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791 Person Colitis Question and Answer Survey

colitis question and answer survey Oct 2013

Below are the answers to all the questions from the recent survey that took place in October.

The participants this month are from 46 different countries. (I’ve listed all the countries in the video below.  All participants received an email to participate via the iHaveUC newsletter.)

Like the previous survey, the questions were the exact questions that have been asked by other UC’ers who use the iHaveUC website.

THANK YOU ONCE AGAIN to everyone who participated, and to EVERYONE who uploaded your pictures. Here are the pictures of some of this month’s survey participants:

A bit different from the previous survey last month, this time I have placed my own answers and comments below each question.  I’ve also included a few links to outside resources, and some of the comments that participants in the survey made.

At the very very bottom of the survey, you’ll find a listing of additional comments that participants left.

So, without anymore delay, below are the questions, and results from the 791 participants, and the answers I’ve added, which are my own opinions/answers.

Question 1:

Can you get a Flu Shot if you have UC?

I myself have never had a flu shot.  So, I’m not really able to answer this question with firsthand experience.  But, I can say for sure, that many many people who follow this website who have ulcerative colitis do get the flu shot, some religiously.  There are a few related stories about this question which you may be interested in reading up on if you like: “Getting the Flu Shot While on Remicade – https://www.ihaveuc.com/getting-flu-shots-while-on-remicade/

Below is a comment that a participants left with regards to this question:

“If you want to get the flu shot, it is recommended that anyone with a compromised immune system receive the shot (dead flu virus) instead of the flu mist (which contains tiny amounts of live flu virus)”

Question 2:

Can probiotics make ulcerative colitis worse?

As many of you know, I don’t treat my UC with “over the counter” probiotics (or any other medications for that matter) but many UC’ers do use probiotics successfully to treat their UC.  It is rare, but every once in a while, I receive a message from a UC’er where they have felt that probiotics hurt their recovery from a particular flare up or active symptoms.  I’m sure its rather hard to determine exactly if the probitoics are the reason for symptoms getting worse (as is the case with any other variable).  Below is a comment someone left with regards to probiotics:

“All probiotics are not the same. Some strains of probiotic are not beneficial, others are. The key is to take the beneficial ones and eliminate the ones that can make the condition worse.”

I’d encourage you to read the Probiotics Survey Results from February 2012 if you have not already:  https://www.ihaveuc.com/129-person-ulcerative-colitis-and-probiotics-survey-results/

And of course you can read Bev’s stories about probiotics and her success with them here: https://www.ihaveuc.com/author/bev/

Question 3:

Can you stay in remission for 1 year if you have UC?

Of course you can.  There’s tons of UC’ers who have reached remission after being diagnosed who have gone on to live symptom free lives for years and years.  AND, there are many different ways for getting to and staying in remission.  Drugs, diet, and various “alternative treatments” have worked for many.  I myself have enjoyed that experience, and I’ve met many other UC’ers in person who have the same story.  There are even people who have gone for over 10 and 15 years without a single major flare up.  So, yes indeed, 1 year of remission with UC is entirely possible.

Question 4:

Can a 7 year old child have ulcerative colitis?

Yes, a 7 year old can have ulcerative colitis.  Here is a story from 2012 from a mother (Susan) who wrote about her 7 year old’s UC:  https://www.ihaveuc.com/mom-needing-help-here-with-my-7-year-olds-colitis/

Question 5:

Can a headache come from colitis?

Here’s a comment one of the survey participants:

“I think headaches are a result of the medication used to treat the UC and not the UC itself.”

I experienced a severe headache a few months after my diagnosis when my GI at the time placed me on a high dose of sulfasalazine.  It was awful, and since I rarely ever get headaches, I can still remember the feelings.  It turns out when we lowered the dose, it went away.

In doing some quick research on PubMed (which is surprisingly still up and running even with the government shut-down..) I did come across an article which I have not read yet.  Titled: Cerebral Venous Thrombosis in Ulcerative Colitis – http://www.ncbi.nlm.nih.gov/pubmed/23546367.  There is mention there how a VERY SMALL percentage of IBD patients may enounter this, and a common symptom is headache.

My wife gets headaches very often, and I still for the life of me can’t seem to figure out where they come from.  If you get headaches too, maybe you’re the same.  And it sure is frustrating.

A Primary care doctor I used to work with in San Francisco felt that nearly all headaches was a result of a decreased supply of oxygen to the brain.  He felt that changes in breathing and a short term limited supply of oxygen was the reason for the headaches.(Take it as you like)

Question 6:

Can a person fart after having your colon removed?

