Share Facebook
Crohn's Disease Forum » Your Story » Symptoms of total obstruction?


06-03-2010, 06:54 PM   #1
crohnie2
 
Join Date: Jan 2010

My Support Groups:
Symptoms of total obstruction?

My surgery for my stricture is being delayed because I was using Humira (due to high likelihood of infection if surgery done now). Will probably have surgery end of next month. Currently have a bad stricture and scar tissue surrounding. Doctor says to watch for worsening symptoms between now and surgery date (as I'm on no medications now). How will I know if I have a total obstruction?
06-03-2010, 08:03 PM   #2
GoJohnnyGo
One Badass Dude
 
GoJohnnyGo's Avatar
 
Join Date: Aug 2008
Location: Calgary, Alberta
Depending on the level of obstruction, bowel obstruction can present with abdominal pain, abdominal distension, vomiting, fecal vomiting, and constipation.

Obstruction may be due to causes within the bowel lumen, within the wall of the bowel, or external to the bowel (such as compression, entrapment or volvulus).

Bowel obstruction may be complicated by dehydration and electrolyte abnormalities due to vomiting; respiratory compromise from pressure on the diaphragm by a distended abdomen, or aspiration of vomitus; bowel ischaemia or perforation from prolonged distension or pressure from a foreign body.

In small bowel obstruction the pain tends to be colicky (cramping and intermittent) in nature, with spasms lasting a few minutes. The pain tends to be central and mid-abdominal. Vomiting occurs before constipation.

In large bowel obstruction the pain is felt lower in the abdomen and the spasms last longer. Constipation occurs earlier and vomiting may be less prominent. Proximal obstruction of the large bowel may present as small bowel obstruction.
06-03-2010, 08:04 PM   #3
DustyKat
Super Moderator
 
DustyKat's Avatar
 
Join Date: May 2010
Location: New South Wales, Australia
Maybe you should ask your doctor what to look for. The only reason I say this is, is that a couple of the symptoms of bowel obstruction some Crohnie's suffer with anyway, you'll see what I mean. Main symptoms are:
severe cramping
constipation
distended abdomen (bloating)
vomiting
vomiting - bile (green)
vomiting - faecal matter (brown)
passing blood stained mucous
passing clear (jelly like) mucous.

HTH.
__________________
Mum of 2 kids with Crohn's.
06-03-2010, 08:10 PM   #4
GoJohnnyGo
One Badass Dude
 
GoJohnnyGo's Avatar
 
Join Date: Aug 2008
Location: Calgary, Alberta
I don't wish to scare you, but intestinal blockage may very well be one of the most intensely painful experiences a human can endure.

If you think you might be blocked go to the hospital emergency immediately.
06-03-2010, 08:22 PM   #5
Nyx
Moderator
 
Nyx's Avatar
 
Join Date: Jan 2010
Location: Barrie, Ontario

My Support Groups:
I can attest to the immense pain...omg...like nothing I've ever felt before. Mind you, my obstruction led to a perforated sigmoid colon and distended bowel.
__________________
Cindy

Crohn's Diagnosis: May 2006
Current meds: none
Surgeries: Colostomy, December 2009

"Never trust a fart." Jack Nicholson, The Bucket List

Oscar is awesome! Loving my life with my stoma (with a hint of poo)!!

06-04-2010, 05:18 PM   #6
Astra
Moderator
 
Astra's Avatar
 
Join Date: Jan 2010
Location: St Helens, Merseyside, United Kingdom

My Support Groups:
I wanna add to that about the pain, if you're blocked, you'll know about it!
I've had 2 kids, and it was worse than childbirth and then some!
Just something to add to those symptoms, lower right back pain, very intense where you can't move, sit, stand, roll over, etc, just bloody awful!
__________________


Joan

Dx Crohn's in TI 2005 symptoms for 15 years prior

BEEN ON -Azathioprine, 6MP, Prednisolone, Pentasa, Budesonide, Metronidazole, Humira, Methotrexate,

NOW ON -Amitriptyline 25mg
21/02/14 Right hemicolectomy surgery




http://www.facebook.com/#!/profile.p...4208290&ref=ts

No-one should make you feel inferior without your consent!

06-04-2010, 05:55 PM   #7
Crohn's 35
Inactive Account
 
Join Date: Oct 2009
I am with everyone here, there is NOTHING more painful. The horrendous vomitting and pain.... worse than child labour , natural! There is no mistaking it and it is my biggest fear cause I have had a quite a few in my day.
06-04-2010, 05:57 PM   #8
kenny
Senior Member
 
kenny's Avatar
 
Join Date: Aug 2009
I got to experience a blockage prior to my surgery as well. I was coming off NPO and doing ok on liquids but had not had a bowel movement. I ate a bowl of Cream-O-Wheat and within 2 hours there was an audible SQUEAK in my lower right. It ridged up so bad I was afraid I would blow. 1/2 hour later I asked for help and when they came in I was literally pushing up against the wall trying to climb away from my guts. Absolute totally agony that took a big old subQ of Morphine, gravol and a sedative to stop me from squirming. I had a nice drug induced nap and awoke in time to puke up some good old black gooey stuff.

