Hello,I have to agree with Vicky, this may be a good time to go to urgent care but I would choose ER as you have a known disease. Pain is considered an emergency so do not let anyone make you feel like you should not be at the ER. Remember to advocate for you.
FYI, The Joint Commission has been accrediting hospitals for more than 50 years. Its accreditation is a nationwide seal of approval that indicates a hospital meets high performance standards. This is the gold standard. Patients who feel they have not been treated according to the standards have the right to send a letter to Joint Commission and each concern is investigated.
Here is the Joint Commission ruling on pain management.............
The Joint Commission on Accreditation of Healthcare Organizations (JCAHO) has developed new standards for the assessment and management of pain in accredited hospitals and other health care settings. These standards were endorsed by the American Pain Society. The new standards explicitly acknowledge that pain is a co-existing condition with a number of diseases and injuries, and requires explicit attention. The standards state, "Hospitals, home care agencies, nursing homes, behavioral health facilities, outpatient clinics and health plans will be asked to: recognize the right of patients to appropriate assessment and management of pain; assess the existence and, if so, the nature and intensity of pain in all patients; record the results of the assessment in a way that facilitates regular reassessment and follow-up; determine and assure staff competency in pain assessment and management.
Do not be put off.............you are in pain. Take care of you.Hugs
Hi hukleberrie...during my 25+ yrs. of severe Crohn's Disease, the symptoms that you are describing were very common for me (I was never in full remission). It definitely sounds like you're having a flare-up. One thing that I need to mention...I had my first resection in '91 & two yrs. later, was diagnosed w/ a partial obstruction & ended up having a sub-total colectomy (90% colon removal). I experienced constipation/diarrhea simultaneously. Then again, severe inflammation in itself can cause your symptoms. I often had terrible hip, lower back spasms & horrific genital pressure. I don't know what drugs you're being treated with. The last drugs that I was on, prior to having an ileostomy, were 6-MP & Remicade. These drugs did help but they're very potent & after 3 yrs.. I was diagnosed w/ a rare eye cancer. Due to this diagnosis, I had to stop the drugs. I've had an ileostomy for just shy of 2 yrs. & was doing pretty well until 2 weeks ago when I experienced severe colorectal pain. Remarkably, prescription ibuprofen (800mg) seemed to help the pain...I think better than had I taken a narcotic. Regardless of what's going on, I'd go the ER route. I belong to an HMO & while I ended up being seen by a Primary Care Doctor & put on Cipro (which eventually fixed the problem...it was assumed to be a bacterial infection), had the bloodwork & exam shown anything thought to be more serious, I would've been sent to the ER, in Boston. I'm fortunate to live in a state (MA) which has some of the nation's best hospitals/medical care. If possible, I suggest that you go to an ER located at a top-rated hospital as opposed to a local community hospital. Lastly, I'd consider switching GI's if you're not receiving same-day callbacks. Please keep us up-to-date. Thinking of you...Fuzzy
I am sorry you have had bad experiences in the ER, I remember reading your posts but please don't suffer as I hate to think of you being in pain all week-end.
Which there was more I could offer. Prayers for your pain to diminish.