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sgirl
Regular Member


Date Joined Jul 2009
Total Posts : 417
   Posted 1/5/2010 12:57 PM (GMT -7)   
how do you know when its time to go into the hospital?
Diagnosed with UC in February 2009.
Diagnosed with Crohn's Colitis December 2009.
Flaring since October 2008

Medication: tapering off Prednisone (5mg), Pentasa 6x daily, Imuran 100 mg, hydrocortisone enema nightly, multivitamin. Probiotics through yogurt.


tez25
Regular Member


Date Joined Dec 2009
Total Posts : 65
   Posted 1/5/2010 1:09 PM (GMT -7)   
i think it depends on your symptoms etc. my GP once told me that you'd probably be admitted for rehydration if you're going to the toilet 12 times a day and it's waking you up 3-4 times a night. if its that severe, then maybe its worth going in just to check that you're not dehydrated. Sorry i cant help with an answer about blood, pain or any other symptoms. What symptoms are you having?! i think the fact you're considering the hospital is probably a sign that you should go... the worst that can happen is they send you home! hope you're better soon!

JavaJay
Regular Member


Date Joined Mar 2009
Total Posts : 452
   Posted 1/5/2010 1:18 PM (GMT -7)   
I always go with...if you are in so much pain and trouble that you are thinking "Should I go to the hospital", then go to the hospital.  I think it is normal for everyone to not want to go and if we think we should go...then we should go.
 
Feel better.
36 yr old Male with Crohn's Disease since '88 - No Surgery yet
 
Been on almost every type of drug with bad results
Remicade since Nov 2009
Prilosec 20.6mg - 2x a day
Multivitamin daily


crohnielass
Veteran Member


Date Joined Mar 2009
Total Posts : 1118
   Posted 1/5/2010 1:36 PM (GMT -7)   
Yeah i agree with the others, you should go as tez25 says the worst they can do is send you home.good luck and hope you are feeling better soon Bev x
Diagnosed at 13 now 42
Reversal of temp stoma scheduled 27th Jan 10 :-)
Meds: Iron syrup,Loperimide,Folic acid & Citalopram 60mg (for Anxiety.)

Never be afraid to try something new;
remember amateurs built the ark, professionals built the Titanic.


pimfram
Veteran Member


Date Joined May 2009
Total Posts : 506
   Posted 1/5/2010 1:39 PM (GMT -7)   
I always went in when drastically changing my diet didn't help with my symptoms. Dehydration is hard to fend off when you can't keep liquids down.

As has been said, if you wonder if you should go in, you probably should.
Diagnosed with CD July 2007
Currently on Remicade, Imuran, probiotics, folic acid, multivitamin.
Resection December 2009

Amor fati - Nietzsche


Becky77
Veteran Member


Date Joined Dec 2005
Total Posts : 1768
   Posted 1/5/2010 1:43 PM (GMT -7)   
My determining factor is whether or not something I had in the house to take didn't help. If I take percocet and I'm still in pain...that's when I go. I only usually go to the ER when I have symptoms similar to past obstructions, so I've learned when it's like that and when it's not.

My GI also told me that if you pinch the skin on the top of your hand and it doesn't bounce back into place, it means you're dehydrated enough to warrant a trip to the ER. On a "normal" day, pinch your skin and notice how it goes back almost instantly. When you're dehydrated, this doesn't happen...it takes some time for your skin to ease back into place.

I hope you're doing better soon!
Becky

31 yr old female-dx with Crohn's in '97 after emergency resection and appendectomy, 2nd resection '05, Bilateral pulmonary emboli 10/09
Currently on Humira, Omeprazole, Effexor, Seroquel, Calcium, Vit D, sublingual B12, Coumadin


sgirl
Regular Member


Date Joined Jul 2009
Total Posts : 417
   Posted 1/5/2010 1:45 PM (GMT -7)   
its not that i think i need to go, its more of just a knowledge on when most feel its time to go in. I may need to, but don't know?

My only concern right now is blood loss. I've been very very cold today (well really the past month), no temperature, but it's ranging about 96-96.5 degrees. I think it could be anemia? I don't know. I'm still so new to this whole thing :(
Diagnosed with UC in February 2009.
Diagnosed with Crohn's Colitis December 2009.
Flaring since October 2008

Medication: tapering off Prednisone (5mg), Pentasa 6x daily, Imuran 100 mg, hydrocortisone enema nightly, multivitamin. Probiotics through yogurt.


gumby44
Veteran Member


Date Joined Nov 2007
Total Posts : 4100
   Posted 1/5/2010 1:50 PM (GMT -7)   
That "skin pinch" idea only works for the young. At 51 my skin doesn't bounce back even on a great day:)
51 yr. old female, diagnosed with Crohn's in small intestine and terminal ileum Sept-Oct. 2007. Also have IBS, and had Salmonella Dec. '07
currently taking Pentasa- 4 500mg pills per day, Metamucil and colace for constipation, probiotics


gumby44
Veteran Member


Date Joined Nov 2007
Total Posts : 4100
   Posted 1/5/2010 1:51 PM (GMT -7)   
Call your doctor. He can order outpatient labs to see where you are at.
51 yr. old female, diagnosed with Crohn's in small intestine and terminal ileum Sept-Oct. 2007. Also have IBS, and had Salmonella Dec. '07
currently taking Pentasa- 4 500mg pills per day, Metamucil and colace for constipation, probiotics


JavaJay
Regular Member


Date Joined Mar 2009
Total Posts : 452
   Posted 1/5/2010 1:56 PM (GMT -7)   
If you think you are anemic get a blood test done from your doc.  Also, try taking some iron pills. 

