Archive for the ‘Medication’ Category

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Gardasil: Save What You Have Left!

July 13, 2012

There’s been a lot of discussions about the Gardasil vaccine in the news lately over the past few years, especially when it was approved by the FDA in June 2006 for females between the ages of 9 and 26. It’s a vaccine that protects against the Human Papillomavirus (HPV), but only the four most aggressive strains (types 6, 11, 16, & 18). These are the types that have been proven to cause cervical, vaginal, vulvar, penile, and anal cancer, as well as the majority of the cases of genital warts. In October 2009, it was finally approved by the FDA for boys between the ages of 9 and 26 as well, so that was an important stride in helping prevent men (mostly gay men) from having any further health issues to deal with.

On top of what most of us on this blog have to deal with in having surgeries or living with these digestive diseases, I can’t imagine we would want any further troubles down there, as this virus can cause. I’m living post-surgery and have an ileo-rectal anastomosis, so that means I still have my rectum. That means that an HPV infection, especially with one of those aggressive types, could lead to genital warts and/or anal cancer in my case. If I was have genital warts in the anus or my rectum, that would mean I would need more surgeries to remove them, causing more scar tissue, or weakening my anal or rectal walls. And of course any diagnosis of anal cancer could be quite deadly or lead to extensive treatments, all of which are unappealing.

Another important key point about this vaccine is that if you have your rectum still, like I do, then you should know from previous posts on here that it means you can still be sexually active as the receptive partner. One thing we can learn from these diseases is that being the receptive anal sex partner is nothing to take advantage of and so I would hate to think that I might have the possibility of losing the rectum I have to any form of genital warts and/or anal cancer. I want to be able to keep what little I have left so I can use it!

Now the 2nd part of this Gardasil vaccine process is that it’s quite a tricky thing if you are a male. Even though it’s been approved by the FDA, some insurance companies will not cover the drug. I have United Healthcare and I know they do not cover the vaccine for males of any age. Blue Cross/Blue Shield will cover the vaccine for girls under the age of 18 only. The cost for the vaccine can range between $150-$250 per injection, and you will need three injections of the vaccine to complete the series. That can cost you up to $450-$750! That might not include the office visit to get the injection, or the cost of just a vaccination, depending on what insurance you have.

I tried appealing the vaccine with my insurance company on three separate occasions. I wrote them a letter letting them know I was a sexually active gay male in my 20’s and that I had a previous medical condition causing me to have needed multiple surgeries in the past in my digestive tract. The 2nd time around, I even had my doctor write a letter on my behalf submitting medical information proving his urgency in feeling I needed this vaccination. I also sent them all the information from the FDA, showing them I was in the age range and demographic range of people needing the vaccine, but it was all to no avail. My insurance company stood their ground on not covering the drug.

But when I went for my annual checkup in June 2012, my doctor asked me if I had gotten it yet and I told him no. So he offered me one more option that he said he had just learned about recently; He said that he could give me a written script for the vaccine and that I take the script to a pharmacy and see if they’ll give it to me based on the regular pharmacy co-pays. Then I pick up the vaccine and bring it to his office and they’ll inject it for me. I was worried this might not work, but I said I would try it anyways. So I dropped it off at my pharmacy and when I went back the next day, they told me it was a $20 co-pay. I asked them to make sure they submitted it to my insurance company and that it was the actual response and they said yes. So I was more than happy to give over my $20 and I brought the vaccine right over to my doctor’s office (it needs to be refrigerated, so only pick it up when you know you can get it injected soon after). His nurse injected it in my arm and all was finally done after two years of appeals with my insurance company!

I go back in month to get my 2nd injection, then I get my 3rd one 5-6 months after that. That will complete the HPV vaccination series. I can’t promise this way will work for everyone, but I know this was a way that it worked for me, because that way they don’t have to bill it as a full vaccine through my doctor’s office, they can just bill it as a drug that is covered under my pharmacy benefits.

So go ahead and get yourself vaccinated, because we Gay Digesters and have been through enough troubles with our butts already!

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SEX: Straight Up (Well, Maybe Not So Straight)

December 7, 2010
I would say that most of the e-mails I’ve received in response to this blog from guys (and a few straight women!) have been regarding the topic of sex. Most of them are concerned if they could do it or not. I would think that they were asking, because it had been brought up with their sexual partner, and they have obviously been researching whether it can be done. Hence, my blog is one of the first that comes up when you search anything about anal sex related to digestive diseases. I like it that way! For those of you who are complete tops, there’s probably not much information you need from this post anyways, and you can continue your topping ways. But I would advise to read it over, in case you come across anyone who’s living with these diseases, or has had the surgeries, so that you can know and be an understanding partner. And those of you who identify as mostly a bottom, I hope that you will find this post extremely helpful, and as a “manual” to your future, yet altered, sex life.

