What is the first sign of an obstruction for you?

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Regular Member

Date Joined Dec 2005
Total Posts : 259
   Posted 3/5/2009 12:17 PM (GMT -7)   
I was in the hospital for 3 days in January with a partial obstruction. That was my shortest stay on record in years. I am supposed to be on a low residue diet, but had been drinking fresh fruit smoothies. I havent been eating alot in general. My pain last time start in my back to where it was hard to sit still and then wrapped around my to my stomach later on and then on the way to the hospital the nausea started, etc. I am having mild back pain now and a little bloating. It is not as intense or strong at the moment. I am praying that I dont have another blockage. I guess I will need to lay off the fresh fruit smoothies. I always feel guilty when I do have a problem. I was told in January that the blockage was a mechanical obstruction due to scar tissue from previous surgeries and there was not any sign of active Crohns. I take Cimzia every 4 weeks. My GI said to just watch my diet , in other words the medicine right now wont clear up the problem area (scar tissue). I am afraid if I do keep getting blockages I will need more surgery (my last one was a strictureplasty in Jan. 2001).
42 yrs, diagnosed Crohn's 1988, 2 bowel resections, 1 strictureplasty, 1 botched exploratory surgery, 1 emergency surgery for ruptured ulcer, Remicade every 8 wks, Immuran 100 mg, Protonix

Veteran Member

Date Joined Oct 2005
Total Posts : 1250
   Posted 3/5/2009 12:32 PM (GMT -7)   
Are you able to have any bowel movements? Are you able to pass gas?
Diagnosed with Crohn's March 2006, Fibromyalgia November 2008
Asacol 3 times a day, Remicade 10mg/kg every 4 weeks, Prednisone 10 mg, Miralax,  Prevacid 30mg, Vit B12, Vitamin D, Slow-FE (Iron), Hydrocortisone enemas
Imuran stopped 9/8/08 (possible Pancreatitis)
Paxil 40mg daily (for Panic disorder)
Xanax .5mg as needed (for anxiety attacks)

Regular Member

Date Joined Dec 2005
Total Posts : 259
   Posted 3/5/2009 12:40 PM (GMT -7)   
Yes I can right now. My stomach just feel tender and a little bloated.
42 yrs, diagnosed Crohn's 1988, 2 bowel resections, 1 strictureplasty, 1 botched exploratory surgery, 1 emergency surgery for ruptured ulcer, Remicade every 8 wks, Immuran 100 mg, Protonix

Elite Member

Date Joined Apr 2005
Total Posts : 14995
   Posted 3/5/2009 2:13 PM (GMT -7)   
My obstructive pain begins with abdominal pain that comes in waves much like labor pains. I live on a low residue diet now too because I kept having those mechanical obstructions. The one thing that helped me more than anything else was to completely cut red meat from my diet. Since I did that I have not had any more of the mechanical obstructions. Hope that helps.

PS: I think if the fruit in your smoothies is all blended up, it shouldn't be a problem. I love Jamba Juice smoothies, in fact they are a comfort food on my bad days.

Gail *Nanners*
Gail*Nanners* Co-Moderator for Anxiety/Panic Forum
Been living with Crohn's Disease for 33 years. Currently on Asacol, Prilosec, Estrace, Prinivil, Diltiazem, Percoset prn for pain, Zofran, Phenergan, Probiotics, and Calcium and Xanax as needed. Resections in 2002 and 2005. Also diagnosed with Fibromyalgia and Osteoarthritis and Anxiety. Currently my Crohns is in remission.
*Every tomorrow has two handles.  We can take hold of it by the handle of anxiety, or by the handle of faith"*

