Arthritis Forum
Home.

News.

Personal Stories. Links. Message Board.  
Arthritis Forum  
Add your comments to this topic Start a new topic
Date: 25.04.2015
From: Sandy

Subject: chrones disease and RA ?

Hi all,I haven't posted for ages ... Just wanted to ask if anyone on here has been diagnosed with crohnes disease as well as ra.. I am waiting for further tests but my gp seems to think that s what I've got...when I've googled it,it always says that you get crohnes first but I was diagnosed with ra about 15years agoso it doesn't make sense... Also any ideas what else it could be? .. Also if anyone else has it .. How do you deal with it ? .. Not coping well at the moment .. Thanks x
reply | back to forum

Date: 25.04.2015
From: Sean

Subject: Re: chrones disease and RA ?

Hi Sandy

I've been reading a book on Crohn's recently called "Breaking the vicious cycle" - my daughter has suspected Crohn's.

The book describes SIBO (small intestine bacterial overgrowth) as the primary cause - it also mention mucosal injury as a precursor to SIBO.

A vicious cycle then ensues with Carbohydrates not being able to be digested properly - causing unwelcome bacteria further down the digestive tract and the colon to be fed with undigested complex sugars - then further bacterial overgrowth.

Then on the meds / RA -

Extended use of NSAID and methotrexate can cause injury to the ileum at the end the small intestine.

Also once damaged the ileum will no longer absorb methotrexate - and some people then switch to injections rather than tablets.
reply | back to forum

Date: 25.04.2015
From: Colin W

Subject: Re: chrones disease and RA ?

hi Sandy , they use Sulphasalizine to treat chrones as well as RA , are you rf positive ? ,

hope they can help you out soon
reply | back to forum

Date: 25.04.2015
From: Sandy

Subject: Re: chrones disease and RA ?

Hi Sean and Colin,thanks for your replies,I am sero positive... I am currently on abatacept,20mg methotrexate(injections)pregabalin,oramorph and ibuprofen(as I prefer not to take the oramorph unless absolutely necessary)and steroids when necessary... I had a colonoscopy and endoscopy years ago due to rectal bleeding as they thought at the time that I had ulcer's due to the meds ..these came back clear at the time,so to be honest I've 'put up and shut up' for a long time! ...recently though it's got out of hand and I don't seem to be in control of it anymore (sorry for too much information!!) ...my GP says that with my symptoms plus the fact I have fistulas ?? .. She's pretty certain that I have crohns... From what I've read,they treat it with methotrexate...if so why am I still having problems?? ... I used to be on sulphasalzine years ago Colin... I wonder if that's what kept it manageable at the time? ...it's so humiliating...how does your daughter cope with it Sean ? X
reply | back to forum

Date: 26.04.2015
From: Sean

Subject: Re: chrones disease and RA ?

Hi Sandy

It's too early to tell as her symptoms vary - GP is being cautious and is concerned as tests can be invasive, she has a hospital appointment with a consultant in June. She is just 13. It's not a chronic condition at the moment. Based on what I have learnt - if she continues with troubles or is diagnosed - I am quite sure we will use resources online for the Specific Carbohydrate Diet.

I believe there is a spectrum ranging from less serious issues through IBS - with steps up to conditions like Crohn's an Ulcerative Colitis.

NSAID's - including ibuprofen can cause damage to the gut - especially in the region of the gut where SIBO takes hold and can lead to Crohn's.

http://http://www.ncbi.nlm.nih.gov/pubmed/6150232

I think you are right though - it could often be the other way around with gut issue like Crohn's leading to RA and other autoimmune diseases.

Take care and I hope you can find some relief, Sean
reply | back to forum

 

Add your comments to this topic
Subject:
Please type your comment here:

Your name:
email:

2+3=
(This sum is to help prevent automatic spamming through this page - thank-you)


top

Site design: T - Creative Home | News | Personal Stories | Links | Message Board