What Types of Doctors Should I See with IBD?

For many of us living with IBD, it seems like our care team is bigger than our immediate families. But there are very important reasons to have these specialists on our teams. Do you know which doctors you should have on your team and why? Below we give a few examples of why it’s important and how they can each individually help us as patients to live a successful and proactive life as a patient.

Ophthalmologist

There are many complications that may arise in patients with IBD. One obvious symptom of something going wrong with inflammation in our bodies is when our eyes look irritated, red and glossy. It can be an obvious sign of inflammation for those that look for it. But did you know that there are some eye manifestations that could cause permanent damage if a professional does not catch it in time? When your regular eye doctor examines you and finds out you have an immune-mediated disease, he/she will likely recommend a good Ophthalmologist that can help oversee your case. In certain cases, like Uveitis or Scleritis, it’s important to see your specialist as soon as possible to prevent further damage, like vision loss or impairment.

Urologist

Often times, a Urologist may come into the picture when we have trouble emptying our bladders or when certain circumstances pop up, like fistulas. Because of the complexity of these manifestations, a Urologist may order certain types of therapies to help with the course of your disease. Many women experience muscle weakness and may require pelvic floor therapy. Therapies for IBD, especially in women, have come a very long way since even 15-20 years ago. A Urologist may help you strengthen certain muscles that have atrophied or have been affected by surgeries or by the complex nature of the course that is IBD. Again, IBD is different in many patients and you may never need to see a Urologist.

Endocrinologist

There are many times patients with IBD find themselves at an Endocrinologist. Because of the side effects prednisone has, GI’s may be quick to send a patient who is in remission but still experiences fatigue and unusual symptoms. A quick check of the thyroid provides each doctor a baseline on how you may be reacting to certain medications and also helps rule out any additional medication anomalies dealing with the Endocrine system, in addition to thyroid issues.

High risk OBGYN

This is important especially for patients who want to start a family, in addition to female patients who are affected by IBD in their reproductive parts, like Crohn’s Disease of the Vulva. Seeing someone who knows what they are looking at is extremely important. Ask your GI if they can give you a referral to someone who can help manage your case.

Rheumatologist

Often times, in immune-mediated diseases, it can be hard to find the core reason why things occur. Is it another underlining condition we aren’t treating? Is it a side effect of the meds we’re currently on that are starting to cause issues? Has your joint pain worsened in ways that affect your mobility and quality of life? Many times, we are referred to Rheumatology to rule other immune-mediated diseases out – like Lupus, Rheumatoid Arthritis and many other diseases that can contribute confusing symptoms on top of an already painful disease. These specialists help diagnose and treat joint pain and other issues related to the bones, muscles and joints.

Therapist

It’s important to see a medical professional about the stresses that IBD brings on. It’s ALWAYS okay to seek help, especially proactively. As IBD patients, we deal with numerous issues and each IBD is different. The stress that can be brought on of physical symptoms like fistulas and abscesses can be extremely isolating. Talking this through with a seasoned professional who deals with situations like this every day can be very therapeutic. It’s just as important to be proactive with your mental health just as much as your physical health.

Colorectal Surgeon and Gastroenterologist Care Team

Probably the most important on this list would be your GI team. It’s important and crucial for your overall well-being to be in constant, effective communication with your GI care team, letting them know what’s going on with your help and to help manage gut disorders, inflammation, and infections that may affect your GI tract.

There may be more or less than these specialists on your care team. How have other specialists helped you manage your team? Who on your care team has been crucial helping you to fight inflammation, stay in remission or stay out of the hospital?

view of clinic

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See the original article here: What Doctors Should I See?

some days are better than others

there’s been some silence over the last few weeks on my part. it’s not that i dont have anything particularly special to say.. the truth is, it’s hard to post something positive when it’s not truly how im feeling and it’s not the state i’ve been living in.

i dont want to broadcast only and bring others down, when all small victories should be celebrated. but that’s just not the case and lately it’s very hard to be transparent. i desperately try to balance out my posts to encourage and help others, but sometimes i need to back away and just decompress, because going quiet is the only way i know how to cope. i know that’s not the greatest way to handle things, but we’re working on getting me more stable in that way.

