Your tips on how to live with Lymphocytic Colitis/Collagenous Colitis

Posted by mpratto @mpratto, Nov 30, 2016

I have been fighting Lymphocytic Cholitis for a long time and it is getting worse. I really need some advise on how to live with this.

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Profile picture for mthom1217 @mthom1217

Do you know that feeling of relief when a doctor figures out why your body is behaving a certain way, only to say weeks later “how do I live with this?” I love fresh fruits. I love picking Mulberries off a tree and eating them. I use to eat blueberries and blackberries everyday. I love veggies. I love nuts. Oh pecans on a hot fudge sundae. Say goodbye to Dave’s Killer 22 Grain Bread? They told us we should eat fresh fruits, veggies, whole grains, etc… and I did and I love it! I’m angry. So now what? I need a LC mentor… friend, because just like my RA no one understands and I’m angry at their advice that has nothing to do with what I’m going through. Please… anyone out there?

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Consider asking your GI about Budesonide. I'm 70 and was diagnosed with Collagenous Colitis (CC) 8 years ago. It is so similar to Lymphocytic Colitis that it is considered part of the Microscopic Colitis spectrum. I have kept a food log for 15 years, since my celiac diagnosis, so determined that along with no gluten, I'm sensitive to legumes, dairy, NSAIDs, and some other meds. I have no problem with seeds or fiber (I like psyllium husk), but I do best with a low FODMAP diet. I'd been able to control the CC quite well with diet, exercise, and managing stress until I got covid, long covid, and then Norovirus in 2023. Even then I just had to keep track of where the bathrooms were. Last summer a nephrologist put me on Lisinopril, and it turns out that ACE II, statins, and a number of other meds slap one's colon around, and the runs were off to the races. So...I was put on Budesonide 9 mg/day for 2 months starting on Thanksgiving, and now at 6 mg/day for a month, then 3 mg/day for a month. Budesonide is a designer corticosteroid; the effect is localized to slowing down and healing the colon (thinning the layer of collagen). In me, there were no side effects other than having a bit more energy and not losing weight. The relapse rate after stopping Budesonide is pretty high, so I will need to be diligent in my diet/exercise/stress management. https://www.ccjm.org/content/91/4/215#:~:text=First%2Dline%20therapy%20for%20microscopic,budesonide%20therapy%20can%20be%20stopped.

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Profile picture for mthom1217 @mthom1217

Do you know that feeling of relief when a doctor figures out why your body is behaving a certain way, only to say weeks later “how do I live with this?” I love fresh fruits. I love picking Mulberries off a tree and eating them. I use to eat blueberries and blackberries everyday. I love veggies. I love nuts. Oh pecans on a hot fudge sundae. Say goodbye to Dave’s Killer 22 Grain Bread? They told us we should eat fresh fruits, veggies, whole grains, etc… and I did and I love it! I’m angry. So now what? I need a LC mentor… friend, because just like my RA no one understands and I’m angry at their advice that has nothing to do with what I’m going through. Please… anyone out there?

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I've been on Budesonide since July '24. It not only manages my LC quite well except for one day a month but it's also helping with my RA. I have no pain! GI said I can stay on it forever which I plan too. Currently 3 capsules a day but will work my way down to 2 along with low FODMAP diet. That's the plan anyway..

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Profile picture for riv2ga @riv2ga

Hi all, in addition to the specialist at UVA I have a fabulous Gastroenterologist in Alexandria, VA who diagnosed the LC. She gave me an RX for Colestipol which worked wonders for controlling the diarrhea. I keep this handy for those extreme days, but have been diligently trying to maintain some type of normalcy (if there is such a thing). It’s hard to get to a doctor for an appointment when they are either an hour and a half or 2 hours away, but I am fine with virtual also. Yes, bidets are our best friends now and Costco has the best deals on them. It’s a shame that they are not standard in American homes. They are life changing. Keep your head up and will continue to pray for each of you. We now know more about each of us than many of our closest friends and family. But we have to be strong and support one another. Where are you ladies located?

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I am just west of Chicago. In reading the posts I fear stress is the one element of all this that is challenging to manage for me. My job over the years has gotten worse as there is more work piled on but no one to help me. I plan to retire May 2026 which in reality is just around the corner.

