Guest guest Posted November 16, 2007 Report Share Posted November 16, 2007 HI Sheila/experienced SCDers, I am afraid that after a few days of not visible blood my daughter has had more blood than before and little mushy feces (or no feces at all) for 6 or 7 times a day (expecially at night). She is obviously in a relapse and we do not know how to come out of it. She went back on the intro diet (3 days ago) with no results yet. Actually I think that apart from a bit of blood mixed with feces, she is not eliminating enough feces. I haven't called her gastroenterologist yet because I know the answer: try with high dosage steroids and if they don't work take her into hospital for INFLIXIMAB which may or may not work. He has never supported SCD diet. She has started asacol suppositries because they helped last time. Please tell me your experience with blood in feces and the diet. Can we wait for steroids or not? She would do anything to avoid steroids. She does her normal life (school, sports and all), eats very little food: chicken soup with pureed carrots and sometimes spinach, beef patties or stewed beef with carrots, roasted veal steak, scrambled eggs, home made diluted apple and grape juice, two table spoons of SCD yoghurt a day. She takes azathioprin and started asacol today, as well as suppositries. The asacol contains lactose that's why she had not started to take it yet, even if her doctor had said to take it instead of something else she was taking last time she went to see him, last July. Do you think I should contact by telephone one of the specialists from the BTVC site list? Thank you for your help I think I am doing something wrong because I sent this message yesterday and did not see it on the group messages Stefania mother to (16 Yold) UC 8 years, SCD 5 months ___________________________________ L'email della prossima generazione? Puoi averla con la nuova Yahoo! Mail: http://it.docs.yahoo.com/nowyoucan.html Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 16, 2007 Report Share Posted November 16, 2007 HI Sheila/experienced SCDers, I am afraid that after a few days of not visible blood my daughter has had more blood than before and little mushy feces (or no feces at all) for 6 or 7 times a day (expecially at night). She is obviously in a relapse and we do not know how to come out of it. She went back on the intro diet (3 days ago) with no results yet. Actually I think that apart from a bit of blood mixed with feces, she is not eliminating enough feces. I haven't called her gastroenterologist yet because I know the answer: try with high dosage steroids and if they don't work take her into hospital for INFLIXIMAB which may or may not work. He has never supported SCD diet. She has started asacol suppositries because they helped last time. Please tell me your experience with blood in feces and the diet. Can we wait for steroids or not? She would do anything to avoid steroids. She does her normal life (school, sports and all), eats very little food: chicken soup with pureed carrots and sometimes spinach, beef patties or stewed beef with carrots, roasted veal steak, scrambled eggs, home made diluted apple and grape juice, two table spoons of SCD yoghurt a day. She takes azathioprin and started asacol today, as well as suppositries. The asacol contains lactose that's why she had not started to take it yet, even if her doctor had said to take it instead of something else she was taking last time she went to see him, last July. Do you think I should contact by telephone one of the specialists from the BTVC site list? Thank you for your help I think I am doing something wrong because I sent this message yesterday and did not see it on the group messages Stefania mother to (16 Yold) UC 8 years, SCD 5 months ___________________________________ L'email della prossima generazione? Puoi averla con la nuova Yahoo! Mail: http://it.docs.yahoo.com/nowyoucan.html Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 16, 2007 Report Share Posted November 16, 2007 I'm sorry I don't know much about your daughter's history up to this point. I also usually work with families of young kids with autism.. I don't have as much experience with UC and other GI disorders in older kids or adults. In looking at the foods she is eating, it looks to me like a lot of meat and eggs, compared to the other foods. So, it would not surprise me that she may be constipated. Are you certain she tolerates the carrots? Many don't. Has she tried other veggies? I'm concerned that you say she eats very little... maybe not enough food for a 16 yr old? Does she have pain if she eats more? I think I would probably recommend she immediately start using the Electrolyte Drink, because it helps with both diarrhea and constipation. She could take small sips of this throughout the day. And also more veggie or fruits for fiber (cooked). Is she taking any supplements, besides the meds? I do work with a family who's young son has both autism and issues with GI bleeding, which have improved with SCD. I hesitate to compare the two, though, because each case is so very different. It's hard to know what the cause is. Need more information! Patti Re:Please Sheila, experienced SCDers: blood in feces HI Sheila/experienced SCDers, I am afraid that after a few days of not visible blood my daughter has had more blood than before and little mushy feces (or no feces at all) for 6 or 7 times a day (expecially at night). She is obviously in a relapse and we do not know how to come out of it. She went back on the intro diet (3 days ago) with no results yet. Actually I think that apart from a bit of blood mixed with feces, she is not eliminating enough feces. I haven't called her gastroenterologist yet because I know the answer: try with high dosage steroids and if they don't work take her into hospital for INFLIXIMAB which may or may not work. He has never supported SCD diet. She has started asacol suppositries because they helped last time. Please tell me your experience with blood in feces and the diet. Can we wait for steroids or not? She would do anything to avoid steroids. She does her normal life (school, sports and