ibuprofen and cramps - question!!

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blueberrydecaf
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Date Joined Jan 2010
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   Posted 8/5/2010 9:38 PM (GMT -7)   
I get really severe menstrual cramps and the only thing that helps is ibuprofen. The pain gets so bad sometimes from cramps that I feel nauseous and it travels down my legs which forces me to take ibuprofen anyway. The pharmacist told me I should not take ibuprofen with Pentasa as it could lead to a major bleed. I am going to the doc for suggestions of alternative pain meds (tylenol doesn't touch the cramp pain one bit). Has anyone else found an alternative pain med for menstrual cramps?

njmom
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   Posted 8/5/2010 10:01 PM (GMT -7)   
Ibuprofen is not good, even by itself, for Crohn's. Perhaps somebody else will be able to answer your question about other pain meds.
 
Exercising might help prevent cramps.  
Daughter (22) Dx'd Crohn's 3/06. Misdiagnosed for two years, including by top pediatric Crohn's specialist as stress. No symptoms for the past three years. March '09 colonoscopy showed stricture gone but two spots of inflammation in TI. Used LDN to taper off Entocort last fall. (Was on Entocort since April 06.) Never had D. 4.5 mg LDN, SCD multivit, homemade yogurt, 2000IU vit D3, 1000 mg calcium, 27-54 mg iron, monthly B12 shots, daily oral B12 twice a day (one B complex, then later one B 500), 10mg zinc. SCD diet. 

Stef17
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   Posted 8/6/2010 7:14 AM (GMT -7)   
I know there was a big post here about avoiding ibuprofen, but I take it whenever I need it - especially for cramps and I'm on asacol which is a 5-ASA drug (similar to pentasa). Taking it on the occasions that I need it (sparingly) hasn't caused me any trouble at all and none of my GI's have ever recommended not taking it. The only drugs I know that will even touch menstrual cramp pain are NSAIDS (ibuprofen, naproxen sodium like ALEVE) Since your pharmacist recommended you NOT take it, did (s)he recommend what you could take instead? That might be a good place to start since (s)he has the knowledge about what drugs are ok to take together. Not to sound careless, but shoot - if your cramps are THAT bad that you get nauseated and it travels down your legs - I would take the ibuprofen. That's just me. Call the pharmacist. See what (s)he says.

Nanners
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Date Joined Apr 2005
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   Posted 8/6/2010 7:24 AM (GMT -7)   
I use to take a prescription med called Anaprox for my cramps. But later found out its in the Aleve family, but my God did that med work well. I usually only had to take 1-2 a cycle as it worked so well to stop the cramps. Are you on birth control? I find that actually the best thing to ease that monthly pain, that was of course until a I had a total hysterectomy:) LOL
Gail*Nanners* Co-Moderator for Crohns Disease 
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"*

MMMNAVY
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Date Joined Jul 2006
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   Posted 8/6/2010 7:31 AM (GMT -7)   
stupid question... does midol work at all for you?
Forum Co-moderator - Crohn's Disease/Thyroid Disorders:_All comments have the caveat contact your local health care provider.

I will find a way or make one. –Phillip Sidney 1554-1586

All that I am and all that I shall ever be, I owe to my Angel Mother.

The Bucket List- Have you found joy in your life?  Has your life brought joy to others?

Make sure your suffering has meaning…


Nanners
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Date Joined Apr 2005
Total Posts : 14995
   Posted 8/6/2010 7:49 AM (GMT -7)   
Good point Navy! I forgot about that and Pamprin. I know the Pamprin always helped alot with my wild mood swings that time of the month. I have heard its changed alot since I use to take it and is even better.
Gail*Nanners* Co-Moderator for Crohns Disease 
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"*

blueberrydecaf
Regular Member


Date Joined Jan 2010
Total Posts : 257
   Posted 8/6/2010 8:18 AM (GMT -7)   
unfortunately the only midol that touches it is the one with ibuprofen! I'll see what the doc says today - I got an IUD last month which I am hoping will eventually slow down (or stop) my periods. So far it hasn't helped as I have been bleeding constantly during the adjustment period! I have a feeling you may be right that a few ibuprofen a month is worth it for the pain - perhaps I will get a second pharmacists opinion too! It really does seam that ibuprofen is the only thing that works...

MMMNAVY
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Date Joined Jul 2006
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   Posted 8/6/2010 8:21 AM (GMT -7)   
I have to admit I do love the depo...No periods or periods only very rarely
Forum Co-moderator - Crohn's Disease/Thyroid Disorders:_All comments have the caveat contact your local health care provider.

I will find a way or make one. –Phillip Sidney 1554-1586

All that I am and all that I shall ever be, I owe to my Angel Mother.

The Bucket List- Have you found joy in your life?  Has your life brought joy to others?

Make sure your suffering has meaning…


MoobyDoo
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Date Joined Sep 2009
Total Posts : 212
   Posted 8/6/2010 8:32 AM (GMT -7)   
Blueberry - I have to ask cuz I'm curious... do you find that the menstrual pain triggers a Crohn's flare?  Just wondering cuz I've had what I've always thought was severe menstrual pain for the last 25 years. Finally had my right ovary and appendix removed in hopes of eliminating pain from my life. Altho the pain is much much less often, it's still sometimes there...lower right side, like a stabbing and yes it does spread down into my legs. How can this still be happening with the ovary gone?  "Maybe you have Crohn's" says my OB/GYN.  What?! No one I know has Crohn's...then it hits. My 9-yr old daughter is scoped and diagnosed Crohn's. So does this mean I have it too, and that the pain I've been dealing with is not menstrual after all, but Crohn's pain that is triggered by my cycle? Mind you I have no other symptoms, no fevers, no anemia, I'm NOT skinny, etc.

