Thursday, March 28, 2013

Shit Watch 2013 is Over

So Shit Watch 2013 has finally ended. After several days of Miralax and Proctofoam, my lower colon opened up just enough know, let loose.

Normal Colon
Why has this been happening? My doctor thinks I probably have a colon stricture. This is a narrowing of the colon---for me, the lower colon. This was the area last year that gave me a tremendous amount of difficultly that had resulted in my switch over to Imuran. As I have mentioned before, Crohn's can manifest itself in any part of the digestive system---from the mouth to the anus, internal and external. Until last year, my Crohn's was intent on hanging out in my upper colon, near the connection to the the small intestine. Apparently not happy with just that neighborhood, my Crohn's bought some real estate in my lower colon--in the anorectal area. The lesions and inflammation there sent me to the hospital and required a new approach to treatment.

Colon with Stricture
It's that area once again that has been causing some problems as of late. Evacuating the bowels (this is the technical term for "taking a shit") has become difficult, due to increased inflammation. However, I have not had the pain that I had last year and this could be due to a stricture.

What causes a stricture? Could be a variety of things--from simple inflammation to a hernia, fissure, twisting of the colon or a tumor. Stress can make it worse. The only thing that can be done to find out the cause is to---you guessed it, shove a camera into the neighborhood and look around.

So I am heading to the hospital again on April 8th for a "flexible sigmoidoscopy." Fun.

Depending on the cause of the stricture, the solution can be relatively easy. According to my doctor, it could be just "ballooning" the area to open it up a bit or simply removing an obstruction that might be present. Biopsies will also be taken on the inflamed tissue as well.

And pictures. Hopefully, plenty of pictures.

Tuesday, March 26, 2013

Is That an Ass Inhaler?

Oh, the glories of a being Crohn's patient.

Things have actually been going quite well lately, all things considering. Other than a few days down with the flu, I've been pretty pleased at my progress on Imuran. I am currently at 100 mg a day and have been going one or two times a day. Formed stools, for the most part.

Pretty good, other than for the constipation. Well, what I thought was constipation.

You see, I have had a difficult time--sometimes--going. Straining actually. Like I need to push out a large loaf that turns out to be only a small flat coin. For all the pushing, you expect so much more. "That's all?" I often say to myself in a rather disappointed voice after taking a glance in the bowl. After such a fight, you expect to see something much bigger. Miralax didn't help and I had the same problem in full blown diarrhea-mode when I had the flu.

The problem wasn't the stool, it was the exit. Although I don't have any pain at all (unlike last year), the entire lower section of my colon is inflamed. So it's like trying to push out through an opening that's 90% smaller than normal. Miralax isn't going to make a difference.

Even though I am on vacation in Florida (a sunny 46ยบ here. Brrrr), I needed to call my doctor as I am on day 3 of Shit Watch 2013. So there I was, standing in a crowded parking lot, explaining my symptoms. That's the thing about being a Crohnie, you really don't care anymore what people hear. It's kind of liberating actually, to be able to talk about your "ribbon-like" bowel movements, not caring who is around or what they think.

The nurse called back later and said that my doctor wants me to try "Proctofoam."

"What's that?" I asked.

"It's used to treat anorectal inflammation."

"How do you use it?"

There was a pause. "I'm not sure actually. I've never seen it," replied the nurse. "The instructions are on the package."

Not wanting to be blindsided, I quickly looked up the product. And this is the description from the website:
"Proctofoam-HC® is mucoadhesive analgesic and anti-inflammatory foam prescribed by health professionals for the relief of anorectal inflammation and swelling associated with hemorrhoids, pruritus ani, anal fissures and other anorectal discomforts. 
This unique metered-dose aerosol foam is particularly effective for the relief of postpartum hemorrhoids affecting as many as 3 out of 4 natural childbirthing women."
Okay, sounds good enough--even though I am not a "natural childbirthing" woman.  Then I saw a picture of the product:

I laughed.  I have an asthmatic child and I recognized the cartridge immediately.

It was an ass inhaler.

Having had Crohn's for awhile, I am accostomed to seeing all sorts of procedures, medicine and devices. But this was a first.

Hmmm.  As long as it works I am up for anything.

Even an ass inhaler.