I’ve been quiet again lately. It’s largely been with good reason. Well, it’s a bad reason but a good excuse.
In my last post, I mentioned that I hadn’t been feeling well and had gone to the doctor. At that appointment, my doctor posited a few possible reasons and she ordered a bunch of tests, including an abdominal CT scan which I had a few days later. The following Monday evening, I found myself in the emergency room and subsequently admitted to the hospital. The CT scan seemed to indicate a tubo-ovarian abscess – basically, an abscess on my fallopian tube or ovary – and if that was the case, it could rupture with possibly dangerous implications. Fortunately – or unfortunately, depending on how you look at it – it wasn’t that. But I’ll get to that…
(As an aside, I learned that Monday is apparently the worst day to visit the emergency room. So, if you are going to get sick or injured, try to avoid Mondays.)
Around 11pm, after a roughly 5 hour wait, I finally got taken in to to an exam room in the ER. I would be there for almost 4 hours before being admitted to the hospital. Around 1am, I was wheeled off for an ultrasound, including one that was quite, ummm, intrusive. Around 3am, a gynecologist came by for further examinations (again, quite intrusive, this time with a med student observing). Based on her exam and the preliminary ultrasound reading, she felt I was not dealing with an abscess but likely something else.
I was admitted to the hospital that night and would ultimately spend 3 nights. Over the next couple days, I was visited by multiple doctors, including a gastroenterologist and a colorectal surgeon, in addition to the general hospitalist. I also was subjected to a battery of tests, including an abdominal MRI (which required me to drink a large quantity of a sickly sweet fluid) and a colonoscopy (which required drinking a lot of a very nasty liquid).
Ultimately, it turned out that my Crohn’s disease was active and I had significant intestinal inflammation (so severe the doctor couldn’t complete the colonoscopy). The doctor thinks my Crohn’s has been active for quite some time and that I had just grown used to living with the discomfort. Exacerbating it was a large ovarian cyst, which explains the image on the original CT scan. There also appeared to be some infection, indicated by the fevers I kept spiking. I was given IV antibiotics in the hospital and eventually sent home with two weeks worth of hard core antibiotics that left me feeling even sicker.
I spent the next few days at home, doing little more than sleeping. I suppose it didn’t help that I hadn’t had caffeine the whole time I was in the hospital, so I was probably experiencing a little bit of withdrawal. (I have now been basically caffeine free for over a month, only drinking a small cup of coffee on a couple of very early mornings. Surprisingly, I generally have had more energy than I remember having in a long time, and no afternoon crash.)
I am now feeling more or less back to normal. In fact, I feel better than I have in a long time. But the Crohn’s is still active and, as the gastroenterologist now treating me keeps reminding whenever I say I’m feeling pretty good, I’m going to have to treat it. That means IV infusions of a biologic medication for the foreseeable future. The cyst, at least, was expected to resolve itself within a couple of menstrual cycles (estimated around 6 weeks) and the pain/discomfort on that side of my abdomen has definitely subsided, so I suspect it has at least shrunk. I have an ultrasound scheduled just after Thanksgiving to see how things look and then the doctors can figure out how best to move forward.
For now, I’m in Churchill, Manitoba looking for polar bears. A month ago, I was worried I might have to cancel this trip. So, hey, it could be worse…