Does anyone have GAD and GI problems

X-No-Archive:

I have General Anxiety Disorder with a bit of A-typical depression
thrown into the mix further complicated by Ulcerative Colitis.

Does anyone else have similar problems and what have you been doing to
help with the symptoms?

Thanks

Lexapro and Valium for Depression and GAD + Prilosec for GERD..

HTH,
Carl

"Confused?" <nospam@nospam.com> wrote in message
news:s1p3k.17250$js6.7794@pd7urf1no...
> X-No-Archive:
>
> I have General Anxiety Disorder with a bit of A-typical depression
> thrown into the mix further complicated by Ulcerative Colitis.
>
> Does anyone else have similar problems and what have you been doing to
> help with the symptoms?
>
> Thanks
>
>

X-No-Archive:

Thanks for sharing. Any Lexapro side effects like mental jolts,
twitching, weight gain etc? Has your GERD gotten worse at all since
taken the Lexapro?

"Carl" <EmailMe@Here.net> wrote in message
news:fYp3k.33511$102.26998@bgtnsc05-news.ops.worldnet.att.net...
: Lexapro and Valium for Depression and GAD + Prilosec for GERD..
:
: HTH,
: Carl

See also my reply to TribbleAbout.

It might be a good idea to see your doctor and have your bloods tested for
vitamin and mineral deficiencies as a lot of these can cause mental
disturbances including anxiety, depression and insomnia. If your blood tests
show low levels - these do not have to be below the norm curve, but just
well below average - then you will need to supplement. The caveat is that
the blood is a good at regulating itself and tends to homeostasis. It is
well documented in the literature that measuring mineral excretion in the
urine is a better measure of mineral deficiency than blood levels. I receive
monthly fat-soluble (A, D, E, K) vitamin injections, twice monthly folic
acid injections and take vitamin B12 sublingually due to an anaphylactic
shock on the third injection.

With UC the terminal ileum can be inflamed as a result of small bowel
bacterial overgrowth, which can lead to vitamin and mineral deficiencies.
http://www.google.de/search?hl=de&q=...+colitis&meta=
The terminal ileum is a major site of vitamin B12, fat-soluble vitamin and
bile absorption.

Questran is one means of reducing diarrhoea caused by bile acids and fats
landing in the colon. More information on your drugs can be found at
www.drugs.com and www.rxlist.com

If your diet is not good, and you are the best judge of that, I suggest that
you get a referral to/consult an IBD nutritionist and discuss your options.
A radical change in diet could conceivably lead to a cure of, or at least an
improvement in, your 'mental' problems.

The biggest problem is that once you have the mental problems it tends to be
a downward spiral and it is a lot more difficult to look after yourself and
assert yourself with the doctors - many of whom do not master tangential
thinking, which, of course, is more difficult than just handing out pills.

I am prescribed the astronaut drink Fresubin (similar to Fortisip and
Ensure). I drink 1-2 (300-600 calories) a day to supplement my meals. These
help towards maintaining my calorie and mineral intake. They must be sipped
very slowly throughout the day and it generally helps when you drink water
or fruit/camomile/fennel tea as well. They can cause diarrhoea if drunk too
fast.

Several smaller nutritionally balanced meals a day, rather than 2-3 large
meals a day, aids better intestinal absorption.

Vanny


"Confused?" <nospam@nospam.com> schrieb im Newsbeitrag
news:s1p3k.17250$js6.7794@pd7urf1no...
> X-No-Archive:
>
> I have General Anxiety Disorder with a bit of A-typical depression
> thrown into the mix further complicated by Ulcerative Colitis.
>
> Does anyone else have similar problems and what have you been doing to
> help with the symptoms?
>
> Thanks
>
>

I forgot to say that if you are on steroids your doctor should always
prescribe a calcium and vitamin D supplement to prevent osteoporosis.

Vanny

"Vanny" <Vannyss2003@antispam.com> schrieb im Newsbeitrag
news:g2lccm$1kg$1@newsreader2.netcologne.de...
> See also my reply to TribbleAbout.
>
> It might be a good idea to see your doctor and have your bloods tested for
> vitamin and mineral deficiencies as a lot of these can cause mental
> disturbances including anxiety, depression and insomnia. If your blood
> tests show low levels - these do not have to be below the norm curve, but
> just well below average - then you will need to supplement. The caveat is
> that the blood is a good at regulating itself and tends to homeostasis. It
> is well documented in the literature that measuring mineral excretion in
> the urine is a better measure of mineral deficiency than blood levels. I
> receive monthly fat-soluble (A, D, E, K) vitamin injections, twice monthly
> folic acid injections and take vitamin B12 sublingually due to an
> anaphylactic shock on the third injection.
>
> With UC the terminal ileum can be inflamed as a result of small bowel
> bacterial overgrowth, which can lead to vitamin and mineral deficiencies.
> http://www.google.de/search?hl=de&q=...+colitis&meta=
> The terminal ileum is a major site of vitamin B12, fat-soluble vitamin and
> bile absorption.
>
> Questran is one means of reducing diarrhoea caused by bile acids and fats
> landing in the colon. More information on your drugs can be found at
> www.drugs.com and www.rxlist.com
>
> If your diet is not good, and you are the best judge of that, I suggest
> that you get a referral to/consult an IBD nutritionist and discuss your
> options. A radical change in diet could conceivably lead to a cure of, or
> at least an improvement in, your 'mental' problems.
>
> The biggest problem is that once you have the mental problems it tends to
> be a downward spiral and it is a lot more difficult to look after yourself
> and assert yourself with the doctors - many of whom do not master
> tangential thinking, which, of course, is more difficult than just handing
> out pills.
>
> I am prescribed the astronaut drink Fresubin (similar to Fortisip and
> Ensure). I drink 1-2 (300-600 calories) a day to supplement my meals.
> These help towards maintaining my calorie and mineral intake. They must be
> sipped very slowly throughout the day and it generally helps when you
> drink water or fruit/camomile/fennel tea as well. They can cause diarrhoea
> if drunk too fast.
>
> Several smaller nutritionally balanced meals a day, rather than 2-3 large
> meals a day, aids better intestinal absorption.
>
> Vanny
>
>
> "Confused?" <nospam@nospam.com> schrieb im Newsbeitrag
> news:s1p3k.17250$js6.7794@pd7urf1no...
>> X-No-Archive:
>>
>> I have General Anxiety Disorder with a bit of A-typical depression
>> thrown into the mix further complicated by Ulcerative Colitis.
>>
>> Does anyone else have similar problems and what have you been doing to
>> help with the symptoms?
>>
>> Thanks
>>
>>
>
>

Thanks Vanny, I appreciate the info.

