The nausea, cramps, do seem to point to at least a partial obstruction. Possibly due to a stricture...a cat scan would help identify areas of narrowing.
My daughter's stricture tends to close partially during a flare. So contents of the small intestine get backed up and then the terrible pain starts, as the body initiates cramps to try to shove contents through the obstruction. Whenever these cramps start, in the case of an obstruction, there is always the danger of perforation. So if you have even a partial obstruction it is best to get the cramps and inflammation under control ASAP.
35 mg of pred might not be enough - you might need more. 60 mg of Solumedrol via IV helped my daughter get out of a flare.
If you do have an obstruction and it includes scar tissue, then meds cannot clear the scar. My daughter's stricture does include scar tissue, and therefore will never go away, but as long as the meds keep her free of inflammation, then the stricture poses no problem.
However, in some cases, even when inflammation is down and Crohn's is inactive, a stricture can still pose problems. If too much scar tissue has built up, leading to obstructions that do not open up with reduction of inflammation, plus you find yourself reduced indefinitely to a liquid diet, then it becomes a quality of life issue, and perhaps time to consider surgery.
Post Edited (njmom) : 10/16/2007 4:22:46 PM (GMT-6)
Post Edited (njmom) : 10/16/2007 6:31:21 PM (GMT-6)