So here in this post, I’m going to lay it all out on the line about what I know from what we can and can’t do in the bedroom. I will again mention that I am NOT a medical professional, so none of this information should be taken officially, but this is all from what I’ve researched (trust me, I did alot!), and also from what I’ve personally experienced (there’s been a lot of research there, as well!). But then I did hear from someone who said his doctor was so nervous about talking about gay sex, he just told the guy to “use more lube” and ran out of the office! So we have to look somewhere in the middle to find information on such a taboo topic, but I’m not afraid to get it out there, so that there isn’t another person as confused and scared as I was. Some might consider this post graphic, so I advise that if you are not willing to read about anal sex, then please continue on to another post.

Pre-Surgical Passions:

Where should I begin? Let’s start with anatomy. For those of you who are pre-surgery, you still have your large intestine (or some of it anyways), and I’m also assuming you still have your rectum. The rectum is the official organ of anal sex. Therefore, receptive anal sex is possible for you folks. But if any of your were like me, you were so sick and there was so much inflammation it would have been far too painful to even think about having sex. Also, you would be going to the bathroom so many times, the thought of any mess or blood would be enough to kill the mood. I remember also just feeling so down about being sick and I was so weak, I don’t think I ever had the energy to be sexually active. It was a very strange time. But if some of you are stabilized or healthy enough to give it a try, I’d say it could be done. But keep in mind, it is very tender in there, and anal sex will most likely cause bleeding. This will need to be discussed with your partner and you also have to keep in mind that the bleeding is a sign that there is more damage. You really want to take your time and not let things get rough. If there are any ulcers or extra inflammation, then there could be some tearing or damaging that could occur, so please be careful. You must ALWAYS be in control and you should be a good judge of what you can and can’t handle. You’re health is on the line.

Post-Surgical Passions- The J-Pouch:

Ileoanal Anastomosis

For those of you who are post-surgery, it can get a little more complicated. There are a couple options for procedures, but the most common would be the Ileoanal Anastomosis (“J-Pouch”). I will also talk about the ileorectal anastomosis (“IRA”), because that is the procedure I had, and so I’m quite familiar with it. If you have the J-Pouch, the answer to the anal sex question is unfortunately, NO. As can be seen in the picture, the folded small intestine that creates your J-Pouch is sewn right to the anal canal. This provides almost no room for a penis to pass through, as the small intestine is very narrow. I can’t say the exact size, but it’s certainly not much bigger than the width of a drinking straw, or your pinky finger at most. It is also not as elastic as the rectum, so cannot stretch as freely when an object is inserted. There’s also the concern of the suture site being right there, and any stretching can certainly drastically increase the risk of a tear. If it wouldn’t be the visceral skin that is torn, it could possibly be any suture holding the J-Pouch in place, creating the effect of a rupture in the intestinal lining. I don’t think I need to go any further as to how critical that can be. And after what you went through with that surgery, a tear will only land you back on the operating table. I know this is extremely upsetting news, especially if you are younger and get pleasure out of bottoming. But after all the sickness and disease you’ve already gone through, you shouldn’t put yourself at any further risk. Further down this post, I will provide alternative options for sexual pleasure. If some of you are having touble dealing with this information, I advise that you seek someone to talk to, and if you don’t know anyone,  you can always e-mail me (Booties4986@aol.com), and I would be happy to talk with you about it. When I had my first surgery, I thought this was going to be my case and I went through a severe depressive mood, thinking that I was never going to have sex again and that no one would ever want to be with me. Trust me, I’ve been there. I also know what it’s like to think that you’ve lost your “gay identity”, or to feel that the part of what makes you who you are is now taken away. But I always say we have the advances of medicine in our future and perhaps there will be a way someday!

