Hi all.
I wanted to share my ongoing recovery story from chronic pain and some other chronic illnesses.
Back in January I was beginning the second half of the needlessly cruel hazing ritual known as 1L in the US. I had moved to a new city for school from my hometown and was dealing with quite a bit of stress and anxiety.
Out of the blue I developed acute liver injury (I still don't know for sure what caused it, but my best guess is some contaminated tacos, since I rarely drink more than a few beers and never to excess). I got hospitalized with my liver enzymes around 20x the ULN and almost 100x what they usually are for me. The doctors ran a bunch of blood tests, MRI, ultrasound, etc - everything came up normal and they were stumped.
After my initial episodes of uncontrolled puking which was the original reason I went to the hospital I felt fine, was keeping food down no problem, and kept telling them so - but my liver enzymes stayed extremely high. They decided to try NACtherapy on me, which is a liver detoxifying agent that is usually used for ibuprofen overdoses, even though I had not taken ibuprofen at any point in the last month.
I had a very severe allergic reaction to the NACtherapy which culminated in me puking up blood on the hospital floor, unable to breathe, tingling in fingers and toes, fading in and out of consciousness, awful headache, severe abdominal pain, feeling of impending doom etc. I kept on telling them that I did not feel well as soon as they started giving me the IV but they did not listen until it was very clear that I was in anaphylactic shock. As it turns out allergic reactions to NACtherapy are pretty common, especially if it's used on someone who hasn't overdosed on ibuprofen recently.
(if you can't tell, I am pretty pissed off about this still - all they had to do was keep an eye on me while my liver cleared out whatever poison had made its way into my system! instead they basically experimented with an unproven treatment on me that poisoned me even worse and fucked me up really badly!)
The next day I felt fine except for a 4/10 pain in my liver area - I had not had any pain in my liver area at all until this point - and my liver enzymes had dropped a few points. The doctors decided that I was fine and that I could go home.
I went home and started to have issues with upset stomach and increasing pain in my liver area to a 9 or 10/10. I went back to urgent care who did a blood test and saw that my liver enzymes were normalizing and said that the pain might just be inflammation of my liver capsule. I was feeling a bit better and so figured it might just take a while for my liver to recover.
Over the next few months I was in and out of doctor's offices and the ER. I had problems with intense "attacks" of pain in my liver area and ongoing diarrhea. I had a constant dull ache in that area and would have - seemingly at random - stabbing/shooting pains that would leave me crying in 10/10 pain on the floor. I did a food diary to see if it was connected with something I ate. I went to a healthy low-fat diet and started taking a multivitamin. Nothing worked. I was also pretty stressed about this as the last time I had severe abdominal pain I had nearly died, and I developed a bit of a habit of doom-scrolling on medical journals and Reddit about medical issues. I also had some anxiety about school although this was fading as I adjusted to my new environment...
Eventually I was diagnosed with biliary dyskinesia and an ultrasound saw sludge in my gallbladder. Doctors guessed that my gallbladder had been harmed by whatever poisoned me in January. My dad had gallstones and so between the stabbing RUQ pain, upset bowels, history of biliary injury, etc, I was told that gallbladder surgery would probably resolve my issues. I waited until I had finished up with school and headed home to get the surgery.
The surgery went well and I seemed to be recovering well, and although I still had the dull ache in the liver area and occasional upset bowels I had far fewer issues with debilitating pain attacks (had a couple over the summer, but lasted for less time and were less intense. I also noticed that these attacks seemed to occur when I was particularly stressed or worried or tired). I went to a chiropractor who said I had been poisoned and also told me I had a lot of muscle tension, especially in my psoas muscle on the right side. He gave me some exercises to do which helped with the constant dull ache a little bit.
However, literally the minute I got off the plane back in the city where I was going to school, I suddenly had another intense 10/10 pain attack and my digestive issues returned with a vengeance. Although I was extremely depressed that the surgery had not fixed my issues, I realized that this was a big clue. There was simply no way that being in a different place would make such a difference in my health if I had a "real" medical problem.
I went back to the doctors, but I also went to a psychologist. The doctors ran another blood test on me that showed I was in perfect health. I also had a stool test done that ruled out anything other than possible mild inflammation in my colon. Doctors started talking about things like sphincter of Oddi dysfunction, IBS, chronic fatigue syndrome, complex regional pain syndrome, even fibromyalgia! I read up on these and it seemed to me like they are mainly issues with the unconscious mind-body connection, which for me has always been very strong until now. When I was hungry...I ate. When I was tired...I slept. When I needed to shit, I shat. Until when I needed to rest and relax and let my liver clean out my system, I instead poisoned myself again.
