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Mehita

Mehita

Joined
Nov 12, 2011
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Well, after yet another vomiting spell and the start of dehydration, and some pain we brought L to the ER today. The X-ray showed a good chunk of dialated bowel just in front of his stricture. I don't know what I was expecting, but I wasn't expecting to get admitted! He's NPO until the pain goes away, which it hasn't yet and it sounds like we will be here a few days.

The gastro docs and surgeons can't seem to agree on a course of treatment. Gastro wants to start pred and 6MP. Surgeon thinks a strictureplasty would be highly beneficial and improve his quality of life. They are supposed to get together tomorrow and come to a conclusion.

I'm leaning toward surgery, but my husband is leaning toward meds.

I always try to look for the positive... so far our experience here has been awesome. L thinks the hospital is the coolest ever. Having a 50" tv screen and endless video games helps. I'm very grateful they are able to make positive impressions on kids, especially for ours who are likely to be in and out of hospitals.

And how as YOUR day??
Teresa
 
Hope you get answers soon and he starts feeling better and can go home even without the 50" TV screen and video games :ylol:
 
Teresa - Glad Lukas is enjoying his stay. Lol.

On a serious note, hate that you are faced with a tough house and hoping morning brings clarity!!

J.
 
I am so sorry to hear he is in the hospital. I hope your doctors can figure it out quickly and he can get started on a course of treatment and start feeling better. Keeping you guys in my thoughts and prayers.
 
Sorry to hear you have ended up in hospital. Hope the pain starts to go away soon. Good luck with whatever they decide!
 
I can't stop crying. We had to do an enema today and hold L down. He just kept screaming "Mom, make them stop, make them stop". I had to go home after that to meet up with my other son and I haven't been able to stop crying since. It was so horrible!

Summary of the day - Slightly elevated CRP (18, down from 19 yesterday) and all other labs pretty normal or explainable. Surgery believes a resection is best. Stricture is too long for a strictureplasty and will also not likely be able to be done laprascopically. On call gastro mostly agrees with surgery because inflammation is minimal from MRE and labs. Our gastro is still pushing 6MP because he believes enough inflammation is present. When I left for the day, they were about to introduce clear liquids.

Curveball of the day - the diameter of his stricture is currently 3mm. I believe normal is 3-5cm!

Sorry for venting... things are just pretty miserable.

T
 
Oh Mehita, I'm so sorry you and your sweet boy are having to go through all of this. I know it had to be heart-breaking for you. Wow, 3mm that is such a tiny opening, and the surgeon thinks it is all scar tissue and not inflammation? I'm sure one of the other parents will be by shortly with more experience with this. I just wanted to send hugs and support your way!
 
Yeah, mostly scar tissue. Small amount of inflammation, but as we all know, people with Crohn's tend to have small amounts of inflammation even on good days. His sed rate was completely normal.

I think my water works have dried up - I'm probably as dehydrated as he was yesterday! The hubster just called and said they are renaming his Miralax/apple juice cocktails "miracle juice" because L has perked up significantly and is cracking jokes. I could hear him laughing in the background. Let's just hope the juice stays down!

I'm off to bed... in my own bed.

T
 
Sending loads of hugz, support and prayers to you and L :hug:

My son had a similar situation and we did decide to go the route of surgery as he kept getting partial obstructions that would last for days and his quality of life was quite poor for 4 months. The surgery was our best option as the Humira was working for the inflammation but there was too much scar tissue.

It was very very difficult watching him in so much pain, unable to eat or enjoy life so I totally understand and feel your heart break :( but once he gets over this whether it be by meds or surgery he should start to feel tons better.
 
Big hug, sweetie. What a day!!!!!! I just know you're wrung out.

Hugs,

J.
 
Mehita how is he today? "Miracle juice" still making him feel better? Sending loads of hugs :ghug: and support to you
 
We might get to go home today! Woohoo! Moving on from "miracle juice" to jello and pudding. If it stays down we get to sleep in our own beds tonight.

We have decided to do the resection. Surgery will be in a couple of weeks. Advice on preparing, staying in the hospital, and recovery are greatly appreciated!
 
No experience here Teresa. I can only imagine what's going through your mind as you prepare for his surgery. Every one I've seen on here have experienced wondrous results with their resections, especially Dusty's kids. I'm sure Lukas' will be smooth!!
 
