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Severe UC - Treatment with Cyclosporine and Stelara

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Ulcerative Colitis
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GotGuts
New Member
Joined : Jun 2018
Posts : 1
Posted 12/21/2020 2:58 AM (GMT -7)
Hello team,

I hope you are all well and as healthy as possible! I would like to share my current experience with you and listen to any opinions/advice you might have.

So I am 29 and I've been having Ulcerative Colitis for 15 years now. I am currently having the most severe flare-up of my life, had to be hospitalized for the first time ever and actually I am still in hospital.

So far my maintance therapy had been mesalamine 3g/day, my flare-ups had been mild to moderate and mesalamine/steroid enemas would do the trick for me and induce remission.

However, this time everything is completely different. I had extreme pain, more than 20 bloody bowel movements a day, extreme nausea and I even vomitted a few times. I tried steroids both rectally and orally but they didn't work at all.

I did a colonoscopy and the doctor told me that although the ulcers are limited to the left side of the colon, they are quite deep and therefore my colitis is quite severe. So I was admitted to hospital and he initially put me on IV steroids and on Remicade. Although my symptoms improved significantly from the first days on, the 2nd colonoscopy didn't show much improvement histologically.

Therefore, the doctor told me that I've failed Remicade and decided to switch me to IV Cyclosporine. I've been taking it for 10 days now and now switched to Cyclosporine pills. I am certainly responding to it, as all my symptoms have almost gone away (bowel movements have decreased to 3/day, I have no pain at all, etc), but my only concern is that I am still having some blood from time to time and my stools are not yet consistent enough. The doctor tells me this is normal and he's planning to put me on Stelara too on Thursday, which hopes that will put me in remission in combination with Cyclosporine.

Although I am trying really hard to remain positive and believe this will work, I cannot hide how stressed and nervous I am feeling about all this situation. I am trying not to think of the worst case scenario but I know that this combined medication is my last resort before surgery and this totally freaks me out.

Last but not least, my doctor told me that the trigger of this severe flare was the stress and emotional pain I went through due to the loss of my dad to cancer, a few months ago and therefore it is extremely important to keep myself as calm as possible in order to get out of this flare, which of course causes me more stress.
You know, I am gettting stressed, trying not to get stressed...

I am sorry for the veeery long text. Any opinions or similar experiences would be greatly appreciated! Thanks a lot in advance for your time and help!

P. S. Don't forget to stay strong, we are cursed to live with this awful disease but we should never give up!
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poopydoop
Veteran Member
Joined : Dec 2018
Posts : 927
Posted 12/21/2020 6:09 AM (GMT -7)
Hey, sorry to read about what you're going through, I don't have a similar experience but just wanted to say that many people are really happy with their surgery. I nearly had surgery a couple of years ago and by the time I'd done all my research (including taking to a surgeon and stoma nurse) I had made peace with it. The reason I avoided it was because my medication suddenly started to work (it took longer than average), but I'm aware that at any point I might flare again and still need surgery. There are a few posters here who had surgery and can give some reassurance.
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FlowersGal
Veteran Member
Joined : Feb 2017
Posts : 914
Posted 12/21/2020 8:35 AM (GMT -7)
I had the same reaction to stress from my mothers dementia disease and death. 3 weeks after her death I woke up with bloody stools and it rapidly progressed to pancolitis so I well know what long term stress does to the body. You are not out of options yet after stelara. There’s still xeljanz and entyvio for instance. What about the 6mp class of drugs?

Gut disease can contribute to depression. I started antidepressants which really helped calm me and ease the stress. They don’t have to be long term — just something to tide you over after all you’ve been through! It’s something to consider!

Hang in there! And condolences on the loss of your father!
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Jane974
Regular Member
Joined : Feb 2017
Posts : 418
Posted 12/21/2020 11:07 AM (GMT -7)
Sorry for the loss of your father. You can try taking a mindfulness class online to help with the stress (e.g., MBSR has good evidence base). There are many options and apps around mindfulness if you do a search online.
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3timechamp
Veteran Member
Joined : Oct 2009
Posts : 1660
Posted 12/31/2020 2:37 AM (GMT -7)
Guts I hope your doing better. I'm one of those that decided on surgery in 2018 after 32 yrs of UC. I'm 62 now. Once Steriods were not working i along with my gastro and surgeon decided it was time for surgery. Only biologic I was on was 6mp and did it ever really help??? I Quess a little. Was put on it while on a bad flare. Colon was very scared for many flares. Both Drs didn't think we could get it back to normal. I didn't want humira or remi. I wanted something permanent. Anxiety was killing me. So surgery has been a gift from God. I'm normal again. No complications at all for me. Had great surgeon in NYC. If surgery is ever direction u need to go then meet with a few surgeons. Get recommendations and God bless you
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