A book review: The Complete Guide to Crohn’s disease and Ulcerative Colitis

When you’re diagnosed with inflammatory bowel disease, no matter what age or stage of life you are in, it’s a big shock. Navigating this newfound identity, label, diagnosis and these unchartered waters can be overwhelming. As someone who’s battled Crohn’s disease for nearly 13 years, I’m the first to admit, that first year was brutal. The Complete Guide to CD & UC-2I recently read a book entitled, “The Complete Guide to Crohn’s Disease and Ulcerative Colitis”—A Roadmap to Long-Term Healing, by Alexa Federico. It’s a good thing “roadmap” is in the title, because that’s exactly how I felt while taking in each passage.

Alexa was diagnosed with Crohn’s disease at age 12. She’s now 23 and says, “A lot has changed since my diagnosis! My mindset is probably the biggest change I have gone through. I began this autoimmune journey as a child, holding onto a grudge against my body, bitter about the foods I couldn’t eat and the pain I felt. I felt like my body betrayed me and that I would be a victim my whole life. Over the years, I slowly started realizing that these lifestyle changes that I followed begrudgingly were the very things keeping me healthy. From there, I accepted my lifestyle and started to become interested in nutrition and other ways that people can influence their own health. Today, I couldn’t be more grateful for the path I have walked. I know my experiences and the knowledge I have gained have led me and my family to make smarter lifestyle choices and now I am helping others to do the same.”

No matter where you are along your patient journey, this book will speak to you. Whether it’s how to find a solid support system and how to detach from the “Negative Nellies” in your life or what types of alternative medicine and selfcare options are available—there’s something for everyone. I personally found the techniques for managing stress to be really beneficial.

In one passage, Alexa writes, “I want to stress to you this point: healing is more than a physical process. Alexa Federico headshotOnce you have accepted IBD, it’s important not to dwell on “Why me?” Instead of focusing on what you can’t change (the fact you have this illness now), focus on what you can change. Your healing will be limited if you do not move past the pity-party stage. We all do it; just don’t make it your new life.”

That attitude. That perspective. That’s how I choose to take on Crohn’s. This book is helpful to not only those with IBD, but their caretakers, family and friends. It provides an inside look from the patient prospective, while showing that there’s a big world out there when it comes to healing, managing and feeling empowered every step of the way through your patient journey. I would have given anything to have had this book available when I was told at age 21 that I had Crohn’s disease.

Alexa says reflecting on her personal experience as a child being diagnosed with Crohn’s inspired her to write this book. “I remember my medical team in the hospital going over the diagnosis with me and my parents, but they gave us little direction to go in. We just had my prescriptions and a few words on dietary advice, but other than that, it felt like we were on our own to figure it out. Since then, I have learned so much and I felt like writing a book was the way to share it with people who are getting started on this journey.”

As a fellow patient and advocate, I can assure you this book is one that will educate you, comfort you and help guide you through periods of remission and flare-ups. It’s a reminder that living well with IBD is possible, but take taking on IBD is a multi-faceted approach.Untitled design

“I want readers to feel a sense of empowerment after reading the book and realize that there are many ways they can control their lives. I want them to feel equipped to try out new health management strategies and determine what feels good for them.”

“The Complete Guide to Crohn’s Disease and Ulcerative Colitis” is available on Amazon. Be sure to check out Alexa’s awesome blog, Girl in Healing.

Taking on fatigue as a mom with Crohn’s disease

I hear my baby saying “mama” gleefully from the playpen. Anxious for attention and snuggles. I hear this as I’m sitting on the toilet with the door open, paying the price for the cup of coffee I just consumed. It’s one of those days as a mom with inflammatory bowel disease. The all-encompassing fatigue is taking hold. I knew this the minute my eyes opened, and I heard Reid in his crib, despite a restful eight hours of sleep. If you don’t have IBD you may wonder what I’m talking about.

Let me try my bIMG_6729est to paint a picture for you. My legs feel like complete jelly. My brain feels in a fog. I feel so lethargic; the thought of showering seems overwhelming. I’m not in pain. My stomach feels fine. But, there’s something “off” and you feel it with every part of your being.

As my husband helps me unload the dishwasher, I tell him, “I’m so fatigued”…he laughs a little and says, “well, you’re 34…you are getting old.” I explain to him it’s my Crohn’s. Sure, I may be in “deep remission”, I haven’t been hospitalized with a flare since my bowel resection surgery in August 2015 (*knocks on all the wood), but that doesn’t mean the disease doesn’t impact my daily life. My husband is amazing and never says anything malicious, but unless you live it, you simply can’t comprehend it.

