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Kathy1946

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Ulcerative Colitis
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Kathy1946
New Member
Joined : Jan 2023
Posts : 10
Posted 1/27/2023 6:43 AM (GMT -8)
I was diagnosed with UC about 11 years ago when I went to the ER. I never saw a Gastroenterologist. All they said was yes you have UC and sent me home. The flare lasted for months. The only information I get is online I have an appointment with a doctor at the end of February but in the meantime I’m winging it. I’m going with Dr. Google. Losing weight I can’t afford to lose. My question is in between bouts I cannot go…cannot have a BM any suggestions are welcome I am so glad I found this site!
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FlowersGal
Veteran Member
Joined : Feb 2017
Posts : 1633
Posted 1/27/2023 7:19 AM (GMT -8)
Metamucil or psylliums seed/fiber can be helpful for constipation. Or you can try miralax. Turmeric supplements are said to be helpful.
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Kathy1946
New Member
Joined : Jan 2023
Posts : 10
Posted 1/27/2023 8:07 AM (GMT -8)
Thank you!
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CCinPA
Veteran Member
Joined : Dec 2014
Posts : 2524
Posted 1/27/2023 9:59 AM (GMT -8)
When you had the flare 11 years ago and the ER said you have UC, did you have a colonoscopy? As far as I am know that's the only way to be properly diagnosed. Did you do anything for that 1st flare and have you had any other problems before now?

If you really do have UC, you will likely need treatment for life -- you stay on the meds even when you are well. Some people do well on just oral medications. Others need both oral & rectal meds or need to use other types of medication such as biologic meds. And then there are some who can manage with alternatives like diet modification or supplements. This is a very individual disease -- what works for 1 person may not work for the next.

What are your current symptoms? You could ask your primary care doctor to do some stool testing to make sure you don't have a pathogen like c-diff or other bugs. Then if symptoms are really bad he may be able to prescribe prednisone to get the symptoms under control until you can see your gastro doc in Feb.

Welcome to the forum. Sad that you have to be here though.

Keep us posted.
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Kathy1946
New Member
Joined : Jan 2023
Posts : 10
Posted 1/27/2023 3:41 PM (GMT -8)
I have had colonoscopies since and they said I had diverticulitis but there was no sign of UC when they did the procedures, but I doubt they were looking for it since it was never on my records…..that I know of. At the beginning of this flare it was waking me up at one, two and three in the morning and I had liquid explosions finally ending in a lot of blood. That went on for about five days. During the days after about 10AM I seemed to be fine. 11 years ago it lasted for months and I just kept eliminating different foods. It finally stopped but never did see a G.I. doctor about it. I hope you’re right. I just saw my primary care doctor and talked to her about it and she said she would try to speed up my appointment with the gastroenterologist, but so far no luck. I have cut out all sugar, fats and alcohol and I’m down to not a whole lot. In between the explosions I’m constipated but not to the point where I am uncomfortable…..yet.
Thank you so much for your input.
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island time
Veteran Member
Joined : Dec 2014
Posts : 2340
Posted 1/27/2023 9:20 PM (GMT -8)
You may not need full doses of miralax. about a half a dose keeps me soft and regular when I begin to feel the constipation coming on.

If it’s too late to catch it with Miralax, a Ducolax suppository makes simple work of it.

Wishing you the best on your upcoming appt.
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CCinPA
Veteran Member
Joined : Dec 2014
Posts : 2524
Posted 1/28/2023 5:26 AM (GMT -8)
The constipation is likely due to the colon & rectum being inflamed and swollen.

Did you ask your doc about stool tests? You don't have to wait for a GI to order them -- your primary care physician can do that and then when you have your GI appt he will already have that info. If you don't do them now your GI will do them later and treatment will be further delayed until the stool test results are back. Ask for a test for c-diff and while you're at it ask for a faecal calprotectin test. C-diff is a highly contagious pathogen whose symptoms can be similar to a UC flare and the faecal calprotectin test can measure inflammation.

Your PCP can also order some blood tests in advance too that the GI would likely ask for -- CBC, sed rate, and CRP.

Just ask the PCP to copy the gastro doc with results so when you finally see him he can maybe start treatment right away. If you have c-diff the PCP can and should start treatment now.

With UC we as patients have to be our own advocates and sometimes ask docs for tests and treatments -- if you just wait for docs to suggest things you could be in for a lot of suffering. Docs have hundreds of patients that they see every week. You have only one (yourself). Think of your docs as partners for your health. They will usually work with you and appreciate questions and requests.
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Kathy1946
New Member
Joined : Jan 2023
Posts : 10
Posted 1/28/2023 6:21 AM (GMT -8)
Thanks all for help. I will send my PCP a request for tests right away, and will get Miralax today.

Just read up on C diff and that’s a real possibility. 1) I was on antibiotics over the holidays for a tooth. The emergency on call dentist felt I probably had an infection after some dental work by a different dentist.
2) I’m an in home care giver and work with a lady who has Crohns. I’m very hands on with her, and not always careful about wearing gloves.
My mind is churning!