a few weeks ago, after my endoscopy, when i had my esophagus stretched in quite a few places to help me swallow. it helped for about 2-3 days, but again i started having awful choking and vomiting episodes. when i would try to eat solid food, i would chew, chew, chew and still choke. and when things would go down, they would come up about an hour later – liquids included.

so i had a follow up with my GI team and they said that in my biopsies, things looked okay but my muscles were having a very hard time doing their job from my esophagus to my stomach, thus the nausea and vomiting. what i wasn’t expecting to hear was that i would be spending more months with my picc line in than we had originally planned. and now, i am on a strict blended and juiced diet until my tract sees massive improvements.

here is where my guilt steps in.. another summer spent not eating food. sticking to the same frozen foods, blended and or steamed and drinking all of my calories in order to try to get my muscles functioning enough to eat more of a solid food diet vs. soft mechanical or pureed diet.

immediately, you think of all the things you can’t do, right? mainly because of my central line. ive recently fought many infections, one in my face. because im constantly massively dehydrated, im still on 3-4 IV infusions per week because my body just cant keep up with fluid intake. with and increase in temperature here in WI lately, and more combos of antibiotics, i can’t go out in the sun for lengths of time. i dehydrate so much quicker in this weather and im truly exhausted but 12pm. i sleep from 12-15 hours a night right now because my body is so exhausted. this is quite the opposite of my norm of 3-4 hours of sleep a night.

because of my picc line, i cant get it wet, which is no easy task. by the time im ready for a shower, im exhausted and spent most of my time sitting in the shower on a chair. picc lines also mean no pool and lake time. im desperately wishing my current therapies will get me back on track in order to have my line gone by mid july to celebrate my birthday, but that doesn’t seem to be the case. for the time being, ill continue therapies via IV for the next 2 months and see where things have improved with my esophagus & gut.

right now, im traveling to the hospital for treatments and various appointments 3-5x a week. the weeks ive been there 5 days.. they get long. im thankful that i have support that sends notes of support. i have been blessed the past year, as i approach my next birthday i really have faith things will be better than they’ve ever been.

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Importance of Maintenance Therapy for Mental Health in IBD

I try to be as transparent as I can when I do find myself actively blogging, but there will always be things that I choose not to share, for many reasons. I’m working on this, while at the same time maintaining my privacy.

Without help from friends and professional counseling and therapists, I would not be where I am today. Please do not be afraid to ask for help… before you really need it.

Part of my advocacy work is dedicating time to making our patient needs better known by our care providers that we need more of an action plan when it comes to mental health. It will NEVER be easy for any patient to walk away with a diagnosis that changes your life immensely and say “alright, well now I can move on with my life.” It’s just not reality and, many times, social media(s) are not our reality either. As a public health advocate, I choose carefully what I put on my feeds, to be as sincere and honest as possible. Within the last year, I’ve struggled. A lot. And that is OKAY. I’m receiving help, I’m on my way back to “normalcy,” and re-acceptance of what makes me who I am.

“Don’t take this all on by yourself”

Let something be said for all people here, ill or not: it’s more “normal” to see a therapist than it is not to and that is nothing to feel shameful about. In fact, there are many dedicated therapists that devote their practice to people living with acute and chronic illness. Illness never comes without hardship and having help to process a lot of the obstacles we face helps many in the long run. It should never just be you and your illness. It should always involve you, your care team, and your illness. Don’t take this all on by yourself. Ask your GI or GI Nurse how you can better manage your stress and anxiety through the help of a therapist. You would be surprised at how many benefits you’ll find (and how this affects your relationships as well!).

Bottom Line

Bottom Line: Everyone living with a chronic illness should have the option of being offered someone to talk to about their mental health. This is crucial for their physical health and overall well-being. If your doctor has not talked to you about your mental health and you think it’s a good idea to be proactive, rather than ask for help in crisis (which is important too!), ask and express your concern that you think it would be a good idea to talk to a therapist. You should never feel ashamed for wanting to walk through your problems in order to have a better quality of life.

Find this article at:  https://inflammatoryboweldisease.net/living/therapy/

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