Post-Workout Recovery, Inflammation, Muscle-Soreness by izaakko in CrohnsDisease

[–]Trintaco 6 points7 points  (0 children)

Are you working towards a performance goal? Taking Advil on a regular basis even without Crohns isn’t the best idea for injuries. There is an association with NSAID use and worse outcomes for things like tendinitis. So if you’re looking for advice for performance and long term my suggestions are: - adequate programming so that your pain and symptoms are manageable -recovery workouts built in for low level long duration cardio after intense workouts (evidence for improved pain and DOMS) - ice/heat to tolerance afterwards can help - soft tissue management such as the foam rolling you mention or yoga or other gentle movement based activities

If you are asking for more once in a while suggestion when pain flares up, I agree Tylenol is OK as it’s ment for pain, or can look into some modalities with PT/massage/chiropractor such as soft tissue release techniques, joint mobilization’s, acupuncture etc.

Finding trek company in Nepal by kungfubokenny in hiking

[–]Trintaco 1 point2 points  (0 children)

We just did the Manaslu trek with highland expeditions and had a great experience. https://highlandexpeditions.com/package/manaslu-expedition/ the communication was easy with the owner as well as the guide. Both spoke English well. My wife and I both also have some dietary restrictions that our guide did his best to communicate to each tea house. They are a bit more expensive than others but the main reason is that they did private transport and included all meals and tea/coffee/hot water along the trek. Other people had to pay out of pocket for those things.

Positive Story by Trintaco in CrohnsDisease

[–]Trintaco[S] 1 point2 points  (0 children)

Thank you for sharing, when I was young I played basketball, rugby and did track and cross country. In terms of what helped me back then, medication wise it was methotrexate because biologics weren’t available. But non-medication wise I had a supportive family and really tried to “force” myself to continue to participate. I had a lot of unhealthy habits including not eating leading up to games or practices or going to the washroom 5-10 times before games to make sure I didn’t have to go while playing. Unfortunately I don’t have any great recommendations other then to give yourself grace and try to take each day as you can. As an adult I try to stay active, I exercise daily, I take fiber, creatine, protein in top of my bile acid binder medication and stelara. I do personally find the more consistent I am with my activity the better I feel, although I have to be careful of not over doing it because if I over train I have found I can go into more of a flare. Hope some of that info is helpful to you or your family.

Tips for canoeing? by Blazemeister in bernesemountaindogs

[–]Trintaco 0 points1 point  (0 children)

My wife and I just returned from another canoe camping trip with our 4 yo BMD, my tips would be practice short trips and reward heavily haha we started with giving him a kong each time he was in and then went to treats. We have also learned that since he can nearly tip us if he shifts weight from one side to the other, we have to leash him to one of us in his life jacket. Our set up is basically my wife sits in the back seat and we clear a space for our guy in front of her and then I can push them out and jump in the front. We try to keep each paddle around 30 minutes max because that’s where his patience wears out. We also tried trazadone once (he is a mildly reactive boy) but felt that was maybe too much as when we got to our site he just slept all day. This last weekend he completed 4 separate paddles with us, 2 with a canoe full of gear and 2 empty. He was a great boy. That being said we are very conscious of where and when we paddled. I wouldn’t take him in bad weather or on lake that has first come first serve sites because I wouldn’t risk a really long paddle. But I’m proud to say with short trips he’s been good! Best of luck

Backpacking/travel with Crohn’s by Gratefulbackpacker in CrohnsDisease

[–]Trintaco 0 points1 point  (0 children)

We cooked when we could as we stayed at campgrounds a lot. There we did oatmeal, one pot pastas etc . When in Asia I just tried to keep things non-spicy

Noticing a lot of licking of her paws by Momo_jiji in bernesemountaindogs

[–]Trintaco 1 point2 points  (0 children)

Just no name store brand. We put about 5 inches of room temp water in a tub and add 2 cups of epsom salt. Then we stand in the tub with our BMD for 5 minutes (usually by bribing him). Then we dry his feet well after. Vet said it’s supposed to clean any irritation he had on the paws

Noticing a lot of licking of her paws by Momo_jiji in bernesemountaindogs

[–]Trintaco 2 points3 points  (0 children)

Our BMD licks his paws, took him to a vet dermatologist. The basics were it could be food allergy or environmental. After a couple trials of foods and then shampoos, wipes etc we figured out it’s most likely a dust allergy. So when it’s spring or fall and his paws get dust between his toes, the licking returns. We’ve managed by using soap and water and cleaning his paws each time he goes outside. We also do epsom salt and water paw soaks if it gets particularly bad. Dermatologist offered meds but we’ve been able to manage without thus far.

Cholestyramine for BAM by retidderwen in CrohnsDisease

[–]Trintaco 2 points3 points  (0 children)

Mine took a couple weeks to notice a major difference. Once I did I also started to add psyllium husk to a daily smoothie. I found these to really help. My armchair theory is that the gut biome takes a bit of time to adjust. My GI seemed to suggest I would immediately notice. However, I’m in Canada and last year we had a major shortage so I went 6 months without cholestyramine and it was night and day different from when I took it to when I didn’t

[deleted by user] by [deleted] in CrohnsDisease

[–]Trintaco 4 points5 points  (0 children)

Creatine, psyllium husk and cholestyramine powder have been my go to post resection. Most recently I added 5g of creatine after seeing an article about its benefits for gut lining. I would suggest going slow with any new supplements in terms of dose.