Regular Member

Date Joined Mar 2009
Total Posts : 20
   Posted 3/5/2009 4:05 PM (GMT -7)   
Bloating to the point I looked 6 months pregnant - that was the very first sign - I would no sooner finish eating. I was still having bowel movements, though and had no idea what was happening. My partial obstruction eventually caused a perforation which my doctor described as "pain that would make a grown man cry". For me, I was clawing at my sheets. It felt like a knife in my gut. Mine happened very fast though. Looking back, I'm not sure what may have prevented it. My bowel was so narrow in that part, i'm surprised anything got passed at all.
41, diagnosed 1992 (25), resection 1993, remission for 16 years, no current meds

Veteran Member

Date Joined Dec 2005
Total Posts : 1768
   Posted 3/5/2009 4:58 PM (GMT -7)   
Looking back, I figured out a pattern. First, I had constipation for a day, then diarrhea for a day, then the next day the horrible waves of pain started. At that point I would always go to the ER.

My obstructions have been partially from scar tissue, partially because of active crohn's. I don't, however, adhere to a specific diet, so an obstruction could hit at any moment....Knock on Wood!!!

31 yr old female-dx with Crohn's in '97 after emergency resection and appendectomy, 2nd resection '05
Currently on Humira, Prilosec, Effexor, Calcium, Vit D, sublingual B12

Regular Member

Date Joined Jan 2009
Total Posts : 209
   Posted 3/5/2009 6:35 PM (GMT -7)   
OH , " the waves of pain" makes the hair's on the back of my neck stand straight up!
diagnosed 1981
remission until 2006
Entocort, 6mp,Hydrochlorothiazide
Remission since surgery
and 8-week Remacade.
d since 1981(enjoy the look
on Dr's faces)

Veteran Member

Date Joined Nov 2005
Total Posts : 1340
   Posted 3/5/2009 8:05 PM (GMT -7)   
All of the above. If I am paying attention I would notice the bowel habits changing beforehand and that loss of appetite/feeling bad after eating. I'm usually extra tired too. BUT, I generally blow those off and blame them on something else, so it is the bloating, nausea, the waves of pain and then vomiting before I get around to doing anything. I'm also 100% low residue. I can do some smoothies, but not strawberry.
Hoping to stay in remission after the birth of a healthy baby girl. On Pentasa during my pregnancy, went med-free 2 months to nurse (stupid), but back on Pentasa and still nursing.

Aimee =)
Veteran Member

Date Joined Jun 2004
Total Posts : 1020
   Posted 3/5/2009 10:15 PM (GMT -7)   
I've only ever had those partial obstructions caused by too much scar tissue in a certain area combined with something like a bunch of raw veggies. It's really just pain for me - the kind that makes my neck hair stand up and chillbumps run all over my body. I usually end up dazed and curled up in the fetal position moaning. So far, I've been able to throw it all back up 12-15 hours later and be perfectly normal (albeit sore) soon after.

Regular Member

Date Joined Sep 2008
Total Posts : 457
   Posted 3/6/2009 4:56 AM (GMT -7)   
My first total obstruction was a total shock. I had a bloated feeling and then the horrible contractions that radiated from my belly button area. Next came the uncontrolable vomitting. The only way to relieve the pain was a NG tube and moriphine. I was in the hospital about a week for that one. When I have a partial blockage I have the same symtoms but not as severe and I can usually rest and take vicodin to get me through. If the pain is unbearable I go to the ER. I try to avoid it if at all possible because I know it will mean a hospital stay and all those stupid tests they put you through. I just want to scream and tell them to give me the NG tube and moriphine and leave me alone. The last time they did a pelvic exam and tested me for STD's. Luckily I had a resection in 2006 so I haven't had any total obstructions. When I know I am flaring I stay away from raw veggies, large amounts of carbs, and carbonated beverages. I know it sounds odd... but if I eat a meal full of carbs and then drink a soda it can lead to an obstruction of spasm or whatever they want to call it.
Good luck,
Dx'd with Crohns 1984 and polycystic kidney diease in 1996
I was in remission for 16 years, Bowel Resection surgery 2006, Now on Asacol, folic acid, and Enalapril, Have been flaring on and off since August.
I love my life and everyday I pray that my body cooporates and allows me to do what I have planned.

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