Microscopic Colitis. Feedback you can offer?

Posted by tlfrench @tlfrench, Nov 1, 2021

Just recently diagnosed
Have Hypothyroidism
Showing some positive for RA
Suffered years with CDiff
Need any help feedback anyone can give please

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Profile picture for ymoreno2 @ymoreno2

To the person who posted that charcoal pills stopped diarrhea, a thousand thanks.
I was diagnosed with microscopic colitis. I took Budesonide for a little over two months, and it was wonderful. After about a month after stopping, I started getting diarrhea and cramping again. After two months the diarrhea was every day. The Imodium never helped. After seeing the post, I added two charcoal pills before meals and no more diarrhea. Thanks for posting.

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https://www.microscopiccolitisfoundation.org/
This organization offers much info on microscopic colitis, which is such a complex and frustrating disease to manage.

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Profile picture for janstur @janstur

Hi. I was diagnosed with MC in February. I am 65. I had a full hysterectomy in September due to a diagnosis of precancer in my endometrium which turned out to be a small cancerous tumor. They got it all thankfully. 10 weeks later I went on a week-long cruise to the Caribbean and halfway through had lots of diarrhea. I thought it was food poisoning or giardia. When I got back it took a while to see a GI doc and then I did all the testing, (all negative), culminating in a colonoscopy with 3 biopsies. My diarrhea had been 6 weeks and the colonoscopy seemed to reset me, but I was diagnosed with microscopic colitis. I took Budesonide for 1 week and was not doing well so they told me I could quit. I was doing just fine, like my old self when I could eat anything and then bam, early May I had a flareup. I've been on the highly restrictive diet for too long now and am craving the old food. I've lost 12 pounds so far and can't afford it. I've always eaten healthy: no red meats or pork, fresh fruits and veggies as much as possible, and very little alcohol. I'm not a smoker. If anything I could exercise more but before this flareup I was walking a mile a day. I'm back on the Budesonide at a lower dose. I wonder...did the hysterectomy cause this? Did some weird bug in the Caribbean cause this? I seem to be coming out of this flareup, thankfully, but now I guess I add foods one at a time? Very depressed.

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Hi Janstur, I can’t give you any answers, but I can sympathize with you. I get the depression. I did like your last sentence about seeming to come out of the flareup so I wish you full recovery. I would have flares and then recovery but it seems since the Covid vaccines I haven’t been able to stay in remission. I was on two biologics with bad side effects so I am opting to have my colon removed. In the meantime, I’m doing everything possible to ‘cure’ myself. Right now I am on the low FODMAP diet. I live in Canada and it takes a very long time to see a surgeon so I have until November 14 to get myself better. I wish you the best.

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Profile picture for janstur @janstur

Hi lisaluier,
Thank you for your kind words. I'm coming out of the flare-up and dealing with constipation. Much better! Fatigue is gone. Horrendous stomach aches are gone.
I'm so sorry for what you're going through. Have you been through all the testing? I think the colonoscopy basically cleans you out. I don't know if you've had one but the prep is basically poop your brains out to clear the colon before the test. I'm lucky I'm retired so I don't have to deal with work like you do. That must be so hard.
I have been all over the internet about this, ad nauseum. That's how I came across this website and I'm so glad I did! Hang in there.

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Oh, thank goodness @janstur! I do gotta say though, it’s funny to hear how you feel much better dealing with constipation. We are absolutely opposite in that regard. 😀

I’ve had a colonoscopy, then an upper scope locally a maybe 5 years ago because of a thick stomach showing up on a CT I believe. I had an anorectal manometry that led me to Mayo’s bowel evacuation program 3 years ago. Recently, a gastric emptying test showed good transit times.

Glad we met here! The struggles are real and so, so difficult to explain to anyone.

What is next for you?

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Profile picture for Janell, Volunteer Mentor @jlharsh

Oh, thank goodness @janstur! I do gotta say though, it’s funny to hear how you feel much better dealing with constipation. We are absolutely opposite in that regard. 😀

I’ve had a colonoscopy, then an upper scope locally a maybe 5 years ago because of a thick stomach showing up on a CT I believe. I had an anorectal manometry that led me to Mayo’s bowel evacuation program 3 years ago. Recently, a gastric emptying test showed good transit times.

Glad we met here! The struggles are real and so, so difficult to explain to anyone.