Glad to hear he is feeling better!! Yay for "miracle juice":cheers:

Praying all goes well with surgery, sounds like you made the right choice. Will they still be putting him on 6mp?

(((((Hugs))))))
 
I wish I had some words of wisdom. I can tell you my 38year old brother had a resection about a month ago following diverticulitis complications. Other than incisional pain he felt SO MUCH BETTER within a couple of days after surgery than he did before. Eating was no longer painful.

Keep us posted. I just know Lukas will do well. :) our kids are amazingly resilient.

Hugs,

J.
 
Johnnysmom - Post surgery they are thinking of just sticking with Pentasa (or possibly even stopping that). We've always been told he has mild Crohn's and the MRE in December showed no active Crohn's. All of his troubles have been related to the stricture, so we're dodging the 6MP bullet for now.
 
Don't want to stress you Mehita but I was thinking along the same lines as Dex.
 
I am thinking in line with Dex as well.
My son was diagnosed at 11 years old and I think that automatically takes them out of the mild category. The 6mp has a harder time doing its job if you wait till the crohn's creates more damage. Pentasa is not usually used to treat crohn's unless it is used in combination with another drug. It is generally not all that effective when used alone.

I think it is worth a conversation with your G.I. Hoping your boy feels better soon. ((((Hugs))))):hug:
 
Dusty will be along
There were more than a few studies I read --
That basically said taking 6-mp after a resection increased your chances of staying I remission longer and decreased the odds of a repeat resection.
Without meds the odds of repeat resection are good within 5 years.
I will find the stats for you.
Also agree with the others if you are diagnosised with crohn s as a young child you are not mild by any means and if you need surgery you left mild a long time ago.

Hope the surgery is as successful as others have said
 
Of the patients who undergo intestinal surgical resection, up to 90% exhibit evidence of endoscopic Crohn's recurrence within 1 year of surgery
Click to expand...

From:
http://www.medscape.com/viewarticle/772973

Expert Review of Gastroenterology and Hepatology
The Evolving Management of Postoperative Crohn's Disease
Jana G Hashash, Miguel D Regueiro Disclosures
Expert Rev Gastroenterol Hepatol. 2012;6(5):637-648.
 
The use of 5-aminosalicylic acid (ASA) drugs, sulfasalazine and mesalamine, in postoperative Crohn's disease, has been substantially investigated with a conclusion that the use of aminosalicylates for the prevention of recurrence is of limited value. [9,10,34,67–71] Table 3 summarizes the studies pertaining to the use of 5-ASA drugs for the prevention of postoperative Crohn's disease recurrence.
Click to expand...

From:
http://www.medscape.com/viewarticle/772973_6
 
MPs & AZA
The use of immunomodulators such as AZA and 6-MP stems from their role in the induction and maintenance of Crohn's disease. [78–80] Multiple studies have evaluated the use of immunomodulators in the prevention of recurrent Crohn's disease in the postoperative setting with promising results, as displayed in Table 4. [6,34,81]
Click to expand...

From:
http://www.medscape.com/viewarticle/772973_6
 
JUst wanted to offer (((HUGS))) and some love...I can't imagine what an enema must be like for a pre teen boy that's healthy, let alone one with Crohns. Makes me want to cry along with you. Our kids grow up SO fast. :( :heart:
Wishing you loads of luck for the surgery...may it bring him quickly to remission and keep him there. :)
 
Hanauer et al. conducted a randomized, double-blind three arm controlled study comparing 6-MP at 50 mg daily, mesalamine at 3 g daily and placebo. [17] At 2-year follow-up, the clinical recurrence rates of the groups were 50, 58 and 77%, respectively. Endoscopic recurrence rates were 43, 63 and 64%, respectively. It is important to mention that 31% of randomized patients either dropped out of the study or were lost to follow-up and thus only 69% were evaluated for clinical symptoms at the 2-year follow-up. [17] An open-label study by Ardizzone et al. showed no difference in the clinical recurrence rate of patients randomized to AZA (2 mg/kg/day) as compared with mesalamine (3 g daily) at 2-year follow-up. [82] D'Haens et al. compared metronidazole monotherapy with metronidazole for 3 months in combination with AZA for 1 year. [83] At 1-year follow-up, endoscopic recurrence was significantly higher in the metronidazole monotherapy group (78%) as compared with the combination therapy group (55%). A meta-analysis by Peyrin-Biroulet et al. concluded that there is modest clinical benefit from the use of AZA when compared to either placebo or 5-ASA products. [84] The meta-analysis included a total of 433 patients and demonstrated that the use of AZA is 8% more effective than placebo or 5-ASA products in reducing 1-year clinical recurrence with a number needed to treat (NNT) of 13. Results also revealed that AZA was 15% more effective than the control at decreasing endoscopic recurrence of endoscopy score i ≥2, at 1 year with a NNT of seven.
Click to expand...


