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 lighthouseceliac @lighthouseceliac

Colestipol has help me tremendously.

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That drug is for elevated lipids and says causes constipation. Maybe your post for someone else.
Thanks..Joanne

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Profile picture for Ingegerd Enscoe, Alumni Mentor @astaingegerdm

@mothermary1
Welcome back Joanne! I’m sorry you are still suffering without relief.
I’m taking Amitiza and Motegrity now. Some days good others not. Helps in the long run I think.
I got a CC letter this week with some interesting information.
It’s an implanted nerve stimulator called Medtronic’s InterStim.
This indication was for fecal incontinence so I don’t know if it would apply to you.
Check it out!

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Hi, still not well. Motegrity was awful and Amitiza was too. I have such allergies to most meds. I don’t know if med itself or fillers. Someone needs to figure this out because I’m constantly sick or enduring horrible side effects. I don’t pass hard stools ever which amazes me with such long term constipation. It’s always tiny, soft or diarrhea and mostly nothing for weeks. I do not have incontinence at all. It’s also never as far as my rectum. It must take forever to get there because I’ve been taught to check myself and clear the way but never ever gets that far. I have had many many tests but it’s time to backtrack and do more but my Gastro doesn’t agree. I did smart pill but asked to swallow the camera in case something is missed in small bowel but my doctor thinks I’ve had all the tests since August 2020 that conclude, I have severe digestive motility issues. I see her Friday and I feel she will mention surgery. I won’t do it because I have had BM so I’m keeping my colon.
Thanks…Joanne

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Profile picture for Joanne Narna @mothermary1

That drug is for elevated lipids and says causes constipation. Maybe your post for someone else.
Thanks..Joanne

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It is used for microscopic colitis and works tremendously. It is a bile acid binding medicine, the amount taken can be played with until most symptoms are completely resolved. Budesonide kept me awake all the time so this has been perfect with no side effects for me.

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Profile picture for Joanne Narna @mothermary1

That drug is for elevated lipids and says causes constipation. Maybe your post for someone else.
Thanks..Joanne

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From Mayo:
Anti-diarrheal medications such as loperamide (Imodium) or bismuth subsalicylate (Pepto-Bismol)
Steroids such as budesonide (Entocort EC)
Medications that block bile acids (which can contribute to diarrhea) such as cholestyramine/aspartame or cholestyramine (Prevalite), or colestipol (Colestid)
Anti-inflammatory medications such as mesalamine (Delzicol, Apriso, others) to help control colon inflammation
Medications that suppress the immune system to help reduce inflammation in the colon, such as mercaptopurine (Purinethol) and azathioprine (Azasan, Imuran)
TNF inhibitors, such as infliximab (Remicade) and adalimumab (Humira), which can reduce inflammation by neutralizing an immune system protein known as tumor necrosis factor (TNF)

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Profile picture for geegee1 @geegee1

Lymphocytic colitis…what kind of diet is best?

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I happened to find a list of foods to avoid online -- I don't remember where, but I jotted down lactose, gluten, nuts, uncooked veggies and fruits, sugary drinks, alcohol, caffeine... As I mentioned, it has changed my life! Gluten-free things are very easy to find in the grocery stores. I used to assume that gluten- and lactose-free were just fads. Now, I'm a believer! If I eat apple sauce in the morning with breakfast, my day goes very well. Of course, BRAT food -- bananas, rice, apple sauce and (gluten free) toast work well. I used to live in fear of frantically needing a bathroom. Not anymore!

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Profile picture for lighthouseceliac @lighthouseceliac

I did and it sent me into a 3 day panic episode. Some find great relief though.

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Well, that's not good! I am sorry you had that experience. The info I saw about it was mixed results, so I thought I would ask on this forum to see if anyone had tried. I read that CBD oil can help with inflammation, so it seems like it might be worth a try, but I wouldn't want to have the experience you had, that's for sure! Thanks for responding...

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Profile picture for jlp2 @jlp2

Well, that's not good! I am sorry you had that experience. The info I saw about it was mixed results, so I thought I would ask on this forum to see if anyone had tried. I read that CBD oil can help with inflammation, so it seems like it might be worth a try, but I wouldn't want to have the experience you had, that's for sure! Thanks for responding...

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Try it, I read the same things. It just might work for you. That’s the only way to find out.

