is my pain from a partial obstruction/strictures?

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cbk
Regular Member


Date Joined Apr 2007
Total Posts : 134
   Posted 12/27/2009 5:51 PM (GMT -7)   
Basically, my only symptoms are lower pain on the right side and intermittent diarreah.

The pain is constant, and feels a bit like having charlie horse in your abdomen. At times its palpable and I can massage it as if it were a knot. It hurts to walk down stairs, to cough or sneeze, and when I lay down and inhale it hurts. Sitting down is very uncomfortable, and when I sit up it feels as though I literally have a line of pain right above my pelvic bone.

This isn't severe pain, I'm doing my best to walk around and go to work. It's about a 6 on a scale of 1 to 10.

I don't have a fever and I'm not vomiting. I really don't want another stupid CT scan to tell me what I already know, but I'm wondering if I do have a partial obstruction and if I can just treat this at home with a liquid diet.
22 Female, currently on MTX. Previously on Imuran, Remicade, Pentasa, etc. Ileocolic resection in 2006.


Grandpato2
Veteran Member


Date Joined Dec 2009
Total Posts : 681
   Posted 12/27/2009 6:18 PM (GMT -7)   
This doesn't sound like any Crohn's pain I've had. This sounds to me like a hernia? Never has my breathing affected my pain levels.I have the begining of a hernia (diagonosed by my Dr.) and when I cough or sneeze I can feel it. If I press on it when I cough or sneeze no pain.

cbk
Regular Member


Date Joined Apr 2007
Total Posts : 134
   Posted 12/27/2009 6:26 PM (GMT -7)   
I thought about a hernia...but it's so unlikely given that I have Crohn's. I can also pinpoint a spot that hurts, I don't think that's noticeable with a hernia. It's always the Crohn's, always. Ha
22 Female, currently on MTX. Previously on Imuran, Remicade, Pentasa, etc. Ileocolic resection in 2006.


pimfram
Veteran Member


Date Joined May 2009
Total Posts : 506
   Posted 12/27/2009 8:06 PM (GMT -7)   
Doesn't sound too dissimilar to pain I had related to a stricture. Using a heating pad always helped me quite a bit, as did taking it easy and giving my bowels a break for a day or two by eating easy-to-digest foods. Soup, jello, pudding, etc, it sucks but it helps.

If you don't get any relief from that, it's probably not from Crohn's and you should look into the issue further.
Diagnosed with CD July 2007
Currently on Remicade, Imuran, probiotics, folic acid, multivitamin.
Resection December 2009

Amor fati - Nietzsche


asc58
Regular Member


Date Joined Jun 2006
Total Posts : 83
   Posted 12/28/2009 7:02 AM (GMT -7)   
I also have had strictures that cause pain like you have but, I also had an internal abcess once caused by the crohn's that hurts like that...but, you do not have fever so my best guess is you have alot of inflamation. Liquids, eggs, and mashed potatoes helps but sounds like you doc needs to do a small bowel follow thru to see what's happening. I don't know if you've ever had surgery for crohns but if you have, it could be scar tissue causing the stricture and no med is going to help that. Good Luck to you.
Crohn's in the ileum for the last 35 yrs.  3 ressections, numerous attempts at fistulae repairs, a battle with C Diff (that was bad), while recouping from C Diff, I had two PE's. Doing good now.
RX: Methotrexate, Zoloft.
 
 


amytupelo
Regular Member


Date Joined Nov 2009
Total Posts : 38
   Posted 12/28/2009 7:53 AM (GMT -7)   
i had the same kind of pain a few weeks ago - lasted about 2 weeks - still not 100%, but better. i also know i have strictures and i always have probs in the lower right ab. but i was also having the pains in a new area. i did a liquid/bland diet and a heating pad helped a lot. i probably should see my doc about getting another small bowel follow through (SBFT) but i start humira tomorrow.. but since it has subsided - i believe it was just really inflamed from a regretful night of alcohol, nacho cheese and sour patch kids.. and the increased inflamation just made the strictures tighter and more painful..
you should probably have a SBFT. also keep with the liquid diet for a while, and a heating pad - it can be your best friend.
if you stop having any bowel movements and have no bowel sounds - go to the ER
32/F
crohn's terminal ileum - 11 years
pentasa, entocort 6mg, b12, align, canasa
allergies: remicade, imuran, 6-mp, cipro, levaquin


Nanners
Elite Member


Date Joined Apr 2005
Total Posts : 14995
   Posted 12/28/2009 8:21 AM (GMT -7)   
Whenever I have had pain from strictures it has been pain that comes in waves like labor pains, can't move air out of either direction, little to no stool, to eventual nausea and vomiting. That is the description of a obstruction partial or full. I think something else is going on in there and that you really need to contact your doctor about asap. Good luck and I hope you get feeling better soon. Hugs~!
Gail*Nanners* Co-Moderator for Crohns Disease & Anxiety/Panic
Crohn's Disease for over 34 years. Currently on Asacol, Prilosec, Estrace, Prinivil, Diltiazem, Percoset prn for pain, Zofran, Phenergan, Probiotics, Calcium, Vit D, and Xanax prn. Resections in 2002 & 2005. Also diagnosed w/ Fibromyalgia, Osteoarthritis, & 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"*
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