Tuesday, December 3, 2013

{Crohn's Awareness} :: My Diagnosis


So now that you have a basic understanding of what Crohn's Disease is, I can share a little of my own story of being diagnosed with Crohn's Disease.

I often say that I chose the most expensive way to gain my diagnosis. But I was so thankful for answers at the time that it {almost} didn't matter.

I had battled intestinal issues for about 2 years. It actually seemed to start when I became sick on a mission trip to Nicaragua {possible that a virus or bacterium can trigger Crohn's Disease??} I can't say for certain that is the starting point or "trigger," I just know that it is what started my journey of trying to identify what was going on with my insides. I do know that whether it was related or not, my intestines have never really been the same since then.

Mis-Diagnosis
Fastforward a bit...at the beginning of 2012, I started to have bouts of intense pain in my abdomen. It would last for 2-3 days, but then it would go away. This happened on and off for several months, until it started to become more frequent, and my husband finally forced me to go see a doctor. I have a family history of gallbladder disease, and so I assumed that was what I would be diagnosed with. I went to a doctor of Internal Medicine, who did a sonogram and an upper GI. The results? I was diagnosed with H. Pylori. {Hello another random medical thing I had never heard of...}

H. Pylori is a bacteria that can cause ulcers. 50% of the world's population has this bacteria in their stomach, but most never experience any symptoms. If the bacteria causes infection, it can cause gastritis symptoms. I was put on 2 weeks of intense antibiotic treatment, and ultimately declared H. Pylori-free. I figured it was something I contracted in Nicaragua, and was just glad to move on.

Hospital Stay
Except that my bouts of abdominal pain didn't end with the eradication of H. Pylori. Instead, they worsened. I was referred to a GI specialist and had appointments scheduled, but I never made it to them. I had a really bad attack, the longest and most severe I had experienced, which landed me in the hospital. There, I was able to have a CT scan, an upper endoscopy, and a colonoscopy {in the ER...so the most expensive way to diagnose. Sigh}. That's when the doctor started saying that things were looking suspicious for Crohn's disease. My ileum was incredibly inflamed, which was making things difficult to pass through my intestines. My GI doctor sent off my blood for testing, and I received the official diagnosis a few weeks later.

The particular type of Crohn's Disease that I have is known as Crohn's Ileitis. This type affects the ileum {the end of the small intestines}. Without proper treatment, I am at risk of developing fistulas, or inflammatory abscesses, in the lower section of my abdomen {fun, right?}

I was put on an antibiotic and steroid regimine, and I was also placed on a low-residue diet. It was the initial treatment to get the inflammation down, but I would make decisions about long-term treatment in the weeks to come.

It was certainly a scary time. While I was relieved to have answers, I was nervous about what it all meant. I had more than my fair share of questions and concerns. I mean, anything with the word "disease" makes you stop in your tracks. Especially when you learn that it's a disease they don't know much about and at present does not have a cure. If I am honest, I am still nervous about what it all means and what complications I could face in the future.

I have spent the last year researching and learning, doing the best I can to get a better understanding of my disease and how to manage it. I still have a lot to learn, but I am thankful for the circumstances surrounding my diagnosis. I have to remind myself of the blessing of living in a time and place where modern medicine allows diagnosis and managed treatment. I often find myself thinking of and praying for those who are suffering but don't have access to diagnosis and treatment.


Monday, December 2, 2013

{Crohn's Awareness} :: My Disease

As I mentioned yesterday, I had never heard of Crohn's Disease before I was diagnosed. Of course, since my diagnosis, I have met several people who either have it or know someone who does. Crazy how that works :)

So what is it? In simple terms:

But for those who want more of the textbook information...

What is Crohn's Disease?
Crohn's Disease is an inflammatory bowel disease (IBD) that most commonly affects the ileum (small bowel) and the beginning of the colon, but it can affect any part of the gastrointestinal tract.

Researchers think Crohn's is due to a malfunctioning immune system. In layman's terms, we have good and bad bacteria in our stomachs. Normally, the bad bacteria is allowed to stay within the digestive tract to aid in digestion. When you have Crohn's, however, your immune system identifies that bad bacteria as harmful and attacks it through the linings of the digestive tract, which is what causes inflammation and irritation. Chronic inflammation occurs, which is what eventually leads to experiencing symptoms.

Crohn's disease can be both painful and debilitating, and sometimes can lead to life-threatening complications.


What are the Symptoms of Crohn's Disease?
Symptoms vary from person to person, but the most common tell-tale symptoms are:
  • Persistent diarrhea
  • Rectal bleeding
  • Urgent need to move bowels
  • Abdominal cramps and pain
  • Vomiting
  • Sensation of incomplete evacuation
  • Constipation (can lead to bowel obstruction)

Other symptoms that may also be associated with Crohn's:
  • Fever
  • Loss of appetite
  • Weight loss
  • Fatigue
  • Arthritis
  • Eye inflammation
  • Night sweats
  • Loss of normal menstrual cycle
  • Skin disorders
It is a chronic disease, so patients will likely experience periods when the disease flares up and causes symptoms, followed by periods of remission when there are no noticeable symptoms at all.