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Profile picture for lija @lija

To answer your question, I am watching my diet, excercising, drinking more water and less coffee. No creamer which really gives me problems! I eat lots of salads and vegetables. My doctor advises if I am going to eat them, to steam or microwave instead of raw! Even salads! (Well, I haven't tried salads that way yet!). No skins or rough vegetables. No lactose or histamine releasing foods for awhile or artificial sweeteners except Stevia. Use Mega Spore probiotic (50 billion). Eat chia seeds or psyllium husk and ground turkey breast instead of beef (no red meat). No bread, instead corn tortillas, rice, potatoes, or quinoa. Popcorn for snacks. This is info I received at Mayo. I have just started but am willing to try anything they think will help!! If anyone has any things that help them, please let me know!

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Best probiotics are via prescription, Visabone. Pure, high dose and need your doctor to advise on quantity, no OTC is worth taking,waste of $$$$$

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Profile picture for lija @lija

I am joining as I was diagnosed with lymphocytic colitis at Mayo five months ago. I was prescribed budesonide 3 mg. It has helped. I have just returned to my doctor. He says I will probably need to take this for the rest of my life! I am now down to 1 cap. every other day.

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I have taken this script, for many years, on and off. At the beginning I’d take a round of it, and symptoms would go away a year , before increasing symptoms. If I’m off the script now ,5 to 9 stools a day😕 any suggestions, get concerned about , side affects, Rheumatoid arthritis.

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Profile picture for gingerm @gingerm

Hello, I am new to this group. As a teen, I was told I had a spastic colon, later, they started calling it IBS-D. In 2006 I was diagnosed with GERD, a hernia and the bottom "flapper" of my esophagus no longer worked so I underwent a Nissan Fundoplication. That procedure wraps a portion of your stomach tightly around the esophagus to keep the acid from going back into the esophagus. On the down side, I now have difficulty swallowing and must periodically have a balloon dilatation to stretch it back out. For that, I take Pantoprazole SOD 40mg twice a day. In October of 2016, after several months of watery, explosive diarrhea 10-12 times a day, a colonoscopy was done specifically to look for Microscopic Colitis. I was diagnosed with Lymphocytic Colitis. I was started on Budesonide 3mg caps x3 a day. That stopped the watery, frequent diarrhea but my skin became very fragile and thin. I was changed to Lialda 1.2Gm 2 tabs twice a day. These are horse pills and very difficult to swallow. It has slowed the diarrhea to 3-4 times a day, depending on what I eat but the bowel consistency is very soft to loosely formed. Silly me, I thought I was going to get back to relatively normal bowel movements. I have arthritis in my neck, back & hands. My hands started swelling and hurting. I couldn't make a fist. My internist sent me to a rheumatologist because I had a high-ish ANA test. More tests and more drugs. While I don't specifically have rheumatoid arthritis or lupus, she believes it is an autoimmune thing related to the Lymphocytic Colitis. She has me on Cymbalta 60mg for the pain, Predisone 5mg & Plaquenil 200mg twice daily for the inflammation. My hands are much better but I am having severe hot flashes. I have gone from taking 4 meds a day to all of this stuff. I was told to consider the Mediterranean diet but, because of the IBS, there are no leafy vegetables that I can tolerate, several fruits and nuts that are triggers as well. I had an endoscopy Monday to dilate my esophagus and take a few biopsies and my doctor (I regularly see his most excellent PA) told me that the way my bowels are now are my new normal. I am okay with that but I hate taking all of these meds. I worry what they're doing to my body. It's nice to find people who understand and are going through this as well. Thanks for listening.

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This is my life. Had a nissen fundoplication and hiatal hernia repair in December got c-diff from the hospital. Had 3 good weeks. Non stop diarrhea for over 7 months. In the meantime was diagnosed with Lupus (had a blood clot in 2016 was trying to get off blood thinners because Arthritis was so bad and I couldn’t take anything due to being on thinners). Finally had colonoscopy revealed lymphocytic colitis. I feel like I should have just kept eating tums my whole life and took my chances getting cancer instead of having the nissen. I’m sure having lupus and not being diagnosed till 47 didn’t help but that surgery feels like the start of all things bad in my life. I am forever changed and not for the better. Getting a hysterectomy in September. Who knows if that is connected to all the madness. Thank you for sharing your story.

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