Post-Surgical Passions- The IRA:

Ileorectal Anastomosis

For those of us with the IRA (represent!), we have a slight advantage, but even more care and concern. People with an IRA have all or at least some of their rectum. The rectum is the main organ invovled in anal sex, as it is the only place that the penis goes. It is generally eight to ten inches long, if you have the whole thing. Since I have my entire rectum, I am still able to have sex, but I also use extreme caution. It is similar to being pre-surgery, except there is no pain and disease, but the sex drive is normal. At least it is for me. For one, if you have inflammation of the rectum (proctitis), it happens to be more painful and something you’d want to avoid so that further inflammation or damage doesn’t occur. I came down with mild proctitis recently and it was easily helped with rectal suppositories (mentioned in a previous post). The best way to have intercourse would be to get in the “riding” position. This allows full control to be in your hands. You can let it enter at your own pace, and if it becomes too painful, just get back up. Then you can also control the speed and depth of the thrusting, to make it the most comforatble for you. Also keep in mind that your rectum is now the storage area for all of your bowel movements, since the large intestine is no longer there to do that. They can’t be stored in your small intestine like they previously were in the colon, so you have to be very conscious of what’s going on down there before having sex. Make sure that you have gone to the bathroom and if I can provide a bit of advice that has been extremely useful to me…. douche. I went online and found an anal douche for only about $10, and it works wonders in clearing everything out. Of course it would need to be done right before the sexual act, otherwise time will just bring more bowels into the rectum and you’re back at square one. Another concern for post-IRA people would be the size of you sexual partner. We should always be concerned with girth, but it’s the length that is key here. As I mentioned before, you have a limited amout of space. What once would have passed your rectum and gone into the large intestine, can now no longer fit in the small intestine. It would bring up the same risks as people with the J-Pouch (tearing, bleeding, ruptures, etc), and should be avoided at all costs. Therefore you should cap the length of your sexual partner at 7.5 inches (all us men lie anyways, it shouldn’t be that hard to find!), unless you know the exact measurement of your rectum from your doctor. You should also avoid any sexual position that is out of your control, or where he would be deepest inside.

Heterosexual Anal Sex:

For women, all of the previous information is of course true. The anal anatomy would all be the same depending on what type of surgery you’ve had, but I would say that your rectums would probably be smaller. So something to consider, depending on the size of your partner. Men have prostates, which is what gives us the pleasurable feeling of anal sex, but women however may derive their own form of pleasure from it, or do it to please their sexual partners. I would advise that your partner be aware of your surgical history, and hopefully he will lose his desire for anal sex and stick with vaginal intercourse, to avoid any damage to you. If not, then in my opinion, he’s not a worthy man to keep around. But if anal intercourse is actually something that you get pleasure out of as well, and seek to explore, then read below for the alternatives, as it would be the same for you ladies as well.

How To Prepare:

Anal Douche

If you are pre-surgery, or post-surgery with an IRA, then there is unfortunately almost always going to be a preparation process. It doesn’t look like anal sex is ever going to be this random quickie thing for you again. If you’re at all like me, you’re most likely going to plan your day around whether you think you’re going to have sex or not and might get paranoid about making sure everything is going to go okay. As I mentioned before, the one thing that shot up my confidence was buying an anal douche. I was extremely paranoid because some of the times I was experimenting with sex after my surgeries, I would have a little bit of a mess. Thankfully, I had some understanding partners, but I think there is only so much a person can take. I would eventually just avoid having sex, and on extreme days, I prevented myself eating the whole day, so that by the time I was ready to be intimate at night, there shouldn’t be anything to pass through. Please don’t choose that option, because trust me, stuff passes through whether you eat or not. It’s all part of the body’s natural peristalsis. An anal douche is similar to using an enema, except you don’t have the intense bathroom-usage side effect, and it’s just basically washing your rectum. People who still have their colons might consider an actual enema. I fill mine up with lukewarm water and do two washes to clean things out, right before having sex. The cleaner the water that comes back out, the cleaner you know it is up there. You might even “feel” cleaner and therefore it would increase your confidence, and I’m sure that’s something your partner will notice and enjoy.

Another option is to pay attention to any  medications, supplements, or food you eat that day. I always be sure take the full amount of pills needed, and my last dose of Lomotil right before having sex. That medication slows down some of the working of the intestines, so it can slow down the process of food needing to come out. I use that in the hope of preventing any last-minute digestion while I’m in the bedroom. I also eat a Metamucil fiber cookie about an hour or two before anything, because then things can bulk up and prevent any loose, watery stools that would unfortunately be there no matter what douching does. And of course, eating any bulky food that day will also help and eating it in small amounts, at a decent time before, depending on how fast your digestive process is. For instance,  I feel as though my digestive process is about 5 to 6 hours. So anything I eat in a day, will generally be coming out 5 to 6 hours later. It’s all about timing. I also be sure to avoid anything that doesn’t fully digest. For example, lettuce, raw vegetables, or anything with seeds in it. Since they won’t digest for us anymore, and they can easily get stuck in the tract and not be able to be douched out, they can sometimes appear at the wrong time. This is definitely something you would want to avoid. The last thing you need is to have little bits of broccoli or lettuce involved in your sex!

