10-18-2017, 06:19 PM   #1
Join Date: Aug 2011
Location: Herndon, Virginia
Advise Please

Hi Everyone,

I was released from the hospital Friday after a 7 day stay. Went in complaining of upper and right-sided abdominal pain. Blood work was normal but Ct results are below;

1. There is inflammatory change in the pancreatic head and neck. The
adjacent duodenum appears unremarkable. The findings may represent
acute pancreatitis in the appropriate clinical setting. There is no
evidence of pancreatic necrosis or peripancreatic fluid collection.
2. Appearance of the distal ileum and terminal ileum, with hyperemia
of the mucosa and edema within the thickened bowel wall, compatible
with acute inflammatory bowel disease/Crohn's disease. Similar
findings are present in the cecum. There is no obstruction.

My problem now is I am still in a moderate amount of pain now in the right lower abdomen. I think the pancreatitis has pretty much resolved but the crohn's flare has not. I am scheduled for an infusion tomorrow morning. My question is should I go to the stand alone e.r. tonight for pain relief to tie me over until the infusion tomorrow. The pain med I was sent home with is not providing any relief. My GI is thinking of switching my therapy from Entyvio to Remicade which I am afraid of. I have been using Entyvio for 2 years. Cimzia and Humira both failed.
10-18-2017, 06:23 PM   #2
MaryCherub's Avatar
Join Date: Oct 2017
My question is should I go to the stand alone e.r. tonight for pain relief to tie me over until the infusion tomorrow.
Honestly absolutely no idea.

I think you should ring your doctor, ER, or a medical help line, and ask them.

Because who knows, maybe the pain medication may interact with the infusion. Then again, maybe it won't.

You need proper medical advice for this one, in my opinion.

Good luck with it all. Hope you feel better soon.
10-18-2017, 06:49 PM   #3
Forum Monitor
cmack's Avatar
Join Date: Aug 2014
Location: British Columbia

My Support Groups:
Hi Jenny,

If you feel like you need to go to the ER you are probably best to go. I hope you feel better soon, keep in touch.

Warm regards,

10-18-2017, 08:18 PM   #4
Lady Organic
Forum Monitor
Lady Organic's Avatar
It seems like the Entyvio is not working unfortunately. I would contact the GI asap and go on with the switch of medication he proposes. wishing you well.
''UC-like Crohn's'' since 2001:
on: 25mg 6-MP (purinethol)+ B12 shots
minor hands/wrists chronic arthritis since 01/2013

Diet: ''IBD-AID'' : http://www.nutritionj.com/content/13/1/5+ organic food only
suppl Curcuminoid extract, Inulin,psyllium, apple pectin, Vitamin D

past meds:
pred 50mg, 5-ASA, cortifoam, Imuran (failed) Purinethol (success) methotrexate (failed CD and arthritis).

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