I selected this question because I fall into the 69% group as well.  My wife thought it was a pretty interesting question to include in this month’s survey.  Thankfully, we received a comment from a UC’er with experience in this area and here’s a pretty clear answer:

“About the farting after you’ve had your colon removed: It depends on the surgery. If you have a j-pouch then yes, but if you have an ostomy then not from your butt. Your stoma will release gas, essentially farting and sometimes make noise. With the ostomy the only thing coming from your butt will be mucus and sometimes blood after the surgery.”

Question 7:

Can colitis affect your sexual life?

Sex, one of the topics we just don’t talk about very much on this website.  For any of you who’d like to get into more details on this topic, you can blame me for keeping it so under wraps.  We talk about our poop holes, and funky smells, and all sorts of stuff, can’t we just leave sex out of the equation…No.  We can’t.  It’s part of who we are, and like it or not, it’s on our minds.  Some people’s minds more than others.

Here’s my take from my own experience.  During times of severe flare ups, sex slows down and even stops for days/weeks.  When I was sick and in bed filled with nothing but gas and fatigue…come on…it wasn’t even on the mind.  But, when things are on the rebound colitis wise, and especially when in remission, it all comes back.

I’d encourage you to read the relationships survey, there’s a question there that has many responses from others:  https://www.ihaveuc.com/50-person-relationships-and-uc-survery/

Question 8:

Can colitis make your body ache?

Yes indeed, colitis has an evil way of making all sorts of parts of our bodies ache.  Eyes, and ears and mouth and nose…I’m sure those parts of the body for some people, but cramps in the abdomen, and back and joint/tendon aches are often the most common for people with UC.  And these aches and pains can unfortunately be harder to deal with than seeing some blood in the toilet bowl.

It’s difficult as well for anybody who’s going through these pains for the first time.  For me, it was a shuffle from my GI doctor, and then over to see the Rhuematologist doctors, and back and fourth.  There was a ton of confusion regarding any relationship between my UC symptoms and the “other aches and pains”, but in the end I’ve learned they are most definitely related.  Feel free to read up on the “Colitis Joint Pains Survey” to find out what others think – https://www.ihaveuc.com/99-person-colitis-joint-pains-survey/.

Question 9:

Can you become a kindergarten teacher with ulcerative colitis?

Here’s your answers directly from 3 different UC’ers who left comments:

“I am a kindergarten teacher with UC!”

“I am a teacher and I am making it work. I teach 7th grade. At first I was really hesitant about teaching. I have to leave the classroom to use the restroom. But I’ve become more comfortable with it. However, 7th graders can watch themselves better then kindergarteners. I am in a active flair too. I imagine its better when things are calm. I also keep a change of clothes at school.”

“I am a kindergarten teacher of 6 years. My symptoms range from day to day and the stress of the job does seem to create flares. Although , I have had cdiff 5 times this year… : (”

Question 10:

Can you take Asacol with Remicade?

Back over 4 years ago when I was being prescribed medications to treat my UC, I was taking Sulfasalazine when I started my first of 3 Remicade infusions.  It is not uncommon by any means for people to be taking one or more medications while also starting/taking Remicade infusions.

Like with ALL medications, you should consult with your physician/doctor.  They are the ones who should be trained in determining the chances that a negative side effect may occur while taking multiple medications at the same time.

I personally feel that due to the nature of our disease (especially when symptoms are present), it is very hard if not impossible sometimes to figure out what is working when there are multiple variables in the mix.  For example, if you are taking Remicade, lialda, and a mild dose of prednisone steroids…how the heck can you really know what is working if your symptoms start to improve?  It’s very hard.  But taking only 1 variable into account when symptoms are very active is not always an option that suits everyone, but it’s something I for sure think about when reading the stories on this site.

A few participants added their own comments to this question, here they are:

“clarifying Q11: I am currently on asacol and Remicade.”

“Remacaid has truly helped and I take asacol also”

Question 11:

Can you use an enema when you have ulcerative colitis?

