For anyone interested, this is a somewhat longer version of my history. I've copied and pasted from another 'thread' I mistakenly started, intending to post in this thread. My apologies for the double up!
Hello everyone, I am new here, and it is through reading
@Elph68's posts that I have decided to take the plunge and post here.
I should first begin with - I don't know if I have CFS because I've never been tested for it, or diagnosed for it. I can relate to having no energy and disrupted sleeping patterns. And, I do have knowledge of is the 'undetectable infection'. Here's my story, told chronologically (apologies for TMI, and/or jokes (they're my coping mechanism, so feel free to have a giggle), any mistakes or assumptions about illness):
January 2012 (24 years old) - Food poisoning overseas, and then I made what felt like a full recovery. For context, prior to food poisoning, I never really had lasting bowel or digestive issues. For the most part, I went once a day, and this part of my life was easy. Not only did I tolerate all foods, I enjoyed them. There wasn't a thing I didn't eat, and only if I disrespected my body did I have any issues (e.g. the one time I ate 750g of blue cheese in 2006) and didn't feel quite right for a week. Anyway, The day I got sick (January 22, 2012), I remember eating bacon and eggs on toast for breakfast and having a watermelon juice. About an hour later, I felt lightheaded, then dizzy. I felt hypersensitive to my surroundings for four hours, like I'd been drugged. Then, it came. Violent diarrhoea. It hurt. For hours. I remember lying on the hotel room floor crying for my mother. And seemingly as quickly as it came, it went away. Within a couple of days, I was fine; sore from visiting the bathroom over 100 times in 48 hours, but otherwise fine.
March '12: I was back home in Australia, and I developed two massive pimples on my back. The doctor gave me antibiotics.
April '12: I started having adverse reactions to alcohol. I went out with friends one night, had a few (okay, like 15-20) beers and didn't have a good day the next day (violent, uncontrollable D). I thought, 'Fair enough, that's normal. You're 25 now and it makes sense not to be able to drink as much as you get older'. I did nothing about it.
The next few months passed, with alternating D and I was again on ABs to treat these pimples or boils that came back on my back. I also developed this weird bald spot on my chin in my beard. I have the densest facial hair of anyone I know (in person), so this was annoying and visible. The GP gave me steroid cream for it. It did nothing.
In July '12, I started having pain in the lower left side of my abdomen after I ate, I'd start getting intermittent diarrhoea with loose stalls. They were rarely watery, and there wasn't blood. I started passing mucus clouds and strings in my stool. I thought it was weird, but didn't really know what to do about it. One day while sitting at my desk at work, I felt my stomach expanding. It hurt. It expanded so much that a button on my shirt was clinging on for dear life. I've always been fond of slim fit shirts, but this was not normal. I left work and went home in a panic. I remember having to piss a lot at that time. So much, like all the time. But, the fact that I had grown to look like I was in my third trimester occupied my thoughts more than my urinary symptoms.
August '12 came around, and I remember having a milk-based coffee and gagging at the taste of milk in my mouth. It was disgusting. I was out for dinner one evening, and after having a glass of wine my stomach grew back to being huge like I was a pregnant woman carrying twins. I remember driving in the car back home and I felt this uncontrollable urge to use the bathroom, but I didn't have to go. I spent the night lying in pain on my side, bewildered at what was happening inside me.
I got worse, I tried milk again, and that wasn't a good idea, so I cut it out my diet completely. The mucus clouds worsened and would happen whether I had to pass stool or urine, and then diarrhoea came on. Watery diarrhoea everyday. I couldn't stop it, and when I had to use the bathroom the need was immediate. I started having difficulty urinating. It was always accompanied by a dull, abdominal pain, it lasted up to an hour after urination, sometimes longer. I had some urine tests done - results showed everything as being normal.
Around September '12, I presented to the doctor again having lost something like 10 kilos in as many days, and with uncontrollable, watery diarrhoea (still no blood). The doctor put me on metronidazole (400mg tablets), and they stopped me from having diarrhoea. I also saw a gastroenterologist for the first time. He immediately said, 'We need to do a colonoscopy'. So I did. Now, here's the strangest thing. Remember the bald spot on my beard? It was about the size of an Australian 10c coin, and overnight (after doing the laxative preparation for the procedure) all the hair in that spot grew back. Who'd have thought there was any correlation there?!