The last thing that’s smart to take notice of is the environment. If you’re more comfortable in your own place, or have all the previous preparations readily available there, try to veer the act in your own domain. Not only would this increase your confidence, but you would have anything you need close by and are able to use them if required. Also, you can control other aspects of the sexual environment. For instance, if a certain smell is of concern to you, be sure to light scented candles in the bedroom. Not only will this provide romantic lighting, but it will also make the bedroom smell great and hopefully get rid of any concerning odors. There’s also the option of flavored lubricant. The brand, Wet, makes a strawberry kiwi that tastes nice and also gives off a very fruity smell that takes over the room. This is sure to mask any smell, and if he says something about it, just say it’s the only lube you have left. Also, controlling the lighting is another key. If there’s going to be a little mess and you sometimes can’t control it, then it would be better to keep the lights off. No one needs to see any of that, and I’m sure it will increase your confidence. I avoid daytime sex, because I’m just not sure enough how things are going to be and instead of worrying about it, I just keep the lights off, lay a towel down, and enjoy what I can. It should also be noted that having white, or light colored sheets might not be the smartest thing either. I go with the policy of making sure sure I’m as comfortable as can be, and he’s as clueless as can be!

Other Risks & Factors:

As with any sexual act, there are always risk factors involved. And if you couple that with having a chronic disease that may have involved the removal of key body organs, then you have to assume that the risks increase substantially. For those of you living pre-surgery, you most likely have inflammation, ulcers, or sores that are just asking for diseases to attack. It makes you extremely susceptible to contracting an STD, or other types of infection or bacteria that shouldn’t be there. It could easily put both you and your partner at risk. There’s also the risk of further damaging the frail tissue in that area, and from what I remember it was a long struggle just to heal that tissue, and I couldn’t imagine wanting to damage it for one sexual act.

For those of you living post-surgery with the IRA, it’s the same story with the STDs and infections. Most of us will basically always have the inflammation, and if not, then some of you may have scar tissue as well. This all creates a more shrunken environment than is usual. And a smaller environment down there, means it’s tighter and it’s more painful to take, and that pain just leads to slight tearing and bleeding, which can then lead to increased risk of contracting something or causing more scar tissue. It’s an unfortunate cycle.

However, these do not mean that those of you living pre-surgery, or post-surgery with an IRA can’t have sex, it just means that you should be VERY cautious. And it should allow those of you living post-surgery with a J-Pouch feel better about not even having to deal with having sex! It can be more work than it’s worth!

One of the last things I bring up, and it’s definitely a “risk” in my book, is abandonment and rejection. This can happen for ALL of us, whether you are pre- or post-surgery and whether you have a J-Pouch or an IRA. We are different. Just say it to yourself: “I am different”. Different, however, should not be viewed as bad, but just as something other than what society calls “normal”. But being gay, we should all already know the experience of being different and be proud of it! Franky, I think normal is pretty boring. I compare the words “normal”, “common”, and “frequent” with the words “different”, “rare” and “unique”. I’d much rather be the latter. Now that you realize that, you have to realize we are also different within our own community. We are gay men who are living with something that gets in the way of us leading a regular sex life. And because of that, we are more apt to be abandoned by those we love, or rejected by those we hope to love. There are a lot of people out there who don’t understand us and don’t understand what we went through. Some (mostly bottoms) probabaly aren’t going to mind as it might not affect them much. But the tops might not understand why we have to take precautions during sex, and they might lose interest in that. I can speak from personal experience that it’s very hard to get someone to accept your insecurities, your preparations, and sometimes even your scars. I was in the middle of a three year relationship when I got sick, and he was with me through pretty much all of it. I had decided to go through with the surgery, because I knew I wanted to be with him forever anyways, and we had talked it through. So I had the surgery, then he called me and ended our partnership before I even made it back home from my first surgery. Needless to say, I felt naive. But it was a learning experience into the risks of living post-surgery. And each date, or sexual encounter after that has still been a learning experience. I always say to look at it like a “filter”. We are biologically living with something that allows us to “filter out” the unworthy men in our lives, therefore saving much heartache later on.

