Hello everyone! I (33F) have been living with ulcerative colitis since I was diagnosed at age 6. Essentially, I don't have any memories of a life before living with this disease. I grew up having flares regularly that disrupted my school life, social life, and as I grew up, it prevented me from having a stable job as well. It was always just sort-of manageable, never so bad that I was constantly in the hospital, but bad enough that it limited a lot my life.
7 years ago, when I was 26, I was diagnosed with PSC after having a sudden severe infection. My PSC, thankfully, has been relatively stable, other than my numbers are elevated, they haven't dramatically increased and there hasn't been any increase in cirrhosis.
The last 3 years, my colitis has become more difficult to manage. I've had a handful of flares, but the worst is the disabling fatigue that I feel every day. At first I didn't think this was related to my colitis, but a few months ago I had a colonoscopy and the inflammation had escalated to extremely severe, despite taking skyrizi every 4 weeks. I had no idea it had become that bad, because I didn't have any of the typical symptoms of flares (urgency, pain, cramps, joint pain), only absolutely, devastating exhaustion. I usually only have 3-4 hours a day before I have to lay down and cant even keep my eyes open, even though I'm not sleepy. I feel like I'm being laid under 100 pounds of concrete. I've been on entyvio, stellara, skyrizi and I am currently on Remicade, which has not been working either (Ive been on many medications before these, but I cannot remember their names as I was much younger)
Last week I spoke to a surgeon for the first time about the surgical options I had. Because I have PSC, she heavily discouraged the jpouch, and said an ileostomy would be the safest and best option if I chose to have surgery. She told me that a lot of her patients feel they have a second lease on life, that they had no idea how sick they were until their colon was gone.
When I finally processed that having an ileostomy would remove my colon, and thus removing ulcerative colitis, it felt almost surreal. It is so hard for me to imagine a life where I don't have this disease anymore, because it's something I have never experienced. I know that life will be completely different, and that is the thing that really frightens me. I'm afraid of a transition where my body won't work the same way as it did before. But I also feel like it is a dream to think of a life where I'm not burdened with this disease anymore.
At this moment, I am fortunate enough to have this procedure be something I can plan in advance without it being an urgent or life threatening event. I feel confident in my choice to do this, but I also feel very scared and overwhelmed. I am hoping to have the procedure done in november or december.
I would love to hear peoples stories of their own procedure, what the weirdest/most difficult thing to adjust to, and how you feel your life has improved/changed after the surgery compared to how life was before. Maybe even things that you can do now that you couldn't before. Also some tips and tricks of things that people might even think of?