Lovey,
Adam had (has?) some GVH, but only in form skin's rash. It has started about day +24,+25. Now the rash has disapered,but he still takes prednisonum ( stereoid) 60mg per day.Adam doesn't take a magnesium at all. I don't know nothing about a gut GVH from our experience, but from what I have read here, I think , that it could be GVH. I hope that the doc will give you the answer toomorow. I also hope that Burt will be fell better toomorow. I am with both of you! Take care and keep posted. hugs Marta.
Lovey,
The magnesium is probably the cause of the diarrhea. It hit me hard for a few days and then my body seemed to adjust to it. Although I wouldn't rule out GVH. Being cold goes with the territory. His blood is thin and that will make him cold. I tended to dress in layers - although my tranplant was in May so it was summer when I went through the cold stage.
I hope he gets some relief soon.
Take care,
Kelly
Sounds exactly like I was at the start of muy gut GVH. I'll bet that's just what it is.
Whatever it is, they'll get him fixed up in no time. Let us know what ya'll find out.
Blessings
So, I've found out nothing. The nurse we met with Monday was unconcerned about Burt's stomach issues. She gave us a gentler magnesium and figured that would help. It hasn't and I'm having trouble getting him to take it or much food. He is taking the prograft because I insist. I have a call into the doctor's office and have been waiting for 2 hours now for a return call (ok, I've called twice now). He's having diarrhea every time he eats so he doesn't want to eat now. How do you know if this is GVH or some other issue? And what do you do about it? We have an appointment with the doc tomorrow but I's like to get Burt some relief today.
In our experience, my son was having about 12 episodes of diarrhea a day, in small amounts. When i told them how many times he was going, and i actually measured it one time so i had an idea of volume, they took a specimen and did cultures to make sure it was not c-dif or a virus of some sort. My sons was due to the magnesium pills and they changed it IV daily and after about 5 days, it got better.
With that being said, my son also had gvh of the GI system at various times.. That came on suddenly with explosive diarrhea, cramping etc. and was treated.
My sons GI tract seemed to change in the course of transplant and treatment. Even two years out he was still having more frequent bowel movements than normal and looser than normal.
I would think the docs would check cultures, make sure he is staying hydrated, make adjustments and if the concern is gvh, possibly scope him.
I wish Burt could become convinced how important these trace elements are to our general health and recovery. Easy for me to say. though. Another weird thing about me is that the Mg never gave me the trots.
As I said the other day, what you've described sounds like the same sypmtoms I had with my gut GVH. The only way to tell for sure is to do an endoscopy and get a biopsy. The doc that did my endocscopy was experienced enough that he knew it was GVH from looking at it and they started me on treatment before they got the biopsy results.
There are a few meds they can used. They started me on B&B bethomeclasone and budesonide over the weekend. When I still wasn't eating on Monday, they gave me high dose Predinsone. I was eating the house empty by afternoon.
Basically, you're going to need to get him to the doc and see what the doc thinks they need to do. If you can get his belly in order, a lot of the issues should go away. You might also check into the possibility of getting him his Mg by IV. It doesn't mess with gut as bad.
Blessings
I don't know anything about GVH, so I can't comment on that issue...
But, I have taken magnesium before, and it definitely seems to depend on what type you take. So if magnesium is maybe the issue, maybe try having a look at what type it is? (magnesium oxide, chloride, gluconate, lactate, orotate, etc.) I think if I remember correctly the oxide and chloride aren't so good for diarrhea, but the "-ate" ones are better absorbed by the body and cause less diarrhea? Don't quote me on that - can't remember which ones are best exactly, but you can check online. Generally, the "better" (gentler) ones are not found at your local drugstore - you have to get them at a good health food store, etc. This is just coming from someone who's used it to try to prevent migraines, though... I probably have some links I could try to dig up one what's different about the different types...
Day +29. Burt was admitted back to the hospital on Thursday. His liver and kidney levels were quite high. They've scoped him, poked him, ultrasounded him and they are considering a liver biopsy. Didn't find GVH but they said it could be in the liver and not elsewhere. He's got a mild itchy rash on his ankles. They have been putting fluid into him and he's gained about 10 pounds, his belly looks like Santa Claus. And he continues to be uncomfortable. So... a bit disturbing but I feel like they can at least control some of this while he is here. Because his belly is so bloated he says he always feels full, therefore not eating and today he had a weird episode. He took a shower and when he was done, he came into the room, sat on the bed and was having trouble breathing. It was weird. His oxygen level was about 95% so they gave him some. Again, the doctor thought is was unusual but didn't seem concerned. Sorry for the rambling but that's just how it's coming out tonight.
Lovey,
I've heard that itchy skin and liver GVH can go hand and hand. I've never heard it proven medically but when I had itching problems, I saw some articles that indication a relationship. I was treated for liver GVH and at the same time was given atarax for my itching so between the 2, my itching problems cleared up at the same time my liver numbers got better. Just thought I'd mention that since he's got the itchy rash on his ankles.
Take care,
Kelly
Lovey,
I'm glad Burt is there so he can get the care he needs. Hope he's feeling better today.
Cathy
Hi Lovey,
Hope the docs are getting a handle on things by now and Burt is feeling better soon!
- WBF
He really doesn't want to let liver GVH get carried away. So he's well off there. I'm surprised they didn't biopsy the skin before talking about a live biopsy. Or maybe they did and that was among all the poking you mentioned.
I'm curious if he'd had a really hot shower. I've noticed that if I take a long super hot shower I can have issues breathing. I think that's more age than SCT. Could be coincidence...or not. But if the doc's not worried, I try not to be anymore than I have to.
Keep us posted.
Blessings
Lovey,
I am sorry to hear , that Burt is back to the hospital, but, on the other hand, I glad that he is in safe place. I hope , he is felling better soon. You both are in my thoughts and prayers!
Take care . Marta
Thanks for all the help. The shower wasn't that hot so not sure on that count. Where we are now is home again so that's good. Burt's belly continues to be bloated but being home is good. We went back to the doc yesterday and he put him on a steroid to hpefully reduce the bloating. He said although they didn't find GVH, he is presenting that way so they are using a mild steroid (entrocort I thikn it's called). They didn't biopsy skin or liver. I think Burt is having trouble understanding this is a long haul but the message is beginning to get through. Again, my thanksgiving is full of gratitude to all of you who are on this site posting replies and words of hope and encouragement. Many thanks.