In which I am annoyed. (Warning: poop talk ahead.)

But wait: yes, I am five (5) (V) days out from my first marathon and am entirely too cognizant of this. Yes, my last long run on Saturday proved to me that I am beyond ready to run this thing. Yes, it’s weird mapping out dinky (to me) 2- and 3-mile runs for this week. Yes, I am nuts for running in shorts in 35-degree weather this morning, but my legs are still forgetting that they’re really actually okay with this. Yes, I am sure that I am going to go insane – and drive all 5 of my readers insane – with the lack of running I will be doing this week. And yes, I am grateful that I have a lot of work to do this week to help keep the craziness a little at bay. I’ll probably address all of that later on in the week, but for now, you get a post-Halloween treat!

Yup, this is one of those NSFW posts I keep promising you, so if reading about other people’s rear ends and their troubles makes you squirm, get out now.

Okay, so if you keep reading you can’t complain about gross things any more.

Really.

Okay! So I know that in the grand scheme of Things That Are Bad in People’s Lives, this currently is astronomically low compared to what People Who Are Not Me are going through. But that doesn’t mean I’m still not irked by it. I’m irked enough to broadcast it on the Internet, if that tells you anything. My apologies if you stumble on this during your dinnertime; I think I put this off for most of the day because subconsciously I knew that fewer people would be reading at this time of day, at least on the East Coast of the U.S. where I am and where I think most of my readers are. But then I think: we have an Election tomorrow, so more people might be Internetting? I don’t know. Anyway, if you’re in the U.S. and you just read that, GO VOTE TOMORROW MORNING. Or I’ll poop on you.

Ahem. Anyway, I went to my butt doctor last week, as alluded to in my last post, and she gave me a different medicine to try, as I also alluded to in my last post. In case you don’t hang on my every word (tsk), I was nervous about switching to this medicine because it’s the oral version of the first butt medicine I started taking after my UC diagnosis last December. I don’t know why I stuck with those suppositories for so long, because they ended up being awful: my anus itched constantly, and only ever stopped when I cleaned it out with soap and water, so basically, it stopped itching once a day, for the merciful period in which I was showering. As soon as the next poop came, boom! Back came the itch. And I was pooping pretty much every time I used the toilet, and it was no longer the round, solid, dark toilet bombs I was used to flinging into the bowl. No no, this was much less formed and almost… orange, like I’d eaten nothing but carrots for weeks. Because it was soft and less formed, it started requiring much more TP usage to get myself clean, and even then I’d never feel like I got everything, which led to digging around, which over enough time led to irritation to the point of inflammation, and then an hour later I’d fart and think hmmm, was that a fart or a poop? and often have no way to immediately get to a bathroom to find out. And then I’d start thinking I’d just crapped myself, and with no way to fix it would just have to walk around smelling like poop for a while, the thought of which was superbly embarrassing, because sometimes I’d be doing things like teaching or meeting with students or driving people to work. Oh, and the gas? Mortifying. Silent farts became impossible. The constant stream of soft, orangey, stinky, reluctant-to-leave poo was frustrating as all hell, and within a month or six or maybe even ten or twelve weeks, I called my doctor and said, “We have to try something else because my ass is dying”.

So, she put me on a cortisone butt foam, which is a steroid and intended for short-term use. I’m not sure how short short-term really is, but the medicine she’d first had me on *is* intended to be for long-term use, so the hope was that I could try the steroids for a bit and then try the oral – pill – version of the original suppository. Within three days, the butt foam was working miracles. The first thing to go was the itching anus, and everything else followed suit within a couple of weeks. Christmas! I could fart and be confident that it was, indeed, made of air and air alone. I’ll spare you other details, but suffice it to say that it was a huge improvement.

Alas, all good things must come to an end, so I was very, very gradually – over the course of seven, eight, nine months? – tapered off the butt steroids with an eye towards getting me on oral medication. That day finally came last week – Thursday to be precise, the day after my appointment with my butt doctor – and she told me I could keep the foam for maintenance purposes, and use it “as needed”, in her words; to my understanding, only if symptoms get so unbearable that I need a temporary solution until I can get in touch with her. I asked her if it was really such a good idea to be switching medicines so close to my marathon – runners have a long, storied, and not always pleasant relationship with poop, which both of us openly discussed – and she said I would be fine. I believed her, and on Thursday morning started the medicine.

Well.

Here it is, Monday evening, and I have to actively resist the urge to spend the rest of the evening sitting in my bathroom scratching my ass. It itches so damn much. Everything that happened with the suppositories is happening again, and I’m pissed about it. (there’s a joke there somewhere…) Now that I’ve compared the dosages, the four I take every morning are giving me four times as much drug as the one suppository I was taking last year. They’re extended-release, which I guess is maybe why I continuously poop soft and orange all day, and why the gas and the uh-oh-what-are-these-really farts keep going, and why the itching will. Not. Stop., except when I’m just out of the shower. Thankfully, the two runs I’ve had since I started taking the pills – on Saturday, and this morning – have passed without incident, but when I am in the middle of running 26.2 miles I want to be thinking about anything other than wow, my ass itches SO MUCH right now, can someone please kill me? Okay, that’s a bit dramatic, but this is *exactly* why I was hesitant to start taking a medicine this week that has proven troublesome to me in the past. Maybe my doctor thought the pill form would be less awful? I don’t know.

So I’m torn between sending her a message saying “guess what, my old friend Anal Itching is back again with a vengeance, and he brought ALL OF HIS FRIENDS to the party”, and waiting a couple of days to see if things even out, so that I’ll have been on the medicine a week before saying anything. Maybe this just needs time to iron out the kinks? But I thought that last time, too, and suffered for no reason for like three months. There have to be other oral medicines out there I can use, right? But also, man, I spent 130 fucking dollars on this bottle of pills, and I still have sitting in my closet the mostly-full box of un-used suppositories from last year that I kept “just in case” the butt foam didn’t work, and I spent a pretty penny on those, too, and I would be doubly pissed if I end up having to just throw the pills – and all of that money – away and spend another $130 to try something else (my insurance has a really nice $100 deductible whenever you start a new medicine, and when you renew your insurance every year. It’s shitty, yeah, but what can you do? If I don’t have insurance, I get kicked out of school – it’s required for all students here!).

Errrrrgh. Arrrrrgh. Insert pirate noise here – it just sucks, and it’s frustrating, and it’s not a distraction I need this week. Or next week, really, when I start taking my major graduate exams that sort of determine whether or not I get a PhD (but no big deal, right?). ARRRRRRGH.

Okay, I feel better now, at least in my brain. My ass… well, that’s a different story.

Sorry. But you were warned. 🙂

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