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Karen1129
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Post by Karen1129 »

tex wrote:
Karen1129 wrote:So.... now is corn a no-no?
Did you use a tomato-based sauce on the pasta? That could be the problem.

Tex
Just salt and pepper and a pat of butter. Maybe the pat of butter did me in.

I might give it another try, with noting but salt and pepper, and if I get watery D again,
I guess I'll know.

I was disappointed because I sure enjoyed it.
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tex
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Post by tex »

Butter contains casein, so if you are casein-sensitive that could certainly cause a reaction.

If you want a substitute for butter, try ghee, or Earth Balance soy-free margarine.

Good luck,
Tex
:cowboy:

It is suspected that some of the hardest material known to science can be found in the skulls of GI specialists who insist that diet has nothing to do with the treatment of microscopic colitis.
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Deanna in CO
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Post by Deanna in CO »

Karen,

If you end up deciding to get a rice pasta, rumor has it (at least on this board!) that Tinky'ada makes the best. Recommendations (which I also got on this board) suggest the best way to cook it is to boil it according to the instructions on the package, then drain it, and then put it back on the burner and dry it out some; I have tried it and it comes out pretty good that way and doesn't stick together.

Tex is right about the butter, though. Almost all of us on the forum have to go dairy-free. When I did the Enterolab tests, my antibodies to casein, the protein in milk, were stronger than my antibodies to gluten, though I'd been off both for several months and gluten is supposed to stick around way longer. I hate to think what my casein antibodies must have been back in November when I was at my worst, before I started on any kind of MC diet. A bit of olive oil can be good on pasta. I've replaced most of my butter with olive or coconut oil, depending on what I'm eating.

Deanna
Deb
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Post by Deb »

Another brand of rice pasta I like a lot is Jovial. I thought it was expensive at my health food store at $4.49/lb but I found it on Amazon in lots of 6 for less than $3 each if I signed up for a regular delivery (I used every 6 months). I have Amazon Prime so delivery is free but not sure otherwise. Make sure you rinse it well too. Deb
Karen1129
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Post by Karen1129 »

I've been GF/DF/SF for a little over a month now. Seen a little improvement. Still losing weight.
Eat beef, chicken, fish and rice or potatoes for meals.

I went to my PCP for the first time since my diagnosis, and shockingly, she is familiar with CC.
Said she had 3 other patients with CC.

I explained the issues I had with the GI doc and his lack of knowledge.

She referred me to another GI, who she said is young and up to date and not as set in his
ways as some doctors. She said, he prescribed a drug given to patients with Crohn's, to one of
her patients, and it seems to be working for her. Down from 15-20 WD's a day, like I've been having, to 3.
I'll take that any day!!

Not sure what this drug might be, but I suspect it might be Humira. Has anyone heard of
folks with MC being prescribed this medication?
I know it's expensive.

Anyway, I made an appointment so I'll see what he has to say.

K
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tex
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Post by tex »

Hi Karen,

We have a couple of members who were taking either Humira or one of the other anti-TNF drugs for other reasons (arthritis), but unfortunately, neither one of them was ever able to see any benefits from the drug for their MC symptoms. In fact, whenever they had their infusions, their MC symptoms became worse. I consider that class of drugs to be unnecessarily risky for treating MC. Entocort EC is a much better choice, for most people with MC.

If you're going to consider using something as potent as an immune system suppressant, we have at least 3 members who use Imuran, and they seem to be happy with the results.

Tex
:cowboy:

It is suspected that some of the hardest material known to science can be found in the skulls of GI specialists who insist that diet has nothing to do with the treatment of microscopic colitis.
Karen1129
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Post by Karen1129 »

Imuran could be what he prescribed for that patient. My PCP really didn't say , just that it was a drug
used to treat crohn's, and has been effective for that patient.
I was just guessing on the Humira.
Imuran is probably cheaper anyway.

I won't take steroids for more then a couple of months because of the side effects.

Anything is better then steroids for me.
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Deanna in CO
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Post by Deanna in CO »

Karen,

Just a couple of thoughts:

1) Based on what I've read here for the past several months, it seems many of us are helped more by our PCPs than by our GIs. Not sure why that is except that PCPs have to deal more with the reality of people's everyday problems and are exposed to more of a variety of issues.

