Nigel Horwood

Surrey, UK


Perforated bowel

Temporary ileostomy and reversal

Removal of terminal ileum

Bile acid malabsorption (BAM)

About Nigel

I have been suffering from Crohn’s disease for over 40 years. The initial diagnosis, at the age of 22, was irritable bowel syndrome (IBS) but subsequently changed to IBD after further tests.

Since diagnosis I have undergone emergency surgery for a perforated bowel, the removal of a stricture/temporary ileostomy and the subsequent reversal.

Since 2011 I have been in clinical remission but the loss of my terminal ileum has left me suffering from severe bile acid malabsorption (BAM).

My main medications have been prednisolone (nearly 20 years), followed by a long period on azathioprine. I am currently on no Crohn’s medication at all.

During my “Crohn’s career” I have lost very little time off of work, except for surgery. I am passionate about taking an active role in managing my treatment and getting the best out of the NHS.

I decided to use a combination of my old blog posts and medical records to write a narrative that might answer some of my questions and prove of interest to other IBD patients. Crohn’s Disease - Wrestling the Octopus is available as a free download in eBook, Kindle and pdf formats from I hope you find it interesting, living with Crohn’s certainly has been!

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