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Crohn's Disease:  My Rant of the Day 3/21/99

Warning! This ain't gonna be pretty.  If you're easily offended or grossed out, or have an overactive sense of empathy, you'll want to click away now!

    This disease really sucks. What greater torment for a woman with a love of food in all  its sensuous glory than a chronic condition that makes eating a process so painful that  the anticipation of a meal has gone from mouth-watering delight to gut-wrenching  agony? 

    Sometimes I think that if I have to endure one more  day with a stomach ache I am going to have to commit either homicide or suicide.  I  try really hard to go on with my daily routines, but sometimes my side hurts so much that  even the simplest tasks make me want to scream and concentration is impossible.   These are the days I'll sit in front of my computer, typing and clicking away; reading,  writing, ranting...anything to take the focus off the pain in my gut.  Today is one  of those days.

    I know the damaged area of my intestine is so bad it  requires surgery, and my GI doc would prefer sooner to later.  But I've  finally  started school, and am getting to the GOOD parts now, so I really would hate to mess it  all up by ending up on medical leave for 6 or 8 weeks and having to get back in a new  track to start where I left off.  I've already been late one day  and absent  another because of this bastard of a disease - and I've only been attending for 3  weeks.The timing just couldn't be any shittier.  Worst of all, I don't want to admit  that I probably can't make it right now...two more months like this might just do me in.

    On Friday, I made the colossal mistake of wearing  jeans to school.  Anything that's tight around my waist is a definite no-no during a  flare-up but I was hopeful.  As it turned out "in denial" would probably be  a more appropriate assessment.  With blatant disregard for the past day' illness, I  wore them even though sitting was slightly less than excruciating as my waistband squeezed  my inflamed and constricted intestine.  At lunchtime I took a dose of Prevalite, to  spare me the inevitable dash out of class that would come 30 minutes after we returned.    Probably mistake number two; I never did have a single productive trip to the  restroom that day or night.

    I went ahead with my plans for Saturday morning,  visiting the mall and window shopping.  I was smart enough to wear stretchy leggings  though - ha!   Of course I couldn't resist trying at least something on, even though I was certain to feel that sinking depression that comes when I look in  the mirror and see the huge monstrosity of a fat girl life on a daily dose of Prednisone  has created.   Well, not only was I as fat as I knew I'd be, but I looked somewhat  pregnant.   I thought it was just because I'd eaten lunch at the Food Court and was  bloated.   By the time we left the mall, I was really hurting, and glad to get home  to my own bathroom.  Where I sat.  For a long time.  And nothing happened.    Painfully and with bloodshed.

    Nothing happened upon our return from the Equinox  celebration late last night.  And what little happened today was a small victory only  realized by spending many torturous hours sitting, willing intestinal motility while  howling and rocking back and forth with my fist shoved into my belly at strategic points  to help my stupid gut do its job, barely.  Painfully and with bloodshed.

    I'm pretty sure at this point I have a partial  obstruction although I reserve my right to at least one more day's denial.  I'm  scheduled to see my GI doctor on Tuesday, I think I can make it 'til then if I take it  really easy and maybe go on a liquid diet again.  But then the fun begins!   He'll refer me to a surgeon, who will either admit me a day before surgery is scheduled or  have me prepare at home, which entails a thorough intestinal cleansing by way of drinking  gallons of a disgusting fluid that flushes every trace of food from the entire digestive  tract.   Yep.  Painfully and with bloodshed, of course.  That doesn't even  sound half-bad anymore, if it means that one day soon I can resume a normal life.

    Here's the part where I apologize to everyone I will disappoint because I am  unable to keep my promises to them while I'm this ill.   It grieves me to say that  although I'd like nothing more than to be able to honor any commitments I've made, at this  point it's become a matter of survival and something's got to give.  My work ethic  remains as strong as ever, but if I don't take care of my health there will be no body to  carry out the tasks...and I have this family I'd like to enjoy and grow old with, which  won't happen if I compromise my physical well-being in an attempt to assuage my guilt over  obligations I made in all sincerity, if a bit optimistically.