Alternatives To Anal Sex:

The Bullet

Alas, we come to the topic of alternative ways to get sexual pleasure. The majority of these options work for both pre- and post-surgery patients, so they can be generalized, unless I have specified otherwise. One of the basic options is to just change the type of sex you’re having. If you had mostly, or exclusively, bottomed before getting sick, then consider switching roles. Discuss with your partner whether or not he would be willing to be the bottom from now on. This should also be something that you are willing to do. Some of us may not be comfortable switching roles, or may be bitter about the fact that the opportunity was taken from us, but it’s this or other less thrilling options. And frankly, I’d rather still have sex! If topping and bottoming isn’t how you classify your sex life, and you rely more on domination or submissiveness, then it wouldn’t matter what role you were in. If you were used to being more submissive, therefore leading you to bottom more frequently, then you can learn to be a submissive top. For instance, being thrown onto your back and ridden is just as dominating as being thrown onto your stomach and… well, there’s not exactly a decent word for it, haha. There are always ways to work around sex to make it comfortable for you, and your partner should be willing to do so, as long as he is comfortable as well. I find myself to be a little more submissive, so if I’m going to top, I’m much more comfortable having someone ride me, because then I can still feel like they are in control and like they are on “top”.

If you’re adament about not switching roles, there is a whole array of foreplay to explore. When I was diagnosed and didn’t have sex, my partner and I relied mostly on foreplay. After all, it doesn’t have to ALWAYS be about sex. Making out can become more passionate when it’s not just a time-passer between getting undressed and having sex. We are all (hopefully) equiped with two hands that can come in very handy all over the body. A simple back massage could work it’s way down to hand jobs, fingering (I’ll discuss later), or just an all-over massage that can relax the muscles and increase bloodflow, therefore leading to a more intense orgasm. I personally enjoy oral sex and find it to be satisfying enough for the majority of the time. Just like intercourse, this can involve a series of positions to promote sexual gratification. For gay men, 69 is the perfect equilibrium sexual activity. Both parties get the same satisfaction at the same time, there’s no risk of damaging anyone, and there’s a much smaller chance of transferring STD’s or infections (if done safely). For those of us who have more sexual receptors in the back end, there is of course the option of oral sex back there. This act provides no risk of damage to your surgery site, yet provides an intense stimulation. And from what I’ve experienced, the people that like to do it, REALLY like to do it and won’t mind. Of course, the preparations listed a few sections above should most definitely be taken into account, as you wouldn’t want to give yourself a reputation!

For the second round of foreplay, let’s consider options that involve forms of penetration. Of course these all need to be considered very carefully. One of the most basic forms is, of course, the finger. You should first explore it alone during masturbation. Try inserting one finger (very lubricated) in to get a feel for it and see how comfortable you would be. You should be able to feel the area and get an idea of what you have going on down there, because you’ll want to know when your with someone else. If you don’t notice much discomfort and feel like you can explore a second one, go ahead and try it. I would not advise going beyond two fingers. You might notice, because it will be tighter anyways, and you wouldn’t feel comfortable with anything bigger. Keep in mind, even if your fingers feel okay, it doesn’t mean a penis would. After you get to know it, try it with a partner if they are comfortable doing so. Express that they should start with one finger and keep it slow so you can get adjusted to it. This should provide a pretty safe form of anal stimulation and hopefully keep you from any harm. Other options include sex toys. Please don’t go overboard and keep these to a small size, and simple form. You don’t want anything too big, nor do you want anything with ridges, bumps, spikes, etc. This is a sure way of bringing on damage. At sex stores I’ve been to, I’ve seen really small dildos and other miscellaneous toys meant to be small enough, yet they still provide the stimulation. You may find that many of these toys are meant for use by women, but can easily be used by a man as well.

One of my favorite toys that I always talk about is The Bullet. This can come in many sizes, shapes, and colors, but is generally a small, silver bullet-shaped toy that is attached to a cord and remote. The objective is to insert it into your anus and use the switch on the remote to control the vibrations it makes. They generally range from slow to fast. Please be sure to buy the smallest version of The Bullet you can find and don’t use the high speed unless you’ve used the slow speed often and are comfortable with it. Too many vibrations might increase your chance of damaging something. If it’s too tight and The Bullet doesn’t fit all the way in, keeping it on the opening of the anus, with slight pressure, will still create an amazing feeling. Also, I should mention that if you are topping and you have The Bullet inside yourself, your penis will vibrate slightly. This should create yet another great feeling for both you and your partner!