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Profile picture for joanthompson @joanthompson

I was diagnosed in Dec. 2024. I thought I had the flu, it was really bad. I got my bowels under control by having liquids only then slowly introduced some foods back and things got better and fairly normal, but my PCP said I should have a Colonoscopy anyway and glad I did bc that was when the MC was discovered, I am on Budenesodine as a taper medication. I will be on it for 4 months. I have an 3 autoimmune conditions that my doctor feels is the cause, but I guess we will never know really what caused it. I take omeprazole for GERD currently. My Gastro. Said that couldn’t cause the condition because I haven’t been on it very long and I only take 20mg daily. I am doing well and find Dairy to be a trigger but only certain dairy products. I see my Gastro, for follow up at the end of June. Not sure if I have to be on this all the time or if once your done do you stop altogether and see or is this drug forever?

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I was diagnosed 2 years with a biopsy during my colonoscopy,I’ve had 3 rounds of Budesimide,I’m now on the third round of one a day.when I go off of it ,I don’t do very good,go,see my GI doc in 2 weeks,to see if there’s any new treatment,I sure have to avoid a lot of things,coleslaw,high fiber foods,etc.if anyone has any good advice ,pass it along.Mine all started after two rounds of ATBs when I had tooth surgery.

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Profile picture for joanthompson @joanthompson

And Stevia Leaf extract, which is actually a low FODMAP,

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What is the deal about Stevia leaf extract?

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Profile picture for pb50 @pb50

I have the sister version of microscopic colitis - collagenous colitis -

When you say you take Budesonide on and off, how long was your first course of it? Mine was 3 months, stepping down from 9mg a day to none.

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Each course was 3 months.

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Profile picture for boy4 @boy4

I have been dealing with this for over a year taking budesomide off and on,has anyone gotten help with this condition?

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I should follow up to say that like many collagenous colitis patients who successfully completed a course of budesonide from 9mg to none, i have relapsed a second time. So I am now on permanent maintenance of 3mg/day. The thinking has evolved as they observed the relapse rate. I’m doing ok. Not happy to be on a maintenance drug not of my choosing. But que sera.

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Profile picture for boy4 @boy4

What is the deal about Stevia leaf extract?

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It’s a plant and the leaf is crushed and used as a sweetener. Many other sweeteners are artificially made ie aspartame, Splenda & Sacharrin, Mannitol, Erythritol, Xyilitol, These are known to cause certain cancers. Stevia has been considered safe if used moderately not habitually.

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Profile picture for boy4 @boy4

I was diagnosed 2 years with a biopsy during my colonoscopy,I’ve had 3 rounds of Budesimide,I’m now on the third round of one a day.when I go off of it ,I don’t do very good,go,see my GI doc in 2 weeks,to see if there’s any new treatment,I sure have to avoid a lot of things,coleslaw,high fiber foods,etc.if anyone has any good advice ,pass it along.Mine all started after two rounds of ATBs when I had tooth surgery.

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What is ATB and could have been a coincidence that it happened after your tooth surgery, what would make you say that?

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Profile picture for kayabbott @kayabbott

Consider asking your GI about Budesonide. I'm 70 and was diagnosed with Collagenous Colitis (CC) 8 years ago. It is so similar to Lymphocytic Colitis that it is considered part of the Microscopic Colitis spectrum. I have kept a food log for 15 years, since my celiac diagnosis, so determined that along with no gluten, I'm sensitive to legumes, dairy, NSAIDs, and some other meds. I have no problem with seeds or fiber (I like psyllium husk), but I do best with a low FODMAP diet. I'd been able to control the CC quite well with diet, exercise, and managing stress until I got covid, long covid, and then Norovirus in 2023. Even then I just had to keep track of where the bathrooms were. Last summer a nephrologist put me on Lisinopril, and it turns out that ACE II, statins, and a number of other meds slap one's colon around, and the runs were off to the races. So...I was put on Budesonide 9 mg/day for 2 months starting on Thanksgiving, and now at 6 mg/day for a month, then 3 mg/day for a month. Budesonide is a designer corticosteroid; the effect is localized to slowing down and healing the colon (thinning the layer of collagen). In me, there were no side effects other than having a bit more energy and not losing weight. The relapse rate after stopping Budesonide is pretty high, so I will need to be diligent in my diet/exercise/stress management. https://www.ccjm.org/content/91/4/215#:~:text=First%2Dline%20therapy%20for%20microscopic,budesonide%20therapy%20can%20be%20stopped.

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You explain very well. I had same experience. Budesonide Got rid of runs for me 5 years ago. Now it was my 5 year colonoscopy and ugh, i now have the runs. Also, have other auto immune problems. Just can’t get rid of the inflammation now matter what i try. Organic etc.

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