When is it time to go to the ER???

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Doc2007
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Date Joined Oct 2007
Total Posts : 294
   Posted 7/26/2009 2:13 PM (GMT -7)   
I am on Humira, and have had diahrea for about 10 days now. Went to urgent care yesterday morning, and the dr gave some cipro and ordered stool test because it looked like a stomach bug. however I also was running a temp and have been no since Friday. I took my shot Fri morning. My temp is 100.2 and wont go down even with Tylenol. I dont feel like Im dying but I do feel pretty bad...should I wait for the antibiotics to take effect or because of all the possible side effects of Humira should I just head to the ER now????

ivy6
Elite Member


Date Joined Sep 2005
Total Posts : 10404
   Posted 7/26/2009 2:38 PM (GMT -7)   
I think that if your temp is that high, you need to go back down to the hospital.

We can't mess around when we're on medications like Humira. My instructions have always been to go to the hospital *immediately* if my temp gets anywhere near 38C. I've been hospitalised on the basis of a 37.8C temperature alone.

Ivy.
Co-Moderator Crohn's Forum.

Medications for Crohn's ~~ Diet and Nutritional Therapy for Crohn's


Aimee =)
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Date Joined Jun 2004
Total Posts : 1020
   Posted 7/26/2009 3:03 PM (GMT -7)   
Have you called your GI afterhours number?

That temp is not high, though it's worrisome that it won't break. Before heading to the ER, I always call the GI first. It's a free call, and they can tell me what they think and maybe call ahead before you go up there. One time I called, the jerky GI on call said that it was up to me - I could wait or go. Helpful! So, I thought through what the ER would do for me. Sitting in the ER for 6 hours in a hard plastic chair just to have a doc tell me to continue on my antibiotics and call the GI in the morning is not worth my time or copay. If I feel dehydrated, to the point of not being able to make it until tomorrow, then it's worth going to ask for an IV of fluids. If I'm in pain my Vicodin cannot touch, it's worth going for something stronger. I will admit to being incredibly frugal, and still paying off hospital bills from 2.5 years ago, so I tend to try and make it until the GI office opens the next morning. ER visits are really pricey for me.

Doc2007
Regular Member


Date Joined Oct 2007
Total Posts : 294
   Posted 7/26/2009 3:39 PM (GMT -7)   
I just took shower and feel better, I am gonna call the after hours GI dr this evening. Thanks so much for your feedback.

LivingWithCrohns
Regular Member


Date Joined Jan 2007
Total Posts : 58
   Posted 7/26/2009 3:47 PM (GMT -7)   
Aimee, I agree with you about the ER. Most the times I have been I end up just waiting for 5 hours and then being told to speak to their GI attending the next morning. Waste of time to go unless you really have symptoms which can be fixed.

Doc, hope you feel better soon and your fever breaks. I would definitely go back to the hospital if it doesn't.
www.ibdblog.com
31 year old male
Diagnosis:
First Symptoms Sept 2001
Diagnosed with UC in April '03
Diagnosis changed to Infectious Colitis in Dec '03
Diagnosis Changed to Crohn's March '04
Meds:
On Asacol 400mg 6x daily.Use Cipro 500mg 2x daily for 7 days when flared
Procedures:
4 colonoscopies to date, no surgeries, 1 hospitalization


Doc2007
Regular Member


Date Joined Oct 2007
Total Posts : 294
   Posted 7/26/2009 6:24 PM (GMT -7)   
Fever rose to 102.6 I just took some more Tylenol...ok now I'm a wiwwle nervous... Lol

DebbieCrohns
Regular Member


Date Joined Nov 2005
Total Posts : 174
   Posted 7/26/2009 6:35 PM (GMT -7)   
Hi Doc,
 
I am sorry you are feeling so badly.  I would definitely call your GI immediately.  Please keep us posted and I hope you are better real soon.
 
Debbie

Doc2007
Regular Member


Date Joined Oct 2007
Total Posts : 294
   Posted 7/26/2009 7:11 PM (GMT -7)   
Called on call gi at hospital they will call me back soon with guidance..

Katzzz
Regular Member


Date Joined Jul 2009
Total Posts : 38
   Posted 7/26/2009 7:23 PM (GMT -7)   
I'm so very sorry you are having this pain and fever. I hope you are feeling better soon.

Doc2007
Regular Member


Date Joined Oct 2007
Total Posts : 294
   Posted 7/26/2009 7:28 PM (GMT -7)   
Thanks...I really am not in any pain at all, just feeling yucky from the Fever. You know hot then freezing cold, dizzyness etc...but

Doc2007
Regular Member


Date Joined Oct 2007
Total Posts : 294
   Posted 7/26/2009 7:29 PM (GMT -7)   
But it is annoying lol...

