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Re: UC flare - need help!

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From the moderator of the LI list:

Only you can judge how poorly you feel, or if you need to see a Dr.

immediately. Being on the SCD certainly can't hurt you, and if your

flare is mild, a couple of days on the intro may make the difference.

It seems that in recent times, even the docs who have said for years

that diet has no impact on IBD, have come around to some extent. Even

the CCFA now acknowledges (for the 1st time ever), that food could

impact symptoms. So I think that if you go to any GI, and state that you

are on a healthy diet, they are not going to tell you to begin eating

sugar and carbs.

I wish there was a way however, to convince them not to dismiss

azulphadine as a drug for IBD. Based on a lot of feedback that Elaine

(and the list) has gotten over the years, unless there is an allergy to

sulphur, it seems to work better than Asacol.

Another thing for you to consider (although you've only been on the SCD

for 2 months) is the dreaded 3 month flare. Even Elaine doesn't know

exactly why it happens, but unfortunately it does happen to some people.

Keep us posted on your progress.

Love,

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Robbie,

I am so sorry to hear about your child's flare. I sent 2 posts from

the LI list about flares.

Here are more ideas:

*Test for clostridia

http://www.breakingtheviciouscycle.info/knowledge_base/kb/clostridium_difficile.\

htm

http://www.breakingtheviciouscycle.info/knowledge_base/kb/clostridium_difficile_\

antibiotics.htm

http://www.breakingtheviciouscycle.info/knowledge_base/kb/clostridium_difficile_\

testing.htm

*Mash the food in a blender

*Use enzymes

*Go back to the intro diet

My best wishes for a speedy recovery!

Mimi

> I'm trying to not get discouraged as I know this happens a lot, but

we are now (approx) 3 months SCD. is 4 yrs old and has UC. He

was unresponsive to meds, so we tried SCD. He was on 15 mg prednisone

and 1000 mg sulfasalazine and 3 wks in to the diet he started having

completely normaly BM's! This was amazing! He was also on custom

probiotics - the acidophilus only version. After 2 wks of normal bm's,

his GI said we could go to 10mg prednisone. After about a week, I

started seeing a slow regression and it's continued for several weeks

now. We're now at 1500 mg sulfasalazine, 10mg prednisone still (gi

hasn't recommended we go up at this point) and I quit doing the yogurt

just in case and went back to probiotics (we started goat yogurt while

was non symptomatic).

>

> I have asked the GI about a slower weaning schedule, but he hasn't

responded - of course, I'm going through his nurse, but he didn't

recommend that we up the prednisone at this point.

>

> If this is the 2-3 month flare I hear about, how long does it

usually last? Is there something else I should or could be doing?

Elaine doesn't go in to detail about the flare in the book that I

remember, just that it happens sometimes. If anyone with UC has gone

through this, can you share your experience with me? I'm also

seriously trying to convince a friend who's daughter has UC to try

SCD, but it's hard to justify it when my son is flaring while on it.

I'm not doubting, but it's hard to explain, you know? Thank you in

advance!

>

> Robbie

> 4 yrs UC, 16 mos (gluten sensitive) SCD 3 months

>

>

>

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Thank you for the replies. I agree - I'm not willing to take off SCD just

to start giving him starch and sugar again. He's eating healthier than he ever

has and is happy on the diet. He loves so many fruits and veggies he was not

willing to even try before, that I can't justify stopping just because he's no

longer symptom free.

He is on the sulfa drug, fortunately. I have to give his GI doc credit for that

one. I don't know if his gi doc will acknowledge the impact of diet on

symptoms, but I guess we'll see. We haven't actually seen him since we started

SCD - but will see him in a week.

As for the dreaded 3 month flare - about how long does that usually last? Do

you know by chance? Thanks again!

Robbie

RE: UC flare - need help!

>From the moderator of the LI list:

Only you can judge how poorly you feel, or if you need to see a Dr.

immediately. Being on the SCD certainly can't hurt you, and if your

flare is mild, a couple of days on the intro may make the difference.

It seems that in recent times, even the docs who have said for years

that diet has no impact on IBD, have come around to some extent. Even

the CCFA now acknowledges (for the 1st time ever), that food could

impact symptoms. So I think that if you go to any GI, and state that you

are on a healthy diet, they are not going to tell you to begin eating

sugar and carbs.

I wish there was a way however, to convince them not to dismiss

azulphadine as a drug for IBD. Based on a lot of feedback that Elaine

(and the list) has gotten over the years, unless there is an allergy to

sulphur, it seems to work better than Asacol.

