Crohn's Disease Forum » General IBD Discussion » When do you go to A&E?

11-11-2012, 01:17 PM   #1
Senior Member
lsgs's Avatar
When do you go to A&E?

Sorry if I post here too much.

Since last Wednesday I've had the usual diarrhoea, blood etc. stabbing pain but for the past 3 days solid I've had unbearable epigastric pain after eating and have hardly eaten anything.

The past two nights have been spent running hot and cold, shaking and crying from the pain. It goes right through the night and I can't sleep.

I'm not due to see any doctor for ages and I've no idea what to do, I just need relief. Dihydrocodeine and paracetamol doesn't touch it.

Problem is will A&E say this is a chronic problem, go back to your GP?

Not sure what to do, any help/suggestions appreciated. Considering just rocking up at A&E or could phone NHS24 but they haven't been very useful in the past.
11-11-2012, 01:28 PM   #2
Astra's Avatar
Join Date: Jan 2010
Location: St Helens, Merseyside, United Kingdom

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I think you should phone your GP tomorrow, either get a home visit or go to him.
A&E will keep you waiting on a trolley for up to 6 hours! Been there, done that.
Unless you're vomiting which could indicate a blockage, see your GP instead.
Try sipping cooled down boiled water, don't drink it, sip. Hopefully this will expel any gas which is exacerbating your pain.
Can't help with the pain relief meds tho, not unless you've got any 30mg Codeine Phosphate or Tramadol?
Good luck xxx


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

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11-11-2012, 02:42 PM   #3
Super Moderator
DustyKat's Avatar
Join Date: May 2010
Location: New South Wales, Australia
These are guidelines I have posted elsewhere on the forum...

When to call the Doctor:

Once you get to know your Doctor you will have a better understanding of what he/she wants you to phone about. These guidelines should be followed for most situations and it is hoped you will find them useful.

Telephone calls to your Doctor need to be separated into there categories-




It can also be helpful to take time to get to know your Doctor's secretary or any office staff. This can assist when you are trying to reach your Doctor, whether you are telephoning or visiting personally. You should prepare a clear list of questions to ask, be concise, do not make the list of questions too long and decide what is important before you telephone or visit.

Find out your Doctor's timetable, i.e. when he/she is available at the consulting rooms/surgery you attend. Remember they may attend more than one surgery during the week. Endeavour to ascertain:

Telephone numbers (one or more)
Surgery hours
Most convenient time to call
Whether convenient to leave a message asking the Doctor to return your call

Routine Call

You should arrange to call your Doctor's surgery after a visit, to obtain results of blood tests, laboratory tests, or to report any changes in your symptoms or side effects of new medication.

Urgent Call (but not an emergency)

Any symptom, e.g. nausea, headache, a rash on your body, which you think might relate to your disease or its treatment. It may even be a new symptom of your illness, such as painful tender bumps on your legs which often indicate the start of a flare up (erythema nodosum).

Emergency Call

Dramatic change in your illness could include any the following:

Severe abdominal pain which persists for longer than 1 hour
Significant or new rectal bleeding
Persistent vomiting, accompanied by stopping of bowel movements
Drastic changes in bowel movements without passing gas
Sudden weight loss of over 2 and half kgs in a few days

If you are unable to contact your Doctor in an emergency, you can go directly to the nearest Public Hospital Emergency Section, or the hospital you usually attend. Explain your illness, etc. Give your Doctor's name and identify any medications you are presently taking.

Through being able to determine (routine - urgent - emergency) nature of calls, you will greatly enhance the relationship with your Doctor. Also it will give you and your family better judgement about when to call your doctor and many people are hesitant to call their Doctor at times.
Remember, always carry with you your Doctor's/Surgeon's card.

Another good idea is to place your Doctor's timetable and telephone number near the telephone. Note any dates your Doctor will be unavailable, plus details of another backup Doctor your Doctor recommends.
In the past, with my children, I have taken them to Emergency a total of 4 times (2 each). Each time was because of persistent severe pain that I was unable to control at home. On each occasion they were admitted.

Good luck, I hope you are able to answers and relief which ever path you choose.

Dusty. xxx
Mum of 2 kids with Crohn's.
11-12-2012, 10:37 AM   #4
Senior Member
lsgs's Avatar
Thanks guys. Pain is still there had to come home from work. I've arranged to see a gastro tonight privately as my NHS one won't see my for 3 months!!! And that is him pulling the appointment forward from 6 months away! Can't wait that long. Hopefully will be able to get some better pain relief at least sorted soon so I can get some sleep. Going crackers with the constant pain.

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