2) Entocort is not at all a typical steroid. The capsule is coated so it doesn't dissolve until it gets to your intestines - meaning the drug pretty much all goes where it's most needed, and it has FAR fewer side effects. (That said, many of us here, including me, prefer to try to treat our MC with diet alone.

Deanna
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Post by mzh »

I got my life back. Here's how I did it.

I've been taking Entocort since 2007 although I had MC since 2002. My blood work is perfectly normal and so is my cortisol level. Its actually pretty low - only 9. I'm taking one a day. So, if one is afraid of the cortisone effect of Entocort, you probably don't need to be. The monograph for Entocort EC states it doesn't affect cortisone testing. I didn't believe it but looking at my low-normal cortisone tests, I see they're not kidding. :smile:

As for not leaving the house or making a mess when you're out - don't be embarrassed to wear incontinence pads. They don't show if you don't wear very tight clothes and they give you your freedom. Before I took Entocort, we traveled around the country in an RV even though I had the problem. Our current tow vehicle has a porta potty in it and our trailer has a full bath. Talk about redundancy! LOL But seriously, you really can get out of the house; you just have to watch what you eat and be prepared for accidents. With the pads you can even fly!

I read that Immodium has an opioid effect on the gut; the more you take, the more you need as time goes on so it's really not all that safe to take in large quantities for a long time. Apparently, the longer one takes it, the more one needs. I've taken it sparingly with Entocort during flares. It's pretty effective that way.

Before Entocort I also took 8 Pepto Bismols a day on the advice of a GI doctor. It gave me tinnitus that I still have today. (It could be from something else but I may never know that.) So, even the common OTC products have side effects which to me are worse that the Entocort. So please consider all the angles when deciding what to take if diet alone isn't working.

HTH.
Also have sleep apnea
Karen1129
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Post by Karen1129 »

My decision not to take Endocort is based on recommendation from two doctors, as i have high blood pressure and glaucoma and my past history with steroids for asthma, and the permanent damage it caused.



Also, i have worn pads, but they did little good when it was watery D. Just drained down my legs.

I don't take Immodiaum because it didn't work anyway.
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Post by DebE13 »

Hi Karen-

This is a wonderful place to gain hope and direction. Second opinions are always a good thing but don't be disappointed if you continue to get the same limited "help." I'm on my third GI and have decided to leave it at that and keep my RX for entorcort and follow up for future colonoscopies. I have to go every three years since I've had polyps the past two times.

I agree with everyone's suggestions of giving up the whey. I went GF/DF last November and SF/EF in February. I still have a long way to go but I do see slow improvements with diets changes. For me, soy is a biggie and it's in everything! It sounds like your diet is very limited already so it may be easier to try eliminating gluten, soy, and dairy. I'm 40 and it's taking much longer than I had hoped to heal but I'm more active now than I was a year ago which does wonders. I still fatigue easily and am in bed by 9 PM each night but any improvement after hitting rock bottom is enough to lift your spirits. I too had issues with nocturnal D and I remember how awful it was. In time, with being careful with what you eat, the rumblings and D will get better. I still am cautious about making plans to leave the house in the early morning but I'm at 3-5 visits to the bathroom and I'm good to go.

I was diagnosed about 5 years ago and initially took Prednisone and it worked like a charm. I don't recall nasty side effects and everything returned to normal. I tried Asacol and it made me feel worse. I tried Entocort and I didn't notice an improvement. I became frustrated and quit everything and spent years trying supplements and alternative treatments which never helped since I did not change what I was eating. Last year everything caught up with me and I literally thought I was going to die. I still have my will saved on my Ipod detailing how I wanted everything handled. I keep it there to remind me of my progress. All I remember of last year is being sick ALL THE TIME and any feeling sick EVERY TIME I ate. I recall my summer primarily sleeping, napping, or just laying around. For exictement I moved locations throughout the day. I'd read on the lounge chair on the front deck in my garden, I'd nap on the leather couch then move to the overstuffed lounger to shake things up a bit. Later in the afternoon I'd move to my bedroom because the sun brightens up the room so nicely. When I went up north to our cabin, I'd just lay inside until it was time to go home. Eating was not enjoyable and I developed a fear of food because I couldn't figure out what was making me sick and the doctors made me feel like it was in my head. I stopped eating. I went from 160 lbs to 125 lbs and found it humorous in a not so funny way that I lost the 25 pounds I had always wanted. I know how you feel right now and it's a horrible place to be. I had an extremely hard time adjusting to eliminating pretty much everything I enjoy eating. I still get frustrated but it's become easier. The only reason I made it this far is because of all the help I recieved here. I expected results to show in days not months and years but I have finally adjusted to that notion because I've read what others have posted and it gives me the stregnth to continue.

