CROHN’S DISEASE and IBS Accepting the Journey to a Happier Gut – and Soul
”My gut troubles all started at camp in the summer of 2006.
ologist diagnosed Megan with IBS (irritable bowel syndrome).
For three years I was in and out of different doctors, constantly
Megan started taking a drug to calm and regulate her bowel,
complaining, having different tests done, and not getting
she ate extra fibre and she eliminated bothersome foods
any answers.“ The Gut Gazette, Megan’s blog chronicling her
like dairy, refined sugar and chocolate from her diet.
struggle with digestive problems, begins with this entry.
Despite the changes, Megan still wasn’t feeling great when
Megan was 16 and just beginning her last summer at camp
she started university in the fall. “I had more good days
when she first noticed diarrhea and abdominal pain. ”It felt
than bad, but I still wasn’t 100%. There wasn’t much I could
like a knife, stabbing into my upper right side,” Megan
eat from the residence cafeteria, which was hard. Luckily,
describes. ”I really missed out on the fun. I couldn’t even
I had a single room right across the hall from the bathroom!“
stand up straight. I just curled into a ball on my bed.” The
camp nurse recommended more fibre in Megan’s diet, but it
A few months later, Megan’s gastroenterologist performed
didn’t help. Megan’s stomach pain escalated throughout the
several tests – a colonoscopy, gastroscopy and a small bowel
day, sapping her energy and appetite. ”It was an awful two
follow-through (SBFT) – to examine and xray Megan’s
weeks at camp. I couldn’t eat much of anything – not even
intestine. The tests revealed four small ulcers on the lining
of Megan’s small intestine and she was diagnosed with mild
At home, Megan talked to her family doctor about her
Crohn’s disease. Megan switched to more powerful
stomach problems and another concern – abnormal and
medications and she avoided drinking alcohol. “People think
skipped periods. “We were trying to figure both things out,
it’s a bit weird that I don’t drink,“ Megan says. “But I can’t
so I just lived with my stomach problems all through Grade
– it feels like rubbing alcohol splashing on an open wound.“
11. But every day it was getting worse,” Megan recalls. “I
Now living off-campus in her second year at an Ontario
university, Megan is gaining control over her condition, both
Megan started missing school. When she was at school, she
physically and emotionally. Megan takes mesalamine (for
worried about being singled out for her constant bathroom
bowel inflammation), amitriptyline (for pain) and she
trips. ”I got really nervous for assemblies,” Megan admits. ”I
experiments with a combination of diet, exercise and stress-
didn’t want to get up and run out in front of everyone. I
relieving yoga to help control her symptoms. “I eliminate
didn’t have the greatest high-school experience anyways – it
trigger foods,“ Megan says, “And my room-mates are really
was stressful for me and the stomach stuff just made everything
open to make ’Megan-friendly’ meals.“ Megan practices
so much worse.” With help from her mom and a social worker,
pilates and Hatha yoga to stretch and strengthen her muscles,
Megan learned how to handle the stresses of high-school,
but her diarrhea and pain didn’t improve. So, Megan’s aunt,
relieve stomach cramps and improve digestion.
a family doctor, urged Megan to see a specialist.
Megan also finds support through the university’s Centre
Almost two years after her first symptoms, a gastroenter-
for Students with Disabilities (CSD). “I used to worry about
PERSONAL STORIES – CROHN’S DISEASE and IBS
my stomach and diarrhea during exams,“ Megan says. “Now,
I have my own exam room with a bathroom nearby and I
Almost half of IBD patients have additional health issues
can get up as many times as I need to. My last two midterms
affecting their joints, skin, eyes, and biliary tract that may
were the best exams I’ve ever written! And if I’m sick with
be more debilitating than the bowel symptoms. Malnutrition
a flare-up, someone will even take class notes for me.“
and blood disorders are common conditions in IBD patients.
Through her advisor, Megan learned that she is not alone –
The majority of Crohn’s disease patients will require
22 other students with Crohn’s and colitis are registered with
hospitalization at some point and more than half will
the CSD. “That’s when I decided to start a digestive disorders
support group at school,“ Megan says. “I’ve planned the first
meeting and advertised it across campus. A huge place in
IBS is a benign, chronic problem that does not lead to cancer
my heart has opened up to spread awareness and share with
or any permanent damage to the bowel. Symptoms may wax
and wane, getting better and worse at certain times. For
some individuals, symptoms do get progressively better.
Blogging in The Gut Gazette is another process to help
Megan heal. “I used to cry when I talked about my IBS and
Crohn’s with family and friends,“ Megan says. “But that’s
Many of the symptoms of IBD are similar. The most common
changed. Now, I’m totally open. Through the blog world I’ve
symptom of ulcerative colitis is bloody diarrhea. There may
discovered cool tips, recipes and ideas for digestive health.
also be weight loss, fatigue, fever and abdominal pain. The
And I write about what works best for me – for my symptoms.
most common symptoms of Crohn’s disease are abdominal
Hopefully, it can help someone else. I’ve accepted that this
pain (often in the right, lower area of the abdomen) and
condition is my journey – a journey towards a happier gut
diarrhea. There may also be rectal bleeding, weight loss and
fever. Symptoms outside the gut may include aching, sore
joints, skin and mouth sores and red, inflamed eyes.
People with IBS may experience a variety of symptoms
including abdominal pain related to their bowel movements
and an irregular bowel pattern that results in constipation,
diarrhea or diarrhea alternating with constipation. Other
symptoms may include heartburn, nausea, gas, bloating
Inflammatory bowel disease (IBD) consists principally of two
cramps, and mucus present around or within the stools.
separate disorders, Crohn’s disease and ulcerative colitis, that
cause inflammation (redness and swelling) and ulceration
(sores) of the small and large intestines. Canada has one of
Have I experienced a new onset or change in symptoms
the highest incidence and prevalence rates of IBD in the
world, with more than 200,000 Canadians living with the
Do I have rectal bleeding or dark red blood mixed in
Irritable Bowel Syndrome (IBS), is a chronic, gastrointestinal
disorder. Those affected may experience recurrent abdominal
pain and irregular bowel patterns that are often painful.
If you answered yes to any of the above, you should speak
Five million Canadians suffer from IBS with 120,000 Canadians
developing this digestive disorder each year. IBS affects
Over 20 million Canadians suffer from digestive
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SARGANSERLAND Langlaufloipen am Berg geniessen «Als BZSL angekommen» Im «neuen» Schulhaus des Berufs- undWeiterbildungs- zentrums Sarganserland (BZSL) läuft der Betrieb rund. Die kaufmännische Abteilung hat sich eingelebt, und das Verhältnisse auf dem Berg sind gut. ZbW ist mit einem ersten Lehrgang gestartet. Sargans. –Auf das Schuljahr 2013/14 Heu
Helicobacter pylori infection in Havana, Cuba. Prevalence and cagA status of the strains Beatriz Gutiérrez1,2,3, Teresita Vidal2,3, Carlos Ernesto Valmaña2,3, Christine Camou-Juncas3, Adriana Santos3, Françis Mégraud3, Nery González4, Ibrahim Leonard4, Rolando Martínez5, Osvaldo Díaz-Canel5, Manuel Paniagua6, María del Pilar Escobar6 and George L. Mendez3,7. 1Academia de Cienci