CD pain vs gall stone pain

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Veteran Member

Date Joined Jan 2005
Total Posts : 1709
   Posted 6/16/2008 5:40 AM (GMT -6)   
I recently found out I have gall stones.  If you have gall stones and crohn's in your duodenum(sp?) how do you distinguish between the pain?  I've had aweful bouts of nausea -- again we're not sure if it's CD or gall stones and this a.m. I'm having moderate to down right nasty URQ pain.  It's going straight through from the front to back, not unlike pain I've had in the past that I've chalked up to CD.  So, if you have both how in the world do you tell where the pain is coming from? 

Crohn's 4 ever
Regular Member

Date Joined May 2008
Total Posts : 207
   Posted 6/16/2008 7:28 AM (GMT -6)   
It is very hard, when I had a gall bladder attack, I thought it was an obstructed bowel, went to emerg and then a few hours later and morphine I was sent home. A week or two later I had my gall bladder removed. Simple day surgery, sorry but I only had that feeling you are experiencing once. I would assume it should feel like it in the chest, but it didnt. Then after the gall bladder left,,, then along came kidney stones. Cant win. Go see your GI, he will know how to treat you. Good luck, it is not nice what you are going through.

Regular Member

Date Joined Jun 2005
Total Posts : 139
   Posted 6/16/2008 12:21 PM (GMT -6)   
I could never tell. After four years of testing and tons of meds my Gi and I made the decision to remove my gall bladder. I had the procedure last wed. I was always walking the line in terms or distinguishing the pain and since my Crohn's was located in the same place we could never quite get a clear picture of understanding of which it was. I did not have stones but my gall bladder was not functioning properly. Not felling to good today. Was hoping for better but time will tell. The only problem that I face at this point is taking the pain killers enough to lessen the pain but not constipte or create a blockage. What my Gi explained to me was that it is hard to distinguish at times since when inflamed or blocked the gall bladder swells. Any swelling would impact the active crohn;s areas if they are close by. Good luck to you. P.S. I kept a diary prior to the decision and it did help. Look for patterns aroung meals nd other symptoms.
 Formal diagnosis 3/2006, IBS 1992, Degenerative Arthritis Facet block and RFA, Seizure Disorder, Severe Carpal Tunnel both hands, SVT arrythmia, 2004 cardiac Ablation
Cushings Syndrome(thanks Prednisone), Asthma, Multiple Laps for ovarian adhesion to bowel, C/5 & 6 disc herniation - plate with screws, resistant to anethesia/most pain meds.
Multitude of Meds. Have tried most Crohn's meds - now on Humira. Gall bladder removal and Intestinal Lap. sched. for June 08.

Veteran Member

Date Joined Jan 2005
Total Posts : 1709
   Posted 6/16/2008 5:32 PM (GMT -6)   
Thanks so much for your input. I'm leaning toward it being gall bladder pain this morning as it lessened as time went on. It's just a pain (excuse the pun) when my CD is from my TI resection site up through my mouth, sorting out what pain is from what is frustrating. Donna, the journal thing is a great idea I think I'll try that for the next couple of weeks until my doctor appt.

Veteran Member

Date Joined May 2007
Total Posts : 1488
   Posted 6/16/2008 11:17 PM (GMT -6)   
Sounds like your a.m. pain was gallbladder to me too. For me, I don't have too much trouble with nausea so long as I don't miss my nexium. When it's a gall bladder attack for me I will throw up without nausea or get sudden nausea. Also, the front to back pain is what I experience with a cold sensation (I call it my mid-torso is being freeze dried) again. It's weird! I have small stones that like to block the duct every now and then and also CD in the duodenum. When the CD in the duodenum is acting up, it's more like a fire pit burn for me.
Dx'd Jan'06, 1st Resection 7/06, Humira, Imuran, B12 injections, Nexium, Lexapro, Glucosamine, Multi-Vitamin, Ultracet Secondary conditions: Psorasis, Osteoarthritis, Fibromyalgia, Lactose Intolerant, gallstones, peri-menopausal.

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