The colonoscopy revealed proctitis and they put me on Colifoam. I also had this strange, LUQ abdominal pain under my ribs from time to time. Like this sharp, stabbing pain. So they did a gastroscopy next. The doctor said I had a sliding hiatus hernia, and then made me take PPIs. I started with Pariet (20mg once a day). The mucus in my stool stopped, and I felt like I had some semblance of control back if I stuck to eating steamed vegetables and homemade chicken soup. It was a boring diet, and for someone who had been able to eat whatever they liked previously, it was difficult to stick to, but feeling sick sucks so I did it. Around the same time, I had hydrogen breath tests done which ruled out SIBO and diagnosed the mildest of fructose intolerances. I was right on the borderline. But I already knew that. I loved eating mangoes growing up, and if I ate too many mangoes, I got an upset stomach. Too much of anything can be a bad thing, so that makes sense.
I continued on my boring diet, and alternated with this growing list of weird symptoms but no clear diagnosis. Frequent urination, stool urgency, a wet feeling on my groin like I'd leaked urine, but I hadn't. I started having the shakes in my sleep after deep exhalation. My girlfriend noticed it and would ask if I felt alright, and I didn't know. I got twitches and weird feelings throughout my legs and feet.
November was ending and summer was starting in the Antipodes. I was at a friend's BBQ and I was in such high spirits, I decided to celebrate with some. Well, beer, not spirits. I had one beer. It was November 22, 2012. I had one beer. That night, at 4am I woke up gagging on something that was the most disgusting, acidic, burning, revolting business I'd ever tasted. It was burning my throat, my mouth, lips, tongue, teeth. It all burned and burned. The lumps on the back of my tongue had grown huge, and everything looked red and inflamed.
The acidic taste in my mouth stayed, and my tongue developed this thick whitish coating on it. I had to scrape it off. The doctor upped my PPIs. The strangest thing was that I'd never had reflux before in my life. I could hang upside down all day and I wouldn't get reflux. I'd already cut out the "trigger foods" for common GERD - I didn't have coffee, chocolate, tomatoes, etc. And now I was taking between 40-80mg of Nexium a day. It sucked. My mouth felt swollen inside, my tongue hurt. I still had bowel problems but they had taken second fiddle to what was happening much further up.
January 2013 - I took two rounds of Bactrim DS because the latest urine test results highlighted at a mild inflammation. Those drugs did nothing. In February, I had an oesophageal manometry. They suck. 24 hours of a tube stuck up your nose and into your oesophagus with this pack you have to wear on you, while the doctor says, 'Hey buddy, try and live normally..' Nice one, doc.
The strange thing here is that they revealed some reflux - but not much more than what is considered normal. I had something like 17% over 24 hours, but 15% is considered normal. The other thing is that I never had heartburn, but I had the sorest of throats. I investigated LPR. I elevated my bed. I talked to my parents about one day needing surgery if the LPR got out of hand. I changed doctors after my current specialist said he didn't know what was going on.
The new one heard this story of mine in February 2013, and said, 'You've had Giardia, and you still have it.' He didn't run any tests, but he gave me Tinidazole to kill the parasite. He gave me Nilstat Antifungal solution and amphotericin lozenges. My mouth didn't burn anymore. Amazing! In March, everything came back. I was cursing the world because I thought I was over the worst of my issues. The specialist put me on SOMAC after he conducted a gastroscopy, my second in five months. He said, 'Some patients respond better to some PPIs than others.' I was taking 80mg a day and they fucking sucked. I couldn't digest food properly and my mouth tasted like rubbish and I got so down.
I started reading lots online about all the kinds of things I could have contracted. My girlfriend's dad is a GP, so he wrote a script for fluconazole. I took it for a week. Boy, I'd never felt better. I FELT SO GOOD! I felt cured. It was like before I took that fateful trip to Indonesia. I could eat whatever I wanted, it was THE BEST. Then, in May, everything came back again. My urinary, gastrointestinal and mouth symptoms all returned, with increasing severity. I was sent to see a urologist because this issue was bothering me the most. He performed a rigid cystoscopy and said everything was normal. He did a KUB ultrasound, all normal. I felt hopeless.