For those of you who are post-surgery, with an IRA, if you notice some tightness when trying to have sex, there is yet another toy you should try. It’s a Rectal Dilator Kit. It usually comes with three to four buttplugs, in varying sizes. The point is that you start with the smaller one, and work your way up to the larger one, or whereever you feel comfortable stopping. This can help relax the muscles of the rectum and allow you to be more prepared for sex without the discomfort. But be VERY cautious with this, as some of the kits have the largest being so big, it’s alsmost impossible. I would generally stick with the first two sizes and this is ONLY if you have a rectum leftover (The J-Pouchers should not try this). There are plenty of things for you to explore at your local sex shop. Other items include anal beads, finger toys, dildo ice-cube makers, straps, handcuffs, feathers, costumes, poppers, and of course food. I highly recommend you try out these options, as the only thing it can do is make your sex life more interesting, and if you are worried about not being able to bottom, then these will surely pass the time between the sheets!

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The “Ins” and “Outs” of Rectal Suppositories

November 22, 2010

Since moving to New York City, there has been much going on in my life, yet I can also say there’s been much more satisfaction in my life as well. In 2008, I would never have pictured this is where I would be in 2010, and it’s just been amazing. It’s just also been busy and alas, I haven’t been as faithful to this blog as I wish. But I want that to change!

My latest post was about an increase in stress and how I had thought that possibly it affected some of my issues. Thankfully, none of it has really gotten worse, but it also wasn’t getting any better. I had been so distracted with New York City and getting on with my life, that I think I was ignoring what was happening and just “dealing with it”. And that’s something no one should have to do anyways.

So while I was getting my yearly follow-up sigmoidoscopy, my new doctor noticed a bit of inflammation and said that we should get that taken care of. I believe that would explain my slight increase in urgency to use the bathroom and would also be the problem causing some of my night time incontinence. I had expressed to him that the night time incontinence was something I did not want to deal with and wanted taken care of as soon as possible. I was wondering why I wasn’t waking up to the sensation of needing to use the bathroom, and we just thought it had to do with too much inflammation, and also perhaps I’m getting very tired and have just become a heavy sleeper at night. He didn’t really know the exact cause.

I had kept myself single for 2010, so I could focus on myself and getting healthier and going along with my life. I have recently decided that maybe I am interested in dating again, but now I had this recent bout that was holding me back. My concern was that I would meet a nice guy, then if we did a Saturday excursion or something, I would spend the morning making sure I had all my pills, and that maybe I would take an extra fiber supplement, so it didn’t look like I was going to the bathroom alot. I would also never bring up anything about being sick or having the surgery until a much later time, as I didn’t want any awkwardness.

Some guys have noticied my scar and I just tell them I had an ulcer removed. I neglected to mention the “ulcer” in question was my entire large intestine. Another major concern for me, that causes lots of stress is what to do if they want to spend the night. The sexual part doesn’t bother me as much, because I always prepare for that and have gotten more comfortable. But with my new issue of some night time incontinence, I’m paranoid about letting someone spend the night and possibly me having an accident. Also, I get up to use the bathroom about twice a night, so I know that would be something they notice as well. So when it comes to that, I’m always awkward and usually avoid having someone spend the night. This is SURELY something that will avoid allowing me to enter a relationship.

So after the scope (which my doctor found nothing else concerning besides the inflammation, thankfully), he prescribed me rectal suppositories. I had been on these right after having my second surgery to take care of some inflammation. I eventually stopped after a refill, because I was seeing someone at the time and it wasn’t convenient for me to remember to use them at night and I also felt that I didn’t notice much difference. But it was right after my surgery and I was on such a kick about feeling good, I don’t think I paid much attention, or I just attributed any issues to the healing process.

He prescribed me Canasa, which is a non-steriodal anti-inflammatory drug (NSAID), similar to aspirin. The suppository I was on before was a hydrocortisone and he said because of my previous history of dysplasia that he wasn’t comfortable prescribing anything with a steroid in it, because he didn’t want that to feed any growth. I had never thought of that, but was glad that he did.

It took about two weeks, but all of a sudden I noticed a definite difference. My first time going to the bathroom all day wouldn’t happen until about 3:00pm! It’s prescribed to take at night, but I was worried with my going to the bathroom at night that it would just come right out and not be very effective. So I use one in the morning, right before I go to to work. That way it can stay in longer and has much better success for me. After a scope one month later, he noticied a significant decrease in inflammation. Excellent news!

