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Crohn's Disease Forum » Parents of Kids with IBD » Abdominal pain with coughing or movement


 
01-02-2015, 10:56 AM   #1
my little penguin
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Abdominal pain with coughing or movement

First I did call DS's GI this am.
Waiting for a call back

Ds normally has abdominal pain. He pain has been mild since last week.
This morning woke up saying his stomach hurt when he coughs( he has a cold).
It also hurts when he walks or jumps or pulls his knees to his chest .
The pain gets better if he lays down.
Pain is only a 3-4 ( tears are 5-6 and he was panting last week at a 8)

He said this pain that hurts when he moves is different .
Google has horror stories - if it was worse I would have him in the ER already but since it's slightly above mild to moderate I am ok with waiting for the GI to call for now
Ideas???
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01-02-2015, 11:10 AM   #2
DanceMom
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Could it be that his abdominal muscles are sore from coughing? It took A a while to learn the difference between sore abdominal muscles from dance and a true tummy ache.
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01-02-2015, 11:51 AM   #3
my little penguin
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Not from coughing since his cough is extremely mild and only a few brief times a day.
He has abdominal pain from swimming but this is different .
01-02-2015, 02:18 PM   #4
Catherine
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Chest infection only because one dd er visits for stomach pain prior dx resulted in a chest xray.
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Mother of Sarah dx aged 16, Jan 2012
DX - CD 1/12, asthma
Small bowel to small bowel fistula

Meds: ), azathioprine 200mg, Mesalazine 1.2g x 2, seretide 250 x 2 (asthma), ventolin (as needed)

Currently no supplements.

Has previously taken Multi B, Caltrate, B12 & Iron

Prednisolone (from 30 mg 01/02/2012 to 17/06/2012, 30mg 24/10/12-28/12/12, 50mg 24/1/13-27/4/13)
01-02-2015, 04:55 PM   #5
DustyKat
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Muscular would spring to mind due to the worsening with activity…movement coughing.

If you can rule this out though and the pain reduces on laying down but remains present then it is difficult not to go down the path of inflammation being the cause as movement/coughing will aggravate the inflamed area further.

I hope you hear back from the GI soon.

Dusty. xxx
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01-02-2015, 05:03 PM   #6
Sascot
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No idea sorry, just hoping it eases off
01-02-2015, 06:36 PM   #7
worriedboy
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Does he have strictures ?
01-02-2015, 06:53 PM   #8
my little penguin
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Gi just called
Worried about stricture /narrowing or something with the bowel loops
He ordered an mre -can't evel talk to the scheduler till Monday .
Hoping to avoid ct scan .
Mre could take a while but hopes to get him in sooner rather than later
Wants him in the ER if it gets worse or fever , vomiting etc....
Pain isn't too bad 3-4 with movement
But the concerning part for the gi is it goes away with laying down and increases with eating /moving /coughing /jumping
I hate waiting
Fingers crossed things don't get worse
01-02-2015, 08:33 PM   #9
DustyKat
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I hope things stabilise for your lad mlp until testing can be done, bless him.

Sending much luck and well wishes your way!

Dusty. xxx
01-02-2015, 09:23 PM   #10
my little penguin
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METHODS: A single-center, cross-sectional study of 153 pediatric patients with CD and control subjects undergoing diagnostic CTE or MRE. Examinations were evaluated for disease activity using a novel scoring system and for the presence of LN, stricture, intra-abdominal abscess, or fistulae. Dichotomous outcomes were compared with respect to antibody status (high or low) using Fisher's exact test and logistic regression, whereas continuous outcomes were evaluated using unpaired t test.

RESULTS: GM-CSF Ab were elevated in CD patients (n = 114) with a median (interquartile range) GM-CSF Ab level of 2.3 μg/mL (0.5-6.6 μg/mL) compared with 0.6 μg/mL (0.3-1.3 μg/mL) in healthy and disease control subjects (n = 39) (P = 0.001). Ileal disease location was more common in CD patients with high GM-CSF Ab (P < 0.001). LN increased from 39% in CD patients with low GM-CSF Ab to 71% in those with high levels (P = 0.004) and remained significantly associated with high GM-CSF Ab in a multivariate logistic model, which included age, gender, small bowel location, and duration of disease. Stricturing prevalence on CTE or MRE examination increased from 4% in CD patients with low GM-CSF Ab to 19% in those with high GM-CSF Ab (P = 0.03).

CONCLUSIONS: Pediatric CD patients with high GM-CSF Ab levels have a higher prevalence of LN on CTE or MRE. Further study will be needed to determine whether medical therapy will reduce progression to stricturing behavior in these patients.

