How long do you wait before calling your GI with problems?

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gumby44
Veteran Member


Date Joined Nov 2007
Total Posts : 4095
   Posted 8/16/2010 11:40 AM (GMT -7)   
Hi everyone,
I have been in remission for many months, but for the past 3-4 days, I'm having bad stomach cramps when I eat anything at all, including simple things like white rice, and starting to move toward the big D. It could be a bad bout of IBS or a return of the evil Crohn's. I was just wondering how long everyone waits before calling the doc? I don't have an obstruction, I don't see any blood, so I don't think I'm in any serious trouble....just miserable. I'm thinking I should give it at least 10 days to two weeks. My regular appointment isn't until October.
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

nawlinscate
Veteran Member


Date Joined Jan 2007
Total Posts : 656
   Posted 8/16/2010 12:29 PM (GMT -7)   
Could be another bout of food poisoning--or a stomach virus, too. If your symptoms are just cramps and D, you may want to wait a couple of days to see if it gets worse or better. If it gets worse, you should probably call your doctor pretty quickly. Better to contact a doctor unnecessarily than find yourself in real trouble.

mlatida
Regular Member


Date Joined Aug 2010
Total Posts : 129
   Posted 8/16/2010 4:49 PM (GMT -7)   
My usual thing is wait a week, unless the end of the week is over a weekend and unless your pain is >8. I waited a week and a half (pain=10.5 out of 10) and ended up finding out I have a severe Crohn's flare.
Diagnosed with Crohn's disease March 2008. Battled a C. diff infection from Summer 2009-Spring 2010. Have been dealing with a severe flare for the past several weeks.

Becky77
Veteran Member


Date Joined Dec 2005
Total Posts : 1768
   Posted 8/16/2010 4:59 PM (GMT -7)   
I usually try to deal with things, then when I get fed up, I call. That doesn't really answer the question, but it depends on how severe the symptoms are and how much they're affecting my everyday life. Sometimes I try a day of liquids to let things calm down, and often that helps.

Do you have a rx for anti-spasmodics or anything else to help with the symptoms?

It's different if it's severe pain though...that I call ASAP, or go to the ER.

All that being said, you don't need to suffer for weeks on end. Calling your doctor after a week isn't unreasonable, and I'm sure they won't think you're overreacting.

Hope you feel back to normal soon!
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!!!!

MAG102886
Veteran Member


Date Joined Jul 2008
Total Posts : 674
   Posted 8/16/2010 6:32 PM (GMT -7)   
I know what my flares feel like, so if I feel one coming on I'll usually wait a week or so and do a liquid diet, but my GI tells me if my pain gets to be a 8 or more to go to the ER asap to get my pain under control.
Diagnosed at 16, 23 yrs old now.
3 Bowel Resections, gallbladder removed, 3 abscess cleanings, fistula repair
Current Meds: Methorexate, Cimzia, Welchol, Nexium, B12 injections, Opana ER, Oxycodone, Paxil.

SydneyJo
Veteran Member


Date Joined Mar 2006
Total Posts : 1354
   Posted 8/16/2010 9:27 PM (GMT -7)   
I usually do the liquid diet for a week as some else suggested, then I see my local Dr. before I see my Gastro.
Hope all this subsides for you soon.
Jo
Crohn's Disease, Ankylosing Spondylitis
Current meds: Methotrexate, Humira
Bowel Resection Sept. 07
 
Forum Moderator - Rheumatoid Arthritis

pimfram
Veteran Member


Date Joined May 2009
Total Posts : 506
   Posted 8/16/2010 10:31 PM (GMT -7)   
Yeah, I do a liquid diet for a few days and if things don't improve, I talk to the doc.
Diagnosed with CD July 2007
Currently on Remicade, acidophilus, multivitamin.
Resection December 2009

Amor fati - Nietzsche

gumby44
Veteran Member


Date Joined Nov 2007
Total Posts : 4095
   Posted 8/17/2010 5:48 AM (GMT -7)   
What do you drink for your liquid diet?
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

Nanners
Elite Member


Date Joined Apr 2005
Total Posts : 14995
   Posted 8/17/2010 7:02 AM (GMT -7)   
I usually allow my symtoms to continue for at least a week. That way I know if its the Crohns or a virus. For a liquid diet do things like soups, broths, jello. Hope that helps.
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"*

Becky77
Veteran Member


Date Joined Dec 2005
Total Posts : 1768
   Posted 8/17/2010 7:03 AM (GMT -7)   
I try Ensure type drinks, and also clear liquids throughout the day. You can Google "clear liquids" or "liquid diet" and you can get some other ideas.

Usually I know within a day or 2 if this is helping at all or if I need to call my dr.

Are things getting worse, or staying the same with you? ((((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!!!!

gumby44
Veteran Member


Date Joined Nov 2007
Total Posts : 4095
   Posted 8/17/2010 2:52 PM (GMT -7)   
Thanks for all the advice and support. Things seem to be getting worse. I'm now moving into green diarrhea (sorry to be so graphic!) My doc has had me take 3-5 days of Cipro in the past for these types of symptoms, so I'm trying that and I'll call him in a few days if that isn't working. I don't think it's food poisoning because I have relatives visiting, and no one else is sick, and we all ate the same food. It's about the fifth day of hardly eating...I'm starting to feel lousy. I think I'll just stay with fluids and see if I can get this to end. It's a bummer!
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

PV
Veteran Member


Date Joined May 2006
Total Posts : 1177
   Posted 8/17/2010 4:09 PM (GMT -7)   
We don't wait much before calling the doc if my husband feels poorly because everything has been so dramatic for him. We have to rule out c-diff for him, since he's had a problem with that. With my husband he's either fine, or really really ill. I wish there were some middle ground. He just seems to go downhill fast.

Since his flare ups and or c-diff infections or crohn's related arthritis events are so dramatic, the doc told us to just head to the ER if he starts feeling bad, to get all the test done right away, since waiting a few days to see the doc then get test results etc. would mean he'd be admitted to the hospital.

The one time he got a stomach virus though I could tell a difference. Instead of going downhill in a day, he went downhill in just 3 hours. He went from fine, to completely dehydrated, and his heartrate at 140 beats per minute in 3 hours.

So, we've taken to just calling his doctor and/or going to the ER to head things off before they get completely unmanageable if at all possible. I hope the course of Cipro fixes you up and that this is not the beginning of a flare.

PV
Husband with Crohn's
Diagnosed March 2003 Ulcerative Proctitis
Diagnosed March 2008 Crohn's & C-diff, hospitalized 45 days
Crohn's in Remission since June 2008
C-diff recurrence Sep 2009
Reactive Arthritis Nov 2009
Currently c-diff free
Osteopenia of spine (Mar 2010)
Canasa (1gm), Lialda (4.8 gms), Remicade (8 weeks)
Currently In Remission
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