Your tips on how to live with Lymphocytic Colitis/Collagenous Colitis
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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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.
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..
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.
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.
What is the deal about Stevia leaf extract?
Each course was 3 months.
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.
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.
What is ATB and could have been a coincidence that it happened after your tooth surgery, what would make you say that?
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.