Due to the success, he told me it would be okay to start taking them twice a day, one in the morning and now one at night. This is in the hopes of trying to clear up the night time incontinence. My night time issues got better as well, but I’m looking for them to be completely gone, and it was still sometimes unpredictable. I see him again in about another month and hope for further reductions in inflammation and eventually being able to go a whole week without any night time issues!

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Updates & Stress

July 6, 2010

Hi Everyone!

Sorry I know it’s been quite a while since I’ve posted on here. Life has been pretty busy to say the least, plus I haven’t had many updates to post.

To start off, I want to mention the CFFA charity walk I did. It was May 1st here in Albany and I decided to host a brunch the morning of for my friends and for those walking with me. I had friend in and out all morning, and wayyyyy more food than was necessary, but it was good time and the mimosas were great! Only three of us went to the walk, but I went there $1,200.00 that I raised individually! It far exceeded what I raised last year and I felt very successful in helping out this cause. I was also proud to be walking with my peers who have suffered along with me. I find the TakeSteps walk to always be an emotional experience.

Also, I move to New York City this Saturday (July 10th)! It’s been something I’ve been planning since New Year’s Day 2010, which was the day I told myself I would have a new life. My planned date to move there was October 10, 2010, but I put an application in at Mount Sinai and got a call back for an interview in about two weeks! The interview went great and three weeks later I got offered a position as manager of clinic at Mount Sinai.

I love my current job in Albany and felt really bad about leaving, but there’s nothing going on for me here in Albany and I can’t miss out on this great opportunity. But needless to say, the past month of my life has been very hectic and stressful. First there was waiting to hear back about the job, then the non-ending search for an apartment, and now I’m at the point of trying to sublet my current apartment and pack up my whole life for a big move to Manhatten.

I think these events have flared a little bit of a stress-related bowel issue with me. It’s nothing bad and I don’t feel there’s a serious problem, but I’ve noticed a go to the bathroom a little more frequently the past couple weeks, and I think I may also have a hemorrhoid or some swelling. There’s no bleeding and there’s no pain, but I’ve noticed some increased incontinence. That’s the most annoying part for me and makes it hard to get a restful night’s sleep. Especially at this time when I need to rest my mind the most.

I just started taking my lomotil again last week and also started my steroid suppositories. These are prescriptions I’ve had around, but that I stopped taking because I didn’t feel I needed them. I’ve noticed a little bit of improvement, but I also didn’t change my diet. That is something I’m going to start doing this week, and hopefully in another week or two can be over this little flareup.

I’ve always been a firm believer in mind over matter, so that’s why I think I just have to get my mind on the right track and get over the stress and that my body will follow suit.

Does anyone else normally live healthy, but experiece little flareups related to stress? And what do you find helps the most?

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Stool Coloration: How Do We Know What’s Normal?

January 6, 2010

I got an e-mail from a viewer of J-pouch.net and she was contacting me on behalf of her boyfriend, who is post-surgery. She was concerned because she said his stools were a reddish color, and he wasn’t thinking this was anything abnormal, but she wanted my opinion on whether this was something to look into.

In my response, I asked her what type of surgery he had, how long ago, and to clarify the reddish color. These can all be important in determining where the color might be coming from, and whether or not it’s normal.

From what I’ve previously looked into, it seems that darker reddish or black stools can indicate a problem in the upper part of the digestive tract, while brighter reddish stools can indicate a problem in the lower part. It could be as simple as something like an anal fissure or hemorrhoids, but it could also be more serious signs of something like colon cancer, or a digestive disease.

Seeing as we all have lived with a digestive disease, how can we differentiate what’s normal to be in a stool? First off, I need to say that you should ALWAYS ask your doctor first and take his/her advice. There is too much information on the internet and some of it might be false, or lead you into thinking the wrong thing, therefore causing some much unwanted stress. I can’t even assure that this information is correct, this is just what I’ve seen many times before from different resources.

I know I’ve seen a vast amount of colors in my own bowel movements, and I can usually always attribute it to something I’ve eaten. Since we are missing our large intestines, our food obviously isn’t totally digested by the time we excrete it. This would mean that any food with certain colors can also come out those similar colors. I know red gatorade, beets, Kool-Aid, or tomato juice can all cause a red color. When I take a multi-vitamin with iron, I notice my stool is is a lot darker than normal, and I know it’s because of the iron.

