medications that can prevent obstructions? surgery? HELP

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New Member

Date Joined Sep 2009
Total Posts : 10
   Posted 9/22/2009 1:05 PM (GMT -6)   
Hi everyone,
    This is my first time posting, however I have come to this site many times to read other peoples posts...let me just say I have learned so much...been inspired to cope....and taken many things away from this site...I cannot say enough good things about it, or the people that are members :)
I was diagnosed with Crohn's approx. 7 years ago (I was 21 at the time).  Around that time I had two admissions for obstructions and was put on pentasa. 
Up until these past few months I did fairly well, requiring no more admissions, medications, etc...Recently however I have been miserable.  My symptoms are typically severe bloating, pain/cramping, usually leading to vomiting and sometimes diarrhea. 
Since my diagnosis I have been followed by a general internist (I live in somewhat of a rural area).
Within the past month I have had two admissions due to obstructions....initally I was advised by the admitting interist/surgeon that I would most likely require surgery to remove the small area of my bowel that is narrowed....I was prescribed prednisone for one week and discharged and told to follow up with my GP (as the internist I had previously seen has left the area).  I did well for approx three weeks before I started to get sick again.
On my second admission I was admitted under a different surgeon who indicated that because I have only ever been on the pentasa that surgery should not be considered at this this time (should only be a last resort) and that it was necessary to try other medications first.  He referred me to a gastroenterologist located at a health centre 5hrs from my home (prior to this I never even knew that such a specialist was available at all!!) as he felt this person would know what meds may be appropriate.  He also prescribed prednisone for one month as he felt that the previous one week during my last admission was not enough to ascertian whether the narrowing in my bowel is caused by inflamation or scar tissue. 
This was two weeks ago....For the most part I have been feeling pretty good, I have regular solid bowel movements, my only complaint would be that every couple of days I continue to have the bloated stomach (even days when I have had several bowel movements), accompanied by some crampy pains, tiredness, and lots and lots of bowel sounds and feelings of movement...I also notice that as the noise happens I can physcially see portions of my stomach distend or rise up....this typically lasts a few seconds before the noise/movement happens again and it will go away or move to another spot.   Has anyone else experienced this?  is it caused by gas?
In terms of medications.....what can I expect?  should I have requested we proceed with the surgery? 

Elite Member

Date Joined Apr 2005
Total Posts : 14995
   Posted 9/22/2009 1:15 PM (GMT -6)   
Well I think you should meet with a gasterenterologist and have more tests ran to see what type of narrowing you have. If its from inflammation then medications will work to decrease the inflammation, if it is scar tissue then more than likely surgery is required. If it is inflammation, it might be a good idea to start with a med such as Imuran/6mp. These meds have helped many to go into remission.

As for the the gas pains and bloating, I was recently treated for a Small Intestine Bacterial Overgrowth (SIBO) with Cipro for 10 days and that really helped to relieve all the gas and bloating I was having. Everytime I would eat I would immediately get gassy and bloated and it was making me really uncomfortable. But after a course of Cipro I feel great. Maybe something to ask your doc about.

Surgery should always be something that is a last resort. But if no meds are working and your quality of life is miserable then I always believe surgery to be an option. Good luck and keep us posted on what the docs say.

Gail*Nanners* Co-Moderator for Crohns Disease and Anxiety/Panic Forum
Crohn's Disease for over 33 years. Currently on Asacol, Prilosec, Estrace, Prinivil, Diltiazem, Percoset prn for pain, Zofran, Phenergan, Probiotics, Calcium  w/Vit D, and Xanax as needed. Resections in 2002 and 2005. Also diagnosed with Fibromyalgia, Osteoarthritis, and Anxiety. Currently my Crohns is in remission, but my joints are going crazy!
It's scary when you start making the same noises As your coffee maker.
*Every tomorrow has two handles.  We can take hold of it by the handle of anxiety, or by the handle of faith"*
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