I’m going to be vulnerable here. Please no judgement. The clothes I washed more than five days ago, are still in the dryer. Each day I told myself I needed to walk down 13 stairs and bring them up, but it felt like too much. This morning as my husband got ready for work, needing his jeans…I remembered…they were still in the dryer. I felt like a failure. As I rocked my son in his nursery today, it took too much out of my legs to be in motion. All I was doing was sitting, his little body on my chest. But the rocking felt like too much. As I laid him down for a nap, I went back and forth in my mind about whether I could muster up the energy to shower. I chose to. Mid-shower, I had a brainstorm to sit down on the seat and take some deep breaths while the warm water hit my body. When I stood up, I honestly couldn’t remember if I had put shampoo in my hair yet or if I had washed my face. Literally no clue. These are just a few examples. But this is the reality of being a mom with IBD.

I started beating myself up over the fact that the past two days I may have overdone it. IMG_6646Living in the Midwest, I didn’t want two winter days with temps in the 80s to pass without enjoying them. I knew the fresh air and exercise would be a welcome excursion for my little man and me. Did those two walks with the stroller push me to my limits? What is too much? What is not enough? At 34, you feel lazy when you can’t keep up or have to admit you’re just too tired. You look perfectly fine on the outside, you feel like those around you wonder if you try and take advantage of your disease.

Here’s my advice for anyone with chronic illness, specifically IBD, especially the parents out there. remedy-nsmith-stlouis-1204

  1. Try not to beat yourself up over it. This too shall pass. You won’t feel this fatigue every day. As a matter of fact, days ago I had the music playing and I was dancing around with my son as I cleaned the house. I felt SO happy and so energetic. Focus on those times to get you through.
  2. Self-care, self-care, self-care. Whether it’s going to get a massage, exercising, sitting on the couch and enjoying some tea or going to Target to shop by yourself. Do what makes you feel at ease. Do something for yourself every day.
  3. Vocalize your exhaustion. If you don’t communicate your struggles, you won’t receive the comfort and help that you need. You are not admitting failure. You’re not waving a white flag and giving into your disease. Rather, you’re being strong enough to realize, in this moment, on this day, you need a little boost from those around you to get by.
  4. Ask for help. Boy do I struggle with this. But, it’s imperative. Especially for first-time moms. Being a parent is hard work. Being a parent with chronic illness is on a whole different level. Hold your tribe close and call on them when you need them. You won’t regret it.
  5. Rest. It’s ok to lay on the couch if you aren’t feeling up to doing chores. It’s ok to say no to a night out with friends. Give your body what it needs. Listen to it. This fatigue is real and by not listening, you’re only feeding into the problem more. You’ll thank yourself later.

I recently came across a statistic this week on Twitter from the Congress of ECCO (European Crohn’s and Colitis Organization) IMG_6342that stated, “Fatigue in IBD is experienced by up to 86 percent of patients with active disease and 41 percent in remission.” It’s crazy how common this is! For people with IBD, fatigue can be physical, mental or a combination of both.

Fatigue has a significant impact on the quality of life and needs to be talked about. If you’re like me and feeling fatigued, I hope you feel empowered to share and do what you can to combat it. Just know you are not weak, you are not lazy, fatigue impacts everyone on this journey differently. And most importantly, you are not alone.

 

A Valentine letter for Crohn’s

Yes, you read that title correctly. I used the word ‘Valentine’ and Crohn’s in the same sentence. I’d be lying if I said I would have been able to do that years ago. Hate would have been a more relatable feeling and word. IMG_8476 (1)As Valentine’s Day approaches and love is in the air, I’m choosing to look at my disease with my whole heart and to share my feelings with you.

If it weren’t for my Crohn’s I wouldn’t know my strength.

If it weren’t for my Crohn’s I wouldn’t have my perspective.

If it weren’t for my Crohn’s I wouldn’t know the meaning of a “feel good” day.

If it weren’t for my Crohn’s I wouldn’t be able to empathize with others on the same level.

If it weren’t for my Crohn’s I wouldn’t be able to see people’s true colors.

If it weren’t for my Crohn’s

photo by J Elizabeth Photography www.jelizabethphotos.comI may have ended up marrying a person who really wasn’t about being with someone in sickness and in health.