From
http://www.ncbi.nlm.nih.gov/m/pubmed/23893081/



Increased prevalence of luminal narrowing and stricturing identified by enterography in pediatric Crohn's disease patients with elevated granulocyte-macrophage colony stimulating factor autoantibodies.

Authors
Dykes DM1, Towbin AJ, Bonkowski E, Chalk C, Bezold R, Lake K, Kim MO, Heubi JE, Trapnell BC, Podberesky DJ, Denson LA.

01-02-2015, 09:36 PM   #11
DustyKat
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Has your boy been tested for these antibodies mlp?

Dusty. xxx
01-02-2015, 09:38 PM   #12
my little penguin
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No just googling too much
01-02-2015, 09:46 PM   #13
DustyKat
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Tch, tch, I NEVER do that!

Dusty.
01-02-2015, 10:08 PM   #14
Tesscorm
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Nor I !!

MLP, I'm sorry he's still not feeling well. I'm also hoping it settles before testing! I have no advice to offer but just thinking of you.
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01-02-2015, 10:18 PM   #15
my little penguin
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The big issue is Ds is not typical at all in how he presents ever
So Gi is being very cautious given the blip last week.
Just wish I knew when it was scheduled at least .
01-02-2015, 10:24 PM   #16
crohnsinct
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Now MLP! You aren't playing the game right. Wait means wait. Do not pass go, do not google!

But I do like your style...if you don't like the rules change the game to one we are really good at...Outguess the GI!

Waiting totally sucks! Especially when you have a child in pain. I hope the weekend passes without much drama and that you get that call first thing Monday and the appointment is an early one!
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Previously used - Prednisone, Prevacid, Enteral Nutrition

Daughter T dx 1/2/15 at age 11
Vitaligo, Precoscious puberty & Crohns
Methotrexate (15mg weekly oral)
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Entocort
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Previously used: Mtx injections
01-02-2015, 11:06 PM   #17
Tesscorm
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If you have to take him to ER, do you think you'd be able to get an MRE done? Or would they schedule a CT?
01-02-2015, 11:36 PM   #18
my little penguin
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If he was at the ER
Things are really bad and they won't wait for the mre
I was only told at that point they would take care if things "in the hospital " if that was what he needed.
So I am not sure and didn't ask
Typically Er just does ct scans unless it's a brain thing .
Again not sure .
So far so good
01-03-2015, 11:43 AM   #19
Mehita
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Could it be a hernia? An internal one?
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01-03-2015, 02:25 PM   #20
Sascot
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Really hope he can hold out till the MRE.
01-03-2015, 02:33 PM   #21
my little penguin
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Hasn't gotten worse
Still the same gets worse with movement/eating but reduces quickly
And lessens to next to nothing when he lays down
01-03-2015, 08:05 PM   #22
my little penguin
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Spoke too soon pain up to 4-5 ( still ok to be home )
Bowel movement attempts , eating as well as other movements still increase pain
Gets better with heat but worse within minutes of removing the hot packs .

Assume it's still something crohns related .
Any theory's on guessing ????
01-03-2015, 08:48 PM   #23
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Any chance it is back pain? My girl had a kidney stone a week after diagnosis. She was only comfortable lying down with heating pad. No pain on urination.
01-03-2015, 09:04 PM   #24
my little penguin
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Thanks for the thought
Not his back or kidneys -due to arthritis and kidney issues he is good at pointing out those issues.
His pain is around the belly button.
01-03-2015, 09:42 PM   #25
Farmwife
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My understanding is the belly button area is the TI area. My son has most of his pain there.

Hugs
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01-03-2015, 10:13 PM   #26
DustyKat
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Sarah: Atypical presentation. Ileal CD but pain for the vast majority of the time located in the epigastric region.

Matt: Classic presentation. Ileal CD with pain in the umbilical region that radiated down the RLQ. Described as a pulling/burning type pain. Always worse on movement.

Dusty. xxx
01-03-2015, 10:38 PM   #27
my little penguin
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Double crud

Thanks Dusty
01-04-2015, 02:28 PM   #28
Johnnysmom
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Any fevers MLP? For Johnny he would run low grade fevers along with the abdominal pain.

Any chance it's appendix related? That usually starts in the belly button area.
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01-04-2015, 02:34 PM   #29
my little penguin
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So far pain has stayed at 4-5
No fever -any sign of that we are to bring him in to the hospital .
Still eating and playing so far
01-04-2015, 03:19 PM   #30
DEmberton
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I had this. I remember I had a mild cough for about a week, which wouldn't have been bad except every cough caused a stab of pain in my lower right. Sudden movements would do it too. Worse thing was driving as every bump would cause me pain (having a silly sportscar didn't help).

Hope you get some answers soon.
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