all), eats very little food: chicken soup with pureed carrots and sometimes spinach, beef patties or stewed beef with carrots, roasted veal steak, scrambled eggs, home made diluted apple and grape juice, two table spoons of SCD yoghurt a day. She takes azathioprin and started asacol today, as well as suppositries. The asacol contains lactose that's why she had not started to take it yet, even if her doctor had said to take it instead of something else she was taking last time she went to see him, last July. Do you think I should contact by telephone one of the specialists from the BTVC site list? Thank you for your help I think I am doing something wrong because I sent this message yesterday and did not see it on the group messages Stefania mother to (16 Yold) UC 8 years, SCD 5 months ___________________________________ L'email della prossima generazione? Puoi averla con la nuova Yahoo! Mail: http://it.docs.yahoo.com/nowyoucan.html Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 16, 2007 Report Share Posted November 16, 2007 Dear Patti and Gay --THank you for your answers. My daughter has been taking salazopyrin (azulfidine) for 8 years. Last June a new doctor said to stop it and go to asacol (actually LIALDA that is not available in Italy even if it is produced in Milan for USA). But she was doing very well on the SCD and refused to take another drug while she was well. So I decided to wait for a bit. She is still taking azathioprine (an immune suppressant). Any drug has ever helped her to clear flares, she also became resistant to steroids. Only the diet did so last May. Perhaps the drugs limited the extension of her colitis. Last colonoscopy evidenced that there are signs of inflammation only in part of the transverse and descendant colon. I think she must have had quite a lot of illegals and her disease flared back slowly, about 2 weeks ago. At first she had only very little blood with normal stools and then costipation and blood and now she has D with blood 6 times at night and 3 times during the day. I might have exchanged the very little quantity of feces, due to little quantity of food, with constipation (please excuse all this description) All my friends and family say to give the diet more time perhaps 4 or 5 more days before calling the doctor. Stefania mother to (16 Yold) UC 8 years, SCD 5 months --- Patti ha scritto: > I'm sorry I don't know much about your daughter's > history up to this point. I also usually work with > families of young kids with autism.. I don't have > as much experience with UC and other GI disorders in > older kids or adults. > > In looking at the foods she is eating, it looks to > me like a lot of meat and eggs, compared to the > other foods. So, it would not surprise me that she > may be constipated. Are you certain she tolerates > the carrots? Many don't. Has she tried other > veggies? I'm concerned that you say she eats very > little... maybe not enough food for a 16 yr old? > Does she have pain if she eats more? > > I think I would probably recommend she immediately > start using the Electrolyte Drink, because it helps > with both diarrhea and constipation. She could take > small sips of this throughout the day. And also > more veggie or fruits for fiber (cooked). > > Is she taking any supplements, besides the meds? > > I do work with a family who's young son has both > autism and issues with GI bleeding, which have > improved with SCD. I hesitate to compare the two, > though, because each case is so very different. > It's hard to know what the cause is. Need more > information! > > Patti > > Re:Please Sheila, > experienced SCDers: blood in feces > > > HI Sheila/experienced SCDers, > I am afraid that after a few days of not visible > blood > my daughter has had more blood than before and > little > mushy feces (or no feces at all) for 6 or 7 times > a > day (expecially at night). She is obviously in a > relapse and we do not know how to come out of it. > She > went back on the intro diet > (3 days ago) with no results yet. Actually I think > that apart from a bit of blood mixed with feces, > she > is not eliminating enough feces. I haven't called > her > gastroenterologist yet because I know the answer: > try > with high dosage steroids and if they don't work > take > her into hospital for INFLIXIMAB which may or may > not > work. He has never supported SCD diet. She has > started > asacol suppositries because they helped last time. > Please tell me your experience with blood in feces > and > the diet. Can we wait for steroids or not? She > would > do anything to avoid steroids. She does her normal > life (school, sports and all), eats very little > food: > chicken soup with pureed carrots and sometimes > spinach, beef patties or stewed beef with carrots, > > roasted veal steak, scrambled eggs, home made > diluted > apple and grape juice, two table spoons of SCD > yoghurt > a day. She takes azathioprin and started asacol > today, > as well as suppositries. The asacol contains > lactose > that's why she had not started to take it yet, > even if > her doctor had said to take it instead of > something > else she was taking last time she went to see him, > last July. > Do you think I should contact by telephone one of > the > specialists from the BTVC site list? > Thank you for your help > I think I am doing something wrong because I sent > this > message yesterday and did not see it on the group > messages > > Stefania mother to (16 Yold) UC 8 years, SCD > 5 > months > > ___________________________________ > L'email della prossima generazione? Puoi averla > con la nuova Yahoo! Mail: > http://it.docs.yahoo.com/nowyoucan.html > > > > > > [Non-text portions of this message have been > removed] > > ___________________________________ L'email della prossima generazione? Puoi averla con la nuova Yahoo! Mail: http://it.docs.yahoo.com/nowyoucan.html Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 17, 2007 Report Share Posted November 17, 2007 Hi Stefania, I think putting your daughter back onn the strict intro diet might help. Instead of having large meals have 5-6 smaller meals throughout the day. More food earlier in the day is