Enemas are a topic I definitely don’t know much about.  I was prescribed a 5-ASA based enema within a month after my diagnosis and I failed miserably at holding in the medication for any recommended length of time.  As you can read in this site, there are a number of people who use/used enemas to help control their UC, the same goes with suppositories.  So, my answer is Yes, you can use an enema when you have UC.  BUT, you should for sure talk with your doctor or treating physician before you take that step.  There is a huge online industry filled with thousands and thousands of different “quick fix” enema programs anybody can find online, and I myself sure would not get involved in any of those.  There’s a story from a UC’er written in 2011 titled: “Colonics for Colitis Therapy” which you can read here: https://www.ihaveuc.com/colonics-for-colitis-alternative-therapies/

Here is a comment which a participant added which I think everyone should think about:

“I think it would be helpful to have a “sometimes” or a “maybe” option to a lot of these questions, like Q12 – some enemas (prescription) can definitely be used, but other enemas (OTC) might aggravate and make things worse?”

One of the older posts on the site concerning enemas was submitted by a super cool girl named Marine who’s from Cyprus.  She has lots of experience with Vitamin E enemas, and she shared a story about how she creates them.  You can read about her experience here:  https://www.ihaveuc.com/how-to-make-a-vitamin-e-enema/

Question 12:

Can prednisone/prednisolon cause tooth decay ?

I most definitely think that prednisone can play a part in tooth decay.  I’m no dentist, but I do have a set of teeth, and during the times when I was on prednisone 4 plus years ago, I had more sensitivity and cavity issues than usual.  And I’m pretty sure this is not just me.  There has been a constant flow of questions regarding this topic from time to time.  Here is a story that was posted several years ago on the exact topic, and you’ll see a pretty interesting comment right below the story from someone in the field of dentistry.  https://www.ihaveuc.com/dental-issues-with-ibd-and-prednisone/

I know there are some dentists with UC who follow the site, any professional opinions on prednisone and tooth decay?

I was not able to find any research specifically on this topic, however there was an interesting study that is somewhat related (orally):  Oral Manifestations of Gastrointestinal Disease, which you can read whenever you like: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2657699/

Here are two comments from participants related to this question:

“Whilst prednisone/ prednisolone does deplete calcium levels which affects bone density and weaken teeth, essentially tooth decay will be caused by sugars and acidic foods as well as poor oral hygiene/care. Steroids may cause gums to become inflamed and even bleed, but this is temporary.”

“Question 13 Tooth Decay? Have not read any evidence on this, however as I have read prednisolone depletes calcium levels in the body I guess this is possible.”

Lastly, here is a story that was submitted November 10, 2010 related to this topic: 

Question 13:

Can ulcerative colitis stop monthly periods?

Here is a comment from a participant regarding question 13:

“When I was in my 3 year long flare from hell I was only having a period about once every three months and it was really light. When I started getting better my periods came back really heavy and I had period pain for the first time in my life. But they have settled down and are nice and regular now.”

Also, there is limited information available online on this topic.  But, I did find a study titled: “Pattern of gastrointestinal and psychosomatic symptoms across the menstrual cycle in women with inflammatory bowel disease.”  Also, here is an email address to one of the scientists involved with the study if you’d like to contact them for further information: eparlak@ato.org.tr

Question 14:

Can you eat pancakes with colitis?

I’m hoping that you realize this question is FOR SURE going to bring out different answers from different people living with UC.  I myself no longer eat pancakes, and I have not for years.(I used to chow on them at every opportunity, especially the Bisquick ones my mom used to make in the morning with tons of the Log Cabin Syrup that was basically corn syrup).  However, I know there are many upon many UC’ers who definitely do eat pancakes.  People who eat good old fashioned IHOP pancakes(for those of you who know about IHOP), and all the other varieties including whole grain, buckwheat and even almond flour pancakes.  For those of you who follow the SCD diet, the almond flour pancakes are probably among the most common/popular for those who still enjoy pancakes.

If you’re wondering why someone would even worry about pancakes and what the correlation may be with regards to UC…well, it depends on your thinking.  Some people believe that most (if not all) grains are not easily digested and negatively effect the colon and cause inflammation over and over again (active colitis symptoms).  So, those type of folks (myself included) would probably tend to steer clear of pancakes (minus some nut flour variations).

Here’s a comment from a participant:

“You can eat pancakes, but not make with regular flour or bisquick. You would need to use coconut flour or almond flour. There are many great recipes out there using both coconut and almond flours.”

And here’s another one:

“‘eating pancakes’  is not a yes or no question. It is yes ONLY if gluten free mixes are used (those with potato starch and brown rice flour). Going gluten free helps your digestive system regardless of whether you have an intolerance or not.”

Question 15:

Can you lose your job because of UC?

Unfortunately, I’ve heard too many times from people who are in the middle of active UC flares that they have infact lost their job due to their UC.  It is very unfortunate to hear, and its amazing to think this is possible.