Do you know what kind of tests I should specifically ask for? In the
past, they just do normal blood panels, urine tess and basic thyroid
levels. I don't recall ever being tested for vitamin deficiencies,
except maybe Hemoglobin. For some reason(s), most doctors dont seem to
be receptive to low normal or high normal. They just look at the lab
results and the label if it says within range or not.

Has anyone had any success with wild salmon oil in treating both
Inflammatory bowel disease and anxiety or depression? I found B12 taken
even sublingually makes me more hyper. I dont get any [more] hyper if I
take B6.

"Vanny" <Vannyss2003@antispam.com> wrote in message
news:g2lccm$1kg$1@newsreader2.netcologne.de...
: See also my reply to TribbleAbout.
:
: It might be a good idea to see your doctor and have your bloods tested
for
: vitamin and mineral deficiencies as a lot of these can cause mental
: disturbances including anxiety, depression and insomnia. If your blood
tests
: show low levels - these do not have to be below the norm curve, but
just
: well below average - then you will need to supplement. The caveat is
that
: the blood is a good at regulating itself and tends to homeostasis. It
is
: well documented in the literature that measuring mineral excretion in
the
: urine is a better measure of mineral deficiency than blood levels. I
receive
: monthly fat-soluble (A, D, E, K) vitamin injections, twice monthly
folic
: acid injections and take vitamin B12 sublingually due to an
anaphylactic
: shock on the third injection.

I suspect that your doctor would do the following, depending on how recent
your last blood test was: iron, ferritin, sodium, potassium, calcium, and
liver, kidney, heart, pancreas, thyroid function; vitamin B12, folic acid
and vitamin D; a full blood count; beta-carotene? (see below); inflammatory
parameters: C-reactive protein (CRP), ESR (erythrocyte sedimentation rate);
clotting rate of blood - INR. See also:
http://www.bloodbook.com/pers-test.html
http://www.medindia.net/bloodtest/bi...a_nitrogen.htm

A high clotting time (ref: INR) could indicate vitamin K deficiency as
vitamin K is required for blood clotting.

The fact that you go hyper with sublingual vitamin B12 is interesting and it
actually happened to me on folic acid injection and sublingual vitamin B12
at the beginning of 2006, but it settled down once I had injected myself a
couple of times a week for about 4 weeks and I was able to see properly for
the first time in many months. I had had what I termed grey-black, veiled
vision plus tunnel vision and classical anorexia symptoms (heart
palpitations, mental confusion and anxiety, obvious signs of depression,
vision disturbances, severe insomnia, etc.) for many months - not that my
doctor recognised this. I had to my GP what I had, because I suddenly
remembered the Karen Carpenter story and her death from heart failure in her
early 30s and did my own research on anorexia.

My theory is that I was so vitamin deficient that my body was screaming out
for more to repair the undernourished organs and my body was working
overtime and hence the hyperactive state injection with folic acid . Once I
received all the vitamins (in injected form for me - Crohn's with short
bowel syndrome), but sublingual B12 due to anaphylactic shock on the third
injection, the organ repair got really underway- my heart palpitations
subsided, I started sleeping like a baby, and my depression and any anxiety
or mental unrest cleared, plus I had the added bonus of being able to see
properly. Folic acid and vitamin B12 are necessary for neuronal growth and
hence both are involved in mental well-being amongst other things. Both are
usually taken together because of codependence thereon of certain enzymes in
metabolic pathways and folic acid supplementation can mask a vitamin B12
deficiency, etc.

Overdosing with B (complex) and C vitamins is not usually a problem because
they are water-soluble and the excess is excreted readily out of the body -
unless you have kidney problems and/or take an exceptionally high dose.
There are people who have taken grams of vitamin C per day live to tell the
tale, but it is a waste of money and there can be side-effects. However,
mega doses of vitamins have not been shown to protect against cancer.
http://www.aicr.org/site/News2?abbr=...ge=NewsArticle
http://www.google.de/search?hl=de&q=...+Pauling&meta=

Vitamin B12 is stored in the liver and stores are depleted over a 2-3 years.
As the body gets older the stomach produces less intrinsic factor, which is
necessary to bind vitamin B12 to enable uptake of the complex at the
terminal ileum. Hence a lot of old people suffer from vitamin B12
deficiency. Those on long-term PPI (Omeprazole, Pantozol, Nexium, etc.)
treatment for GERD can also end up B12 deficient because the binding with
intrinsic factor in the stomach is not as effective when the stomach
environment is less acidic and in the unbound state vitamin B12 is not
absorbed at the terminal ileum.

With me, I know that I need my fat-soluble vitamin injection at the end of
the month - intramuscular depot in the old gluteus maximus.
http://www.faqs.org/nutrition/Smi-Z/...t-Soluble.html However, my
blood has never shown a definite deficiency because it maintains homeostasis
by taking from the less important organs to feed the more important organs
(my theory) The general organ and body weakness is pronounced by the end of
the month and I notice an improvement in my general well-being after every
injection, particularly at the beginning of May where the doctor's assistant
hit a vein and delivered a significant amount of the dose directly into my
bloodstream. I didn't sleep for two days because I was on a vitamin high,
but it doesn't seem to have done me any harm. It didn't happen to me on
injection at the beginning of June. You should not take more than the daily
recommended or mega doses of the fat-soluble vitamins because they can be
highly toxic.