  • ZenaWP
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    Date Joined Aug 2007
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       Posted 8/6/2010 8:35 AM (GMT -7)   
    Navy, I love depo also.  Other than breakthrough bleeding once a year or so, I never have a period or any of the cramps, bloating, etc. that goes along with it.  blueberry, have you talked to your OBGYN about depo provera or any of the birth control options that only give you a period a few times a year?   

    Crohn's Disease with Arthritis, Non-Erosive Reflux Disease, Gastritis, Hashimoto's Thyroiditis, Endometriosis, Depression/Anxiety 

    blueberrydecaf
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    Date Joined Jan 2010
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       Posted 8/6/2010 8:41 AM (GMT -7)   
    The mirena iud I just got put in usually reduces women's periods by about 90% because it has some hormone - but often the body takes a few months to adjust. I tried the pill before but the level of hormone made me feel like I had PMS every day (irritable, crying). I haven't thought about depo - but perhaps if the IUD doesn't take then I will give it a go - but I am thinking the level of hormone in it is probably similar to the pill? The IUD only has about 5% of the the hormone that the pill has, so I'm hoping it won't give me that chronic PMS emotional state!

    In terms of crohns and menstrual cramps - yes, there one often makes the other worse (from what my Gastroenterologist says). I was told by him that the same kind of cramping you get with menstrual cramps is the same cramping that happens in the intestinal track - so often if you are having both at the same time it can be hard to differentiate which is which! Also, my D. always gets worse during my period.

    MMMNAVY
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    Date Joined Jul 2006
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       Posted 8/6/2010 8:51 AM (GMT -7)   
    depo pretty much completely stops your periods without the risks of an IUD, but it does take a couple of months to stop
    Forum Co-moderator - Crohn's Disease/Thyroid Disorders:_All comments have the caveat contact your local health care provider.

    I will find a way or make one. –Phillip Sidney 1554-1586

    All that I am and all that I shall ever be, I owe to my Angel Mother.

    The Bucket List- Have you found joy in your life?  Has your life brought joy to others?

    Make sure your suffering has meaning…


    blueberrydecaf
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    Date Joined Jan 2010
    Total Posts : 257
       Posted 8/6/2010 10:06 AM (GMT -7)   
    Well, the doctor said for menstrual cramps ibuprofen is about the only thing that helps (except using narcotics which I won't do). The doctor said if I am only taking a few ibuprofen a month not to worry about it - if it is just 2 or 3 for a few days per month - more than that I should figure something else out.

    Dagger
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    Date Joined Apr 2008
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       Posted 8/6/2010 6:52 PM (GMT -7)   
    I've found ibuprofen to be the only med that helps. I've tried strong narcotics and they didn't even touch the pain. Most of the Midols and Pamprins have acetaminophen so if Tylenol doesn't work for you, they probably won't help much either.

    My docs don't want me to take ibuprofen but, without it, I can't work or function for two days/month. I take the minimum I can get away with for the shortest time possible. I used to need 4 pills every four hours for 2 or 3 days. I had acupuncture for a few months about 6 yrs ago and, ever since, I've only needed to take 2 pills every four hours for about 2 days. It still amazes me because I really didn't think it would work. I wish I could afford to do acupuncture for a few more months to see if the pain will go away completely.

    MoodyDoo, you may have endometriosis. That could be causing your right sided pain. Your doc may not have noticed it when you had your original surgery. Some docs aren't as familiar with all the appearances of endo as they should be. Do a bit of research and see if your symptoms fit. The Endometriosis Research Center has a lot of great information. The discussion board hasn't been active lately but it's worth reading some of the older posts. Good luck.

    blueberrydecaf
    Regular Member


    Date Joined Jan 2010
    Total Posts : 257
       Posted 8/7/2010 8:12 AM (GMT -7)   
    I hear you Dagger - and good to know the narcotics didn't help either. Acupuncture is a good idea to try too. I think I will be the same where I just try to use as little ibuprofen as possible. My doc also said that if worse came to worse there is a drug they can give you to coat your stomach before you take the ibuprofen to make it a little easier on your system - but it's a pretty strong drug so she didn't want to prescribe it unless absolutely necessary - but good to know it exists.

    WriterMum
    Regular Member


    Date Joined Apr 2009
    Total Posts : 166
       Posted 8/7/2010 8:43 PM (GMT -7)   
    I use a hot water bottle, which feels great, and tylenol with codeine if really needed. I am in Canada, so I can get the tylenol with a little codeine over the counter. It is not much codeine, and it does the job. I only take it once or twice every couple of months, so I don't see it as a problem.

    I would also see if you have any issues like fibroids etc., because it may be that there is a simple problem that can be fixed. I think doctors tend to let pain with periods go for a long time without trying to solve it. I don't believe that you should suffer that much pain.
    45 years old. Diagnosed with moderate to severe Crohn's in April 2005. Hiatus hernia diagnosed in 2008. Had Crohn's under control until March last year when I had a major flare up and ended up in hospital. Diagnosis is now CD and IBS. Getting it under control again.
    Currently taking: Salofalk 2000 mg, Calcium and Vitamin D, Matamucil, Yogurt for probiotics, Pregnancy Vitamins for iron etc., Salofalk suppositories as needed.
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