Last summer I tried Prednisone again and was severly scolded by my doctors for going untreated for so long. It did control the D, however, the side effects became unbearable. I continued to feel run down but I also hadn't modified much of my diet. I did eliminate all processed foods and junk food from my diet and ate healthy but it was not enough because even the good-for-you foods can be problematic. That was hard for me to accept. Soy was big in my diet along with beans and nuts- all of which unknowingly was causing problems. My feet felt like I had lead weights on them, I stopped sleeping regularly and often woke up at 3 AM each morning, my sex drive was gone and there was no pleasure in sex at all. The list of new problems the prednisone created goes on and on. I was supposed to be on a short course of it to gain control of the D but when I tapered and eventually went off the watery D returned with a vengance. It required a higher dose to gain control again and I finally got off of it all together and hope I never have to go back to it again. I'm taking Entort now and have tapered to 3mg/day and have been trying to decrease it from that. It may be something you want to try if you can.

I primarily eat rice, potatoes, and meat now. I've been adding fruits and veggies as much as I can but I have to be careful not to overdo it. I eat way too many tortilla chips but that's just the way it is. I had to give up my beloved natural PB and soy milks but I continue to wake up each morning so it hasn't killed me yet. :wink: I use Silk Chocolate Almond Milk as my decaf coffee creamer and that is a treat for me. I prayed I wouldn't have to give up coffee. I use Coconut milk too but I really don't care for it. Rice milk is another of my favorites and I just got my order of Bob's Red Mill Almond Meal/Flour and am ready to give the muffin recipe posted here a try this weekend.

Hang in there, ask questions and do lots of reading here- it is the trail head on our road to recovery.
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Post by Gabes-Apg »

Karen
no 'adult nappy' seems to cope with MC type D. :emptytoiletpaperroll:
and no amount of good quality toilet paper, wipes, washclothes work!!


it can be 'hard work' for some to figure out their MC managment plan, even though there is a wealth of information and ideas from this group of wonderful people, figuring out what works best for you can take some time.

please be assured you are not alone, and the effort, patience, time, you invest will be worth it. we all had learnings along the way (and still are) there will be good days and bad days, over time there are more good days than bad ones.
:flowersmiley:

i hope you find some good D resolving answers soon
Gabes Ryan

"Anything that contradicts experience and logic should be abandoned"
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mzh
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Post by mzh »

I guess my post wasn't very helpful to some but I hope it will help others. Perhaps my MC isn't as bad as others here although I was going 12 times a day for 5 years.

I never had leakage with the incontinence pads although I managed to get them changed within a few minutes of the "accident." The pads may not work for everyone but please give them a try; they really may get some folks out of the house.
Also have sleep apnea
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Post by JFR »

mzh wrote:I guess my post wasn't very helpful to some but I hope it will help others. Perhaps my MC isn't as bad as others here although I was going 12 times a day for 5 years.

I never had leakage with the incontinence pads although I managed to get them changed within a few minutes of the "accident." The pads may not work for everyone but please give them a try; they really may get some folks out of the house.
I think everyone's suggestions are potentially helpful. Some things will work for some people and some things will work for others so I am glad to read what everyone has to say even if not everything is applicable to me. Until I came here I never knew that there were so many people struggling to get out of the house like I was and the thought of using some kind of incontinence pad or adult diaper felt so humiliating that I couldn't get myself to do it. It feels so much better just knowing that I am not alone.

Jean
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Post by mzh »

Making a mess while out of the house - or at home - was more humiliating to me than wearing the things. My take on it is that were they invented to help a medical problem and avoid a mess. They did. But as you say, everyone's different. To me, it was a Godsend to not have D running down my legs onto the floor. :shock:
Also have sleep apnea
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