If you have lots of diarrhoea, the blood beta-carotene level is a good
indicator of fat, bile and fat-soluble vitamin absorption and would point
to vitamin B12 malabsorption. For a UC patient it would also underpin a
diagnosis of suspected involvement of the terminal ileum - due to bacterial
overgrowth or a real diagnosis of Crohn's disease or some other problem? A
low beta-carotene value indicates malabsorption in the ileum, which can be a
problem in UC patients with moderate to severe disease, or for those on a
very bad diet and it is also associated with oral contraceptives and
smoking.
http://www.labcorp.com/datasets/labc...o/sc004400.htm

For a better understanding of the gut, I refer you to:
http://www.familydoctor.co.uk/htdocs..._specimen.html
http://www.healthsystem.virginia.edu...rrishchart.pdf

There is a great diagram here that shows where the different nutrients are
absorbed in the intestine http://www.cmaj.ca/cgi/content/full/166/10/1297

Please note that another term for short bowel syndrome is intestinal failure
(my preferred term) and IBD patients with moderate to severe or fulminant
disease will suffer from intestinal failure for some time. No removal of
intestine is required for a patient to end up with intestinal failure.

You haven't given much tangible background on your disease, but if your
depression, etc., has developed throughout the course of the disease and you
were not a sufferer years prior to diagnosis (given that a UC patient is
generally diagnosed within a year of the first visible flare) then I would
tip on the majority of your problems being nutritional based.

Of course, nobody enjoys being chronically ill and IBD is the pits and with
uncertain futures, bullying friends, relatives and colleagues, and pending
operations I think that we have a right to be anxious and somewhat depressed
part of the time.

Vanny


"Confused?" <nospam@nospam.com> schrieb im Newsbeitrag
news:E0r3k.17348$js6.10783@pd7urf1no...
> Thanks Vanny, I appreciate the info.
>
> Do you know what kind of tests I should specifically ask for? In the
> past, they just do normal blood panels, urine tess and basic thyroid
> levels. I don't recall ever being tested for vitamin deficiencies,
> except maybe Hemoglobin. For some reason(s), most doctors dont seem to
> be receptive to low normal or high normal. They just look at the lab
> results and the label if it says within range or not.
>
> Has anyone had any success with wild salmon oil in treating both
> Inflammatory bowel disease and anxiety or depression? I found B12 taken
> even sublingually makes me more hyper. I dont get any [more] hyper if I
> take B6.
>
> "Vanny" <Vannyss2003@antispam.com> wrote in message
> news:g2lccm$1kg$1@newsreader2.netcologne.de...
> : See also my reply to TribbleAbout.
> :
> : It might be a good idea to see your doctor and have your bloods tested
> for
> : vitamin and mineral deficiencies as a lot of these can cause mental
> : disturbances including anxiety, depression and insomnia. If your blood
> tests
> : show low levels - these do not have to be below the norm curve, but
> just
> : well below average - then you will need to supplement. The caveat is
> that
> : the blood is a good at regulating itself and tends to homeostasis. It
> is
> : well documented in the literature that measuring mineral excretion in
> the
> : urine is a better measure of mineral deficiency than blood levels. I
> receive
> : monthly fat-soluble (A, D, E, K) vitamin injections, twice monthly
> folic
> : acid injections and take vitamin B12 sublingually due to an
> anaphylactic
> : shock on the third injection.
>
>

i have acid reflux disease.
they say that people with anxiety disorders often have GI disorders.

gigglz




On Tue, 10 Jun 2008 06:19:04 GMT, "Confused?" <nospam@nospam.com>
wrote:

>X-No-Archive:
>
>I have General Anxiety Disorder with a bit of A-typical depression
>thrown into the mix further complicated by Ulcerative Colitis.
>
>Does anyone else have similar problems and what have you been doing to
>help with the symptoms?
>
>Thanks
>

i take lexapro, with xanax as needed.
i have ativan for panic attacks.
for the acid reflux, i take protonix.

no mental jolts from lexapro.
weight gain is possible...but gerd won't get worse.

giggz



On Tue, 10 Jun 2008 07:43:07 GMT, "Confused?" <nospam@nospam.com>
wrote:

>X-No-Archive:
>
>Thanks for sharing. Any Lexapro side effects like mental jolts,
>twitching, weight gain etc? Has your GERD gotten worse at all since
>taken the Lexapro?
>
>"Carl" <EmailMe@Here.net> wrote in message
>news:fYp3k.33511$102.26998@bgtnsc05-news.ops.worldnet.att.net...
>: Lexapro and Valium for Depression and GAD + Prilosec for GERD..
>:
>: HTH,
>: Carl
>

I agree that it is critical to consult with your GI and Psychiatrist
and if possible get a psychiatrist that has experience with GI
issues. I have worked as a mental health professional for 20 years
and do not think a PCP or family doctor is the best person to be
managing mental health medications as most of thier info come from
drug reps. Be aware there is a bit of normalcy to anxiety and
depression in conjunction with chronic illness, chronic pain and/or
chronic malnutrition. In my experience my antidepressant which was
very effective for depression and anxiety was a major contributor to a
flare and other issues. This anti depressant has proven effective for
others with UC, so I will not list it, what I want to recommend is
that you read or check side effects on your meds- if it is not
recommended for individuals on anti-coagulant (blood thinning)
therapy, then it is probably not good for someone with UC- that is the
same reason we do not take NSAIDS (ibuprofen, aleve) because they make
us bleed. Also if you have no colon or only a partial colon some long
acting capsule form meds will not work for you- cymbalta for example
is absorbed through the colon- no colon- no medication. Good luck.
N.

