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Re: Question to those who switched biologics [Re: seymour] #280681
06/30/18 07:28 PM
06/30/18 07:28 PM
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seymour Offline OP
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Does anybody know of a sure way to tell the difference between NSAIDS-induced gastritis/stomach pain vs Crohn's disease?

Of course NSAIDS are probably the source of my pain, and I don't have blood or even diarrhea but still, I'm worrying (but just mildly). smile

Re: Question to those who switched biologics [Re: seymour] #280682
06/30/18 08:24 PM
06/30/18 08:24 PM
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SouthernMoss Offline
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Originally Posted by seymour
Does anybody know of a sure way to tell the difference between NSAIDS-induced gastritis/stomach pain vs Crohn's disease?


The only sure way to tell the difference is to see a GI specialist and be tested.

I'm glad you're only mildly worrying. wink


Ginny - 57 year old female
Dx with USpA in March 2013; changed to AS in July 2015
Iritis and Scleritis
unicompartmental knee replacement June 2014
MTX, Humira, Cyclobenzaprine, plus Celebrex as needed
Supplements: Folic Acid, Vitamin A, Vitamin D, Calcium, Fish Oil, Melatonin, Culturelle probiotic
Re: Question to those who switched biologics [Re: seymour] #280685
07/02/18 12:34 AM
07/02/18 12:34 AM
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CBMom Offline
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You need to see a GI. Scopes would be able to tell (biopsies specifically). I have Crohn's and gastritis. The inflammation in my stomach is just from NSAIDs. I always have mild inflammation found in my stomach, but the alternative would be giving up NSAIDs which I can't manage. So I deal with the stomach inflammation with a PPI and Maalox/Pepcid. Sometimes Carafate.

I have Crohn's in my colon and the last part of my small bowel. Biopsies showed very specific features of Crohn's which confirmed the diagnosis. Honestly, for me, the Crohn's has been much easier than the AS to manage.

I've tried about 12 NSAIDs. Mobic, Celebrex and Relafen all helped me. All three are easier on the gut than Voltaren or Naproxen. One that's hard on the gut is Indocin, I would avoid that one. I tried it several times and lasted only about 3 days on it. It is very effective for AS, but it was just too hard for me to tolerate.

Celebrex has become very popular and is generally considered to be the easiest on the gut.

Re: Question to those who switched biologics [Re: seymour] #280687
07/02/18 03:08 AM
07/02/18 03:08 AM
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seymour Offline OP
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Thanks CBMom's daughter wink

To be honest I'm pretty much back to normal now so it was very likely mild gastritis from all the pills I took.

No biggie!

Re: Question to those who switched biologics [Re: seymour] #280697
07/02/18 09:11 PM
07/02/18 09:11 PM
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CBMom Offline
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If it bothers you again, I'd try Maalox. I found liquid meds much better than something like Tums for coating my stomach. There is also a prescribed option - Carafate. I use that when my gastritis really gets bad. Again, the liquid version has worked better for me than the pills.

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