Letters from the SCD support group:
Relapse / flare up

Date: Wed, 30 Sep 1998 08:47:39 EDT
From: B4FL@aol.com
To: SCD-list@longisland.com
Subject: Re: MP's Flare Up

Dear Partridge family,

In response to your post:
<< 1) Has anyone had a similar experience? where one day you are fine the
next the symptoms are worse? (major flare-up)

My son, after two years on the diet and no drugs, had a major flare - out of
the blue. One day he was fine the next he was passing pure blood 4-5 times a
day. I couldn't believe it!

2) If so, how long did it last?

The symptoms lasted for about a week to a week and a half. He had cramps,
increased frequency, blood in stools and by itself, decreased appetite but no
nausea or mucus.

3) Any comments on how long the mucus lasted?

He did not have any mucus to speak of but then he never really had that
symptom to begin with. By the way, my son is 13 and has Crohn's that affects
his entire digestive tract.

4) Did anyone have to increase meds? or were they able to get over it
without increase to the meds?

Since he wasn't taking any meds at the time, and hasn't taken any for at
least 1 1/2 years, we put him on 40 mg. of prednisone for a week and then
started weaning him down. The doctor wants to do it really slowly, much more
slowly than other doctors I have dealt with, so I am using my own weaning
schedule and currently have him down to 5 mg./day. So far so good, no
symptoms. Now if we can get him completely off the drug with no symptoms we
will be doing great.

I didn't change his SCD diet any during the flare, which may be an option
rather than going the drug route. They were talking hospital if we didn't get
things under control so I went with the drugs to get a more immediate response
to avoid the hospital. I also knew I would wean him down as quickly as
possible (and safe).

Although I'm not really sure what caused his flare, I think it may have been a
combination of a little cheating on the diet on our family vacation (although
we always stay where I have cooking facilities to try and stay as true the
diet as possible), school was starting the next week and his sister was moving
away from home to go to college, so maybe some stress there.

Don't know if this helps any. Hope Martine can overcome her flare and return
to a more normal SCD state.

Barb (FL)

Date: Wed, 30 Sep 1998 21:05:16 -0400 (EDT)
From: The Hansens <kilmory@erols.com>
To: SCD-list@longisland.com
Subject: To Partridges

Concerning relapses - I started the diet two Augusts ago, and
each of the last two winters during the flu season I had short
episodes of terrible flu-like attacks. The main symptoms were
achiness, severe shaking, and a fever of 103. The first year it was
accompanied by a couple of bouts of very black D and so my GI put
me in the hospital for a couple of days. (With black D they fear
upper GI tract bleeding) Nothing was ever found in both cases. Each
time I hurried home from work and fell into bed and shook uncontrollably
in the fetal position. If I had been feeling better I would have
laughed it was so severe! After a few days I was fine again.

I recall others with IBD have also reported this kind of flu. I
certainly never had such attacks before getting UC in the first place.


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