    Pissed off doesn't even begin to describe what I'm  feeling today about this disease, the pain it's causing me, the side-effects of treatment,  and the way it's making me look like a flake.  I'm sick to death of my life revolving  around agonizing trips to the bathroom that make it nearly impossible to do anything  according to schedule.  I'm tired of having to go hungry all day long just so I won't  have to worry about becoming too sick to keep a commitment. Or worse yet, arriving  somewhere and feeling that clenching in my gut sending me running for the restroom, from  whence I may return 30 minutes later sweating and white as a sheet from the pain.   How attractive!

    I kind of resent that due to the natural  course of an Inflammatory Bowel Disease such as Crohn's, I and other sufferers spend many  uncomfortable moments simply trying to explain our condition without embarassment or  shame.  It's not like describing heart disease or cancer or Lupus or MS.  With  the primary affected function being digestion & elimination, even the best attempts to  "keep it clinical" just can't make it any less distasteful a subject than it  truly is.   Unlike the aforementioned safe-to-discuss and serious health prolems, IBD  just doesn't garner much in the way of understanding or sympathy, and attempting to  further explain just makes things worse all around.  For Pete's sake  you'd think since every animal in the world has to take a shit sometime, and every human  knows just how awful afflictions of the gut can be, this decidedly juvenile attitude  wouldn't persist.   That would require giving the predominantly  ignorant general population more credit than they deserve, however. 

    So for all those people who may encounter  someone living with and trying to manage IBD, here's a  flat-out bald-faced no-holds-barred list of things that  people like me have to put up with and might have trouble discussing:



Don't Ask, and Don't Make Us Tell!
    1. We are often late to events to which we had every intention  of arriving on time until we felt our guts turn inside out and send us running for the  bathroom, where we further torture ourselves with the additional stress of knowing we'll  have to make some acceptable excuse for our tardiness.  Do us a favor:   Don't ask.
    2. There will be times when you might be walking along with us,  and we will suddenly break into a spirited run for the facilities.  Do yourself a favor:   Don't follow!
    3. Many times we'll get to feeling pretty good, and will make  plans to visit or go out.  All bets are off if the gut starts to protest, and there's  a significant chance that we may call you on short notice to cancel.  We will already  feel more guilty than you can imagine.  Please  don't make it worse.
    4. This disease can fall into a vicious circle of stress,  flare-ups, more stress, worse flare-ups.  Coping with chronic pain is difficult  enough, and we IBD-sufferers tend to minimalize our symptoms, especially to others - which  means we may say "Yes" even when we want to say "No,"   particularly in answer to a call for help.  Please try to avoid putting us into stressful situations by unloading on us or being a drama queen in need of a savior.
    5. Don't bug us for sex.   It's rather difficult for us to get in the mood when we're feeling  as though our  entire digestive system is either going to come bursting out like an alien, or fall out of  our butt... painfully and with bloodshed.   Many of us will bow to the pressure and  give in despite the physical hurt it may cause, out of the same sense of obligation that  makes us work or perform when we're clearly too ill to do so.  Try to understand it's nothing personal, and has nothing to do with our love or desire for you.
    6. Ignore the occasional emotional outbursts we may have.  IBD itself and many of the drugs used to  treat it come with a dazzling array of side-effects, most quite unpleasant.  We have  mood swings from the steroids, and occasionally get a little psycho.  The weight gain  makes us feel ugly and fat so we get depressed.  There are times when we're not  allowed to eat any real food, and we resent the hell out of it, especially when we still  have to cook for everyone else.  Hey, MOST people get a bit testy when they're  starving - so give us a break - we're not only hungry, we're usually in pain and hopped up  on steroids too.
    7. Try to be strong for us.  We live a lot of life in fear: of getting sick, of being fired for  getting sick, of finding out our stubbornness made us wait too long and our condition has  worsened, of disappointing all the people who count on us regardless of our current state  of health.  If you can find a way to take some of the pressure off, do so.   Every little bit helps, and we need all we can get!



This page was last updated on 07/06/99