why is the pain worse at night?

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Regular Member

Date Joined Oct 2007
Total Posts : 241
   Posted 10/31/2007 8:28 PM (GMT -7)   
I am newly dx. my pain is always worse at night. I wake up feeling pretty good most days, but as the day goes on, RLQ pain. It seems that is the norm for a lot of people here, but does anyone know why? My GI seemed to have no clue.

Regular Member

Date Joined Oct 2007
Total Posts : 54
   Posted 10/31/2007 8:46 PM (GMT -7)   
You would think the doctors would know! I'm the same way. I'm always ok during the day, but I'm usually tired because I've been up half the night in pain. Maybe our digestive systems slow down at night, so it just drags out the pain.

Regular Member

Date Joined May 2006
Total Posts : 167
   Posted 11/1/2007 12:01 AM (GMT -7)   
A good question and sometimes the pain is worse at night for me too, mindyk81 has a good point tho, it might be the fact our system slows down at night and drags out the pain ;)
Male DX with CD May 2006 @ age 22, Colonoscopy and SBT
Taking Prednisone 35mg, Pentasa 1000mg 3xday, Atenolol 25mg for fast heartbeat and Restoril 30mg for the sleepless nights (thanks Pred!)

Elite Member

Date Joined Apr 2005
Total Posts : 14995
   Posted 11/1/2007 6:26 AM (GMT -7)   
Now I am the total opposite. I always have felt worse during the day and feel great at night. Go figure!
Been living with Crohn's Disease for 32 years.  Currently on Asacol, Prilosec 60 mg, Estrace, Prinivil, Diltiazem, Percoset prn for pain and Calcium.  Resections in 2002 and 2005.  Recently diagnosed with Fibromyalgia and doing tests to see if I have Inflammatory Arthritis or AS.

Regular Member

Date Joined Jul 2006
Total Posts : 144
   Posted 11/1/2007 6:52 AM (GMT -7)   
I am worse in the mornings then at night.  Maybe it just depends on what you are eating at what time.  I stay up late and eat so I suppose that's why I get it in the mornings.  But everyone is different.

26 years old
dx with crohn's at 23
Fistula seton surgery 2006
Advancment Rectal Flap surgery 2007
Fisula seton surgery 2007

Mormor Vicky
Veteran Member

Date Joined Mar 2007
Total Posts : 684
   Posted 11/1/2007 10:36 AM (GMT -7)   
My problems seem to be between 12Noon and 5:00pm. As soon as I eat lunch. In fact I just finished a turkey sandwich and my stomach is gurgling up a storm. Boy I hate this.
Vicky / 47 years old
DX'd with Crohn's during a resection August 2006
DX'd with Steriod induced Diabetes November 2006
Considered in Clinical remission but have minor signs of disease activity
Daughter (26) also has Crohn's since she was 12.
Currently on 4000mg of Pentasa only for Crohn's
No longer able to take 6-MP because of Bone-Marrow Suppression
Cymbalta, Metformin, Lipitor

gemini kiwi
Veteran Member

Date Joined Nov 2006
Total Posts : 1136
   Posted 11/1/2007 1:13 PM (GMT -7)   
I've been moaning and groaning during the night a lot lately, (according to my husband) still can't fall asleep on my right side, eat small meals, little and often and see if that helps .

Veteran Member

Date Joined Mar 2007
Total Posts : 1642
   Posted 11/1/2007 2:55 PM (GMT -7)   

I am worse in the mornings with the nausea and cramping

Worse night and some in the very early morning when I have D.



Karen (Karendee)

Diagnosed w/ Crohn’s Disease  March 2007 On Azathioprine (generic Imuran), Pentasa, & ENTOCORT

Diagnosed w/  Fibromyalgia May 2007 also on Soma

Also have Arthritis, and feel like I am falling apart sometimes...

