getting a flare up under control

by Stacey Key
(Sydney, Australia)

I was diagnosed 7 years ago. The longest medicated clear stretch is about 8 months for me. I am 33, on imuran for the second time since sep last year, i am having flare up at the moment for which i am taking cortisone. It always seems that when i get down to 25 - 20mg per day - the symptoms become acute again - i have been through this with my docs so many times and i know with being careful, resting, eating right is comes right eventually. My question is - does anyone have any suggestions on how to keep it under control for the last few weeks on the cortisone? No suggestions will be too small! Im really interested to know how other manage this part of a flare up. Its been 2 months since the symptoms returned and Im really wanting to get it under control and keep it that way.

Stace

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Getting a flare-up under control NEW
by: Annette Young

Hello there,

Thanks for writing in. I was interested to read your post and just wanted to ask if you are reducing your medication yourself or if this is on the advice of the doctor? I can understand that having a flare-up is frustrating and painful, but I am wondering if it is connected the fact that you reduce or come off of your medication.

In most cases, it is sensible to stay on your medication as this keeps it under control. You are absolutely right however in that eating the right diet will make a difference. Do you find you tend to eat a more varied diet or lapse off of a sensible eating plan when your crohn's is under control?

You will probably have trigger foods that set off a reaction - such as abdominal cramps, gas, bloating, cramping pains and diarrhea.

Here is a list of foods that should be avoided and can be reintroduced gradually if you wish to determine any potential triggers. Alternatively keep these foods out of your diet altogether.

alcohol
butter,margerine, oils and mayonnaises
soft drinks
tea, coffee
dairy
fried foods
fibrous foods
lentils, cabbage, onions, broccoli, beans
seeds
nuts
raw veggies
red meat
spicy foods

It is worth keeping a journal of all of the foods that you eat and any liquids you drink. This may well identify your triggers providing you also detail how you feel each day.

I have attached a link that might be of use to you:

http://www.webmd.com/ibd-crohns-disease/crohns-disease/creating-a-crohns-disease-diet-plan?page=2

But you can also try relaxation techniques to ensure that you eliminate any tension from your body and this includes anxiety too which is another trigger.

I hope this helps,

Annette

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