If you look up “symptoms of Crohn’s disease,” the first thing on almost every list you have is “abdominal pain, sharp or chronic.” Living in a lifelong battle with Crohn’s, I find that I often have very sharp abdominal pains that appear both suddenly and out of nowhere. There is a stabbing and intense pain, usually in the right side of my lower abdomen. This experience brought me some confusion, since there are several possible causes in the lower quadrant acute pain.
First I emergency room at the hospital that was across the street from his office. They did several tests, including a barium enema, and found that it was not in my appendix, but from my Crohn’s Disease. The ER doctor told me it was probably caused by muscle contractions in my intestines, which are common in Crohn’s disease, and would probably only last a few hours at that time it was so sharp, so intense, that I could scarcely correct it, and a few hours sounded like an eternity.
That doctor gave a prescription for a drug called Bentyl TM (the brand name for dicyclomine), an anti-spasmodic. medicine Another name for the contractions of the nerves is called spasms, and by that name in medicine. He also reminded me that I was a heating pad, and that if I still had sharp pain in the morning, I should see my gastroenterologist (a specter that typically deals with Crohn’s, among other diseases). Both the medication and the heat seemed to help, and by morning I was close to normal, but I decided to talk to my gastro-enterologist to learn more about this acute abdominal pain and if there was anything I could do to prevent it. .
The gastro-enterologist explained what I had already realized, that sharp abdominal pain or sickness very common with Crohn’s, with so many. half of the patients describing the pain as “very severe” or about 9 on the pain scale where 1 is no pain and 10 is the worst pain you have ever experienced. I do not know whether that first attack of acute abdominal pain was 9 , but if it was not, it was quite over. He told me that while it sometimes happens for no apparent reason, it often happens because of eating a specific food. He advised me to diary, and note what foods cause no symptoms, and what foods cause symptoms and how severe those symptoms were. He told me to do this for at least 2 months, so that ideas of things that worked for me and food. why not He also told me that if the most acute pain in the abdomen lasted more than a few hours, I should see him at the time of the room; while the main cause of abdominal pain in Crohn’s is intestinal contractions and nerve distension, it can also be caused by a severe ulcer of the intestines or a fistula (in the tunnel around the anus or rectum) or even perforated diverticulitis, which means. A “diversion” (such as a pouch or a branched pouch of the intestine) has leaked or even ruptured, allowing faecal matter to escape outside the intestines, which requires near-term surgery. So clearly, acute abdominal pain, for Crohn’s patients, is nothing to mess around with.
So the first step would be to start a food diary, and it is not long from which foods seem to cause me pain, either mild or acute. Everyone is a little different, but most Crohn’s patients can suffer too much pain from insoluble fiber, such as a lot of fresh or raw vegetables and fruits, from spicy food, and many people get pain from tomatoes and tomatoes, even ketchup. Coffee, alcohol, and tobacco also cause acute abdominal pain in most Crohn’s patients. I can also get pain from diet cola, which is a problem both because of the carbonation and because of the acid, and some say because of the aspartame, although there is no scientific evidence for that. Since sugar can also cause me intestinal pain, I try to avoid sweets, it’s very difficult for me because I have a major sweet tooth.
When I knew what foods to avoid, I wished the pain would suddenly stop. Of course not; periodically, and often for no apparent reason, I would have sharp abdominal pain. My doctor started me on Bentley’s daily weight, which he was helping; other anti-spasmodics include Levsin (hyoscyamine) and Donnatal (belladonna/phenobarbital) — that last one is pretty strong and, according to my doctor, should probably be taken daily. You should consult your doctor if a prescription for anti-spasmodic medication is right for you, and if so what one. They should all be taken half an hour before a meal, and each has unpleasant side effects. such as headache, dizziness, nausea, and urinary tract problems. I haven’t experienced side effects with Bentyl, but I’d say it’s rare.
Some non-physicians recommend peppermint oil for acute abdominal pain; This may work for some people, but it is dangerous for Crohn’s patients, as peppermint oil can sting and contribute to acid reflux or heartburn. Tricyclic anti-depressants are another type of medication sometimes prescribed for Crohn’s patients to prevent acute abdominal pain; include tricyclic drugs such as Elavil (amitriptyline), Aventyl (nortriptyline), and Tofranil. My doctor told me that these are most often prescribed to Crohn’s patients for diarrhea and intestinal spasms, usually taken at night. He also said it could take six to eight weeks to help at all, and they all come with a host of . side effects Likewise, works vary from one to another; This is something you can discuss with your doctor if you believe it will help. I chose not to use tricyclic antidepressants for acute abdominal pain.
When I get sudden sharp abdominal pain, even though I’m on Bentyl and worried about what I’m eating, I remember the ER doctor’s warning, and with my