36 yr old Male with Crohn's Disease since '88 - No Surgery yet
 
Been on almost every type of drug with bad results
Remicade since Nov 2009
Prilosec 20.6mg - 2x a day
Multivitamin daily


Becky77
Veteran Member


Date Joined Dec 2005
Total Posts : 1768
   Posted 1/5/2010 2:17 PM (GMT -7)   
Gumby-I didn't think about that, but that's good to remember. If I use that technique one day far from now, I would probably scare myself if I didn't consider that skin becomes less elastic with age. I guess you have to consider how your skin usually reacts and you can judge based on that!

sgirl-As time goes on, you'll learn what's normal for you and what isn't, and you'll figure out what symptoms mean you really need an ER visit...but for now, feel free to check back with us and we'll always tell you when we think we would go. For now-have you talked to your dr about your temperature being low? Can you maybe stop by their office and have bloodwork done without having an office visit? Or pick up an order for labs maybe?
Becky

31 yr old female-dx with Crohn's in '97 after emergency resection and appendectomy, 2nd resection '05, Bilateral pulmonary emboli 10/09
Currently on Humira, Omeprazole, Effexor, Seroquel, Calcium, Vit D, sublingual B12, Coumadin


Grandpato2
Veteran Member


Date Joined Dec 2009
Total Posts : 681
   Posted 1/5/2010 3:01 PM (GMT -7)   
Suggest you start the iron pills right away, another way to tell if your dehydrated is by the color of your urine, the darker yellow it is the more dehydrated you are. Don't confuse vitamin dyes with dark urine. Dyes tend to brighter color, dark urine goes gold
Male with Crohn's since 15 years old, diagnosed at age 46. Terminal ileum resected 2002. 5 months of remission. Crohn's has now been active since early 2003.Had a gall bladder removed Nov. of 2009. Currently on 5-asa Salofalk ,Remicade every 8 weeks, Nexium, Iron, B-12 injection every 4 weeks, Morphine Sulfate as needed for pain. Cymbalta for long term pain control. Entecort, Imuran and Prednisone in the past.


sgirl
Regular Member


Date Joined Jul 2009
Total Posts : 417
   Posted 1/5/2010 4:32 PM (GMT -7)   
thanks everyone for your responses. I feel so loved and understood on this forum! :)

I called my dr, he doesn't think I'm anemic. He put everything towards tapering off prednisone. so I guess I'll wait and see. I see him again on the 21st.
Diagnosed with UC in February 2009.
Diagnosed with Crohn's Colitis December 2009.
Flaring since October 2008

Medication: tapering off Prednisone (5mg), Pentasa 6x daily, Imuran 100 mg, hydrocortisone enema nightly, multivitamin. Probiotics through yogurt.


ivy6
Elite Member


Date Joined Sep 2005
Total Posts : 10404
   Posted 1/6/2010 2:58 AM (GMT -7)   
btw, don't be too spooked about the low body temperature. A lot of us have that, and find that we feel feverish when we actually reach a "normal" temperature.

If you look back far enough on the forum, you'll find a thread where we all learnt, courtesy of "House" on tv, that this can be the result of taking immunosuppressants like Imuran. In other words, immunosuppressants can lower "normal" body temperature, so this may be what you're noticing.

If you're cold, though, my guess is that you have other medical issues that need addressing too. Are you very underweight right now?
Co-Moderator Crohn's Forum.

Medications for Crohn's ~~ Diet and Nutritional Therapy for Crohn's ~~ Dealing with Abscesses and Fistulae ~~


Wolfie40
Veteran Member


Date Joined Dec 2008
Total Posts : 947
   Posted 1/6/2010 4:38 AM (GMT -7)   
I'm the stricturing Crohns patient and when i start to feel the pain and I know the difference, we head to the hospital because it gets worse as time goes by.
Diagnosed with Crohns in 2001
First and hopefully last Ileocecectomy 2/18/2009

Medications:Humira,  Asacol, FolicAcid,  Multivitamin, 1000mg Calcium, Vitamin D, Probiotics, Pepcid Complete, Questran,  Monthly B-12 injections.

Living a Great life with my Wife and my two Chocolate Labs
Hunter & Hailey.
I love them dearly.

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