People like me, who have an ileo-rectal anastomosis, still have their rectum intact. There are chances that one could still get minor colitis in the rectum, and this could be a source of a reddish stool if that’s the case. For those living with the J-pouch, a reddish stool might be a sign of pouchitis, an infection that can be cured by a treatment of antibiotics. For anyone else, you might want to consult your doctor so you can get an answer as to what might cause the coloration.

As for us gay men, if you partake in receptive anal sex, it could be damage from sexual contact. For those living with the J-pouch, anal sex is not recommended at all, and I can imagine it would definitely lead to some bleeding. This is a very tender area and something you would definitely want to take care of.

Does anyone else see similar colors? And if so, what have you heard about the causes of this?

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2 Weeks Without Lomotil… Still Good!

December 28, 2009

So when my Lomotil script ran out, I contacted my doctor’s office in Cleveland, OH to call me in a new one at my pharmacy in Albany, NY. Apparently, a recent NYS law requires that the actual hard copy be there for controlled substances (which I just found out Lomotil was). So they called the office a couple times and it made my feel bad, because I work in a doctor’s office and I know how annoying persistant calls can be. I got an e-mail from the nurse and she said she sent it out in the mail. Unfortunately, they sent it to my parent’s address in Syracuse, and with the holidays, I knew it would have taken forever, so I just decided to wait until I got home for the holidays.

So now I’m back in Albany and I just dropped the script off at the pharmacy this morning. But I’m realizing that I have already gone two weeks without using the Lomotil and don’t seem to have many noticeable differences. It’s not that I go to the bathroom any more frequently, but that I noticed it was a little more liquidy. But I don’t think it requires me to take 6 pills a day. So I’m going to keep it on an as-needed basis, or maybe just take one at dinner, and then have my fiber supplement at lunch. I think this should manage it nicely.

I used to continue the Lomotil religiously, just because I was recently dating someone and I wanted to make sure it was as controlled as it could be. Also, you want to make sure it’s not too liquidy, because we all know that can also create a problem when you want to be intimate.

Does anyone else take Lomotil, and do you notice a difference when taking it? If not, what other supplements do you take?

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Welcome All!!!

December 20, 2009

Hi everyone!

My name is Michael and I am a 23-year old gay male that was diagnosed with severe ulcerative colitis in February 2008. I lived with the disease for almost a year, before finally deciding to have surgery in December 2008. I documented my journey on another blog, jpouch.net. You can read my stories on the following links:

http://www.jpouch.net/photos/boots-uc-journey/

http://www.jpouch.net/2009/04/20/boots-uc-journey-part-2/

I started out using that blog and it was a GREAT resource for people living with the disease and contemplating surgery. I got a lot of information, because I was able to talk with people that had lived with it, and also had surgery with a multitude of results. It also let you know what to expect before and after, which can get rid of a lot of confusion. The only thing that still confused me, was that I am gay and was looking to see how it affected gay individuals. I searched the internet up and down, only to find minimal results. I did get through to someone on jpouch.net, and he helped me answer a lot of questions, but there were still so many I had.

Since posting my story on jpouch.net, I’ve had many other gay people (more than I thought) contact me, or comment on my stories saying how it was such a relief to find someone else gay and going through this disease. That inspired me to start my own blog on being gay living with digestive diseases, or living post-surgery. It is a totally different perspective for gay people (gay men mostly), because we don’t just use our intestines for digestive purposes. It can be a dramatic lifestyle change, and I know that was the NUMBER ONE issue for me when I was sick. I had a partner for over two years when I got sick and it put a serious strain our relationship, and lead to the end of it. It was also hard for my family to understand where I was coming from, so I hope this site can be a support for family members as well.

I have done much research on this topic, as to what to do before and after surgery, what kind of sexual practices can you do, how do you psychologically face living with a disease that makes you feel immensely unattractive. So I ask that you use this site to get answers from me or other people who have been through similar situations. I would also like to post polls to see how people are affected by certain issues. This is a totally open topic blog, and you may ask anything you like, we are not discriminate, and there can be no topic too taboo. You may also be anonymous if you like. If you want to speak with me personally and identify yourself to get my perspective, you can e-mail me at Booties4986@aol.com. I will help you out to the best of knowledge, and if I can’t provide an answer, I will find one for you.

This is an issue we need to bring into the light, and I ask for your help! All members of the LGBT, heterosexual, or curious community are welcome to visit and post, I hold no discriminations and believe we are all here to make our lives healthier and happier. Let the fun begin!!!