What is next for you?

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Well, day 3 of constipation is not so fun. lol. I 'm so sorry for what you're going through. As for me, it makes it hard to plan things. Will I have a flare-up? I have a trip coming up, that's causing major anxiety. It involves a 10-hour drive. Then there's another weekend trip. Who knows?

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Profile picture for janstur @janstur

Well, day 3 of constipation is not so fun. lol. I 'm so sorry for what you're going through. As for me, it makes it hard to plan things. Will I have a flare-up? I have a trip coming up, that's causing major anxiety. It involves a 10-hour drive. Then there's another weekend trip. Who knows?

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Thanks @janstur. Likewise, I am sorry you have an added travel planning stressor with all this. Kudos to you for persevering!

Have you tried charcoal, what @ymoreno2 reported in her original post?

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Profile picture for ymoreno2 @ymoreno2

To the person who posted that charcoal pills stopped diarrhea, a thousand thanks.
I was diagnosed with microscopic colitis. I took Budesonide for a little over two months, and it was wonderful. After about a month after stopping, I started getting diarrhea and cramping again. After two months the diarrhea was every day. The Imodium never helped. After seeing the post, I added two charcoal pills before meals and no more diarrhea. Thanks for posting.

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Does charcoal work?

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Profile picture for ymoreno2 @ymoreno2

To the person who posted that charcoal pills stopped diarrhea, a thousand thanks.
I was diagnosed with microscopic colitis. I took Budesonide for a little over two months, and it was wonderful. After about a month after stopping, I started getting diarrhea and cramping again. After two months the diarrhea was every day. The Imodium never helped. After seeing the post, I added two charcoal pills before meals and no more diarrhea. Thanks for posting.

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Question: Can microcolitis cause constipation? When I was diagnosed, it was the opposite and the budesonide fixed it. Now, all of a sudden I'm having the opposite happen. Is this a relapse or something new?

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Profile picture for ymoreno2 @ymoreno2

To the person who posted that charcoal pills stopped diarrhea, a thousand thanks.
I was diagnosed with microscopic colitis. I took Budesonide for a little over two months, and it was wonderful. After about a month after stopping, I started getting diarrhea and cramping again. After two months the diarrhea was every day. The Imodium never helped. After seeing the post, I added two charcoal pills before meals and no more diarrhea. Thanks for posting.

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Hi,
All I know is I had a relapse of diarrhea 5/5 to 5/21 and started Budesonide at a lower dose (I couldn't tolerate it before) 6mg. on 5/14 and then 5/21-5/25 had constipation. I read that yes it can be part of MC. I took Ducolax, 3 over 2 days and then the dam broke and so did my stomach aches. I'm starting to eat normally again and am not fatigued anymore. Best of luck to you.

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Profile picture for ymoreno2 @ymoreno2

To the person who posted that charcoal pills stopped diarrhea, a thousand thanks.
I was diagnosed with microscopic colitis. I took Budesonide for a little over two months, and it was wonderful. After about a month after stopping, I started getting diarrhea and cramping again. After two months the diarrhea was every day. The Imodium never helped. After seeing the post, I added two charcoal pills before meals and no more diarrhea. Thanks for posting.

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Hi Again,
Now I'm dealing with constipation. Had for 4 days, cramping, etc, took 3 ducolax over 12 hours and then had a "normal" day. The next day back to constipation! Day 3 today. Took 3 ducolax again over the last 12 hours and have barely had success. Cramps, etc. I drink kefir every morning and green tea with optifiber. Doesn't seem to help. I'm still on Budesonide. Keep leaving messages with my GI doc and they don't get back to me. I think they may have too many patients. On top of that, went to urgent care yesterday and have UTI. Am on antibiotics now. Geez! Do I ever get a normal life again? I'm very discouraged.

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Profile picture for ymoreno2 @ymoreno2

To the person who posted that charcoal pills stopped diarrhea, a thousand thanks.
I was diagnosed with microscopic colitis. I took Budesonide for a little over two months, and it was wonderful. After about a month after stopping, I started getting diarrhea and cramping again. After two months the diarrhea was every day. The Imodium never helped. After seeing the post, I added two charcoal pills before meals and no more diarrhea. Thanks for posting.

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I finally got called back and they said avoid ducolax and do Maalox instead. It doesn't have a stimulant. Good to know.

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