I perforated in the colon in 1993. I was on Prednisone and my third week of Methotrexate. My symptoms to begin with was a low grade fever and off and on severe sweats. When my gut let go I got "wish you were dead" groin pain, just like an obstruction. I could BM a little bit but not much. My family Dr. thought it was a reaction to the Methotrexate and just kept feeding me a regular diet and Tylonol Codienes for the pain. After 3 days he sent me 350 miles to see the DR. that prescribed the Methotrexate. Now perforated for four days, I was in horrible pain, my belly was distended like I was pregnant. When I got to the hospital, I went into shock before the emergency surgery to resection and clean up the Gangrene and Peritonitis. I actually watched the surgery from above. My fever approached 106 and I spent a month on an ice water mattress in the ICU.
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