I have nothing to base this on specifically with KC’s case…but, speaking generically, opiate addicts will often invent ilnesses and pains that difficult to diagnose (“my back hurts” is another common one) in order to get more pain meds from their doctors.
Oh, and BTW, you’re not going to last long around here if you tell people “Fuck you” in forums other than the BBQ pit.
Mouth there are also various other “irritable bowel syndrome” diseases/disorders that are much more difficult to diagnose. A friend of mine has one ever since we got back from Panama. Presumably there is some sort of parasite, but all test keep turning up negative.
They’ve said, “well, it’s not exactly Crohn’s”… so they just call it “unidentified irritable bowel syndrome”. They still think there’s some kind of parasite, but since they can find it, they can’t kill it. So they shrug and say “deal with it.”
The symptoms are as unpleasant as Crohn’s. But he’s managed well after modifying his diet to avoid some foods.
Crohn’s and ulcerative colitis is Inflammatory Bowel Disease (IBD). Different altogether than Irritable Bowel Syndrome. Crohn’s has lesions in the gut wall along the entire digestive tract; UC is only in the large intestine. It is sometimes difficult to diagnose because it flares and goes away, but there are blood tests and telltale signs to look for on colonoscopy for diagnosis. Inflammatory bowel disease is very serious – it can lead to multiple surgeries, cancer, and a whole host of other problems.
Irritable Bowel Syndrome (IBS) is a harder diagnosis to make. Its aetiology is unclear, but it can be quite debilitating. There are no good treatments for it, either. To my knowledge, it is not associated with any other disease or condition (besides perhaps depression), so it is not as inherently dangerous as IBD. Given that his conditions were “mysterious” and evaded diagnosis, it probably was IBS.
Irritable Bowel Syndrome is often associated with crampy diarrhea. Since opiates are a good pain reliever and reduce bowel motility, I could see how Cobain could get hooked on them. He may have tried to quit and beyond the regular junk withdrawal type stuff to deal with, he may have had a flare up in bowel problems. Sometimes IBS is associated with phases of diarrhea and constipation; the heroin could have helped one and made the other worse. Since he was depressed, it may have been enough to push him over the edge. Hard to say, really.