obstructions/strictures - have I understood correctly? ..........

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uklass
Regular Member


Date Joined May 2009
Total Posts : 65
   Posted 5/30/2009 7:13 AM (GMT -7)   
wish I'd been better at biology & science when I was younger!! just trying to get my head round stuff and have read lots of posts/articles on CD symptoms, treatment etc but some bits fall inbetween especially partial obstructions. Have I got the general idea?
 
That narrowing of the bowel (lumen) is not good and can result from
 
1) inflammation of the bowel wall when the disease is active
2) scarring tissue on the inner wall from previous inflammation or surgery site
3) external adhesion/scarring pulling the bowel and twisting it
 
I think I have had all of these at different times but 2 of my hospital admissions have been due to 'scar tissue' and they just put me on a drip for 3 days but not prescribed any IBD drugs. So........partial obstructions are, I guess, the point at which I should have been aware  earlier to avoid the hospital stays? is it easy to tell whether the cause is active disease or scar/adhesion?
 
Other than considering maintence meds and a low fibre diet I can't see what else I could do to prevent the obstructions happening and presumably a low fibre/residue/fasting when they happen?

Nanners
Elite Member


Date Joined Apr 2005
Total Posts : 14995
   Posted 5/30/2009 7:21 AM (GMT -7)   
That pretty much are the reasons for obstructions. You have to do tests c-scope, SBFT to see if it is caused by inflammation or scar tissue. Another way to know is if you respond to medication that usually means its caused by inflammation. If you don't respond to the medications, then it more than likely is scar tissue. When you have inflammation, it heals, and develops into scar tissue. Hope that helps.
Gail*Nanners* Co-Moderator for Anxiety/Panic Forum
Been living with Crohn's Disease for 33 years. Currently on Asacol, Prilosec, Estrace, Prinivil, Diltiazem, Percoset prn for pain, Zofran, Phenergan, Probiotics, and Calcium and Xanax as needed. Resections in 2002 and 2005. Also diagnosed with Fibromyalgia and Osteoarthritis and Anxiety. Currently my Crohns is in remission.
*Every tomorrow has two handles.  We can take hold of it by the handle of anxiety, or by the handle of faith"*

janicea
Regular Member


Date Joined Feb 2009
Total Posts : 350
   Posted 5/30/2009 8:19 AM (GMT -7)   
If it flares up, and then gets better, it's inflammation in my experience. If it flares up and stays permanantly strictured, it's scar tissue. At least in my experience. Scarring happens pretty slowly. Liquid diet (yogurt smoothies with protien powder) helps the inflammation go down pretty quick for me. The hardest thing is to keep the liqiods going long enough to let it de-inflame. That's the hardest thing for me!! I usually start cheating at dinner fish/mashed potatos etc... too early. LOL. And of course adhesions make things more difficult... sigh.
strictures, crohn's, adhesions, endo. fighting Pyoderma G.
just started on LDN cream (working!) ~ allergic to pentasa and 5ASA's. I'm taking Boswellia Serrata (works!) Just came off Xifaxan. Making 24 hour yogurt (FUN!) Using Olive leaf liquid extract for candida, using silver sulfadiazine (new to me) on PG.


Becky77
Veteran Member


Date Joined Dec 2005
Total Posts : 1768
   Posted 5/30/2009 8:25 AM (GMT -7)   
I've had numerous partial obstructions, and one surgery because I was completely obstructed. It's almost never caused by inflammation (none seen on CT's) and usually with bowel rest (no eating) and then clear liquids it goes away on its own. I have a ton of scar tissue...during my second surgery, it took 2 1/2 hours to clear all the scar tissue and get to the intestines. My dr is baffled because there's no indication of what's causing the obstructions.

In my case, there's nothing I can do to prevent it...I go from completely feeling fine to in horrible agonizing pain in a matter of hours, and it has absolutely no warning at all.
Becky

31 yr old female-dx with Crohn's in '97 after emergency resection and appendectomy, 2nd resection '05
Currently on Humira, Prilosec, Effexor, Seroquel, Calcium, Vit D, sublingual B12; phenergan, ultram, clonazepam as needed


BeeSting
Regular Member


Date Joined Nov 2008
Total Posts : 392
   Posted 5/30/2009 1:50 PM (GMT -7)   
Have had numerous partial obstructions, a flare could start by having one, or a I am starting having a flare, and then get a partial obstruction. My specialist suspected that the reason was strictures, but after my first prednisone treatment he changed his mind and decided that the reason why I have partial obstruction is inflammations.
 
Have now used LDN for two years. And during these two years - no more partial obstructions. yeah turn
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