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Please i need urgent advice
- Thread starter Christi
- Start date
Yes. You need a doctor to check you out.
- Location
- New York, USA
What you should do is take yourself to an emergency room - if you do have a blockage, you should NOT wait - as you could end up with a life threatening situation such as a rupture. Playing telephone tag with your doctors' office can be wasting precious time that you could be getting treatment.
Also, I would not eat solid foods right now, only liquids, and note that tramadol can CAUSE CONSTIPATION - so that would be contra-indicated if you are having problems going to the bathroom.
Please go now and post us.
I had a blockage five years ago and they had me on tpn.
take a look at what your ingesting, supplements etc, perhaps some kind of change brought on your constipation some types of fiber like cellulose have caused me issues before from certain supplements. Some people with IBD do experience constipation as well as diarrhea i know i have, but i have much more tendency to have diarrhea then constipation.
eliminate meat, white flour and refined sugar and increase your intake of whole wheat then wait another 4-5 days. the insoluble fiber can sometimes be enough to get things going again. i've been learning how food and diet affect my disease for seven years now. miralax can also be used for short term relief but getting your diet straight can be a better long term plan. By the way i've not had a blockage or surgery for the entire duration of my disease course of 6-7 years.
eliminate meat, white flour and refined sugar and increase your intake of whole wheat then wait another 4-5 days. the insoluble fiber can sometimes be enough to get things going again. i've been learning how food and diet affect my disease for seven years now. miralax can also be used for short term relief but getting your diet straight can be a better long term plan. By the way i've not had a blockage or surgery for the entire duration of my disease course of 6-7 years.
If you're having extreme pain then I wouldn't wait to be seen or wait for vomiting to start. Blockages can be life threatening so if nothing is passing and you're in a lot of pain and becoming distended then you likely have a blockage. Vomiting and fever can come later and a fever may be a sign of a bowel perforation which would require surgery. I hope you're able to see someone soon Christi. Taking more laxatives at this point will likely make you vomit, we see it happen all too often on the forum. Stick with liquids only until you're able to be seen and keep us posted. :ghug:
Are you on a liquid diet right now or a bland diet? Is your abdomen distended at all? Pain on your left side could be your colon. I hope your GI will run some tests on you. When was your last colonoscopy? If you're still having a lot of pain then you may want to stick to a liquid diet or at least soft and easy to digest foods like the BRAT (banana, rice, applesauce and toast) diet. Keep us posted.
CD can progress quickly. My son was dxed with CD, the location being the terminal ileum at the IC valve. He required surgery last year.
He started humira in March of this year after he had a reaction to remicade due to antibodies. Both meds were in addition to injectable methotrexate.
A scope in August looked pristine but biopsies still showed microscopic inflammation at the surgical site. We added entocort.
He had a scope yesterday and visual inflammation was present in the small bowel, throughout colon and at the rectum.
Hopefully, when you report the symptoms to the GI he will request more tests and be able to adjust meds accordingly.
He started humira in March of this year after he had a reaction to remicade due to antibodies. Both meds were in addition to injectable methotrexate.
A scope in August looked pristine but biopsies still showed microscopic inflammation at the surgical site. We added entocort.
He had a scope yesterday and visual inflammation was present in the small bowel, throughout colon and at the rectum.
Hopefully, when you report the symptoms to the GI he will request more tests and be able to adjust meds accordingly.
For two and half years it was located at the terminal ileum but the meds never could quite take care of it and he required surgery. That was August a year ago.
A follow up scope earlier this year, July or August, he had visually clean scopes but biopsies showed active CD inflammation at the surgical site.
The scope yesterday showed visual inflammation through small bowel, the whole of the colon and rectum.
So it went from microscopic at one location in small bowel to endoscopically visual throughout last part of small bowel to throughout colon and rectum in 5-6 months.
All while on meds
A follow up scope earlier this year, July or August, he had visually clean scopes but biopsies showed active CD inflammation at the surgical site.
The scope yesterday showed visual inflammation through small bowel, the whole of the colon and rectum.
So it went from microscopic at one location in small bowel to endoscopically visual throughout last part of small bowel to throughout colon and rectum in 5-6 months.
All while on meds
Increasing your fluid intake can help move things along but if you're in pain and distended then you may want to stick with liquids only for a little while and see if that helps at all. Gut rest is known to be almost as effective as taking steroids to help reduce inflammation. You need to make sure that you're getting enough nutrition so if you can't afford supplement drinks then making your own soups and just drinking the broth will help. Again though if the pain becomes severe, you develop a fever, start vomiting, then you'll need urgent care because bowel obstructions can be life threatening if they aren't treated. Keep us posted.
That depends on the person. You should also inform your doctor that you're going on all liquids so they have a better idea of how serious your condition is and so they can monitor you if you're going on liquids for longer than a few days. A few days isn't really enough to help reduce inflammation so make sure you do this with your GI's or at least your general practitioner's guidance.
Amen. Let us know