Now living with intestinal enteritis

FormerMember
FormerMember
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Just a fancy way of saying that my intestines are still inflamed and act up whenever anything they don't like comes their way. I haven't visited the forum in some months. Just trying to deal with life and the whole pandemic thing has taken a bit of energy. I'm now 15 months post treatment. I can honestly say that my general health has improved. I found out in March of 2020 that the tumor/cancer is gone. That's the good news. The hard part now seems to be living with the damage done to my intestinal tract. I've done quite a bit of research on my own and it seems that radiation treatment to that area can cause longterm damage to the lining of the intestines and result in chronic intestinal enteritis. What this means for me is having to always be within a dash of a bathroom. Living with unpredictability. And living with occasional bouts of diarrhea. I've learned over the past months that food will often trigger a negative response. I've given the negative responses cute nicknames like "drain cleaner day" or "volcano day." The difference being is whether I actually make it to the toilet in time. Fortunately "volcano days" are now few and far between and those are definitely food related. However the other annoying type of diarrhea, "drain cleaner" means I sit there until my intestines just empty themselves out. I mean completely. I'll have one of these about once a week or so. Most of the time I'm pretty sure it is food related but other times I have no idea why - it's like the radiation is still doing something.

I've been up and down emotionally through this. I get depressed because I have to always be near a dedicated bathroom - heaven help anyone in my way should I need to get in there! Other times I'm not depressed and grateful that I no longer have cancer. And very grateful that antidiarrheal medication is available without a prescription!  However, cancer and cancer treatment changed me. Changed my body and changed how I live my daily life. 

I have figured out that food plays a significant role in my wellbeing. I've had to say "good-bye" to all citrus, this even includes fruit like mango. In fact I can't eat most fruit at all. I can do a quarter of an apple at a time [peeled], some banana a day and some avocado. The only fresh vegetables I can do with confidence [in moderation] are carrots, celery and lettuce. I can do a very small amount of cooked peas and corn. Seems I can do potatoes just fine. No beans of any kind. I just tried adding nuts back into my diet and now, after this week, they are out again. Maybe for good. Have to be very careful with fiber, greasy things...oh well, I won't bore you with the rest. I have been keeping a food list. I just miss what I can no longer have. I'm resentful about having to live with this ongoing challenge. But philosophically, maybe it is the price I have to pay for continued 'life.' It just alters the way I saw the rest of my life going. I know there are others who have gone through this who don't suffer long-lasting, on-going bathroom issues, and I'm happy for them. I can no longer remember what it is like to be spontaneous. If my husband and I want to make the short drive to my daughter's house for a visit I have to judge whether my "guts" are trustworthy enough to make the trip. She has 3 bathrooms in her home which takes some of the emotional pressure off. But golly, gee whiz! Why did I have to get stupid anal cancer and its brutal [for me] treatment anyway! Sigh.

  • Hi firstly, congratulations on your good results!  I have just done a bit of reading on enteritis caused by pelvic radiotherapy.  As I'm sure you will have seen yourself, this is a condition which can be temporary, for others it can be a chronic condition with possible surgery as an option in severe cases. I think the trouble is that there's a conflict between feeling grateful that the treatment has worked and yet at the same time resenting the after effects the treatment has saddled us with. That can sometimes make people reluctant to seek help for the very real ongoing issues treatment has caused. If you haven't already, I would consider asking to be referred for to a specialist for help with the radiation enteritis.  It is understandably having an ongoing negative impact on your life which is having a knock on effect now with your psychological health. I understand what you're saying that maybe this is the price that has to be paid for continued life, but personally, I would want to explore all options, it may be that this may never be 'cured' but could be alleviated to a point that it enhances your quality of life. Bev x 

  • Hi Choosejoy,

    it was interesting reading your posting. I can identify with you as I have similar problems, although yours sound a bit worse. I am nearly 3 years post treatment, I can assure you it is a bit better! I have bad ‘bottom bouts’ about every 2 to 3 weeks, when I am on & off the toilet all morning. I have even had to cancel scans because of it. They make me feel so ill, I usually have to spend the rest of the day in bed.  Now, if I know I am going anywhere, I take 2 Imodium the night before. I end up being bunged up for a few days, but it’s worth it. On these bad days, I feel nauseous, am sweating, desperate to lie down, but can’ t leave the toilet long enough to reach it - it is en suite. Most mornings after breakfast I have to dash, often more than once, and sometimes don’t make it in time. I frequently have low abdominal ache as well. I think I may have IBS, I haven’t linked the bad times to any particular food though. I have also looked into Post Radiation Disease, I fit the symptoms. I now see a pelvic physio, who helps a little. I have exercises to do, which possibly help. I recently joined an Anal Cancer Foundation webinar ( from the States) where they talked about these problems. 
    Other than that, I don’t know what to do, & I can’t offer much help. I think it does help to know others have similar conditions. Life is literally shitty!  I love your descriptions, I frequently pebble dash, & have volcanic eruptions! 

    I suppose we are cancer free, & the shitty situations we find ourselves in are better than if the cancer had run riot through the rest of our bodies. 

    Happy Easter! 

    Pam 

    Lady Tourelle

  • FormerMember
    FormerMember in reply to 1in1500

    1in1500 thank you for your reply. I think I'm at a place where quality of life is my goal. Learning to live with long term side effects is a challenge. Doing research into this enteritis situation has actually helped my understanding of it. If I can get to a place where I can recognize what foods irritate and avoid them and remember to not overeat, which gives a twitchy and delicate digestive system too much to handle at one time, then maybe I can gain some measure of control. And more peace of mind. Also currently I have no plans to visit any more doctors. For two reasons: first right now I just don't have it in me to have my body poked, prodded or looked at anymore. And second, because of COVID I have no assurance that everyone with whom I might come into contact with would be vaccinated. Well three reasons, the third being that this whole cancer/treatment was so very costly. I'm unwilling to have my health eat up any more of our finances if at all possible. Like many other people, I also live with a few health issues not at all related to cancer and its aftermath. As for me, I continually try to 'choose joy' on a daily basis. Have a great day 1in1500 (Bev) 

  • FormerMember
    FormerMember in reply to Lady Tourelle

    Lady Tourelle (Pam) thank you for your reply. I agree with you so much that it does help to know others have similar conditions. I wish they didn't, I'm not glad they do, but it helps to not feel that you are the only person on the planet with this challenge. Geez, talk about your post traumatic stress! First dealing with the diagnosis [anal cancer, are you kidding me!], then the treatment, then the joy of the cancer gone then knowing it will never actually be over because the poisonous chemo and the deadly radiation damaged your body...well, that's a lot. I hope your life continues to improve day by day!