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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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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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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 - 58 year old female
Dx with USpA in March 2013; changed to AS in July 2015
Iritis and Scleritis
unicompartmental knee replacements: right-June 2014, left-Aug 2018
MTX, Humira, Cyclobenzaprine, plus Celebrex as needed
Supplements: Folic Acid, Vitamin A, Vitamin D, Calcium, Fish Oil, Culturelle probiotic, Melatonin (as needed)
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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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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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
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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.

Re: Question to those who switched biologics [Re: seymour] #280953
08/07/18 08:14 PM
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Quick update for those who are interested:

I’m back at work today after a three-month sick leave for depression. I’m in a better place mentally but not quite perfect yet.

Physically this is a pretty bad day, I have knots all over my back. But I guess the huge stress of coming back to work AND the fact that my body is deconditioned to a full day of activity make things worse.

I’m doing my best to trust my rheumy and keep hope that I might feel better in the future.

Re: Question to those who switched biologics [Re: seymour] #280955
08/07/18 09:25 PM
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I'm glad you are in a better place mentally. smile Sorry you are having a bad day physically. frown

I think you are probably right that stress is affecting you today. I hope things will improve and that you will be able to settle into a routine that works for you.


Ginny - 58 year old female
Dx with USpA in March 2013; changed to AS in July 2015
Iritis and Scleritis
unicompartmental knee replacements: right-June 2014, left-Aug 2018
MTX, Humira, Cyclobenzaprine, plus Celebrex as needed
Supplements: Folic Acid, Vitamin A, Vitamin D, Calcium, Fish Oil, Culturelle probiotic, Melatonin (as needed)
Re: Question to those who switched biologics [Re: seymour] #280956
08/08/18 01:06 AM
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Every time I think it’s better it starts again. My only hope is switching meds but it’s not in the card until my MRI which might be in months.

I seem to have the kind of AS that just never quits. My life will be sh*t.

Sorry not so optimistic after the bad day I had.

Last edited by seymour; 08/08/18 01:06 AM.
Re: Question to those who switched biologics [Re: seymour] #280958
08/08/18 02:25 AM
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I'm sorry that you had such a rough day. I'm praying that things will be better for you tomorrow.


Ginny - 58 year old female
Dx with USpA in March 2013; changed to AS in July 2015
Iritis and Scleritis
unicompartmental knee replacements: right-June 2014, left-Aug 2018
MTX, Humira, Cyclobenzaprine, plus Celebrex as needed
Supplements: Folic Acid, Vitamin A, Vitamin D, Calcium, Fish Oil, Culturelle probiotic, Melatonin (as needed)
Re: Question to those who switched biologics [Re: seymour] #280962
08/08/18 02:31 PM
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I just don’t understand how people can manage pain, anxiety and working full time. And I don’t understand how people can have active AS without being depressed or anxious.

I thought I was better mentally but it was just my AS that was less painful for a few weeks. Now that the pain is back I’m almost at square 1.

I wish I knew how to take each day as it comes. How do people do it?

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