Help! Possible blockage?

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myTYTY
Regular Member


Date Joined Sep 2007
Total Posts : 22
   Posted 9/20/2007 12:38 AM (GMT -7)   
My son has been in his bed sick all week... he was in the hospital last week. The ped said that he felt like it was a flu with cd... all of his blood test came back in the ranges they normally are, he has never had a sed rate over 30 or an elevated crp... capsule scope showed problems throughout his small intestine, including a sticture in the middle section, and the termial ilium has been a real hot spots for ulcers... he has not had a lot of problems with diarea, but has always gone quite regularly, (3-4xday)
(This week he says that it is different, I don't understand what that means, but it concerns me.)
His ped. told me that they were not going to do anything else because they could not see anything from his blood tests that would need to be treated and his GI told me this morning that she wanted to start him on Milk of Mag, or Miralax in case he was getting a blockage... I told her that he has NOT been going.. I had already been giving him MOM because I was getting woried... I have been giving him 1/4cup of mom for the last two days, If I took that much I think I would be on the toilet for days, but he only had 2bm's that were very watery. However, it did make his stomach go down, and he said he felt a little better... Is there anything else you can do to get things broken down and moving if it is a blockage? Am I over reacting? Any advice would be really appreciated. Thanks in advance.
 
Nat
My 11 year old son was Dx in may of 2007, but he had symptoms of CD at age 7. He was Dx with spondylitis in July of 2007, but had symptoms at age 2. I also have a 6 year old going through testing...
Currently taking: 2 grams of Pentasa 2x a day, Prevacid 30mg, Imuran 100mg, Dicloflonec 25mg 2x a day, Bentyl 10 mg 3x a day, Align (probiotic), and Phenergan prn.


athensgirl
Regular Member


Date Joined Apr 2007
Total Posts : 254
   Posted 9/20/2007 1:39 AM (GMT -7)   
First of all let me wish all the best to your son, I have a daughter at the same age, and I hate to see my children suffer.  I cannot tell you what to do, but I can tell you my experience with a partial obstruction I had last year.  I was in a lot of pain, it was like I was giving birth again, and I was vomitting a lot.  I too had 2 bm's that same morning, that's why it was only a partial obstruction.  When I went to the ER they did some blood tests and my WBC and CRP was very high, and I was running a low grade fever, that's why they admitted me immediately.  The obstruction cleared after 10 days of IV antibiotics and high dosages of prednisone, and of course clear liquid diet.  My main worry would be if he was in a lot of pain or vomitting.  My disease is also located in the terminal ileum.
 
In case he had a total blockage, he would not be able to pass gas or have a bm.
 
The problem is that your son is still a child, so you have to decide what the next step will be.  If it was one of my daughters, and I didn't see an improvement, I would drive them to the hospital, just to be on the safe side.
 
Hopes he feels better soon,
 
Christina

gachrons
Veteran Member


Date Joined Mar 2007
Total Posts : 4527
   Posted 9/20/2007 5:01 AM (GMT -7)   
Hi I guess soft diet low roughage .My blockage involved lots of pain and I did not have gas or BM's .Just keep a eye on things and if he doesn't feel better take him to emerg. if he is in lots of pain and staying in bed. He isn't getting any exercise when in bed either so that would slow things down. Let us know how you make out. lol gail

Zanne
Veteran Member


Date Joined Apr 2005
Total Posts : 3763
   Posted 9/20/2007 6:11 AM (GMT -7)   
I get adhesion blockages, I've had disease blockages in the past. The main concern is pain management and hydration as well as healing. Only you can decide how much he can take. I'm a very tough cookie and have always been able to stay away from the hospital while keeping my doctors informed of my status, but my last blockage was more intense, longer duration and I was not able to keep fluids down. I ended up having to go to the hospital for a few days just to get some fluids into me. It is amazing how much better you feel when you are well hydrated. Keep his doctors informed and monitor is fluid intake
Suzanne

CD 19 years offically, 29 unofficially. 3 resections '93, '95 '97
Symptoms constantly but all tests show only minor ulcerations. Currently having multiple episodes of gastritis with no known cause.


Prednisone, 6MP,Prevacid, B12 shots, Bentyl, Xifaxan.....