In early 2006, when I had the Crohn's anorexia with the usual mental issues
associated with starvation/malabsorption, I went to a psychiatrist who
clearly had had no tangible experience with dealing with IBD patients. She
told me that Crohn's was essentially a psychological problem! So be warned.
It is generally those doctors who have kept their pre 1980s textbooks that
hang onto this myth. Just like before when cancer was supposed to be a
psychological issue and only the type As got heart disease.

Lots of meds can cause gut problems and I am sorry to say that one cannot
rely on the doctors to look this up and find the right drug for you. Before
you cash in your prescription ask the pharmacist to explain the side-effects
and any possible interactions with any other meds you might be taken. Also
consult www.drugs.com and www.rxlist.com Be aware that only a certain
percentage of patients experience side-effects, depending on the medication,
and not all of these will experience every side-effect listed, but as soon
as you experience any of the side-effects then make an appointment to see
your doctor or telephone in if possible to check whether or not you should
lower the dose or stop the medication and move to something else.

I read this 'day in the life of a UK doctor' today:
http://www.dailymail.co.uk/health/ar...s-surgery.html

Vanny


"herutmost" <necurrie2@hotmail.com> schrieb im Newsbeitrag
news:9bbf3f21-3dd7-4f4f-bce0-f344aee8bf10@d1g2000hsg.googlegroups.com...
>I agree that it is critical to consult with your GI and Psychiatrist
> and if possible get a psychiatrist that has experience with GI
> issues. I have worked as a mental health professional for 20 years
> and do not think a PCP or family doctor is the best person to be
> managing mental health medications as most of thier info come from
> drug reps. Be aware there is a bit of normalcy to anxiety and
> depression in conjunction with chronic illness, chronic pain and/or
> chronic malnutrition. In my experience my antidepressant which was
> very effective for depression and anxiety was a major contributor to a
> flare and other issues. This anti depressant has proven effective for
> others with UC, so I will not list it, what I want to recommend is
> that you read or check side effects on your meds- if it is not
> recommended for individuals on anti-coagulant (blood thinning)
> therapy, then it is probably not good for someone with UC- that is the
> same reason we do not take NSAIDS (ibuprofen, aleve) because they make
> us bleed. Also if you have no colon or only a partial colon some long
> acting capsule form meds will not work for you- cymbalta for example
> is absorbed through the colon- no colon- no medication. Good luck.
> N.
>
>

In article <g2mcnc$k58$1@newsreader2.netcologne.de>, "Vanny"
<Vannyss2003@antispam.com> wrote:

> In early 2006, when I had the Crohn's anorexia with the usual mental
> issues
> associated with starvation/malabsorption, I went to a psychiatrist who
> clearly had had no tangible experience with dealing with IBD patients.
> She
> told me that Crohn's was essentially a psychological problem!

Both anorexia and the type of anxiety described here can be caused by
autoantibodies. You wouldn't want to see a "classically"-trained
immunologist much less a psychiatrist to treat such a condition. I
refer you to my previous postings in the autoimmunity newsgroups for
approaches to controlling autoimmunity. A competent doctor will
acknowledge that the field is changing rapidly and familiarize himself
with the recent scientific literature.


chronic ACTH autoantibodies impair the body¹s cortisol response and are
a significant pathological factor in the disruption of the HPA axis in
chronic fatigue syndrome, anorexia nervosa and major depression; anxiety
and self-injury can be psychological symptoms of compensating for less
effective ACTH; self-injury can increase cortisol levels; corticosteroid
therapy is an effective treatment for all three conditions because it
allows the patients to have the corticosteroids they need for daily
functioning and daily stressors [PMID 15885924]

some viruses like SARS and influenza use amino acid sequences to mimic
ACTH so that any antibodies directed against them will interfere with
the host¹s cortisol response and result in less effective pathogen
defense; treatment with corticosteroids may not simply be a treatment,
it may also be prophylactic [PMID 15488660]

a majority of patients with anorexia nervosa and bulimia nervosa as well
as some controls have autoantibodies reacting with alpha-MSH or ACTH,
melanocortin peptides involved in appetite control and stress-response
(women do tend to direct violence inward instead of outward and anorexia
is highly self-destructive); antibodies to oxytocin (high in women after
sex) and vasopressin (necessary for pair-bonding) were also present in
all three groups; specifically there were increased IgM antibodies
against alpha-MSH, oxytocin and vasopressin as well as IgG antibodies
against vasopressin in anorexia patients compared with bulimics and
controls; there were significantly altered correlations between
anti-alpha-MSH titers and total Eating Disorder Inventory-2 scores as
well as most of its subscale dimensions in anorexia and bulimia patients
vs. controls; these correlations were opposite in anorexics compared to
bulimics; antibodies to oxytocin, vasopressin and ACTH had only few
altered correlations [PMID 16195379]

aggressive behavior is linked to autoantibodies for corticotropin
(ACTH); altered stress response is characteristic of individuals with
abnormal aggressive and antisocial behavior; in tests of Swedish males
with conduct disorder and prisoners with a violent record, both groups
displayed strongly increased levels of ACTH-reactive immunoglobuilin G
and M (IgG and IgM) autoantibodies compared with control subjects; IgM
oxytocin antibodies were slightly elevated in both groups whereas
vasopressin-reactive antibodies were lower only in conduct disorder; no
antibody differences for alpha-MSH were observed [PMID 16876133]

I am not on any medications right now and I am reluctant to take any
because of their side effects. I do take a very good mult-vitamin and
supplement with Vitamin D, 1000 IUs every day.