Around this time, I also weaned myself off PPIs. They made me feel like shit, so I stopped taking them. That was a bad idea. Two days after stopping cold turkey, I had heartburn while driving to work. I had to pull over because it felt like a heart attack. So, I transitioned off them. I went from 80mg, to 60, 40, 30, 20, 10, 5. I split the pills and stopped taking them.
In July '13, I got a cold. Nothing abnormal. But after recovering from the cold, everything else got worse. I had the worst motion sickness and fecal urgency. I had accidents in public, too many of them. Everything got worse and I became housebound. It was like having food poisoning all over again.
I didn't know what to do and I didn't go to a work a single day for 2 or 3 months. It was difficult to explain at first because I had missed work periodically for appointments, or because I had flare ups, but this was something else entirely. It wasn't functional, and I wasn't in control. I had two tests done, a Comprehensive Digestive Stool Analysis (it showed some pretty whack dysbiosis going on and the presence of yeasts in the stool), and a stool microbial analysis from BioScreen. This showed that I had an overgrowth of streptococcus, no yeasts detected in this sample, and an undergrowth of anything good and an overgrowth of everything "bad".
I found this website called Bad Bugs, and before receiving the results of those two tests I'd pinned my hopes on blastocystis hominis or d fragilis, but it turns out I didn't have either.
This is when I presented to CDD in Sydney. I had to travel from my home in Melbourne, and was Imodium'd up so I wouldn't shit myself, and didn't eat all day because the pain wasn't bearable. My mum came with me, and I met one of the doctors there. He put me on Rifaximin and Vancomycin. They didn't do much. Maybe helped the bloating, and gave me some control back, but I wasn't healed. The doctor asked me to come back to Sydney to have a colonoscopy and gastroscopy done to be certain of what was happening. I went up to Sydney in November 2013. CDD takes stool samples while you're under so they can get it tested in the lab. Whatever they tested for, came back negative. I had raised white blood cell count in the stool, but I can't remember anything else significant (I'll double check this one). I also had no lactase production. The doctor said whatever injury had been ongoing had wiped out my body's production of this. It wasn't an issue as I'd eliminated dairy products a long time ago.
He said that there was the tiniest site of active inflammation in the colon, so he wanted to treat it. The pathology report said it wasn't overly significant and could have been the result of the bowel preparation, but the doctor trialled me on 10 days of Prednisone. 5 days at 50mg, then 5 at 25mg. It didn't help my bowel symptoms, I just felt "wired" all the time, like I'd had too much coffee or something. Oh, around this time I also had a test for leaky gut. I have it, but don't know how to treat it.
Then, at the start of 2014, they raised FMT with me. I did 10 days. Following FMT, I didn't have as much urgency, my urine symptoms vanished initially and my body shakes went away overnight. Then they came back. On Day 7 of the FMTs, I had violent diarrhoea and became disheartened but got through the rest of the process fine.
Later in 2014, my urine symptoms were pretty bad, and my bowel symptoms weren't so good either. I forgot to mention that I've had a couple of rigid cystoscopies and seen some urologists as well and had countless urinary tract tests done - most of them invasive, and have come out with no diagnosis.
And so, in June 2014, I did my second BioScreen (AFTER FMT). I had an overgrowth of Strep Parasanguinis, E. Faecalis, Bifidobaterium, and yeah. FMT hadn't corrected everything for me. My guess is that my issues are the result of a few compounding factors - bacterial, fungal and then the anxiety of chronic illness affecting my response to everything.
I'm going to be asking my doctor for a way to treat Streptococcus/Enterococcous/Fungus in the gut, because I think there's a strong possibility that they affect my gut, my prostate, and lymphatic system. I also think the drugs I've been on haven't been taken for long enough to successfully treat them.
Anyway, thanks for reading and if you have any questions, please ask.