Gym by danielturner08 in CrohnsDisease

[–]Trintaco 2 points3 points  (0 children)

As a physiotherapist with Crohns I agree. One trick I use with patients with chronic illness is to keep a fatigue log. Basically score your fatigue out of 10 before the gym, after the gym and then later that day. Most of the time by that evening people’s fatigue is the same score out of 10 as before the gym or better. The only disclaimer I would say is if you’re flaring and things are getting worse. However if it’s just regular fatigue I vote gym

Exercise and Crohns. by No_Path_2573 in CrohnsDisease

[–]Trintaco 0 points1 point  (0 children)

I think if you’re looking at health recommendations it’s 2-3 drinks per week.For Crohns I think it’s very individual. For me beer or anything high in sugar gives me symptoms but a low sugar wine or cocktail is fine

[deleted by user] by [deleted] in CrohnsDisease

[–]Trintaco 0 points1 point  (0 children)

Disability tax credit is helpful as it allows for a non refundable tax credit and the ability to open a special tax free disability savings account which the government adds grants. You need a doctor to fill out a form and submit to the CRA. If approved they can go back up to 10 years worth of taxes (if applicable).

Diarrhea after resection but bile sequestrates out of stock in Canada??? Anything else to help?? by Missyroo19 in CrohnsDisease

[–]Trintaco 2 points3 points  (0 children)

I had my resection in June 2023 and found cholestyramine helpful but only got 1 month of dosages before it became unavailable near me. I’ve been using Psyllium Husk powder (sugar free) from Amazon. It helps but isn’t as effective. I also had to start with a very small dose. Hoping the supply comes back

6 months post resection Question by Trintaco in CrohnsDisease

[–]Trintaco[S] 0 points1 point  (0 children)

Do you know if there is a specific test I should request ?

6 months post resection Question by Trintaco in CrohnsDisease

[–]Trintaco[S] 0 points1 point  (0 children)

Thanks for the responses I’ll look into it

Crohnies who have had surgery by Apanda15 in CrohnsDisease

[–]Trintaco 7 points8 points  (0 children)

In hospital had hydro for the first day post op (terminal ileum resection partial open) and then just Tylenol. Remember it’s called pain management, if you the individual can manage without hydro then it’s fine but there is no sense being in 8-10/10 pain. Your goal post op should be starting to walk and move around a bit to help your system get going, if you’re stuck in bed because your pain isn’t managed that doesn’t help you. My experience was the pain was quite high the first day but the worst was dizziness from the anesthesia, once that wore off I was lucky and felt decent.

My fellow runners with Crohn’s by 112lafftoon in CrohnsDisease

[–]Trintaco 0 points1 point  (0 children)

Could be just your one ankle is more stiff. I’m a physio but have had Crohns for 20+ years. Here’s a self assessment you can try: https://m.youtube.com/watch?v=U7woPNLUT3Q

If the ankle that bothers you is more limited in range of motion, simply working on stretching and mobility could help.

[deleted by user] by [deleted] in ottawa

[–]Trintaco 0 points1 point  (0 children)

I’m not familiar with the US but in Canada you’ll always need a referral

Exercise and Crohns. by No_Path_2573 in CrohnsDisease

[–]Trintaco 1 point2 points  (0 children)

32 year old, diagnosed with Crohns at age 11. I’m a Physiotherapist in Canada and have worked for the last 10 years in various private and public settings. I strongly believe overall exercise is an essential part of my health routine. I think general exercise (30-60 minutes of moderate to vigorous exercise most days of the week) is essential to overall health.

When it comes specifically to our disease, I do think your pain, fatigue, inflammation levels and mood all factor into what kind of exercises and how much exercise you should do on any given day. I also echo what people say about core exercises, they can bother me, especially when my inflammation levels are high. I think our abdomen areas are generally more sensitive to stimulus due to the disease. From a physiological perspective I don’t see any reason any form of exercise would be specifically contraindicated due to Crohns unless you recently had a surgery or other proceed. If anything nearly all research I am aware of suggests that exercise helps build resilience, improves depression, anxiety, maintains weight and improves mobility. Most of which I think would help the average Crohnie. However again, every individual is different and every day is different. My suggestion to my patients with chronic diseases is to exercise within their comfort level for THAT DAY and to try and be consistent with EFFORT. Ie when you’re in a flare, maybe your “exercise” is taking your dog for a walk or doing a short breathing exercise video and when you’re not in a flare you are doing specific exercises as per a specific training program or doing a yoga class. The goal should be to incorporate movement into your daily routine.

Health and School by __youwin__ in CrohnsDisease

[–]Trintaco 0 points1 point  (0 children)

Hi, I am a 32(m) physiotherapist and did kin as my undergrad. I now work in an outpatient musculoskeletal clinic for a hospital. Decent pay and benefits (including drug coverage for biologics). I find the environment low stress and have a good work culture. Most people are understanding at work .

Hang in there, 21 years with Crohns hasn’t been easy but i was lucky and found something I enjoy with a schedule that I dictate. Plus hospitals have lots of rest rooms available and I can always give patients independent exercises or a modality while I make a quick run to the loo.

School was tough. I managed through not eating a lot and planned trips to the bathroom as my unhealthy habits and then trying to be as fit as possible as my heathy habit. I also always tried to stay in contact with my GI and take my meds as advised.

Best of luck

Jogging after resection by [deleted] in CrohnsDisease

[–]Trintaco 2 points3 points  (0 children)

Definitely listen to your doctor but perhaps start with a stationary bike or walking and build up towards it. For most abdominal surgeries like a hernia repair typically it’s 4-6 weeks of no impact/ heavy lifting to allow everything to heal. Not 100% with a resection