"Vanny" <Vannyss2003@antispam.com> wrote in message
news:g2lcgt$1lc$1@newsreader2.netcologne.de...
:I forgot to say that if you are on steroids your doctor should always
: prescribe a calcium and vitamin D supplement to prevent osteoporosis.
:
: Vanny
:

"Kofi" <kofi@anon.un> wrote in message
news:kofi-042B1F.21222510062008@news.east.earthlink.net...
: : Both anorexia and the type of anxiety described here can be caused
by
: autoantibodies. You wouldn't want to see a "classically"-trained
: immunologist much less a psychiatrist to treat such a condition. I
: refer you to my previous postings in the autoimmunity newsgroups for
: approaches to controlling autoimmunity. A competent doctor will
: acknowledge that the field is changing rapidly and familiarize himself
: with the recent scientific literature.

What are the autoimmune newsgroups you are referring to?

Well, I think that that most likely explains it.

If you are not taking medication and you have active disease the
inflammation will spread throughout the body and this includes circulatory
system where it can cause vasculitis and this in turn affects the brain.
This is on top of likely malnutrition due to untreated disease and inability
to feed yourself properly due to anxiety and depression.
http://www.ncbi.nlm.nih.gov/sites/entrez
http://search.medscape.com/all-searc...tive%20colitis

a.. Perinuclear antineutrophil cytoplasmic antibody
myeloperoxidase-positive vasculitis in association with ulcerative colitis.
Clin Rheumatol, February 2006
b.. Cerebral thrombosis and vasculitis: an uncommon complication of
ulcerative colitis.
Bol Asoc Med P R, January 2000
c.. Ulcerative colitis presenting as leukocytoclastic vasculitis of skin.
World J Gastroenterol, April 2008

UC patients should always be on 5-ASAs even when not in a flare. This is
well documented in the literature.
http://www.google.de/search?hl=de&q=...d+5-ASAs&meta= You
are not helping yourself at all by refusing medication and I am not
surprised at your mental ill-being and malnutrition. You are also very
likely accelerating the time to panproctocolectomy and needing to wear an
ileostomy bag or having a J-Pouch. www.j-pouch.org

I advise you to go to your doctor and have your ulcerative colitis treated.
There are plenty of different 5-ASAs out there for you to try to find the
one that suits you. All medicines have side-effects, but when one is ill one
is forced to take medication.

Please note that the medicines for the treatment of mental ailments have in
the average patient far worse side-effects than the 5-ASAs and most attack
the gut, which has already been brought to your attention by herutmost. I
strongly suspect that if you treat your ulcerative colitis that your mental
well-being will change for the positive within a couple of weeks. In
hindsight, when I have had a flare of mild Crohn's the first thing that I
have noted is that I am bad tempered, not so able to cope with day to day
things and I am miserable and low energy. I reiterate that malnutrition can
cause a plethora of symptoms including anxiety, depression and a state of
hyperness.

Mechanism of action and side-effects of medication can be found here
www.drugs.com and www.rxlist.com Not all patients have side-effects and
only 1 in 10,000 to 100,000 will experience the rare side-effects listed.

Vanny


"Confused?" <nospam@nospam.com> schrieb im Newsbeitrag
news:HkL3k.22925$C12.2111@pd7urf3no...
>I am not on any medications right now and I am reluctant to take any
> because of their side effects. I do take a very good mult-vitamin and
> supplement with Vitamin D, 1000 IUs every day.
>
> "Vanny" <Vannyss2003@antispam.com> wrote in message
> news:g2lcgt$1lc$1@newsreader2.netcologne.de...
> :I forgot to say that if you are on steroids your doctor should always
> : prescribe a calcium and vitamin D supplement to prevent osteoporosis.
> :
> : Vanny
> :
>
>

Thanks Vanny, I do appreciate your input.

However, my colitis came AFTER my my GAD. I am not sure where you get
the impression that I am malnurished nor that I have depression, even
though depression and anxiety tend to go together. As far as 5-ASA
goes, and please correct me if I was misinformed, they only work for X
amount of time, if at all on some people and are not free of their side
effects too. I have tried mesalamine before and I ended up with major
gastro upset after taking it externally for several days. I was told by
one user of 5-ASA's that they "burn a whole" in the gut with chronic
use. One prominent physician also emphasized that before taking any
medication for a chronic conditon long-term, explore other options, such
as a natural approach which is what I am trying to do. He goes on to add
that scientists are finding every day more and more side-effects of
medications that the medical community previously regarded as relatively
safe, and how people are obessed into looking to a pill or meds to fix
whatever
ails them without practising the basics: diet, exercise, and lifestyle
changes. In fact, this is starting at an early age. Parents are now
being encouraged to lie to their children and give them a sugar pill
and telling them that sugar pill is suppose to make them feel better.
One drug company is now producing such a sugar pill.

As far as being treated for UC. None of my doctors have suggested a need
for it, I was just to watch what I eat when I end up in a flare such as
avoiding greasy foods, high fibre, meats, and raw fruits and
vegetables. If need be, use mesalamine to treat the proctitis during
these times. My doctors, psychologist, psychiatrist, and GP are all
suggesting that my UC is a result of my complicated GAD. Every time I
see the Gastroenterologist, I am in remission because it takes 3 or more
months to see him. I dunno, maybe they're wrong? They also say no
depression according the DSM-IV which is surprising given that many
doctors and psychiatrists won't be satisfied until everyone is diagnosed
with a mental disorder. ;-)

"Vanny" <Vannyss2003@antispam.com> wrote in message
news:g2o1ko$6gp$1@newsreader2.netcologne.de...
: Well, I think that that most likely explains it.
:
: If you are not taking medication and you have active disease the
: inflammation will spread throughout the body and this includes
circulatory
: system where it can cause vasculitis and this in turn affects the
brain.
: This is on top of likely malnutrition due to untreated disease and
inability
: to feed yourself properly due to anxiety and depression.
: http://www.ncbi.nlm.nih.gov/sites/entrez
:
http://search.medscape.com/all-searc...tive%20colitis

"Kofi" <kofi@anon.un> wrote in message
news:kofi-042B1F.21222510062008@news.east.earthlink.net...
: : Both anorexia and the type of anxiety described here can be caused
by
: autoantibodies. You wouldn't want to see a "classically"-trained
: immunologist much less a psychiatrist to treat such a condition. I
: refer you to my previous postings in the autoimmunity newsgroups for
: approaches to controlling autoimmunity. A competent doctor will
: acknowledge that the field is changing rapidly and familiarize himself
: with the recent scientific literature.