With that said, I have heard from an even larger amount of people who have been treated very well from their places of employment when complications from UC affected their work.  And this is GREAT NEWS.

Below are some comments from others on this topic:

“Legally they can’t fire you at your job because you have colitis….but if you myster mysteriously show up late all the time (BC you have to find a bathroom during rush hour), get nothing done at work (because of fatigue), and take 20 bathroom breaks a day without telling them you have colitis
… Odds are not in tour favor.  I once told a mgr abt my colitis. Turned out her husband has colitis, so she understood. Miracle.”

“I lost a job because I was too sick. Also I have terrible bodyaches which require me to take hydrocone.”

Question 16:

Is it possible to have a flare up while on Remicade or Humira?

Yes.  It is possible.  I had a flare up while on both of those medications 4 plus years ago.  There is quite a bit of detail on these particular biologic medications not working for everyone and sometimes ceasing to work once started.  If you are interested in researching this topic further, I’d encourage you to use PudMed which is a free resource of clinical studies.  There’s lots of info there, and I use it weekly to learn more.

Question 17:

Is it hard to change your Gastro doctor if you are not happy with them?

This of course depends on a number of factors.  For example:

  1. did you like your doctor at any point in time before deciding to make a change?
  2. did you and your doctor have a high amount of trust between the two of you?
  3. Did your parents/friends/relative recommend the doctor to you in the first place?
  4. How much time do you have to search out a new doctor?
  5. Have you read the list of HUNDREDS OF GI DOCTORS here on the site yet??? (https://www.ihaveuc.com/find-a-doctor-near-you/)

Finding a new doctor is not a simple task.  But it is very important, and one which deserves your full attention.  Come on, this might be the guy(or gal) who’s poking around inside your butt hole afterall.

Sometimes you have no choice, and you can only get what is available, but that’s often not the case.

Just over a year ago I was living in a new spot, and looking for a new doctor to perform my colonoscopy which I was hoping to get before setting off on some travels.   It had been 4 years since my first colonoscopy, so it was time.  Here a story I wrote for the site about my first encounter with the new doctor I was about to get butt probed by:  https://www.ihaveuc.com/what-my-gastro-doctor-told-me/

I asked him a whole bunch of questions, and I’ll be darned, if things started to get super weird, or he gave me the hebbie geebies, I would not have hesitated to go and find a different doctor to work with.  We need to discriminate as patients, and not settle for just some average GI doctor to help us with our disease.  Call the different doctor’s offices around wherever you live, and ask questions.  Again, you can always read the doctors listed on the link above, I add more to the list each week as people like you send me doctor reviews.

Eventually, you’ll find the one that works best for you.(And that doctor might not be the exact doctor your friends/parents/wife/kids think is the best for you, and that’s OK!!)

Here are some related comments from survey participants:

“Trying to change Gastro doctors is very difficult living on a smaller city.”

“Currently experiencing issues with current GP and mismanagement of my symptoms. Have a Gastro doctor(referred by the same GP) but never seen different GP or Gastro doctor since diagnosis in Feb 2011. Now thinking it would be worth seeing a new GP/Gastro doctor so that I have a second opinion. The hard part isn’t changing doctors, but knowing who’s good and who isn’t, and who has extensive experience with UC patients.”

Question 18:

Is it normal to hide your colitis from your friends?

Yes of course.  Hiding our symptoms is the easy thing to do, an we ALL have done it at some point in time.  But, I’ve felt that hiding our disease is actually not the most beneficial thing to be doing.  It often creates more stress in our lives than we think we are saving ourselves from, AND, friends tend to want to know what’s going on.  That’s right, FRIENDS want to know what’s happening.  And that’s a good thing.

I loved reading this comment below, and hopefully it will inspire some folks to make progress in this area if progress is needed:

” It is normal to hide your colitis from friends but in the past year I have found that talking about it with friends and colleagues has helped me learn a lot about the disease and that I am not alone.”

Below are the pictures that were submitted by some of the participants of the survey:

(the final section of the survey allowed participants to upload a picture if they wanted to::)  You can click on any image below to see the picture in full size, and you can then print out and paste up on your bedroom wall the pictures you like:)

Additional Comments that were left on the survey:

That’s pretty much it for this month’s survey.

THANK YOU THANK YOU THANK YOU to everyone who participated.  Without your participation, as you for sure know, these survey’s would be worthless, but because of you, they can end up being a learning experience and a great time for realizing that we’re never alone with UC.

Have a great month everyone,

Adam Scheuer



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