How to tell when you have obstruction?

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What A Life
Regular Member


Date Joined Mar 2010
Total Posts : 116
   Posted 4/15/2010 6:53 PM (GMT -7)   
Good evening all. Any of you that have had an obstruction before; what are the tell-tale signs? I'm just growing weary as I'm still flaring and have constipation this time... Which I have never had before. I'm hoping that is just from a bit of inflammation, but I'm not a doctor. :-p And insights would be helpful.
28 Y/O Male DXed Crohns in 2000.
Fistulotomy/Fistulectomy 2001
Been on many meds including Remicade.
Asacol and Pentasa on a when-needed basis as of recent
Current regimen: Diet and Exercise.


NiceCupOfTea
Veteran Member


Date Joined Jan 2010
Total Posts : 8568
   Posted 4/15/2010 7:09 PM (GMT -7)   
Well, I had what I thought was a partial obstruction back in December - severe bloating, excruciating wave-like cramps every few minutes, strong pressure in central abdomen which normally would only last a few seconds before turning into an internal 'burp' but this time stayed constant, nausea. But no vomiting. If you get vomiting on top of excruciating wave-like pains, no bowel sounds, and no passing of stools or gas, then it's probably a total obstruction and serious - you should seek emergency help at that stage.

As far as constipation is concerned, I had that symptom a lot back in December and earlier on this year. My GI told me that constipation in Crohn's disease can indicate a stricture in the colon. (Note: colon, not small intestine.) I'm getting a colonoscopy done next Monday, so I don't yet know if I have any strictures in the colon - I'll let you know Monday, though <_<.

Becky77
Veteran Member


Date Joined Dec 2005
Total Posts : 1768
   Posted 4/15/2010 7:10 PM (GMT -7)   
When I get obstructed (usually it's only a partial obstruction, but the pain is pretty much the same) it hits really fast. I can feel completely fine in the morning, and after eating, the pain hits fast. It starts with really bad heartburn, and a mild burning in my belly. The pain isn't in one specific place, more of a general pain. It comes in waves of pain, and goes away, then comes back over and over until it's a constant unbearable pain. It's a very distinct burning pain, along with my belly feeling like it's swollen and SO tender to the touch. I usually have to walk really carefully because the pain gets worse from moving around.

Looking back, I can always see that for a couple days I have bad D, then a couple days where I don't go at all, then really feel constipated. It's hard for me to see it's coming because I tend to have days of D and also days of constipation in general.

If you think you are getting obstructed, try to eat very low residue, easy to digest foods, or maybe try to do liquids for a couple days if you can. Try to take it easy and get rest, too.

I hope you're not obstructed! If you do get bad, don't hesitate to go to the ER, because it'll just get worse till it's unbearable.

Let us know how you're doing...hopefully in a few days things will pass and you'll be feeling better. Hugs and well wishes to you!
Becky

32 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
Coumadin stopped 3/15/10!!!!


What A Life
Regular Member


Date Joined Mar 2010
Total Posts : 116
   Posted 4/15/2010 9:03 PM (GMT -7)   
Well, the enema helped me out a little tonight... Still in some pain, but not so serious... Just keeping my fingers crossed it's just a flare... Still going on vacation tomorrow; so hoping for the best. Thanks for the well wishes!
28 Y/O Male DXed Crohns in 2000.
Fistulotomy/Fistulectomy 2001
Been on many meds including Remicade.
Asacol and Pentasa on a when-needed basis as of recent
Current regimen: Diet and Exercise.


Nanners
Elite Member


Date Joined Apr 2005
Total Posts : 14995
   Posted 4/16/2010 6:43 AM (GMT -7)   
My obstructions are always pain that comes in waves much like labor pains, cannot move air out of either direction, no bm's, really hard and bloated stomach, then eventually I will start vomiting green gunk. Hope that helps and I hope that things quiet down for you 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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