What are the autoimmune newsgroups?

here is the link to the sugar pills given to children:
http://www.helpmyhurt.com/2008/05/28...-for-children/
and
http://www.nytimes.com/2008/05/27/he...in&oref=slogin

Well you obviously have your own take on the world and I am not going to try
and change that. I have given you enough information for you to enlighten
yourself.

By the way your first post indicated that you had depression. Quote "I have
General Anxiety Disorder with a bit of A-typical depression thrown into the
mix further complicated by Ulcerative Colitis."

If you have been able to control your disease by diet then it indicates that
it is a very mild form and if it is only proctitis then daily 5-ASA
suppositories would be all that is required for [maintenance] treatment and
no tablets would be required.

In the literature depression/anxiety often precedes the diagnosis of a
chronic disease. Even the health/life insurance companies have cottoned onto
this and usually will not insure anyone that has been diagnosed with a bout
of depression within 5-10 years of application for insurane.

And as for 5-ASAs burning holes in your gut and stopping working - that is a
load of rhubarb.

I suggest that you read through what I have posted very carefully, do your
own research and educate yourself from here on. It is probably not helping
you that your doctors are also living in Cloud Cuckoo Land. There is no way
that GAD, complicated or otherwise, causes UC. There is no way that you are
going to get a handle on your health by staying with that lot.

This is my last post to you, so don't bother asking any more questions.

Vanny



"Confused" <nospam@nospam.com> schrieb im Newsbeitrag
news:CfN3k.21535$js6.13425@pd7urf1no...
> here is the link to the sugar pills given to children:
> http://www.helpmyhurt.com/2008/05/28...-for-children/
> and
> http://www.nytimes.com/2008/05/27/he...in&oref=slogin
>
>

you mentioned a-typical depression as a problem in your original post
which may be why we are discussing it. Long acting antidepressants
are often very effective tools for individuals with GAD with or
without depression.

most people with active UC/IBD- ie not in remission, have malnutrition
because a sick gut can not adequately absorb nutrients- each of us are
different, depends on where and how sick you are as to what and how
malnurioused you are. Your weight heavy or thin is not necessarily a
good indicator of whether or not you are absorbing or digesting
nutrients you need. Get a blood test- only the facts will help, if
you have uncontrolled GAD you can not trust your instincts about what
is wrong or how to respond.

did my anti depressant "cause" my flare- who knows- I said
"contributed to"
mental illness GAD, Depression, Full fledged schizophrenia with
violent paranoid tendencys, even the compelling need to swallow draino
and stick hamster up your butt- DO NOT cause UC/IBD or Crohns.

People with GAD are often medically difficult to diagnose as GAD comes
with a variety of physiological symptoms (none of which are found on
colonoscopy by the way) and subsequently are at very high risk of
being poo-pooed by the medical community as it being "all in your
head"--- get a second opinion or another GI doc if they think UC is
all in your head- it is probably time for them to retire anyway. If
your psychiatrist reads colonoscopy reports get him yours, maybe with
pictures or DVD and tell him to shove it (make sure you have an
appointment with a new psychiatrist first.)

It was my pharmacist and the emergency room MDs that warned me about
the bleeding issues with certain anti-depressants and UC, both my
shrink and my GI said "nah" until I brought it back to their
attention, they looked it up (probably on the sites Vanny listed) and
both said "wadda ya know, pharmacist is right..."

My GI and PCP will no longer manage any anti depressant meds for me-
not because I'm a wing nut, but because I have no colon and their
expertise does not extend to management of co-morbidities or other
complex medical/mental conditions (they are not managing my diabetes,
asthma or history of depression). I see a youngish psychiatrist who
graduated in 1990 (you can find all that info on web- when and where
they went to school etc all public info) but why she is so good for
me? Just dumb luck- she has two other ostomates with mild chronic
depression which she attributes to chronic illness and body
dysfunction vs major disabling mental illness (although treatment may
be similar if we were primarily depressed with ostomy and disease as
our secondary problems) Any hoo- these other ostomates paved the way
for me- no way to have known this before walking into the good doctors
office for the first time.

I take Lexapro- it comes in a liquid form. Works well for GAD, most
diazepams (valium, ativan, clonopin) come in liquid form or can be
compounded into gel form, but also dissolve sublingually (under the
tongue) and can be used by people with any amount of intestine (or
none- if necessary).

Again- see all Vanny's posts on this subject, check the sites listed
and know that you are not alone.
N.

My bet is that she/he has IBS and NOT an IBD.

Debs

Vanny wrote:

> Well you obviously have your own take on the world and I am not going to try
> and change that. I have given you enough information for you to enlighten
> yourself.
>
> By the way your first post indicated that you had depression. Quote "I have
> General Anxiety Disorder with a bit of A-typical depression thrown into the
> mix further complicated by Ulcerative Colitis."
>
> If you have been able to control your disease by diet then it indicates that
> it is a very mild form and if it is only proctitis then daily 5-ASA
> suppositories would be all that is required for [maintenance] treatment and
> no tablets would be required.
>
> In the literature depression/anxiety often precedes the diagnosis of a
> chronic disease. Even the health/life insurance companies have cottoned onto
> this and usually will not insure anyone that has been diagnosed with a bout
> of depression within 5-10 years of application for insurane.
>
> And as for 5-ASAs burning holes in your gut and stopping working - that is a
> load of rhubarb.
>
> I suggest that you read through what I have posted very carefully, do your
> own research and educate yourself from here on. It is probably not helping
> you that your doctors are also living in Cloud Cuckoo Land. There is no way
> that GAD, complicated or otherwise, causes UC. There is no way that you are
> going to get a handle on your health by staying with that lot.
>
> This is my last post to you, so don't bother asking any more questions.
>
> Vanny
>
>
>
> "Confused" <nospam@nospam.com> schrieb im Newsbeitrag
> news:CfN3k.21535$js6.13425@pd7urf1no...
>
>>here is the link to the sugar pills given to children:
>>http://www.helpmyhurt.com/2008/05/28...-for-children/
>>and
>>http://www.nytimes.com/2008/05/27/he...in&oref=slogin
>>
>>
>
>
>
>