You don't want to do that outside the hospital if at all. Go Liquid diet and puddings or what not until your surgery if you can. Rest the bowel as much as possible. It makes for better cutting later on from what I was told. The stitches hold better and the resection heals faster if there is good healthy bowl at the margins instead of inflamed pitted stuff.
__________________
Rectum? Damn near Killed'em

Diagnosed July of 2009 / Surgery Oct 2009 / 175mg Imuran since Jan 2010
06-04-2010, 06:36 PM   #9
crohnie2
 
Join Date: Jan 2010

My Support Groups:
I was told by dr to stay as close to liquid diet as possible, but I have to wait about 1 1/2 months now before surgery and am extremely low on energy. How do you stay somewhat healthy/alive while only on a liquid diet? I also work full time job and have been really sick/ in a lot of pain lately.
06-04-2010, 10:34 PM   #10
Entchen
Chief Dandelion Picker
 
Entchen's Avatar
 
Join Date: Mar 2010
Hi, Crohnie2

1.5 months on liquid sounds tough - do let us know how it goes.
Re. your question, Ensure makes a high protein supplement; I used it as a main source of protein while scuba diving last weekend and it worked quite well, energy wise. Depending on what you're able to eat, others on here have posted smoothie recipes, too -- lots of protein in the yogurt, etc.
I tried a "mostly liquid" diet several weeks ago and found it helped significantly with the pain. And once the pain decreased, my energy seemed a little better, too (or that might have been a coincidence).
Take good care!
__________________
Dx: Moderate Crohn's in 3 locations
Doctor's orders: 200 mg Imuran
Have used: 4500 mg Pentasa, 4500 mg Salofalk, Flagyl, Cipro, 50 mg Prednisone, 9 mg Entocort.
Turned my Crohn's life around: ginger for nausea.
Claim to fame: "loopy and floppy" colon
06-04-2010, 10:44 PM   #11
dreamintwilight
Senior Member
 
dreamintwilight's Avatar
 
Join Date: Feb 2010

My Support Groups:
Yeah I had a partial obstruction and the pain was unlike anything I'd ever experienced before. Intense spasms, cramps, and gushing water sounds in my bowel that I could see and feel portruding like an alien was in my guts! Haha. I suffered like that for a day and a half. The 2nd day I threw up and knew I had to get to the hospital immediately.
__________________
Marisa
February 2010 - diagnosed with Crohn's disease.
January 2011 - Inflammation downgraded from moderate-severe to mild with no symptoms!
January 2014 - adopted a mostly Paleo diet
May 2015 - still in remission!


Currently Taking
Humira - 40mg/week
Imuran - 125 mg/day
Calcium magnesium citrate
Fermented cod liver oil/butter blend
Culturelle probiotics
Vitamin D
Vitamin C
Biotin
Allegra
06-05-2010, 10:39 AM   #12
MapleLeafGirl
Senior Member
 
MapleLeafGirl's Avatar
 
Join Date: Apr 2010
Location: Hamilton, Ontario
I have had a couple of partials, but I can usually get them to pass on their own. I was given a brochure by my GI because of my stricture and it lists what to look for and what you can do on your own, i.e. liquids, warm baths, massaging the area. If there is no relief after 6 hours I'm supposed to go to the ER.
__________________
Kelly

Diagnosed: August 2006
Current Meds: Imuran (125 mg), Budesonide (9 mg)
06-05-2010, 09:30 PM   #13
crohnie2
 
Join Date: Jan 2010

My Support Groups:
Thanks for the all responses. I'm going to ask the dr for more details on this "liquid diet". Will let you know what he says.
06-06-2010, 01:50 AM   #14
Guest
New Member
 
Join Date: Oct 2007
just to echo what's already been said really.... total blockage is one of the most intense and horrendous pains describable... i've had it twice, once was paralytic ileus following surgery, & the 2nd time full on blockage & increasing swelling of my intestines due to eating an apple with skin on... both times i was vomitting, writhing in pain, sweating, and the 2nd occasion i passed out - had to be morphined up before the paramedics could lift me off my bed.

a partial blockage can cause similar symptoms, but usually not so critical.. stopping all solids and drinking hot water helps sometimes - but with a history of strictures, i think i'd advise that if you get any kind of blockage symptoms you see a doctor straight away.
Reply

Crohn's Disease Forum » Your Story » Symptoms of total obstruction?
Thread Tools


All times are GMT -5. The time now is 02:46 PM.
Copyright 2006-2017 Crohnsforum.com