What Causes Crohn's Disease and Who is Affected?
The exact cause of Crohn's Disease is still unknown. Diet and stress can aggravate the disease, but they do not cause it on their own. Research shows that the inflammation seen in the GI tract of people with Crohn's is related to several factors, such as genetics, the immune system, and environment.

Researchers believe it is the result of an abnormal reaction to the body's immune system. It is possible that a virus or bacterium may trigger Crohn's Disease. When your immune system tries to fight off the invading microorganism, an abnormal immune response causes the immune system to attack the cells in the digestive tract too.

Researchers have found that high levels of a protein produced by the immune system, called tumor necrosis factor (TNF), are present in people with Crohn’s disease. However, they do not know whether increased levels of TNF and abnormal functioning of the immune system are causes or results of Crohn’s disease.

Crohn's tends to run in families. One or more genes may make people more susceptible to Crohn's. However, most people with Crohn's disease don't have a family history of the disease. Both men and women are equally affected. The disease can occur at any age, but is most prevalent among adolescents and young adults between the ages of 15 and 35. 


What are the Complications of Crohn's Disease?
Bowel obstruction is common since Crohn's affects the thickness of the intestinal wall. Over time, parts of the bowel can thicken and narrow, which may block the flow of digestive contents through the affected parts of your intestine.

In most severe cases, Crohn's can lead to tears (fissures) in the lining of the anus, which may cause pain and bleeding. Inflammation may also cause a fistula to develop (a tunnel that leads from one loop of intestine to another). {Sufficiently grossed out yet?}

Because the symptoms of Crohn's make it difficult to eat or for your intestine to absorb enough nutrients, malnutrition is a concern. Anemia is also common in people with Crohn's.


Sources:
*CCFA.org
*Mayo clinic
*NDDIC
*Crohn's & Me
  

Sunday, December 1, 2013

Crohn's Awareness Week

December 1-7 is Crohn's & Colitis Awareness Week! And because I have Crohn's, I'm wearing purple all week to raise awareness. I resisted the urge to buy this, even though I know Sasha would be totally supportive :)

This week I will also be blogging about a different aspect of my {short} experience with Crohn's Disease. You may or may not be interested, and that's ok. But I do think it's important to raise awareness, because there are so many who suffer and are waiting for a cure. I'm certainly no expert and have a lifetime of figuring this thing out. But I hope that sharing my experience can 1) be an encouragement to those who have recently been diagnosed with Crohn's, or 2) be a helpful tool to help you better understand someone you know who has Crohn's.

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December 14, 2012 was the first day I had even heard of Crohn's disease. I was in the hospital with what I would later find out was a severe flare. The doctors kept saying all of my symptoms were "suspicious of Crohn's Disease," and I had no idea what that was. I received my official diagnosis a few weeks later after all of the tests and bloodwork came back, and I started trying to figure out this new life with Crohn's.

Now, almost a year later, I am advocating Crohn's & Colitis Awareness Week. Weird. It still seems surreal in a lot of ways, as I am still trying to navigate this disease. I have made great strides and certainly feel better than I did a year ago. The medicine I have chosen seems to be working to reduce the irritation in my intestines, and I am not in as much acute pain. For that, I am incredibly thankful. On my good days, I seem to forget that this will be a life-long battle until there is a cure. If you were to look at me, you wouldn't think there was anything wrong; it's not exactly obvious that my immune system is being mean and refusing to play nice with my insides ;)

The Lord has to remind me of these blessings, especially on the bad days. While my symptoms are not as debilitating, they are not altogether gone either. I have discovered both new symptoms and side effects and will surely face more. I am in a constant battle of eating enough of the right kinds of food. I fight low energy, a lowered immune system, and chronic body aches. While we have good health insurance, the out-of-pocket cost of my medication keeps me on my knees every single month.  It has certainly been a year filled with challenges. There have been a lot of tears and a lot of prayers.

When I have a bad day and am not feeling well, my sweet husband often asks me if there is anything he can get for me. I jokingly {though semi-seriously} say "a new body." I wish my body wasn't so broken and messed up. I wish I didn't have to administer painful injections every other week. I wish I didn't have to face other health issues as a direct result of Crohn's. My parents are still praying the Lord removes the disease altogether. I pray every day for a cure.

And yet it's just a small piece of living in a broken and fractured world. Praise God for grace and hope in Jesus. It's not always easy to praise God on the bad days, but He is good and worthy nonetheless. He is the perfect, sinless Savior who rescues us from our fractured state. I have a tangible reminder that this life is temporary and that one day I will have a new body, free of disease and pain, because of His work on the cross. Even Crohn's can be used for His glory and my sanctification.  