--
remove YOURFOOT before responding

You speak of "most diazepams (valium, ativan, clonopin)." Just for the
record: Diazepam is the generic name for Valium. The name for this group of
drugs as a whole (ativan, valium, klonopin, etc.) is benzodiazepines. People
should be very cautious in using any of this group of drugs--they are
suitable mainly for spot or short-term applications because they are highly
addictive. People can become addicted with regular use in as little as two
weeks and then often go through the torments of hell in trying to get off
them; moreover, in trying to come off these drugs, you get rebound
symptoms--rebound insomnia and/or rebound anxiety--that are far worse than
the symptoms for which you first took them. With benzodiazepines--use
sparingly, and PROCEED WITH CAUTION!

"herutmost" <necurrie2@hotmail.com> wrote in message
news:cc392494-0087-4543-a741-48cf5c3e2079@r66g2000hsg.googlegroups.com...
> you mentioned a-typical depression as a problem in your original post
> which may be why we are discussing it. Long acting antidepressants
> are often very effective tools for individuals with GAD with or
> without depression.
>
> most people with active UC/IBD- ie not in remission, have malnutrition
> because a sick gut can not adequately absorb nutrients- each of us are
> different, depends on where and how sick you are as to what and how
> malnurioused you are. Your weight heavy or thin is not necessarily a
> good indicator of whether or not you are absorbing or digesting
> nutrients you need. Get a blood test- only the facts will help, if
> you have uncontrolled GAD you can not trust your instincts about what
> is wrong or how to respond.
>
> did my anti depressant "cause" my flare- who knows- I said
> "contributed to"
> mental illness GAD, Depression, Full fledged schizophrenia with
> violent paranoid tendencys, even the compelling need to swallow draino
> and stick hamster up your butt- DO NOT cause UC/IBD or Crohns.
>
> People with GAD are often medically difficult to diagnose as GAD comes
> with a variety of physiological symptoms (none of which are found on
> colonoscopy by the way) and subsequently are at very high risk of
> being poo-pooed by the medical community as it being "all in your
> head"--- get a second opinion or another GI doc if they think UC is
> all in your head- it is probably time for them to retire anyway. If
> your psychiatrist reads colonoscopy reports get him yours, maybe with
> pictures or DVD and tell him to shove it (make sure you have an
> appointment with a new psychiatrist first.)
>
> It was my pharmacist and the emergency room MDs that warned me about
> the bleeding issues with certain anti-depressants and UC, both my
> shrink and my GI said "nah" until I brought it back to their
> attention, they looked it up (probably on the sites Vanny listed) and
> both said "wadda ya know, pharmacist is right..."
>
> My GI and PCP will no longer manage any anti depressant meds for me-
> not because I'm a wing nut, but because I have no colon and their
> expertise does not extend to management of co-morbidities or other
> complex medical/mental conditions (they are not managing my diabetes,
> asthma or history of depression). I see a youngish psychiatrist who
> graduated in 1990 (you can find all that info on web- when and where
> they went to school etc all public info) but why she is so good for
> me? Just dumb luck- she has two other ostomates with mild chronic
> depression which she attributes to chronic illness and body
> dysfunction vs major disabling mental illness (although treatment may
> be similar if we were primarily depressed with ostomy and disease as
> our secondary problems) Any hoo- these other ostomates paved the way
> for me- no way to have known this before walking into the good doctors
> office for the first time.
>
> I take Lexapro- it comes in a liquid form. Works well for GAD, most
> diazepams (valium, ativan, clonopin) come in liquid form or can be
> compounded into gel form, but also dissolve sublingually (under the
> tongue) and can be used by people with any amount of intestine (or
> none- if necessary).
>
> Again- see all Vanny's posts on this subject, check the sites listed
> and know that you are not alone.
> N.
>

Whatever, they certainly don't seem to be doing much for their health.

In the literature they have found intestinal inflammation with IBS and,
personally, I suspect a lot of it has to do with bad nutrition and/or food
intolerances. Let's face it normal healthy people do not eat as healthily as
they should and tend to abuse themselves. Depressed/anxious patients that
have not got a handle on their diseases do not look after themselves at all
well - as all of us who have been down that road know.

Anyway, I think that saga has given me a new diagnosis - I am feeling
completely stressed out, hence the rather terse last reply, which I believe
is somewhat out of character! Excuse me while I go and bang my head against
a brick wall.

