Sunday, April 29, 2018

Chronically Abnormal

The majority of this weekend has been rather lonely for me, slightly abnormal for what is usually occurring in my world.  My toddler son is with his grandparents for the next few days, and my husband has been engaged in prior commitments.  (I was hoping for a date night or day as the situation may have presented itself.)  With the lack of childcare responsibilities, my usual schedule of daily activities is not as demanding.  But it's felt strange.  
Normally, I have to take breaks for diaper changes, clean-up duty, and just the general child rearing needs that pop up throughout the day.  And I have to be more methodical and organized on when I do which activity: what can I do while he is awake and what is better left until he goes down for his nap?  Since he isn't here, I am rather lost and feel a bit unorganized.  I have too much flexibility if that's possible.  

Did you notice the resounding theme there: abnormal, strange?  How many people with a chronic illness feel this way on a daily basis?  I know I have and actually still do at times.  For instance, in my last blog, I mentioned my issue of a partial blockage.  That was not the norm for me.  I had to deal with something that the majority of the world never has and never will have to deal with.  On a side note, I can report that I've eaten mushrooms, peanuts, and even salad (which I try to prepare in much smaller portions) and all items digested well.  I'm glad as these are all foods that I enjoy immensely.  I even took the time to make my own almond butter which tasted way better than the almond butter I bought from the grocery store!  The house smelled good for the rest of the evening as the almonds require roasting to release the oil in them which allows for the smooth texture after processing the almonds that you expect from any nut butter.  I recommend searching Pinterest for a recipe for yourself and trying it out!

With the blockage issue comes a diet change.  That can make one feel abnormal as most people don't need to pay much attention to what they consume (maybe they should but they don't need to).  Whereas, now, and before the blockage, I had to think about what I was eating and how.  I feel like that was even more so the case before my ileostomy.  There were so many foods to avoid as to try and keep the Crohn's symptoms at bay.  It was a matter that could make me angry and frustrated.  As a teenager, pizza is its own food group I'm fairly certain.  However, my teenage years didn't allow me to eat that.  Bad things would happen.  But those around me were still enjoying it.  
Active Crohn's led to frequent bathroom trips.  Wouldn't that make you feel abnormal?  I had a round-trip ticket to the bathroom.  I should have been able to earn frequent flier miles.  People normally don't have these issues unless they have a stomach virus.  I had what appeared to be a never-ending version of that.  

And now I have an ostomy bag.  I think I can count on one hand those that I know personally who've been affected by the experience of having an ostomy.  Most of my contact with those in a similar situation as myself is through online communication.  There are many of us out there, we're just spread all over the place.  Maybe others are like me: They are willing to share this part of their lives.  But it's not exactly like you go up to someone and say, "My name is_____, and I have an ileostomy."  And, typically, it's not visible under my clothing so unless by some chance the subject can be brought up, there are those I'm around on a semi-regular basis who have no idea that I have an ostomy.  Sometimes, that seems strange to me.  

Well, those are a few things that make or have made me feel like an odd duck.  But I know I'm not alone in that.  Even those I would view as normal have something that makes them feel abnormal.  Before my health issues, I always felt abnormal because I have naturally curly hair that as a young child, was a thorn in my side.  It still has its moments but nowadays, I'm thankful to have my hair and the uniqueness of it.  The gray hairs are starting to bug me though.  But one day, I'll embrace those, too (or alter it possibly).

  

Sunday, April 15, 2018

I’ve Been Blocked

With an ileostomy, there have been times that the foods I've eaten during the day didn't digest quite as well as I would have liked.  There would be noticeable stomach discomfort, sometimes categorized as pain.  But I would go to bed and hope for the best.  I'd be uncomfortable until I finally fell asleep.  And the next morning I'd wake up as if nothing had ever bothered me the night before.

However, last Thursday, my experience was different.  I try to watch my carbohydrate consumption as I have Polycystic Ovarian Syndrome (PCOS).  This makes my risk of diabetes greater.  I enjoy eating almonds and uncooked produce like mushrooms and broccoli with hummus.  Normally these things don't bother me.  But Thursday, they did.  I ate a snack bar loaded with almonds.  A couple of hours later, I ate broccoli and mushrooms (in a larger quantity than I usually do) with the hummus.  And then a few hours later at supper, I had a small salad.  That's when the pain began.

Now, initially, I didn't give it much thought.  I just thought it was just discomfort and it'd pass.  The problem was, there was something inside of my small intestines that didn't want to pass.  Or rather it did, but couldn't.  As the evening wore on, the pain only worsened.  I had to go lay down trying to massage the area where my stoma is to help provide some relief.  My husband had to take care of our son for the rest of the evening on his own.   With his busy schedule, I was thankful he was available to do so.

I went on to bed in quite a bit of pain but just assumed that the next day would be better.  And it was as far as I was concerned.  I didn't feel 100%, but better than the agony of the night before.  I decided to keep my diet light (although maybe not light enough) and have a smoothie for breakfast, peanut butter sandwich for lunch, and chicken and sweet potato for supper.  I was still rather uncomfortable on Friday night.  And it was time for me to put on a new ostomy bag.  That's when I finally noticed how swollen my stoma was; golf ball size maybe.  Way larger than I can recall seeing it.  And the area around it was very sore.  I didn't think the new wafer would stay on through the night because of how swollen the stoma was and how watery my output had gotten by this point.

The next morning, I woke up still in one piece.  Feeling a little better pain wise, but emotionally I was a nervous wreck.  I was scared with the stoma being so swollen and the output still so thin.  And my weight had quickly dropped to the lowest I have seen it in quite some time.  I put a call in for the on-call doctor at my gastroenterology clinic to make sure that what I was doing was okay (consuming a mostly liquid diet and some low residue foods like crackers).  He thought that was fine.  He didn't think there was much else to be done besides a wait and see approach and repetitively said to go to the ER if things got worse.  He mentioned the possible return of Crohn's and maybe even an infection as the cause of my issues.  I thought that strange as I mentioned what I ate.  I still felt that was the cause, so with an expert mentioning the word Crohn's, that made me a little more nervous than I already was.

The next day, I added a little more food to my diet.  I made it okay.  The output started to get better.  The soreness around my stoma was still there and is still there even now, but very, very minimal.  Today, I can say the output is MY normal.  I have incorporated cooked produce back into my diet without issue.  But I have yet to try another salad, although I think I'm ready to.  And I'm ready to try fresh produce again.  I'm just going to make sure and CHEW thoroughly and watch my portion sizes.  The almonds and peanuts...yea, I don't know that those will be back in my diet so easily.  That snack bar is where I really feel like my problems were honestly.  I actually put some peanuts in my food processor and made my own peanut butter.  It was something I had been wanting to try.  And I liked the results although I'd imagine most people wouldn't as I didn't add any sweeteners to it.  Next, I want to try making my own almond butter.