Another thing for you to consider (although you've only been on the SCD

for 2 months) is the dreaded 3 month flare. Even Elaine doesn't know

exactly why it happens, but unfortunately it does happen to some people.

Keep us posted on your progress.

Love,

For information on the Specific Carbohydrate Diet, please read the book

_Breaking the Vicious Cycle_ by Elaine Gottschall and read the following

websites:

http://www.breakingtheviciouscycle.info

and

http://www.pecanbread.com

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had the UC blood panel done and it came out inconclusive - but definitely

negative for C.Diff. And the strange thing is that Zithromax induced this

colitis - I thought for sure he would be positive for C.diff. I may get the oat

panel done just to satisfy my uncertainty.

And the other suggestions are good, too - we aren't doing enzymes at the moment,

but I think the No Fenol might be a good idea - and we tried the intro diet

again, but he hates that yummy soup so I can't seem to do it more than a day,

but maybe a no soup version might work. I'll keep everyone posted - and thank

you!

Robbie

Re: UC flare - need help!

Robbie,

I am so sorry to hear about your child's flare. I sent 2 posts from

the LI list about flares.

Here are more ideas:

*Test for clostridia

http://www.breakingtheviciouscycle.info/knowledge_base/kb/clostridium_difficile.\

htm

http://www.breakingtheviciouscycle.info/knowledge_base/kb/clostridium_difficile_\

antibiotics.htm

http://www.breakingtheviciouscycle.info/knowledge_base/kb/clostridium_difficile_\

testing.htm

*Mash the food in a blender

*Use enzymes

*Go back to the intro diet

My best wishes for a speedy recovery!

Mimi

> I'm trying to not get discouraged as I know this happens a lot, but

we are now (approx) 3 months SCD. is 4 yrs old and has UC. He

was unresponsive to meds, so we tried SCD. He was on 15 mg prednisone

and 1000 mg sulfasalazine and 3 wks in to the diet he started having

completely normaly BM's! This was amazing! He was also on custom

probiotics - the acidophilus only version. After 2 wks of normal bm's,

his GI said we could go to 10mg prednisone. After about a week, I

started seeing a slow regression and it's continued for several weeks

now. We're now at 1500 mg sulfasalazine, 10mg prednisone still (gi

hasn't recommended we go up at this point) and I quit doing the yogurt

just in case and went back to probiotics (we started goat yogurt while

was non symptomatic).

>

> I have asked the GI about a slower weaning schedule, but he hasn't

responded - of course, I'm going through his nurse, but he didn't

recommend that we up the prednisone at this point.

>

> If this is the 2-3 month flare I hear about, how long does it

usually last? Is there something else I should or could be doing?

Elaine doesn't go in to detail about the flare in the book that I

remember, just that it happens sometimes. If anyone with UC has gone

through this, can you share your experience with me? I'm also

seriously trying to convince a friend who's daughter has UC to try

SCD, but it's hard to justify it when my son is flaring while on it.

I'm not doubting, but it's hard to explain, you know? Thank you in

advance!

>

> Robbie

> 4 yrs UC, 16 mos (gluten sensitive) SCD 3 months

>

>

>

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Here is Elaine's response about " flares " .

------------------

I will address some of your questions but I do believe the

following information was taken from a website and is

something I wrote:

<<Another concern that is sort of related is that bacteria can go

dormant if they sense they are in a nutrient limiting environment.

So if someone goes SCD, they attempt to starve out the bacteria.

The bacteria would then attempt to go dormant in such an

environment (that ones that weren't killed off initially). The flares

might follow a cycle where some bacteria might try to

re-emerge.particularly if new foods were introduced. If bacteria

go dormant, that means you would really not totally eradicate

them and they would be a persistent threat. You would have to

stay SCD just to break even.>>

This was my supposition when I wrote the above and still is but

only G knows! Furthermore, the bacteria that go dormant most

often form spores which, to which you allude, are not killed by

most antibiotics.

Since hundreds of SCD successes have remained well for many

years - over ten years as I have been keeping score - as time

goes on and people watch their diet as I advise them in my book,

it has been TOTALLY PROVEN that eventually the microflora

return to a harmonious balance.

We both know that what I mean by " watch their diet " is that they

do not return to french fries and ketchup or another rendition of

the standard American diet.

There is one exception to this long term symptom-free recovery

and I have noted this a few times and this has to do with

Clostridium difficile raising it sugly head. I have followed two

patients carefully and am now observing another. When they are

given vancomysin/or flagyl, they get rid of the Clostridium and go

on for years as healthy, cured people.