Vanny




"Deb Schuback" <YOURFOOTdebs02114@yahoo.com> schrieb im Newsbeitrag
news:6bafsnF3aa4mkU2@mid.individual.net...
> My bet is that she/he has IBS and NOT an IBD.
>
> Debs
>
> Vanny wrote:
>
>> Well you obviously have your own take on the world and I am not going to
>> try
>> and change that. I have given you enough information for you to enlighten
>> yourself.
>>
>> By the way your first post indicated that you had depression. Quote "I
>> have
>> General Anxiety Disorder with a bit of A-typical depression thrown into
>> the
>> mix further complicated by Ulcerative Colitis."
>>
>> If you have been able to control your disease by diet then it indicates
>> that
>> it is a very mild form and if it is only proctitis then daily 5-ASA
>> suppositories would be all that is required for [maintenance] treatment
>> and
>> no tablets would be required.
>>
>> In the literature depression/anxiety often precedes the diagnosis of a
>> chronic disease. Even the health/life insurance companies have cottoned
>> onto
>> this and usually will not insure anyone that has been diagnosed with a
>> bout
>> of depression within 5-10 years of application for insurane.
>>
>> And as for 5-ASAs burning holes in your gut and stopping working - that
>> is a load of rhubarb.
>>
>> I suggest that you read through what I have posted very carefully, do
>> your
>> own research and educate yourself from here on. It is probably not
>> helping
>> you that your doctors are also living in Cloud Cuckoo Land. There is no
>> way that GAD, complicated or otherwise, causes UC. There is no way that
>> you are going to get a handle on your health by staying with that lot.
>>
>> This is my last post to you, so don't bother asking any more questions.
>>
>> Vanny
>>
>>
>>
>> "Confused" <nospam@nospam.com> schrieb im Newsbeitrag
>> news:CfN3k.21535$js6.13425@pd7urf1no...
>>
>>>here is the link to the sugar pills given to children:
>>>http://www.helpmyhurt.com/2008/05/28...-for-children/
>>>and
>>>http://www.nytimes.com/2008/05/27/he...in&oref=slogin
>>>
>>>
>>
>>
>>
>>
>
> --
> remove YOURFOOT before responding

"Vanny" <Vannyss2003@antispam.com> wrote in message
news:g2o976$gvs$1@newsreader2.netcologne.de...>
> This is my last post to you, so don't bother asking any more questions.

You gotta drop the attitude. It'll make make people who view your post have
second thoughts on your intentions and your mindset.

On 10 Jun, 07:19, "Confused?" <nos...@nospam.com> wrote:
> X-No-Archive:
>
> I have General Anxiety Disorder with a bit of A-typical depression
> thrown into the mix further complicated by Ulcerative Colitis.
>
> Does anyone else have similar problems and what have you been doing to
> help with the symptoms?
>
> Thanks

Anxiety and depression are frequently linked, and there are many
possible causes, including a genetic predisposition to lifelong
anxiety, leading to adult onset depression - see e.g. Charles
Nemeroff's 'The Neurobiology of Depression'
http://files.meetup.com/680101/The%2...Depression.pdf

It all depends on the severity. No-one should mess around with severe
depression on their own, but should seek medical help.

You can, in any event, always go the pharmaceutical route with the
standard prescription meds. Otherwise, my own experience has been that
anxiety is helped considerably by constant exercise which relaxes the
body and alters brain chemistry. I’m talking about the kind of
exercise- walking, digging, cycling etc - that you can incorporate
into your life. Yoga stretching and breathing exercises are also
beneficial, particularly if you incorporate mental relaxation/
meditation with them.

Severe depression might need, at least temporary, treatment with
standard antidepressants, though I found the older broad spectrum ones
more effective than the more modern ones. For mild to moderate
depression, St John’s Wort is a clinically proven treatment. Get the
standardised strength version so that you can find and maintain the
appropriate dose.

Atypical depression is particularly responsive to positive life
experiences/events. Counselling can help you see the way forward to
discard the negative aspects of your life and pursue the positive.
Also neuro-linguistic programming or cognitive therapy can help and
both need only short-term therapy, or can be guided by self-help
books, or group classes/courses.

In general, prescription medicines may give valuable short-term help,
but may be harmful long-term, and it is best to look at the
alternatives for long-term treatment.

Toom

Thanks herutmos,
Yes, I mentioned a-typical depression only because it was only suggested.
Virtually every professional I saw has their own opinion. The only
commonality they have is that I agree that I have GAD and inflammatory bowel
disease.

You're very correct. It's time I got referred to another GI doctor.
However, in my next of the woods, the doctors all have huge egos, kinda like
Vanny and if you try to tell them you found this or that on the web, they
completely discard it and ask, who are you going to believe, me, a
specialist or doctor or what you read on the internet. In fact, I was told
to stop getting my information on the net and let the professionals do what
they know what to do.

"herutmost" <necurrie2@hotmail.com> wrote in message
news:cc392494-0087-4543-a741-48cf5c3e2079@r66g2000hsg.googlegroups.com...
> you mentioned a-typical depression as a problem in your original post
> which may be why we are discussing it. Long acting antidepressants
> are often very effective tools for individuals with GAD with or
> without depression.
>
> most people with active UC/IBD- ie not in remission, have malnutrition
> because a sick gut can not adequately absorb nutrients- each of us are
> different, depends on where and how sick you are as to what and how
> malnurioused you are. Your weight heavy or thin is not necessarily a
> good indicator of whether or not you are absorbing or digesting
> nutrients you need. Get a blood test- only the facts will help, if
> you have uncontrolled GAD you can not trust your instincts about what
> is wrong or how to respond.
>
> did my anti depressant "cause" my flare- who knows- I said
> "contributed to"
> mental illness GAD, Depression, Full fledged schizophrenia with
> violent paranoid tendencys, even the compelling need to swallow draino
> and stick hamster up your butt- DO NOT cause UC/IBD or Crohns.
>
> People with GAD are often medically difficult to diagnose as GAD comes
> with a variety of physiological symptoms (none of which are found on
> colonoscopy by the way) and subsequently are at very high risk of
> being poo-pooed by the medical community as it being "all in your
> head"--- get a second opinion or another GI doc if they think UC is
> all in your head- it is probably time for them to retire anyway. If
> your psychiatrist reads colonoscopy reports get him yours, maybe with
> pictures or DVD and tell him to shove it (make sure you have an
> appointment with a new psychiatrist first.)
>
> It was my pharmacist and the emergency room MDs that warned me about
> the bleeding issues with certain anti-depressants and UC, both my
> shrink and my GI said "nah" u