Post Edited (Kathy1946) : 1/28/2023 6:33:45 AM (GMT-8)

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quincy
Elite Member
Joined : May 2003
Posts : 33538
Posted 1/28/2023 10:05 AM (GMT -8)
Have you had biopsies during any of your colonoscopies?
I suggest you request them at the next one.
q
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Kathy1946
New Member
Joined : Jan 2023
Posts : 10
Posted 1/28/2023 12:25 PM (GMT -8)
Thank you…I will request a biopsy; don’t know if doctor will comply.
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quincy
Elite Member
Joined : May 2003
Posts : 33538
Posted 1/29/2023 12:11 AM (GMT -8)
If your GP has put forth request to test for suspicion of UC...re your past, but unmedicated, diagnosis...biopsies will/should be done. But discuss with the GI that you need to know what's going on, because it seems that it couldn't only be diverticulosis/diverticulitis.
You seem to have slipped trough some very wide cracks re diagnosis and treatment.

q
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Kathy1946
New Member
Joined : Jan 2023
Posts : 10
Posted 1/29/2023 10:45 AM (GMT -8)
Quincy, thank you so much for your input. All of you. I guess I have always been kind of doctor shy and I come from the era where doctors were GPs. I just figured they would take care of all of that. But I have found out/I am finding out that I absolutely do have to be my own advocate. I sent an email to my PCP yesterday and she will get it Monday. Generally she is very good about keeping on top of things. I have enjoyed good health pretty much all my life. A flare started this morning at 4 AM so not feeling well. I am going to make a call to the gastroenterologist at the clinic I go to and try to stir the GI doctor to action before the end of February. When I had the bout 11 years ago and went to the ER, I was with an insurance company that I grew to detest because of things like this. The lack of attention to important things.
Once again thank you all so much.
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quincy
Elite Member
Joined : May 2003
Posts : 33538
Posted 1/29/2023 11:27 AM (GMT -8)
Kathy...i also suggest you get copies of all results. You might even be able to get a copy of past results.
Absolutely, you need to be your own advocate, but be prepared with knowledge and a list of questions to stay on point.
If you can get an appointment for discussion with the GI...that would be helpful.

Keep us updated...
q
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Kathy1946
New Member
Joined : Jan 2023
Posts : 10
Posted 1/29/2023 3:48 PM (GMT -8)
Thank you!!
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CCinPA
Veteran Member
Joined : Dec 2014
Posts : 2524
Posted 1/31/2023 5:21 AM (GMT -8)
Have you heard anything about getting the stool tests?

Docs should do the biopsies when you get scoped without you asking, but if you ask and they don't do it you really should find a new doc. Biopsies are a normal, essential part of colonoscopies when you have IBD to check for changes in the structure of the colon.
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Kathy1946
New Member
Joined : Jan 2023
Posts : 10
Posted 1/31/2023 6:45 AM (GMT -8)
Good morning! I found an email from my doctor last night and she said she has ordered a kit for a stool sample and I am to pick it up at the lab. I am going to do that today and get it back to her…. As soon as I can produce one! Thank you for asking! And now that they know I have IBD of some sort I’m sure they will do a biopsy. I never had mentioned it before because the colonoscopies I’ve had were so far apart from the episode I had 11 years ago.
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Kathy1946
New Member
Joined : Jan 2023
Posts : 10
Posted 2/18/2023 1:29 PM (GMT -8)
Well, I just got the results of stool sample test. Not C diff. My doctor said that my symptoms are a result of UC, and the only reason she thinks I have UC is because I told her I did. I told her I did because the hospital 11 years ago said I did because I told them I thought that’s what I had. Oh my! I see a G.I. on the 27th
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Old Hat
Veteran Member
Joined : Feb 2007
Posts : 5854
Posted 2/18/2023 3:09 PM (GMT -8)
Hi, Kathy! I 1st noticed your thread today, and read your comment on 1/27 that doctors a while back said you had diverticulitis. That detail reminds me of a new female forum member's post here in late 2022. She wrote that she got a DX called SCAD, which is inflammation occurring between the diverticuli tissue projectiles. She decided to inquire here because the gastroenterologist told her that SCAD requires treatment similar to UC. It seems to be a condition less common than UC, but probably would be useful to ask about it when you finally connect with a new gastroenterologist later this month. RE recurrent constipation: you could try steaming a couple yams 'til extra-soft and moist. (Then can be easily mashed, but don't add anything to the mash.) They should help you to pass waste easier, without further irritating your inflamed tissue. Good luck with your upcoming gastro visit and exams/tests needed for accurate DX. / Old Hat (40+ yrs with left-sided UC; in remission taking Colazal)
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Kathy1946
New Member
Joined : Jan 2023
Posts : 10
Posted 2/18/2023 4:18 PM (GMT -8)
Thank you so much! I’m just hoping this GI doctor will be able to listen and answer ALL my questions and take the time to let me tell her the history of all this. I’ve never been to a GI before.
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quincy
Elite Member
Joined : May 2003
Posts : 33538
Posted 2/19/2023 11:26 AM (GMT -8)
What specific tests did you have that gave you any diagnosis for diverticulosis and UC...? I'm confuzzled 🥴
q
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