I will quote you a bit from Dr. Haas's textbook which anyone

interested in this subject should acquire from used books on the

internet:

" Our hypothesis is that there is some mechanism in the

intestinal tract of celiac suffers which converts polysaccharides

into substances that are irritating to the intestinal tract. These

irritants cause such rapid motility of the gut that absroption is

interferred with an malnutrition results. We base this view on

facts which we have observed in treating over 600 cases of

celiac disease. When all carbohydrates except those that are

found in fruits, vegetables and protein milk (yogurt) are

withdrawn from the diet, the diarrhea disappears and nutrition

improves. If, however, during the period of normal intestinal

activity and nutrition that follows soon after the institution of the

proper diet, the patient INGESTS A SMALL AMOUNT OF BREAD,

COOKIE, CAKE, CANDY, SUGAR, PLAIN MILK, POTATO, OR ANY

OTHER FOOD CONTAINING POLYSACCHARIDES, a loose or

watery stool will occur within from 6 - 18 hours. The patient will

return to normalcy in intestinal activity and nutrition if no more of

the offending foods are fed. We have observed, furthermore, tha

tthis cycle may be repeated many times in the same individuals,

although if DONE FREQUENTLY AND PERSISTENLY ENOUGH

IT WILL RESULT in a more prolonged period of diarrhea until

intestinal activity and nutrition can be restored to normalcy by the

use of " carbohydrate specific " diet.

Elaine

--------------------------

Jody

mom to -5 and -7

SCD 18 months

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Robbie, Although my child does have the severe kind of UC she was diagnosed

last Jan. by Dr. Krigsman, but it's more at the cellular level. We did

Sulfasalazine for almost 6 months. I had to take her off it due to side

effects and she is doing well with

only SCD. We are also in the dreaded 3 month flare but for us it starts at

2 months. This exact same thing happened our last go round. She is tired,

whiney, behavior regression, urinates a lot, very dark circles. I cannot

tell you how long it lasts but we have been in it about a week and a half.

You are not alone in this. I know how difficult it is because I have been

seeing behaviors that were long since gone. Just hang in there. I am sure

it won't last too long past the 3rd month. SCD has really helped us get off

the meds and she is doing so much better with her GI issues.

Kathy

mom to Hannah-13, NT and Abby-9, ASD, UC and SCD restarted 9 weeks ago

>

> " As for the dreaded 3 month flare - about how long does that usually last?

Do you know by chance? Thanks again! "

>

>

>

>

>

>

> For information on the Specific Carbohydrate Diet, please read the book

_Breaking the Vicious Cycle_ by Elaine Gottschall and read the following

websites:

> http://www.breakingtheviciouscycle.info

> and

> http://www.pecanbread.com

>

>

>

>

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Hi Robbie,

> I'm trying to not get discouraged as I know this happens a lot,

but we are now (approx) 3 months SCD. is 4 yrs old and has

UC. He was unresponsive to meds, so we tried SCD. He was on 15 mg

prednisone and 1000 mg sulfasalazine and 3 wks in to the diet he

started having completely normaly BM's! This was amazing! He was

also on custom probiotics - the acidophilus only version. After 2

wks of normal bm's, his GI said we could go to 10mg prednisone.

After about a week, I started seeing a slow regression and it's

continued for several weeks now. We're now at 1500 mg

sulfasalazine, 10mg prednisone still (gi hasn't recommended we go up

at this point) and I quit doing the yogurt just in case and went

back to probiotics (we started goat yogurt while was non

symptomatic).

>

> I have asked the GI about a slower weaning schedule, but he hasn't

responded - of course, I'm going through his nurse, but he didn't

recommend that we up the prednisone at this point.

>

> If this is the 2-3 month flare I hear about, how long does it

usually last?

It depends. I went through the three month flare and had to go to

the ER. The doctors put me on a short course of prednisone which I

managed to get off relatively quickly. My flare was set off by a

number of things. This flare was over pretty quickly once I had the

prednisone and being on the diet. (As a side note the ER docs were

amazed at my bloodwork. They someone who was as sick as I was and

who had been as sick as I was in the previous two years had amazing

lab results, all my iron, potassium etc. were at perfect levels.

Far from the norm for people with bowel disease.)

> Is there something else I should or could be doing? Elaine

>doesn't go in to detail about the flare in the book that I

remember, just that it happens sometimes. If anyone with UC has

gone through this, can you share your experience with me?

Most people who go through the three month flare usually cut back

what they are eating to more basic foods and/or increase their meds

to get over the hump.

What is eating these days? What are his bm's like, frequency

etc.? All supplements and meds? If you like you can write me off-

list: sheilatrenholm@...

Sheila 42 mos SCD, 20 yrs UC

mom of SCD 27 mos

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