Bad flare up post colonoscopy

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Jan 23, 2017
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Hi all,

I was diagnoses with Crohns 6 years ago and have been lucky that my symptoms have been very mild. The only reason I was properly diagnosed is because my dad has crohns so they had me tested the minute I had similar symptoms.

Since them I have been on low grade meds (Cipro, Flagyl and entocort) to manage my flare ups. Honestly over the years I haven't taken my meds more times than I have with stretches months (yes months haha) where I haven't take a single pill. For me I would only get mild flare ups during what I like to call sugar season (Halloween, Christmas). With that extra sugar around the house and me not being able to resist, I would eat a bunch and end up with a flare up. I would just eat healthy for a week or two and start taking my pills and everything would clear up.

When I was diagnosed it was done via MRI and CT scans and I never had a colonoscopy done. My Crohns is in the ileum so I'm not sure if that made my previous GI not think it was worth it, or maybe it was because I just simply have had very mild Crohns. Well my previous GI, who was a GREAT GREAT GI, passed away early last year and I was sent to a new GI who I actually really like. When we had my first consult he asked when I had my last colonoscopy. He was pretty surprised when I said never had one and wanted to get me booked for one ASAP.

Well just over a week ago I had it done to which his notes indicated that nothing was wrong with my Colon and he couldnt get into my ileum as there was some scar tissue. I always knew there was some scar tissue in that area as my MRIs showed it.

A week and a bit has passed and last night I was hit with the worst Crohns pain in my life. To the point that I was really thinking about go the hospital. My entire lower stomach (below my bellybutton) is extremely tender and has sharp shooting pains throughout it. I haven't eaten poorly this week as I was back to my normal diet after the test.

Has anyone else experienced a severe flare up a week or so after their colonoscopy? This is really frustrating for me because I have been able to basically manage my Crohns for 6 years by diet and once I had this test done (which was extremely painful I might add) I am having excruciating pain.
 
I haven't had a flare after a colonoscopy that I recall. Have you had a follow-up with your doctor since the colonoscopy? Has he made any changes in your medication? Does he know about your pain? I would suggest being on your medication daily.
 
I haven't had a flare after a colonoscopy that I recall. Have you had a follow-up with your doctor since the colonoscopy? Has he made any changes in your medication? Does he know about your pain? I would suggest being on your medication daily.

I have a follow up scheduled for April 24th so they obviously didn't find anything serious worth a quick follow up. Remember I live in Canada and with the free health care wait times can be a long time if its not serious.

The funny part is that I have actually been on meds post colonoscopy so this pain came on while on my meds when I'm usually not taking them. This pain just happened last night and continues today but it's not as bad. I may just wait it out and load up on meds to see if I can settle it. If not I will have to go to the hospital. It definitely feels like and the symptoms seems to say that the intestine is blocked and nothing is getting through.
 
If you're in excruciating pain that's not part of your usual disease symptom pattern then it's important to get it checked out ASAP. You're not wasting anyones time and it's important to get it checked out before it becomes more serious.

Good luck :)
 
Looks like a day of limited food, some Tylenol and slightly higher dose of my Crohns meds has settle the flare up. I already feel extremely better with most of the pain gone. Got a few bowel movements through last night which helped. Looks like I got through this one fairly unscathed but I will definitely bring it up with my GI during my follow up.
 
Hi angrystomach,

Could it be severe trapped wind ? Colonoscopies involve the blowing of air into ones intestines to clear a path for the scope. Maybe some of that got trapped ?

My Crohns is also very mild so I find it interesting to hear of others managing on less severe and less frequent medication as that is how I intend to proceed.

However since my Crohns journey started about a year ago I am much more susceptible to trapped wind which can be extremely uncomfortable. If I am able to release it on a regular basis then I am generally fighting fit. Maybe your problem is due to being blown up like a balloon ?

Ernie
 

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