Howlyncat
Elite Member


Date Joined Jan 2005
Total Posts : 24909
   Posted 9/20/2007 10:40 AM (GMT -7)   
Hi there

Great input from all and I totally agree with Zanne I am the same way but my last blockage landed me in hospital ....I now am avid on water drinking .......I too was severly dehydrated

Wishing you all the best

LYN
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myTYTY
Regular Member


Date Joined Sep 2007
Total Posts : 22
   Posted 9/20/2007 1:41 PM (GMT -7)   
Thanks to everyone... he has been drinking a lot of water, and I have been giving him 1/4cup of MOM, but still no bm for the last 24 hours. He was hurting pretty bad this morning and had pain going down his leg. I had him take a bath with epsome salt to help his joints, and when he got out he said that the pain in his stomach is better and completly gone from his leg. His stomach is getting pretty bloated... I am waiting for the GI to call back. Thanks again for your advice. If I am understanding everybody correctly that a blockage can often be delt with at home?
Nat
My 11 year old son was Dx in may of 2007, but he had symptoms of CD at age 7. He was Dx with spondylitis in July of 2007, but had symptoms at age 2. I also have a 6 year old going through testing...
Currently taking: 2 grams of Pentasa 2x a day, Prevacid 30mg, Imuran 100mg, Dicloflonec 25mg 2x a day, Bentyl 10 mg 3x a day, Align (probiotic), and Phenergan prn.


Zanne
Veteran Member


Date Joined Apr 2005
Total Posts : 3763
   Posted 9/20/2007 4:36 PM (GMT -7)   
If his belly is continuing to get bigger and he continues to have no BM he's going to need to see the doctor. That is classic obstruction signs. I am amazed that an 11 year old can tolerate the pain. I hope your doctor has called back and is taking this seriously. A blockage that last for a few hours to a day or so can usually be managed at home by experienced CDers, if the pain is tolerated and hydration is maintained. Much longer than that or if he can't hold liquids and he will need medical support. From the increase in symptoms it seems things are getting worse not better.

I hope you hear from the doctor soon and that your son gets some relief fast.
Suzanne

CD 19 years offically, 29 unofficially. 3 resections '93, '95 '97
Symptoms constantly but all tests show only minor ulcerations. Currently having multiple episodes of gastritis with no known cause.


Prednisone, 6MP,Prevacid, B12 shots, Bentyl, Xifaxan.....


gachrons
Veteran Member


Date Joined Mar 2007
Total Posts : 4527
   Posted 9/20/2007 4:50 PM (GMT -7)   
Hi I would not recommend treating a blockage at home no especially for someone so young.How long did his GI say to wait for things to get moving?Glad your GI is going to call you and hope he feels better but the hosp. is the best place for a blockage in my opinion.lol gail

croniccrony
New Member


Date Joined Jul 2006
Total Posts : 1
   Posted 9/20/2007 5:46 PM (GMT -7)   
hello first i would like to say your not alone nore is your son.i'v had cd for 28 years 6 surgrys and an iloeostomy.a blockadge .not to take likly.for one over the years my \GI and others have allways said to me if u think your having a blockedg drink gatorade lots of it purple or blue .BUT this can case the runs badly.and dehydration.one of the best test you can get done is an enama it is similar to a barrieum enama but does not form like concrete it is a licquade that does not harden.i'm sorry i do not remember what the excact name it is vary drk brown or black and if there is narrowing in the rectom or passed that up to 8 inches in thay can use a gi feeding tube witch can get as small as a cooked noodle.thay use it alot on people with rectol stumps left in from ileostomys.the other s are a little tuff.but drinking gadtorade saved me from rupsure 3 times BUT becarful it can allso get u vary dehydrate.and if he starts throwing up everything even water  call an ambelancs he's blocked.?? have to GIs done any scopes and how long ago.and remember just because docs say and labs say and cts mris say there's nothing there that is not allways the case my last three surgrys have gone that way but whan it came time for surgry the surgan has said to me how did u live with your guts in that bad condision fishurs adhesions and scartissue everywhere.so don't give up push them till u get what your son needs i no if i had lisend to them i would'nt be writting this best of luck 2 your son & u are not alone
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