better than having larger meals at night because digestion slows at night and can cause more diarrhea. Since she is having blood in her stool, it is best to stop the yogurt until the diarrhea and bleeding is reduced somewhat. When you want to start check with me and let me know how she is doing. At that point, drip the yogurt and start with a tiny amount (so you don't retrigger diarrhea or bleeding). When you redo the intro diet make sure that you remove as much fat from the meats as possible (eg. skimming the fat from the chicken soup, broiling the burgers to remove grease...) The carrots should be cooked at least 4 hours and pureed well. You can puree it with either the broth from the soup or water. I found that the carrot pureed with soup was easier to tolerate. You wrote that " she must have had illegals " - do you know what illegal she had or did she eat an advanced food - or- flu or cold - or- new medicine/supplement? Are the suppositories helping now? Sheila, SCD Feb. 2001, UC 23yrs, PCOD 22yrs mom of and > > Dear Patti and Gay > --THank you for your answers. My daughter has been > taking salazopyrin (azulfidine) for 8 years. Last June > a new doctor said to stop it and go to asacol > (actually LIALDA that is not available in Italy even > if it is produced in Milan for USA). But she was doing > very well on the SCD and refused to take another drug > while she was well. So I decided to wait for a bit. > She is still taking azathioprine (an immune > suppressant). Any drug has ever helped her to clear > flares, she also became resistant to steroids. Only > the diet did so last May. > Perhaps the drugs limited the extension of her > colitis. Last colonoscopy evidenced that there are > signs of inflammation only in part of the transverse > and descendant colon. > I think she must have had quite a lot of illegals and > her disease flared back slowly, about 2 weeks ago. At > first she had only very little blood with normal > stools and then costipation and blood and now she has > D with blood 6 times at night and 3 times during the > day. > I might have exchanged the very little quantity of > feces, due to little quantity of food, with > constipation (please excuse all this description) > All my friends and family say to give the diet more > time perhaps 4 or 5 more days before calling the > doctor. > Stefania mother to (16 Yold) UC 8 years, SCD 5 > months > --- Patti ha scritto: > > > I'm sorry I don't know much about your daughter's > > history up to this point. I also usually work with > > families of young kids with autism.. I don't have > > as much experience with UC and other GI disorders in > > older kids or adults. > > > > In looking at the foods she is eating, it looks to > > me like a lot of meat and eggs, compared to the > > other foods. So, it would not surprise me that she > > may be constipated. Are you certain she tolerates > > the carrots? Many don't. Has she tried other > > veggies? I'm concerned that you say she eats very > > little... maybe not enough food for a 16 yr old? > > Does she have pain if she eats more? > > > > I think I would probably recommend she immediately > > start using the Electrolyte Drink, because it helps > > with both diarrhea and constipation. She could take > > small sips of this throughout the day. And also > > more veggie or fruits for fiber (cooked). > > > > Is she taking any supplements, besides the meds? > > > > I do work with a family who's young son has both > > autism and issues with GI bleeding, which have > > improved with SCD. I hesitate to compare the two, > > though, because each case is so very different. > > It's hard to know what the cause is. Need more > > information! > > > > Patti > > > > Re:Please Sheila, > > experienced SCDers: blood in feces > > > > > > HI Sheila/experienced SCDers, > > I am afraid that after a few days of not visible > > blood > > my daughter has had more blood than before and > > little > > mushy feces (or no feces at all) for 6 or 7 times > > a > > day (expecially at night). She is obviously in a > > relapse and we do not know how to come out of it. > > She > > went back on the intro diet > > (3 days ago) with no results yet. Actually I think > > that apart from a bit of blood mixed with feces, > > she > > is not eliminating enough feces. I haven't called > > her > > gastroenterologist yet because I know the answer: > > try > > with high dosage steroids and if they don't work > > take > > her into hospital for INFLIXIMAB which may or may > > not > > work. He has never supported SCD diet. She has > > started > > asacol suppositries because they helped last time. > > Please tell me your experience with blood in feces > > and > > the diet. Can we wait for steroids or not? She > > would > > do anything to avoid steroids. She does her normal > > life (school, sports and all), eats very little > > food: > > chicken soup with pureed carrots and sometimes > > spinach, beef patties or stewed beef with carrots, > > > > roasted veal steak, scrambled eggs, home made > > diluted > > apple and grape juice, two table spoons of SCD > > yoghurt > > a day. She takes azathioprin and started asacol > > today, > > as well as suppositries. The asacol contains > > lactose > > that's why she had not started to take it yet, > > even if > > her doctor had said to take it instead of > > something > > else she was taking last time she went to see him, > > last July. > > Do you think I should contact by telephone one of > > the > > specialists from the BTVC site list? > > Thank you for your help > > I think I am doing something wrong because I sent > > this > > message yesterday and did not see it on the group > > messages > > > > Stefania mother to (16 Yold) UC 8 years, SCD > > 5 > > months > > > > ___________________________________ > > L'email della prossima generazione? Puoi averla > > con la nuova Yahoo! Mail: > > http://it.docs.yahoo.com/nowyoucan.html > > > > > > > > > > > > [Non-text portions of this message have been > > removed] > > > > > > > > ___________________________________ > L'email della prossima generazione? Puoi averla con la nuova Yahoo! 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