how can you tell if you have a stricture

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prof
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Date Joined Feb 2003
Total Posts : 1195
   Posted 2/3/2008 7:06 AM (GMT -7)   
I was just wondering what symptoms have you experienced?  I am now experiencing a bloated and full feeling along with ALOT of pain in the area surrounding my belly button, especially after I eat. I can't even touch my stomach there at times.  I tend to be very gasy but was wondering if this could  be a stricture in the making?  Last CT scan I had showed alot of bowel wall thickening.
 
Prof


belleenstein
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Date Joined Feb 2007
Total Posts : 1010
   Posted 2/3/2008 7:34 AM (GMT -7)   
Yes these are among the symptoms I associate with disease activity and stricture. However, they could also be caused by gas from excessive bacterial overgrowth -- or oher things.

In my early experience with strictures, the most significant symptoms was severe cramping in advance of a bowel movement. My stricture was located in the TI so I experienced the worst bowel cramps deep in the lower right quadrant. These pains were intense enough sometimes to induce vomiting. Although the pain was the most memorable, the daily cycle of bloating and fullness was perhaps the most common. I could never eat three regularly timed meals in a day. If I ate breakfast and lunch, by supper I was uncomfortable and definitely not hungry. Sometimes the feeling of bloated fullness would resolve during the evening leaving me ravenous before bedtime. I lived with a significant stricture for nearly 15 years. As it worsened I developed cycles of constipation followed by excruciating pain and then explosive diarrhea. This was a regularly occuring cycle. I looked forward to the diarrhea. As long as I was going to the bathroom I had little pain, but as soon as things stopped up again, so too would the cycle of pain, distention and fullness begin again. Within that period I had several complete obstructions, all of which resolved after 12-16 hours of intense pain and vomiting. This was 30 years ago and at the time, I opted to use minimal medication and just toughed it out. With the changes in medical management of this disease and the drugs available today I would not make that decision.
Belleenstein:

30+ years living with Crohn's.


inflamed
Veteran Member


Date Joined Nov 2005
Total Posts : 1340
   Posted 2/3/2008 10:53 AM (GMT -7)   
I couldn't really tell until a scope showed it. I do often feel twinges in the area even w/o inflammation. When things are active I bloat and have real pain. I don't get the more severe feelings until I am to the point of a partial blockage-- vomiting, major cramps, distended stomach.
Currently in remission!


prof
Veteran Member


Date Joined Feb 2003
Total Posts : 1195
   Posted 2/3/2008 9:14 PM (GMT -7)   
Can u see a stricture on a CT? Tonight I was so sick..LOTS of pain.. horrible smelling gas... then the runs set in... the pain subsided. I have this awful feeling something not right is happening.
Prof


tinglebell
Veteran Member


Date Joined Apr 2007
Total Posts : 531
   Posted 2/3/2008 9:57 PM (GMT -7)   
You can best tell if there is an obstruction by CT but the better test is a small bowel follow thru, at least for me. I had never had an abd CT until 11/07. This site states where the ileum is located and the diameter. My sx were/are almost carbon copy of belleenstein.
http://books.google.com/books?id=A4QNAAAAYAAJ&pg=PA1289&lpg=PA1289&dq=diameter+ileum&source=web&ots=EIduLklJkt&sig=JOmIKOfJDLuvIs2IjcFjPpgGlJI#PPA960,M1
DIANNE
Humira, pred and entocort 1/08
3 small bowel resections, 1 for perforation, 2 for strictures 
 

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