I have been having symptoms of a Crohn's flare, severe nausea, loss of appetite, weight loss of 18 lbs in last 6 weeks,steatorrhea, pain in mid chest and right upper quadrant. Had CT scan 2 weeks ago which showed significant inflammation in terminal ileum and old pancreatitis with calcification. Gastroscopy last week showed oesphagitis.Biopsies taken. MRI scan Nov 2007 showed two strictures in small intestine. Gastro has advised following until I see him in clinic 23 July:
Double my mtx injections to 25 mg weekly.
Add budesonide 9 mg daily
Start elemental diet of Fortijuice today.
Eat low residue diet if I can manage it.
Have another MRI scan asap.
I am concerned about taking mtx and budesonide concurrently as I had steroid induced psychosis when dx with breast cancer Jan 2003. He said I have some serious decisions to make about resection of strictures but need to put on some weight beforehand. Do you think this treatment plan is correct? Was dx with Crohn's 1970, now PanCrohn's Colitis. I am also taking Aromasin for bc. Stopped alendronate (I am osteopenic due to 30 yrs of prednisolone and Arimidex) in case this caused the oesophagitis. Would appreciate your advice.