HI everybody,
I'm still pretty new to the forums. I'm 36 and was diagnosed with UC when I was 18. Like a lot of you, I ran the gambit of medications from Asacol to Sulfasalazine to Lialda to Humira to Remicade and plenty of steroids in between. In January I had a scope that showed low grade dysplasia and got the recommendation for surgery. It was a hard choice, but given several other factors, including the fact that I wasn't really responding to the Remicade anymore symptomatically, I went ahead with it.
I had two-stage surgery. The first was in April. Due to some skin issues, the stoma wound up being right in the center of my abdomen. That was a pain and it leaked a lot, but it did it's job. After about 12 weeks I had the enema X-ray and scope and everything looked perfect. I had the second surgery on July 21.
At first, it seemed like all was well. Then, last Wednesday, I started getting really bad pain my stomach, down in the lower right side. It would then sort of shoot toward the center of my stomach and also wrap around my right side to my back. I was initially thinking it could be a blockage, so I stopped eating and drank some white grape juice. But that didn't help. Overnight it got worse an worse and by morning I was having trouble moving, so I called my doctor's office and they told me to go to the ER.
I got a CT scan that showed no blockage (yay!) but a lot of inflammation (boo!). They admitted me, with the plan to keep me off any food/drink for the weekend, give me fluids and antibiotics via IV, and let my bowel rest. By yesterday I was feeling a lot better (still am) other than ever since the CT scan I've been in the bathroom a ton (and it's just a yellow liquid coming out of me for the most part). So yesterday they did a follow-up scan. I was sure it would show vast improvement and that I'd, at the very least, be sipping delicious broth by now.
It didn't, and I'm not.
My surgeon was in this morning and said the CT scan showed a lot of inflammation still (he might have actually said it showed more than the first). Which is disheartening, because I'm really feeling a ton better. I didn't even take any pain meds yesterday. So, they're initially thinking it's one of two things. Best case, they're thinking it might just be residual inflammation and irritation from the surgery. My second surgery was "more complex" than most takedowns (according to my surgeon) because of the location of the stoma at the midline and because there was a lot of scar tissue. So it could just be that (fingers crossed).
The second possibility they talked about was that it could be Chron's or some type of IBD in the small intestine (or my only intestine, as I call it). The thought there was that possibly it was masked by all the meds I was on for UC, and then the steroids I was on post surgery and then the stoma and then the steroids I was on after the second surgery, which was a shorter wean on a less intense steroid (not prednizone) - and that now that I'm off those meds and the steroids, the Chron's/IBD had nothing controlling it.
So that possibility has me bummed. I assume if that is the case it could be treated. Getting off those type of meds was one of the big "silver linings" for me for doing the surgery, though.
So now I'm waiting for the "pick team" to get in and put a pick line in so I can start taking TPN for the next week to further "rest" my bowel. The hope is that the rest and nutrition will see the inflammation resolve on its own (because hopefully it's just leftover from the surgery). If not, then my surgeon said he'd be talking to my GI about the best way to treat the inflammation.
So I'm just pretty bummed. I know everyone just wants to feel good. I'm a single dad (I lost my wife, ironically, to colon cancer last September) so I'm really torn up about not being there for my son. I had been looking at this whole process of the two surgeries and this summer kind of being a bust as an investment in a future where I actually felt good and could be a better dad to him, and now I'm scared about that. For about 12 days it really seemed like it was going to be smooth sailing, then my kayak hit a submerged couch and here I am.
Thanks for letting me whine.