The psychologist talked with me for all of 10 minutes before diagnosing me with PTSD from my hospital experience. One phrase that I remember as being particularly helpful was the concept of the "baseline" - although I was stressed and anxious from law school, I had a comfortable and safe baseline to return to after finishing class, so I was still feeling good physically most of the time. However, after being hospitalized and poisoned (twice!), my mind and body stayed on high alert for more threats and was constantly ready to protect me and especially my liver - and "threat" could be something as simple as being in the city where I had been poisoned.
I started going to cognitive behavior therapy and trying to do things that I knew were safe for me to do. My gut symptoms improved a little, and I started physical therapy. Physical therapy was not super helpful at first as I was sent to a sports medicine place which focuses on injury recovery, however it got me confident in my body enough to go back to swimming which has always been one of my favorite ways to exercise.
Right around this point I figured that although I was fundamentally healthy my body and mind were not communicating well. My body did not trust my mind to do things that were safe after being poisoned twice and my mind did not want to listen to my body because it was reporting pain when there should not be any pain. So I decided to do things that help with the mind body connection. For everyone these will be different, but I firmly believe that when the mind and the body are working well together there is no pain without a reason. What had happened to me was that I got jammed in flight-or-fight mode as the result of my PTSD and I am working to shift my baseline to being able to go back to rest-and-digest-and repair mode.
Things that have helped me:
- Yoga. Although I am far from an experienced practitioner, yoga has helped me to identify messages that my body is giving me. I have a few poses that I try to do a couple times a week before bed, and I go to a yoga class every week. I feel a lot of muscle tension in my body that I was completely unaware of before starting yoga.
- Swimming. I have been a swimmer since I was about 3 years old, and although I am not a very "strong" swimmer I am extremely comfortable in the water. I have much less pain when I am swimming.
- Therapy. CBT has helped me to understand that I worry about things too much and that I need not worry about things I cannot control. I already knew this, but as I said I got thrown off my baseline very significantly in January.
- Acupuncture: I thought this was woo-woo nonsense (and I still kind of do) - but it works quite well! I think it helps to help you relax a lot if nothing else.
- Energy-focused bodywork. Jin Shin Jyutsu in particular. I noticed just how tense and jumpy I am at my first bodywork session. In fact after my first bodywork session the pain which had been centered in my liver area started to move to my back and hips and legs and became less intense. I also am working on improving my posture - the practitioner I saw told me (before I gave him any of my history!) that I was walking around like I was expecting to be punched in the liver/gut. After my first couple sessions I felt that muscles in my gut area that had been habitually tensed were relaxing a bit more frequently.
- Going to the dentist; this is for me personally, but I was also diagnosed with TMJ and given a mouth guard to wear which will help me with my nighttime sleep grinding. I am hoping to retrain myself to have less tension in my neck and jaw area. My s/o has mentioned that ever since January I have a frown on my face and grimace a lot.
- I read the book "The Way Out" by Alan Gordon. I have had some success trying somatic experiencing/pain reprocessing therapy and have actually managed to head off "attacks" of 10/10 pain with techniques from his book.
- Getting rid of social media. While I am not sure how much this has helped really (as I'm writing this on Reddit lol), distracting myself with a screen was initially one of my pain coping techniques that I think did more harm than good.
Things that have not really helped:
- Medication. Although I tried hydroxyzine and propanolol, I did not feel like they were really deeply relaxing me on the level that I needed.
- Stretching/PT. This may be the result of going to the wrong PT; I was sent to a sports medicine place at first. I will try again at some point with a pelvic and abdominal PT I think.
- Chiro sessions. Because my pain is muscular and myofascial in nature and the result of my mind-body connection being disrupted, I feel a little better after a chiro session but my mind and body soon return to the habit of tension.
- Being easy on myself. It was very easy to get into the feeling that I was sick and needed to take it easy on myself - and I do, but not really physically. For me, I need to take it easier mentally.
This is just the beginning of what I am describing as my healing and recovery arc, and I am sure that I will discover more modalities that work and do not work. However, in just two months of therapy and yoga and swimming etc. I have already reduced my pain from a constant 3-4/10 with episodes of a 10/10 stabbing pain to a 2/10 with moments of relaxation with 0.5/10 pain. I have had no flares of 10/10 pain in two months and have also had significant improvement with my gut issues. Sometimes I do have flares but they are far less debilitating. I believe that as I continue to work to improve my mind and body connection, I will continue to have less issues with pain until my mind and body trust each other again.
For all the folks on here! There is hope - anything that your nervous system has learned how to do, you can help it learn how to do something else.