Veteran Member

Date Joined Mar 2007
Total Posts : 4527
   Posted 11/1/2007 5:21 PM (GMT -7)   
For me it is usually at night and of course after 3 meals sometimes there is a lot of food in there. I think it might depend on how much food in in the intestines and how fast it is moving. Of course food too can make a difference . I really don't like getting them at night not a night lover when in pain and prefer day travel if I get sick did have a fairly nice trip to outpatients last time the moon was out and not much traffic .lol gail

Regular Member

Date Joined Oct 2007
Total Posts : 106
   Posted 11/1/2007 5:26 PM (GMT -7)   
I am like nanners, my pain is always worse in the mornings. I guess it might depend on what times we eat through the day. I dunno, that would be a good question to ask your doctor. Hope you get to feeling better soon!
DX: Crohns in March 2007
Meds: Remicade

Veteran Member

Date Joined Nov 2003
Total Posts : 7314
   Posted 11/1/2007 6:29 PM (GMT -7)   
Many people complain of increased pain in the evening and during the night, regardless of the cause of the pain. Often, this is because during the day, we are busy with lots of things to distract our brains fromt he pain signals the nerves are sending. When we settle down to relax, or get into bed to sleep, those distractions are gone and our brains can focus on those nerve signals more clearly.
Anyone having enough pain to disrupt their sleep should address appropriate Pain Mgmt with their Docs. Even those who do currently take pin meds may still be deprived of a decent ngiht's sleep if the meds are short acting and are wearing off in the middle of the night. Sure, something like Vicodin can work very well, but wears off between 4 and 6 hours after taking it.
While discussing sleep disturbances with my Mom's Pulmonologist, he actually recommended that I also have a sleep study done to determine the efffectiveness of my Pain Mgmt. Apparently, not only can they evaluate for sleep apnea and the like, but there are specific brain waves which indicate if sleep deprivation is related to pain. I haven't seriously considered doing that, but if my inability to sleep a full night lasts much longer, I may just sign myself up for it.
Keah a.k.a. Wormy
 God helps those who help themselves.
Please help us support this invaluable forum.
Crohn's Forum Moderator

Regular Member

Date Joined Apr 2007
Total Posts : 217
   Posted 11/2/2007 8:23 AM (GMT -7)   
I am like nanner and kandice21 my worst pain is in the morning...then sometimes before I go to bed or in the evening depending if I need to have a BM I will have pain...but the worst is in the morning....
35 yrs female, dx with crohn's on july 13th 07 increasing my  entocort 9mg 6mg 3mg    . starting imuran 250 mg had a allergic reaction  can no longer take it .  pariet ,dx with depression in 2002 ,effexor tappering off, welbutrin,resperidone and lemotrogine.

Veteran Member

Date Joined Jan 2004
Total Posts : 598
   Posted 11/2/2007 10:29 AM (GMT -7)   
It may depend on where you have disease. I don't think I have disease in my colon or rectum. My pain is greatest in the evening. I figure that by that time I have had 3 meals go through my small intestine. Overnight most has moved into the large intestine. I actually feel best when I wake up in the morning but before I eat. I would think people with a lot of disease in their lower intestinal tract would be in a lot of pain by morning. This would be for people who sleep overnight. If you work or have sleep problems that will affect it. I don't know if this is accurate or not.
10 years, many tests, 3 gi doctors, Pentasa 1000mg 3x day
diovan, simvastatin and now trying good ol' zoloft

Becoming undone
Veteran Member

Date Joined Jul 2007
Total Posts : 927
   Posted 11/5/2007 4:32 PM (GMT -7)   
Rest and digest...the opposite fight or flight. When the body is at rest, that is the time it digests, and the parasympathetic nervous system controls digestion.

The sympathetic nervous system increases cardiac output and pulmonary ventilation, routes blood to the muscles, raises blood glucose and slows down digestion, kidney filtration and other functions not needed during emergencies. It is in use during most of your waking hours. The glucose must be shunted towards muscles, brain, and away from digestion.

My nerdiness is coming out. (double majored in bio and chem in college). If you'd like info on this, one of the sites that came up was..
Hope this helps

josef Dieckman
Regular Member

Date Joined Nov 2003
Total Posts : 291
   Posted 11/5/2007 11:51 PM (GMT -7)   
My worst pain has always come in the middle of the night.........and lasted into the morning.......
I always thought it had something to do with laying down, but the pain never subsided despite different positions, sitting up, or standing up...............

New Member

Date Joined Jan 2012
Total Posts : 2
   Posted 1/19/2012 3:30 PM (GMT -7)   
I am undiagnosed but trying to see Dr's and afford the procedures needed for diagnoses. I have worse pain every night. Seems to get some better by morning and through out the day. I'm not sure when exactly it starts to go down hill but usually by 5 or 6 at night I notice my stomach is rather rumbly. Eat dinner and typically by 9 or 10 it's usually pretty bad pain wise.
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