 blood transfusions in those 5 weeks.
prednisone, asacol, pentasa,encort enemas, steriod enemas, hurmia all failed
Proctitis Jan 2018
March 19 2nd surgery J pouch
Next surgery late Aug 8 takedown
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3timechamp
Veteran Member
Joined : Oct 2009
Posts : 1333
Posted 1/7/2019 8:26 PM (GMT -7)
Great news Valli. Hope u keep going in positive direction. I'm going to have pouch scope day of hernia surgery. I'm sure it looks ok. Wednesday 1 year 1st surgery anniversary Wow that went quick. Be well
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notsosicklygirl
Forum Moderator
Joined : Dec 2008
Posts : 17173
Posted 1/7/2019 8:32 PM (GMT -7)
Great to hear you've already had so much improvement. Imagine you take this course and things are fine for a very long time? I hope so! But yeah, I'd be mad that the surgeon wasn't more helpful. Why make you live in hell for so long when all you needed was proper treatment. I hope you continue to improve and feel well. I probably wouldn't waste my time making a big deal of it regarding the surgeon either, but i would be a bit resentful.
Moderator: UC
Currently: no meds 6/15 Step 1 J-pouch Surgery Complete 9/15 Step 2 Complete 11/15 Step 3 Complete
From Sickly to UC Free

Give a man a fish and he will eat for a day; teach a man to fish and he will eat for a lifetime; give a man religion and he will die praying for a fish
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ks1905
Veteran Member
Joined : Sep 2005
Posts : 5438
Posted 1/7/2019 10:21 PM (GMT -7)
I’m having a pouch scope on Thursday. I had to postpone my last scope due to a sinus cold.

Isn’t it nice not to have to wake up every hour to go to the bathroom at night?
Keith

DX'd with Severe Pancolitis June 2005
Previous Meds: 5ASAs, Predisone, 6-MP. Remicade, Humira, Simponi, Cimzia & Cyclosporine
3-step J-Pouch surgery: 2013 & 2014

Current Condition: Chronic Pouchitis -- Not as bad as I thought it would be
Current Meds: Stelara
Total Hip Replacement: 12/16 -- Thanks Prednisone!!!
www.healingwell.com/community/default.aspx?f=38&m=3755226
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songlady
Veteran Member
Joined : Aug 2009
Posts : 3730
Posted 1/9/2019 7:01 AM (GMT -7)
Hi all - Just a quick update that I saw my surgeon yesterday. He was very pleased with how things are coming and with my Daily Poop Count Chart (which he'd asked me to keep.) The numbers tend to be 6-10 per 24 hours period, depending on what I eat, when I am not on antibx. That includes none or maybe once at night.

I might have a hernia. He will take a look at the CT scan I have schedule for next month (scheduled for the oncologist - standard to do this twice a year at this point.) He said that I had such a large weak area of stomach muscle that he did not use mesh, just stitches. I definitely have a bulge near the stoma site and can feel "something" in there when I cough or strain the muscles. But, heck, I won't worry at the moment.

We leave today for Day One of our car trip to see family. A week ago I was really nervous about this, and about being away from my own bathroom, but now I feel ready to get away! The Doc was excited we were going away and brainstormed a list of what I should bring (which of course I'd already thought about and packed, lol, but it was sweet.)

Be back in a week or so! smile
Age 62. Diagnosed UP 1983, UC 1986
Step One surgery on 12/28/17.
Surgery: planned. The colon cancer they found: a surprise.
Prior meds: sulfasalizine, Asacol, Delzicol, Lialda,
6 MP, Humira, Metamucil
two hips replaced thanks to pred.
6 months of chemo finished 7/9/18
Reversal to J pouch 8/9/18
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valli1234
Regular Member
Joined : Aug 2017
Posts : 299
Posted 1/9/2019 7:34 AM (GMT -7)
ks1905 , 3timechamp, songlady and NSSG Yes it is nice not to run to the bathroom all night last night I went all the way till 6 am this morning, let me tell you that is the best part. Our 1 year anniversary is here now look how far we have come. I have to say again thank you guys for all your support.

Songlady have a wonderful vacation just enjoy the time with family and try not to worry about the bathroom trips but it does sound like you have them under control sorry about the hernia but you can tackle that later on.

Off in a few hours for my scope with the meds on board I am assuming my pouch will look less like pouchitis and more like a good healthy pouch... trying to stay positive
47 year old female mother of 4
UC since 1993 remission off and on
The last flare-up was 2008 till 2009 then remission till June 2017
Hospitalized November for 5 weeks removed my colon Dec 12
Anemia 4 blood transfusions in those 5 weeks.
prednisone, asacol, pentasa,encort enemas, steriod enemas, hurmia all failed
Proctitis Jan 2018
March 19 2nd surgery J pouch
Next surgery late Aug 8 takedown
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3timechamp
Veteran Member
Joined : Oct 2009
Posts : 1333
Posted 1/9/2019 10:11 AM (GMT -7)
Good luck with your scope
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Woogy
Regular Member
Joined : Apr 2004
Posts : 185
Posted 1/9/2019 12:33 PM (GMT -7)
Song-thanks for the explanation. It's weird that my surgeon told me it's okay to take ibuprofen. I will stick to tylenol. Though I just bought some Arnica pellets and those seem to work well for pain.