Aimee =)
Veteran Member


Date Joined Jun 2004
Total Posts : 1020
   Posted 7/26/2009 8:10 PM (GMT -7)   
Darn, I'm sorry you haven't been able to break it yet. I hope you hear from the GI quickly.

Doc2007
Regular Member


Date Joined Oct 2007
Total Posts : 294
   Posted 7/27/2009 7:49 AM (GMT -7)   
Well it finally broke! I did get a call back from the on call GI who was No HELP I almost laughed at him. He says "uuuuum I'm perplexed humira doesn't cause fever unless you have a infection." I wanted tobreach through the phone and choke him! But violence is never the answer lol. Gonna call my personal gi this am.

Nanners
Elite Member


Date Joined Apr 2005
Total Posts : 14995
   Posted 7/27/2009 9:01 AM (GMT -7)   
LOL Doc2007 I think violence in some cases is allowed, especially with dumb GI's. Let us know what YOUR doc says.

Big Hugs,
Gail*Nanners* Co-Moderator for Crohns Disease and 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, Calcium  w/Vit D, and Xanax as needed for my anxiety.  Resections in 2002 and 2005. Also diagnosed with Fibromyalgia, Osteoarthritis, and Anxiety. Currently my Crohns is in remission, but my joints are going crazy!
*Every tomorrow has two handles.  We can take hold of it by the handle of anxiety, or by the handle of faith"*

Doc2007
Regular Member


Date Joined Oct 2007
Total Posts : 294
   Posted 7/27/2009 3:29 PM (GMT -7)   
Been in contact with nurse and doctor today and he is not overly concerened right now. He actually said stop taking Tylenol and see how high my temp will go. 104 to 105 is alarming he said. My crohns is like whatever right now all I want to do is take a decent dump lol!

Doc2007
Regular Member


Date Joined Oct 2007
Total Posts : 294
   Posted 7/29/2009 9:55 AM (GMT -7)   
Never went to the ER...Still feel like crap but the feever has stoped spiking, still ran a low grade fever yesterday twice...99 and then 100
finished Cipro but still having complete waterey diahrea. and my gut is tender and Im stiff and it is sore when I walk for to long or sit up too long...Dr apt set for friday.

Rider Fan
Veteran Member


Date Joined May 2008
Total Posts : 1445
   Posted 7/29/2009 10:51 AM (GMT -7)   
Sounds like the flu.
32 y/o male. Dx'ed in 1999. No surgeries.

Current meds: Humira 2/27/09. 5mg prednisone. Udo's Choice Probiotics (30 billion). Proferrin iron pills.

Tried SCD, didn't work, now avoiding gluten and dairy.


Go Saskatchewan Roughriders!


Doc2007
Regular Member


Date Joined Oct 2007
Total Posts : 294
   Posted 7/29/2009 11:03 AM (GMT -7)   
thats what I thought but I had absolutley no head ache, no runny nose, no cough, no neezing

gabbsters
New Member


Date Joined Jul 2009
Total Posts : 2
   Posted 7/29/2009 2:59 PM (GMT -7)   
I have crohn's and usually only go to the ER when I get obstructions, however I've been having severe abdominal pain like my intestines are being cut from the inside out. Its horrible and this is now the 6th day and I had to take hyrocodine lastnight. I have no bleeding nor fevers, what's wrong this time??

Doc2007
Regular Member


Date Joined Oct 2007
Total Posts : 294
   Posted 7/31/2009 2:15 PM (GMT -7)   
Had Dr. appt this morning, battery of test, first round of test for Liver, Kidney, bladder problems all came back good no sign of anything, so Humira not causing any problems there.
So narrowing ti down to virus in my system, or bacteria, but first round of stools showed nothing except white blood cells which is a sing of inflamation.
have to do another round of stool cultres over the next three days

manda panda
New Member


Date Joined Jul 2009
Total Posts : 8
   Posted 7/31/2009 2:50 PM (GMT -7)   
GO! PLEASE GO! i almost lost my life becuase the doctors kept chalking it up to mild crohns flare ups. I endined up in the hospital with my life on the line. PLEASE don't let what ever you have get worse. Especially when your on those risky meds. Its not worth risking your life. TRUST ME. I ended up going pale loosing my hair and everything and in the ER with excrusiating abdominal pain. i also was in the hospital for two weeks on high doses of prednesone and a feeding tube. PLEASE if your not feeling well go see a doctor and you could possibly insist on getting checked out for crohns or IBS or something like that.

just do what you feel is right.
Age: 15
Diagnosed in 2007 with Crohns disease of the small and large intestines. Almost died in september of 2008. Still on the road to get this into remision...
Currently Taking: Imuran ( to control the immune system from attacking) and other nutrient supliments such as: iron, calcium and vitamin D

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