can you self-treat an obstruction or is ER visits part of life?

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uklass
Regular Member


Date Joined May 2009
Total Posts : 65
   Posted 8/3/2009 10:16 AM (GMT -7)   
following other posts, just wondered if there is an alternative to going to the hospital and ending up on IV fluids when a blockage is happening? mine came on quite quickly last weekend and I coped with the spasms for around 3 hours before deciding to get checked out. Could I have done something different at that point? If not, and I have inflammation not yet under control, there may well be a reoccurrence (despite my relatively low fibre diet) so i'll keep an overnight bag handy!!
 
any ideas on advance warning symptoms would be great too i.e. before the spasms/nausea. I just remember feeling a bit off and 'full' but no pain at the inflamed site or fever - otherwise I would have probably gone on a liquid diet or taken something to unblock earlier.
 
Thanks
 
Penny x
 
 
diagnosed aged 31 in 1996 - emergency surgery (right hemicolectomy). Thought I'd only get 'it' once and have lived in relatively blissful ignorance, apart from a couple of hospital stays for obstructions (scar tissue), until March 09....major surgery, 2 resections, fistula and now only 195cm small bowel left. Not on any meds at present except B12 injections but know there will be some. Just getting used to my 'new' body and it's limitations........
 
Penny x


Iram
Regular Member


Date Joined Jul 2003
Total Posts : 145
   Posted 8/3/2009 11:03 AM (GMT -7)   
The short is answer is No. There is not much you can do, I have had this experience several times, last time was I was in hospital for three days in March. I have posed this question several times to the GIs, no there is nothing much we can do to avert what is coming at us. You might ask you docs, to put you on some maintenance drugs, such as pentasa and/or 6mp.

Zanne
Veteran Member


Date Joined Apr 2005
Total Posts : 3763
   Posted 8/3/2009 11:10 AM (GMT -7)   
I have quite frequent blockages, BUT I have spoken to my doctors at length about them, I have gone to the hospital many times, and I know the warning signs of trouble. I have all the pain medications, and anti nausea meds, including suppository, at home, so my doctor is OK with me staying at home AS LONG AS, I keep hydrated, and am not running a fever. At the first sign of trouble, I head to the hospital. My blockages usually resolve themselves in 12 - 24 hours and I keep to a liquid diet for a few days there after to make sure things are OK. Mine are from adhesion, or so they think, not from active disease at this point, so it is just a matter of the bowel twisting around and freeing itself. I can not recommend this course to you without you consulting your doctor. I have a very high tolerance for pain and can deal with this at home, however, it can be dangerous. I would also, never do this if I didn't have family in the house with me at all time, in case of an emergency.

If you do start to feel 'off' you can try to go straight to liquids and see if that helps, if you have steroids, you could try a short burst, but once again I would talk to your doctor first.
Suzanne

CD 20 years officially, 30 unofficially. 3 resections '93, '95 '97
Managing with strict low residue diet, keeping symptoms to a minimum. All test show small amount of ulceration, still have occasional blockages. But still have a great time with my 2 daughters and husband!


Prednisone, 6MP,Prevacid, B12 shots, Bentyl, Xifaxan.....


Zanne
Veteran Member


Date Joined Apr 2005
Total Posts : 3763
   Posted 8/3/2009 11:12 AM (GMT -7)   
Oh, and I keep a bag in my closet at all times with my hospital gowns, slippers, and such, so that I can just grab it and go. So even us old Crohnies are always prepared.
Suzanne

CD 20 years officially, 30 unofficially. 3 resections '93, '95 '97
Managing with strict low residue diet, keeping symptoms to a minimum. All test show small amount of ulceration, still have occasional blockages. But still have a great time with my 2 daughters and husband!


Prednisone, 6MP,Prevacid, B12 shots, Bentyl, Xifaxan.....


Aimee =)
Veteran Member


Date Joined Jun 2004
Total Posts : 1020
   Posted 8/3/2009 12:15 PM (GMT -7)   
Honestly, I've never made an ER visit for one. I have had what I call "acute blockages" - I ate something very bad, and it ain't moving. I ride them out. Within a few hours, whatever it was comes back up (TMI, sorry). It's extremely painful but GI makes sure I have a bottle of Vicodin at home in case.

I guess the ER would hook you up to fluids and give pain med?

Keeper
Veteran Member


Date Joined Jun 2008
Total Posts : 1058
   Posted 8/3/2009 1:31 PM (GMT -7)   
I have heard that a total blockage can be life threatening. I imagine that it would be a couple of days before it got to that point though....

pimfram
Veteran Member


Date Joined May 2009
Total Posts : 506
   Posted 8/3/2009 2:10 PM (GMT -7)   
Unless you can get hydrated while on bowel rest, you won't be able to. My last visit, I sucked down 2 iv bags before I felt normal, hydration-wise. I don't see how you'd be able to do that on your own.
Diagnosed with CD July 2007.
Hospitalized:
July 2007
August 2007
December 2008
January 2009
July 2009


Irishmom4
Regular Member


Date Joined Sep 2008
Total Posts : 457
   Posted 8/3/2009 2:46 PM (GMT -7)   
If I am having a partial blockage I can medicate at home. I go on a liquid diet for a few days and a 2 week steroid burst. But when I had my total blockage there was no way I could have stayed home. The pain and vomitting made it impossible to cope. Nothing gave me relief except an NG tube and moriphine. I was in the hospital 7 days with my last total blockage. Now after resection surgery I haven't had a major obstruction.

Elizabeth
Dx'd with Crohns 1984 and polycystic kidney disease in 1996
Bowel Resection surgery 2006, Now on Asacol, folic acid, and Enalapril,
 

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