why would lying down increase abdominal pain?

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Veteran Member

Date Joined Jun 2006
Total Posts : 909
   Posted 8/28/2012 4:43 PM (GMT -7)   
I'm waiting on results of a pill capsule endoscopy, but I was wondering if anyone had thoughts as to why I might be experiencing increased abdominal pain & nausea every time I lay down. I mentioned in a previous post I can no longer lay on my stomach (which is how I used to sleep until about two months ago), but now I'm at the point where every night my stomach/lower abdomen begins to hurt or the pain increases as soon as I lay down in any position. I also wake up in the morning nauseous.

I don't really remember this happening before in my six years with Crohn's, so any thoughts as to causes and/or solutions would be greatly appreciated.
Crohn's ileocolitis dx 2/2006. Inflammatory arthritis. Chronic daily headaches + migraines. Currently taking 2g Pentasa, 100mg Trazadone, 1mg Klonopin, titrating up to 100mg topamax, Maxalt and Sumavel for migraines (as needed), Lorzone for pain (as needed)

Veteran Member

Date Joined Dec 2010
Total Posts : 2746
   Posted 8/28/2012 4:52 PM (GMT -7)   
Sorry that you are suffering:) I do get this feeling whenever I am in the middle of a severe flare up. I think that during the day one is busy by something even if I'm just lying down on the couch watching TV. At night when I lay in bed pain starts to accumulate. This IMO, is the reason for this nocturnal pain. I do even have this pain that deprives me from sleep when my proctitis is flaring. Search for the cause of your pain.
Hope you feel better soon:)

Veteran Member

Date Joined Mar 2005
Total Posts : 1289
   Posted 8/28/2012 9:44 PM (GMT -7)   
right there with you! with me if i lay on my back i tend to be ok...once i roll over on my side the pain comes and i have to jump up and poop. needless to say my nights are so much fun! i haven't slept more than a couple of hours a night in years! amazing i can make it through the day! my therapist is really worried about my lack of sleep. he gave me some pills but i'm scared to take them along with my oxycodone and other meds. i do want to wake up! haha
37 year old male living in AZ. Diagnosed with Crohns at age of 15.
Currently on 20 mg prednisone. still taking Asacol. Done with Remicade- antibody level was over 8! Waiting for scope results to see about Humira or Cimzia.
In the middle of a bad flare now for 2 years...it's been one heck of a ride!

Veteran Member

Date Joined Jan 2006
Total Posts : 3141
   Posted 8/29/2012 4:31 AM (GMT -7)   
Try laying on your left side, not your right if you have not already. I can't seem to get the gut to settle when I aly on my right, but on my left is better and even seems to help when I get really crampy.
I went years without laying on my stomach and I always slept best that way. I jsut tried it again when I was feeling really well...it came back---I slept some on my tummy! You just might be in a tough spot for now.....
Age 45-50, female. Still holding on with just Pentasa and cholestyramine! Doc says most of my problems are side effects of my resection ('90) and my disease is doing GREAT and no sign of a repeat fistula. Meds now to control the lack of TI and gallbladder....happy to be out and about.

Regular Member

Date Joined Aug 2011
Total Posts : 269
   Posted 8/29/2012 11:01 AM (GMT -7)   
Hello vitaka, it may be from esophageal reflux/GERD or gastritis. The Endoscopy procedure is a common way to diagnose what you're suffering from.
I can't sleep on my stomach either, been many years since doing so. I typically go to sleep on my back.

mtgman, have you tried Melatonin? It's an all natural sleep aide or get you into a good sleeping pattern. You can purchase Melatonin at a CVS, they're very cheap. I have 3mg pills but break them in half and take half a pill to knock me out. I may take them for a few days if my sleep pattern is out of synch and I don't feel groggy the next day.

Veteran Member

Date Joined May 2012
Total Posts : 3294
   Posted 8/30/2012 1:09 PM (GMT -7)   
I actually had stomach pain above the belly button and under the rib cage. It was pretty tender, and laying down really hurt. It turns out that I had pancreatitis. Not sure if that's the case for you, but maybe a thought outside the box?

Good luck!
CD 2010, Fistula, Pancreatitis
Prednisone, Imuran, Asacol, and Remicade

"These things I have spoken unto you, that in me ye might have peace. In the world ye shall have tribulation: but be of good cheer; I have overcome the world." John 16:33

Veteran Member

Date Joined Sep 2011
Total Posts : 1989
   Posted 9/1/2012 7:28 PM (GMT -7)   
Regardless of having UC/crohns or not, when you lie down in a relaxed position, you're telling your body to 'relax', and vice versa for a standing position. So your body is trying to accommodate whatever it is that you are doing, and having crohns, this is probably amplified. I used to experience this as well, and even now still experience little bouts of something from time to time.

I know one thing that used to tick me off in the morning, was waking up, and lying as still as possible so to not sit up or move slightly, because then my stomach would wake up and tell me to go to the bathroom.
Diagnosed Crohns-Colitis Sept 2011
Gluten Free, VSL#3, InflaGuard, Zyflamend, Asacol, Butyrate + Glutathione Suppositories
Metametrix Labs stool testing reveal yeast overgrowth/parasite
Two Month Protocol: Candida Control Diet, Phytostan, ParaGuard, ADP
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