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Chronic pain management tips
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once you've been diagnosed can it just go away?
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I am new to this diagnosis and very frustrated with my doctor. I have been reading through this site and feel at least here my symptoms aren't all in my head! Sorry if this is long.
Here's my story. I have had "bowel issues" since my 20's and i'm now 40. My doctor has diagnosed me with IBS and won't see past it. (everything I have is related to IBS) grrr. Anyways since Christmas I really haven't "felt well", and nearing the end of January 2012 I got much worse. Bloating every time I ate and pain....oh the pain in my abdomen. Sometimes I wouldn't make it through a meal without having to run to the bathroom with cramps and BM. Then after the meal lay on the couch with a heating pad the rest of the night trying to make the discomfort go away. Then the pain became constant, left upper quadrant,(right below my ribs) almost into my side and radiating to my back. Then a few days later, I lost my appetite altogether as it hurt to much to eat. I told my husband I now hate food! At this point I wasn't having any bowel movements and wasn't passing any gas either. That was for about 3 days, but not uncommon for me. I am chronically constipated. Then on Feb 11, 2012 I was at work (I work as a PSW in a long term care facility) and couldn't eat, couldn't get comfortable sitting or standing. Actually I don't even think I could stand up straight, the pain on the left side was so bad. I left work and went to the clinic, who inturn sent me to emerg. Once in emerg they did all the blood work, temp, respirations etc. Blood work came back WBC where high, then sent off for a CT scan with contrast. That came back with diverticulitis diagnosis. CT SCAN FEB 11/ 2012 CT indicated, scattered diverticula of the descending colon. There was focal perienteric inflammation in the anterior pararenal space mid-descending colon with an enlarged diverticulum. There is a small amount of fluid and thickening of the lateral conal fascia and Gerota's fascia, there are no loculated collections. Findings: short segment diverticulitis of the mid-descending colon with no evidence of abscess or perforation. So I was sent home with flagyl and another antibiotic (don't remember) and hydromorphone 2mg. I barely slept that night, and again returned to work the next day (sunday). I don't know how I made it through the day ( didn't eat a thing) got home @ 3:30pm and went right to bed. My hubby woke me to have something to eat, and I barely got anything down. The pain in my abdoment was terrible and nausea. I was curled in a ball crying in bed. By morning I hadn't slept and made my way back to emerg in my pj's. The did more blood work (WBC) still rising on antibiotics. That's when the surgeon showed up and said he was admitting me. I was put onto i.v antibiotics and hydromorphone i.v. along with a clear fluid diet. After day 3 in hospital 2 things happened. I wasn't getting better (WBC) still going up, worse pain etc and my veins kept collapsing. My surgeon then contacted infection control guy at the hospital to discuss what to put me on as I have alot of allergies to antibiotics. Then I was sent downstairs to have a picc line inserted to administer meds through. They decided to put me on Meropenem. I remained on clear fluids for 8 days. On day 9 I was allowed a fluid tray and day 10 reg diet. On day 12, I was released. My WBC had dropped to just over 12000, so I was sent home with iv antibiotics (meropenum) and hydromorphone 4mg. I had homecare nurses come in everyday to change my i.v. bag. After another 7 days, I was taken off the meropenum. I was still feeling like crap and took me a long time to gain back my energy. At this point I still wasn't able to work. I had a follow up appointment with the surgeon (colorectal) that admitted me. I told him now I am still having discomfort after eating and I am now passing mucous and blood when trying to have a bowel movement. Sometimes thats all that would come out without poop! So I was booked for another CT scan with contrast and colonoscopy with biopsy. CT SCAN APRIL 9 / 2012 Previously noted mid descending colon diverticulitis has essentially resolved. No wall thickening or inflammatory changes are noted at this time. Minimal diverticular disease is noted. INTERPRETATION: Interval resolution of the descending colon diverticulitis. No abscess. So I go into my family GP's office to pick up a copy of the CT results and he peeks his head around the corner and says "great news eh" your diverticulitis is resolved!! At first I felt very angry!! How can this be resolved when I still have these symptoms? Granted the pain isn't bad anymore, its more discomfort, some days are better than others. I just never know when I eat what can trigger the pain. After re-reading the second CT scan results now i'm confused?? Do I still have diverticular disease? Maybe something will show during the colonoscopy on Tuesday, they are also looking for crohns/colitis. Posted on 04/13/12, 10:04 pm |
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Wow, I am so sorry for what you are going through. You really need answers. Hopefully the colonoscopy will you give you the answers you need and the way to control this. As for diverticulitis, once you have a bad attack it does take awhile to feel anywhere near normal. Let us know how it goes Tuesday and I'll be praying for you.
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ugh. sounds horrible. i was dx'd w/diverticulitis then 7 months later my colon perforated. i had almost no pain w/either, just felt ill, had a fever and elevated wbc. had the resection and now am still having issues. but my gi doc tells me he thinks it's all due to celiac disease and he tells me to also avoid soy. huh.
what i've noticed, and bad pt that i am i do not keep a food diary - is that soy and dairy - i'm lactose intolerant too - cause me great pain in my lower left quad and left flank. i can't prove it but i'd been eating kashi go lean for b'fast for about 2 years prior to developing diverticulitis as well as other soy products b/c i'm vegetarian and often anemic. just a thought but has anyone considered a food allergy or celiac disease?
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Yes, once you have a bad attack the pain can be with you for quite a long time. In my experience doctors don't tell you this and they don't know what to do. One doctor I went to only said "eat bran for breakfast". No help whatsoever!!!!!!!!!! I have found that for myself some triggers are; more than 1 cup of coffee a day; corn, any form; sugar, and fiber! Metamucil is the only form of real fiber I can take. I am now able to eat salads, but just one a day, either lunch OR dinner, not both. Exercise also makes an attack come on.
I had my first bad attack in January of 2011. It never went away and I finally had surgery on July 20, 2011. I am STILL having problems even after they took out 18 inches. The horrible, horrible pain has gone, but I'm totally NOT pain free and I CAN'T eat whatever I want. I have to be very, very careful. I'm curious... anyone else like this after surgery?
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They dont know anything about this disease. i have my own theory on the subject. http://www.gastrojournal.org/articl... The claim that a lack of dietary fiber, particularly non-soluble fiber (also known in older parlance as "roughage") predisposes individuals to diverticular disease was long accepted within the medical literature.[1][2] However, the first study to specifically test the theory has found that "A high-fiber diet and increased frequency of bowel movements are associated with greater, rather than lower, prevalence of diverticulosis."[3]
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4 years ago i posted that i did not believe the fiber thing. Their logic for the fiber theory and studies i think are misleading. I mean with the right equations you can prove that an elephant can hang on a flower over a cliff with its tail.
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i think that diverticulosis is more prevalent world wide then they think for starters. The problem is that in other countries it is not noticed for some reason. I think that diverticulosis is as natural as breathing. I mean it is so common how can it not be. I think type two diabetes is the same way but that is another topic. I think the real problem is why some get diverticulits and some dont. I am sure there are tons of people how never get divierticulits. My dad has had diverticulosis for over 15 years and not once has he had diverticulitis. My brother has it also but not one diverticulits attack yet. I think the key is to solve why the diverticulitis happens.
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Wow, I am so sorry for what you are going through. You really need answers. Hopefully the colonoscopy will you give you the answers you need and the way to control this. As for diverticulitis, once you have a bad attack it does take awhile to feel anywhere near normal. Let us know how it goes Tuesday and I'll be praying for you.