1000 Gifts #643-732


643. A quick lunch before a weekend with church women.
644. Dinner around a campfire with friends.
645. S'mores!
646. Warm clothes by the fire.
647. A jacket in the cool morning.
648. Stretchy pants. I love me some stretchy pants :)
649. Seeing my husband after a few days of being away.
650. Watching my niece being dedicated at church.
651. Lunch with family.
652. Good report at the dermatologist.
653. An easy cure for new sicknesses.
654. A rainy day.
655. Strength for a new day.
656. The ability to go home at lunch to take care of a sick husband.
657. Sweet fellowship with the women in our church.
658. Strength for a long day.
659. Coming home to dinner already made.
660. Good conversation in marriage counseling for a sweet couple in our church.
661. The Lord's provision through generous partners.
662. Family birthday dinners.
663. Another Baylor win!
664. The last chai tea latte cupcake leftover from a friend.
665. A few pretzels for a snack.
666. Sipped hot chocolate in the afternoon.
667. Breakfast with Laura after a few long weeks without seeing each other.
668. Lunch with supporters.
669. The changing leaves.
670. Reading through Exodus, seeing the provision of Jesus as our Great High Priest.
671. Reading through Exodus, reminded of how the Lord provides for His people.
672. Reading through Exodus, thankful for Jesus as our "once for all" sacrifice.
673. Bank holidays.
674. Remembering our veterans and the sacrifices they have made.
675. Having an entire day to rest and snuggle with my hubby :)
676. Thankful for a break from our normal Bible study meeting.
677. Thankful for my sweet friend Morgan.
678. Thankful I could identify a flare quickly and that it didn't last long.
679. Thankful for the sunshine.
680. Thankful for how hard my husband is working on the church plant.
681. Thankful for Skype sessions with my parents.
682. Thankful for warm clothes.
683. Thankful for a warm home.
684. Thankful for date nights!
685. Thankful for a sweet puppy to take care of.
686. Thankful for being able to leave work on time!
687. Thankful for fun notes from my husband.
688. Serving in our community for Garage Giveaway.
689. Dreaming and planning for our new church home.
690. Dinner with the Rays.
691. An entire Sunday off! A rare but wonderful blessing.
692. Lunch with David and Laura.
693. Thankful for a patient and forgiving husband.
694. Thankful for scheduling provisions.
695. Thankful for our vet.
696. Dinner and games with friends.
697. Thankful for the smell of autumn in a leaves candle :)
698. Thankful for pumpkin pie from a neighbor.
699. Thankful for good discussions with my Bible study girls.
700. Thankful for a husband who helps me run errands and get things done.
701. Thankful for medicine arriving on time.
702. Thankful for an unplanned evening at home.
703. Thankful for my sweet brother and his generous heart.
704. Thankful for wonderful in-laws.
705. Thankful for our church family.
706. Grateful for countless blessings.
707. Grateful for Jesus.
708. Grateful for second chances.
709. Thankful for salvation in Christ alone.
710. Thankful for endurance and strength in Christ.
711. Thankful for grace and forgiveness in Christ.
712. Thankful for time spent with family.
713. Thankful for a Sunday Sabbath.
714. Thankful for peace and comfort from Jesus.
715. Thankful for a short commute to work.
716. Thankful for a heated house.
717. Thankful for the comfort of my husband.
718. Thankful for my husband on his birthday!
719. Thankful for answered prayers.
720. Thankful for health.
721. Thankful for time off from work.
722. Thankful for the ability to celebrate birthdays.
723. Thankful for my brother.
724. Thankful for Thanksgiving.
725. Thankful for family on Thanksgiving.
726. Thankful for yummy foods on Thanksgiving.
727. Thankful for the start of the Christmas season.
728. Thankful for the love of family.
729. Thankful for Fridays.
730. Thankful for a house to clean.
731. Thankful for a car to drive and maintain.
732. Thankful for laundry to do.


Saturday, November 30, 2013

{iPhone Rewind} :: November

Only in McKinney do you see policemen on horses in the Walmart parking lot. I love McKinney :)

We had our first women's retreat at Redeemer! It was quite the adventurous weekend...we had trouble getting into the house, but managed to find our way in through a window. Not exactly something I would want to admit for a church retreat...but we had fun with it :)

I am LOVING the new Chai Spice tea that Mike brought me. I was excited when I found it at our Kroger, so now I won't have to hunt for it :)

I stopped by Walmart on my lunch break, and when I came back out to my car, I found this fun note from my hubby. Apparently we both were running errands! :)

The owner of the Sweet Spot in McKinney has been gracious to let us use her space for our Faith & Culture events. We found out that she happens to be a singer, who has a few albums, so we asked her to give us a preview!

Sasha has no shame in being a heater hog. Seriously, she sat right in front of it the whole weekend. And when she is blocked from it, she whines. Haha.


With the onset of the colder weather, we had some furry visitors. We knew that something had been living in our attic space, and had even set mouse traps in our laundry room. When we came home one night, we realized why the tiny mouse traps were not working...we had rats! This was our attempt at closing up the HUGE gap in our door before the pest control people could come out.

We got to enjoy Mike's birthday dinner with my brother. We enjoyed some yummy fajitas from Uncle Julio's.

While Mike and Michael went to play some football, I enjoyed a cup of coffee and the Macy's Thanksgiving Day Parade :)