BMs getting skinner?!

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Hi all,

I'm currently in the process of being diagnosed with what my GP believes to be Crohn's. He's done all of the testing he can do & has furthered me on to the hospital system to get me an appointment with a gastroenterology specialist.
After a few months of waiting, my appointment is now in 2 days time.

I am having issues with my BMs - they've been getting increasingly skinnier over the past couple of days & I am unsure whether to head to the ER or wait to see what the specialist thinks in 2 days time. Please note that this appointment will be my first, therefore it will be a consult & I assume nothing will actually be done on this day.

I first noticed 5/6 days ago that my BMs had become less frequent, despite no change in diet. I didn't think too much of it until I noticed that my stool was quite small in size compared to normal. It would have been around the size of my index finger and a hard consistency. I assumed I must have had some kind of blockage, so I took Movicol as directed by my GP a few months back.

My BMs went from hard to a medium consistency, however continued to get skinnier. They went from index finger size, to pinky size. I then experienced difficulties passing anything, and with a little help from a cup of tea, I was able to pass a very small, pencil thin stool last night.

I hadn't had any movements yesterday, despite eating foods which would usually have a laxative effect on me. Throughout the day I felt bloating, waves of nausea, pain throughout my lower stomach (localised more to the left and bottom right hand sides), a cramping feeling like urgency of needing to go to the toilet, and a burning sensation up and down my oesophagus as if I needed to vomit.
By 6pm I was feeling quite over this and decided to try and see if I could speed things up with a tea (this usually has a laxative effect on me). 10 mins later I was able to pass 1 very small and pencil thin stool. This did not relieve my discomfort. I called a health help line we have in Australia which you can call if you're not sure whether to go to ER. The nurse suggested that while this isn't normal, I shouldn't proceed to the ER until my stomach cramping is extreme, I pass blood or I stop passing all together.

Flash forward to the next morning, I've had a restless sleep, my stomach is making noises so loud it sounds like like it's trying to speak whale and I feel like I need to go to the toilet still. Nothing is coming out at all and the discomfort is now so bad that I am walking half folded over to ease the pain that I have on the left hand side of my stomach.

I am not in extreme pain, which is why I am asking here rather than going to the ER. If I do experience enough pain, I will go, however I would love to hear if anyone else has experienced this before. I am not sure if I should try drinking another tea to see if it will encourage another BM or if I should wait & see how it unfolds naturally..
 
If I were you I would try everything to reduce the pressure by expelling wind. Drink a peppermint tea and then try lying on your back and raising your knees to your chest, then on your sides and doing the same, then standing up, all the time trying to thrust the wind out. Move around to try and get the gas moving.

For me trying to reduce internal gas production (eg by going lactose free) and ensuring that I am expelling whatever gas I produce (by doing the above) is a big factor in feeling better. I have Crohns but my disease currently exhibits itself largely through gas production and associated discomfort. Get the gas out and I feel fine.
 
Pencil thin? And your in a flare by the sounds of it. It actually sounds close to my last 3-4 flares.

GP at the very least, buddy. If I developed pencil thin and obvious flaring, that is bordering very close on a partial obstruction. Sure, if the pain isn't bad enough, don't go to the ER, but getting on top of this now lessens the chance it will get bad enough.
 
It certainly sounds like a partial obstruction. If you can't move without being bent over I'm thinking you are in a significant amount of pain. It's so hard to know when to give up the fight and go to the ER to get imaging done, as well as pain relief. You might try a clear liquid only diet (that's what I do at the first sign of a blockage). Hope you feel better.
 
Hi all,



I'm currently in the process of being diagnosed with what my GP believes to be Crohn's. He's done all of the testing he can do & has furthered me on to the hospital system to get me an appointment with a gastroenterology specialist.

After a few months of waiting, my appointment is now in 2 days time.



I am having issues with my BMs - they've been getting increasingly skinnier over the past couple of days & I am unsure whether to head to the ER or wait to see what the specialist thinks in 2 days time. Please note that this appointment will be my first, therefore it will be a consult & I assume nothing will actually be done on this day.



I first noticed 5/6 days ago that my BMs had become less frequent, despite no change in diet. I didn't think too much of it until I noticed that my stool was quite small in size compared to normal. It would have been around the size of my index finger and a hard consistency. I assumed I must have had some kind of blockage, so I took Movicol as directed by my GP a few months back.



My BMs went from hard to a medium consistency, however continued to get skinnier. They went from index finger size, to pinky size. I then experienced difficulties passing anything, and with a little help from a cup of tea, I was able to pass a very small, pencil thin stool last night.



I hadn't had any movements yesterday, despite eating foods which would usually have a laxative effect on me. Throughout the day I felt bloating, waves of nausea, pain throughout my lower stomach (localised more to the left and bottom right hand sides), a cramping feeling like urgency of needing to go to the toilet, and a burning sensation up and down my oesophagus as if I needed to vomit.

By 6pm I was feeling quite over this and decided to try and see if I could speed things up with a tea (this usually has a laxative effect on me). 10 mins later I was able to pass 1 very small and pencil thin stool. This did not relieve my discomfort. I called a health help line we have in Australia which you can call if you're not sure whether to go to ER. The nurse suggested that while this isn't normal, I shouldn't proceed to the ER until my stomach cramping is extreme, I pass blood or I stop passing all together.



Flash forward to the next morning, I've had a restless sleep, my stomach is making noises so loud it sounds like like it's trying to speak whale and I feel like I need to go to the toilet still. Nothing is coming out at all and the discomfort is now so bad that I am walking half folded over to ease the pain that I have on the left hand side of my stomach.



I am not in extreme pain, which is why I am asking here rather than going to the ER. If I do experience enough pain, I will go, however I would love to hear if anyone else has experienced this before. I am not sure if I should try drinking another tea to see if it will encourage another BM or if I should wait & see how it unfolds naturally..
 
Sounds like you are tucking all the boxes given by the nurse. Pain is subjective, and pretty sure if you described your symptoms to nurse she would said that you are in severe pain. Go to ER, better to be safe than sorry!
 
I had my appointment with GI yesterday, who didn't seem too fussed by my current symptoms.. He told me to take some Metamucil and Probiotics daily to see if that would help me move things along. That advice was disappointing to say the least, but I guess what else could he have said :(
I'm now waiting on a colonoscopy & endoscopy, fingers crossed they find some answers in there!
My pain isn't all that severe at the moment. It's been very on and off for the last 2 days which has been good as I've been able to have a break from the pain. No improvement with BMs unfortunately. Still very small, very long between then & lots of mucus.
 
I had my appointment with GI yesterday, who didn't seem too fussed by my current symptoms.. He told me to take some Metamucil and Probiotics daily to see if that would help me move things along. That advice was disappointing to say the least, but I guess what else could he have said :(
I'm now waiting on a colonoscopy & endoscopy, fingers crossed they find some answers in there!
My pain isn't all that severe at the moment. It's been very on and off for the last 2 days which has been good as I've been able to have a break from the pain. No improvement with BMs unfortunately. Still very small, very long between then & lots of mucus.
I hope you get answers soon.
 
I feel your frustration Scorp123! Hopefully things start to improve soon, and you get some long awaited answers. Uncertainty and fear are the worst aspects of this disease.

Best of luck.
 
I did not know that pencil thin BM's could be a sign of partial obstruction! I have had times over the years when this happened quite frequently - Usually I would have a flare of diarrhea and everything would be cleared out. It is quite frustrating to know symptoms can just be so confusing and varied!!
 
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