If it weren’t for my Crohn’s I’d feel invincible and take my health for granted.

If it weren’t for my Crohn’s I wouldn’t be me.

In life there are triumphs and there are challenges. There are stresses and there are successes. There are highs and there are lows. I find embracing the good, the bad and the ugly enables us to reach our potential. The painful, low points are difficult in the moment, but in hindsight they push us to our limits and show us all what we are capable of.

People often ask me if I wish I didn’t have Crohn’s disease. I find it to be a loaded question. I’ve gotten to the point in my patient journey where I wouldn’t change a thing. So much of taking on this chronic illness is your attitude. remedy-nsmith-stlouis-1212There’s no sense in wondering and wishing for something that is not possible. Once you take a deep breath and stop living in your healthy past you come to realize that you were given this hand of cards for a reason.

Your voice, your experience, your journey has the power to inspire. You have the ability to change lives. You have the opportunity to show that invisible illness and everything that comes along with it doesn’t need to destroy your dreams.

While I know some days, weeks and months are going to be treacherous in this journey, do yourself a favor and stop being so hard on yourself. Love yourself. Love all of you. Even the part of you that is broken on the inside. I’ve been through the flare ups and the scares. I’ve overcome pain that causes me to pass out. I’ve weathered the storm of being wheeled into surgery. I’ve done hundreds of injections and blood draws and pokes and prods. At the end of the day, you rise. IMG_6282You take those steps to heal. You focus on getting better. You do all you can to make it through. Crohn’s and any chronic illness for that matter gives you this opportunity over and over. So, while we all tend to have negative feelings about our health and worry about what the next hour will bring, try and pause and stop for a moment. Think about all the beauty and insight it’s provided—and love yourself and your disease for a second.

XOXO,

Natalie

Canceled Plans: Dealing with the unexpected with IBD

Making plans. It’s almost an oxymoron when you battle Crohn’s disease or ulcerative colitis. For the past month or so, I’ve been corresponding with a girl named Amanda. We were brought together through a patient advocacy group known as “The Breakthrough Crew.” One of the organizers told us we should connect. I’m so glad we have. image1 (7)

You know that feeling when you talk to a complete stranger and feel like they’ve been a part of your life and your patient journey since the start? That’s how it is with Amanda. We went from emailing, to texting, to talking on the phone. Our phone conversation felt so comfortable and effortless. She lives in Chicago, I’m from there. We grew up 20 minutes from one another, little did we know our paths would cross in our 30s. This past week, my virtual IBD bestie and I made plans to meet up for lunch halfway in the suburbs.

Unfortunately, days before our lunch plans, Amanda was hospitalized with a flare up. We texted and decided it would be best to change our plans and for me to take a train into the city so she wouldn’t need to drive. We were both so excited. IMG_6057Three days later, at 10 pm the night before we were going to hang out, Amanda was admitted back into the hospital.

This is life with IBD. Making plans and then your disease intervening and saying “not so fast.” This is life when you don’t know what the next hour or day will bring. IBD can rob us of so much of what so many people take for granted. In these moments, this is when friendships within the IBD community mean so much.

While Amanda sits in her hospital bed, we’re able to correspond and be there for one another. I don’t think twice about having my plans change in a matter of moments, it’s almost an expectation. When I heard she was hospitalized, we shifted our plans and rather than lunch and girl talk, I was going to take the train and an Uber to the hospital to meet this girl who I’ve never met, but feel so close to. Unfortunately, her and I both knew rest was what she needed more than anything. And hospital visits, while uplifting, can be exhausting.

When she voices frustrations I too can feel her pain and offer meaningful words of encouragement.

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Amanda and her amazing husband, Rick

When she talks about her incredible husband Rick and how the poor guy wasn’t even given a chair to sit in as she struggled in pain for hours in the ER, it immediately brings me back to moments where my husband had to lay in my hospital bed with me because he too wasn’t given a place to rest.

Since I started sharing my story in 2014…nearly a decade after my diagnosis, I’ve realized how empowering it is to be open, to find comfort in friends—both virtually and in real life—and to know there are so many people out there who can be your lifeline in health and in flare ups. Find your Amanda. Find your friend who gets it. Even if you have yet to meet in person, they can bring you comfort you never realized you needed until it was available.

Amanda and I made plans. They didn’t happen. But, hey…that’s the nature of the beast we call IBD. If it weren’t for IBD, our paths never would have crossed. We’ll try again next month, and the month after, and one of these times the stars and our health journeys will align.