Valli - I'm so happy to hear that you feel so much better!! That's great news. And to not get up in the middle of the night to use the bathroom is awesome. I can only wish I didn't have to get up. I average 2-4 times a night. It's rough.

KS-I hope your scope goes well and you get good news.

Champ-Good luck at your appt with the plastic surgeon. Hopefully they get you in soon to take care of that hernia.

As for me, I'm having some issues. I've had this pain in my left buttock area which I finally couldn't take the pain and went to my chiropractor to see if he could help (since my GI doc thinks it's muscular). Chiro thinks it's my periformis muscle which is very tight. So I've been stretching/heating it and it seems to help. But then last night I woke up with horrible pain in my left side that traveled to my groin. And I couldn't go to the bathroom, which is off since I'm up so many times a night going. I drank 3 cups of coffee this morning and it got things moving but the pain is still there. I ate some pasta for lunch and now that pain is really bad. WTH. If it's not one thing it's another. My coworkers want me to go to immediate care but I don't think they will know what is going on. I emailed my GI since after lunch the pain is worse. I don't think it's a blockage since I can not go to the bathroom so not sure what could be causing it. Ugh.
~Diagnosed in 2001 - Left Side UC
-Vit D, Vit C, Multivitamin

Previously tried colozal, lialda, asipro, sulfasalazine, rowasa, canasa, hydrocortisone enemas, Imuran and Humira - they all failed or made symptoms worse.

**Step 1 of 3 - Surgery on 1/29/18**
**Step 2 of 3 - Surgery on 8/6/18**
**Step 3 of 3 - Surgery on 11/12/18**
profile picture
valli1234
Regular Member
Joined : Aug 2017
Posts : 299
Posted 1/11/2019 7:40 AM (GMT -7)
Hi guys a little update had my scope on Wednesday to start I do not remember a thing not even my drive home its amazing what a little IV with meds into my system will do. The doctor took biopsys and wrote down I have inflammation in the last 5 cm of my anus which I believe is the rectal cuff and it is still considered Ulcerative colitis ( cuffitis). And also it showed I have ulcers in the pouch which is due to staples. Other then that my pouch looks ok.
I am to continue on the antibiotics till finished and if the symptoms come back stay on the antibiotics for another month plus a solfalk suppository nightly. What I do not understand is it has to be bacterial right, because once on both antibiotics the first time last week I saw a 90% difference in just two days, I finally have my life back and its all due to the antibiotics so I wonder was it in my pouch and it healed already or the cuffitis?
Hope everyone has a fantastic weekend which to me means two sleep ins..... not looking forward to our weekend weather - 10 brrrr to those of you in the sunny south enjoy it.
47 year old female mother of 4
UC since 1993 remission off and on
The last flare-up was 2008 till 2009 then remission till June 2017
Hospitalized November for 5 weeks removed my colon Dec 12
Anemia 4 blood transfusions in those 5 weeks.
prednisone, asacol, pentasa,encort enemas, steriod enemas, hurmia all failed
Proctitis Jan 2018
March 19 2nd surgery J pouch
Next surgery late Aug 8 takedown
profile picture
3timechamp
Veteran Member
Joined : Oct 2009
Posts : 1333
Posted 1/12/2019 3:22 PM (GMT -7)
Valli quess we have summer weather here in NY. Wind chill in teens Where r u in Canada??? Hope your on road to full no issues recovery. I'm sure with cuffitis or pouchitis your healthier then 2017??? Stay warm and healthy
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valli1234
Regular Member
Joined : Aug 2017
Posts : 299
Posted 1/12/2019 10:11 PM (GMT -7)

3timechamp said...
Valli quess we have summer weather here in NY. Wind chill in teens Where r u in Canada??? Hope your on road to full no issues recovery. I'm sure with cuffitis or pouchitis your healthier then 2017??? Stay warm and healthy

3timechamp I am between Toronto and Niagara Falls so we tend to get the lake effect snow being so close to the lake. I literally have no time off for a vacation in the next few months, I will hibernate for a bit till it warms up. I have 4 more days on my antibiotics fingers crossed the 2 weeks did the trick, I am feeling 100% for awhile there I never thought I would again. Here is to 2019 health and happiness for all of us.
47 year old female mother of 4
UC since 1993 remission off and on
The last flare-up was 2008 till 2009 then remission till June 2017
Hospitalized November for 5 weeks removed my colon Dec 12
Anemia 4 blood transfusions in those 5 weeks.
prednisone, asacol, pentasa,encort enemas, steriod enemas, hurmia all failed
Proctitis Jan 2018
March 19 2nd surgery J pouch
Next surgery late Aug 8 takedown
profile picture
3timechamp
Veteran Member
Joined : Oct 2009
Posts : 1333
Posted 1/13/2019 7:45 AM (GMT -7)
I was up in Depew(Buffalo area) in 2015 for nephews HS graduation. We went to the falls. Had been there few yrs earlier for vacation. My sister in law said they had 7ft of snow back when she was in high school(80s). All lake effect. That's crazy. We cry if we get 6 inches. I pray to God that your on the right path. Are u a hockey fan???
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