From:
http://www.medscape.com/viewarticle/772973_6
 
I love MLP! You're just a walking encyclopedia of information!

Okay, here's how I understood things through my sleep deprived, foggy brain. The drs believe that the stricture may be older than we think. He was dx in 2008 with an endoscopy and colonoscopy, but the stricture is in that area that neither scope can really see. Our old gasto never did an MRE. The new gastro did an MRE in 2011 and discovered the stricture. Last month, the MRE was almost identical to the previous MRE. Surgery and radiology poured over both MRE's yesterday and they believe the stricture is almost all due to scar tissue. Also BOTH MRE's showed no active Crohn's anywhere. We are not exactly sure where the minor inflammation that is showing up in the CRP is from, but they do not believe it is in or around the stricture and they do not want to put him on prednisone to see if his labs change because of the upcoming surgery. CRP indicates there is inflammation somewhere in the body, but not necessarily in the gastro tract, right? Maybe he has a swollen big toe or something? I should check!

As far as the meds, the gastro did show us a lot of the same stats and studies that MLP has brought up. He doesn't think Pentasa has done much for Lukas (neither do I). He said it's similar to baby aspirin for heart disease... it's doesn't hurt to take it, but overall doesn't feel it's hugely effective and said we could continue it after surgery, but it's up to us. He also wasn't keen on 6MP... and I'm sorry, but I can't remember why. He did mention Remicade and Humira, but said he'd want to hold off on those until after an endoscopy/colonoscopy six months post-op because he has yet to see anything that shows Lukas has active Crohn's anywhere. So, post-surgery maintenance meds are still up for discussion.

Does that all make sense? What do you think?
 
I think that makes total sense. Your Dr. seems to be on top of things. Our Dr. said Pentasa was like "aspirin for a brain tumor", don't you love their analogies?

My guess is if he wasn't keen on 6mp but mentioned Remicade and Humira he is thinking of controlling things with those instead. But certainly he will have a better idea after surgery.

Love MLP too!! She is like a walking encyclopedia! <(^)
 
Their analogies and poop humor!

Lukas was pretty constipated, hence the enema, and our gastro kept saying in his heavy accent, "Lukaaaas, you must say gootbye to your poop! Just say gootbye! It is not a vorthvile relationsheep. It vill be a smood break up, I promise!" Lukas couldn't stop laughing.
 
The only placebo-controlled anti-TNF trial for postoperative Crohn's disease prevention was conducted by Regueiro et al. in 2009. [85] In this randomized, double blind, placebo-controlled trial, 24 postoperative Crohn's disease patients were randomized to either receive infliximab (5 mg/kg induction and then every 8 weeks) or placebo within 4 weeks of their surgery and continued for 1 year. [85] At 1 year, endoscopic recurrence was 9.1% in the treatment arm compared with 84.6% in the placebo arm (p = 0.0006). More severe recurrence was noted in the patients who did not receive infliximab, that is, the majority were i3 or i4. Clinical recurrence was not seen in any of the patients in the infliximab arm, while five out of the 13 patients in the placebo arm experienced clinical relapse. [85] Just recently, Savarino et al. published a case series on six patients with stricturing Crohn's disease who were treated with adalimumab (160/80/40 mg every other week) within 2 weeks of their ileocecal surgery for 1 year. [86] All of the patients remain to be in endoscopic, clinical and radiological remission at 3-year postop. Although this study was not a randomized controlled trial and was limited by the number of patients reported, it does demonstrate that the use of adalimumab may have a comparable effect to that of infliximab in the prevention of postoperative Crohn's disease.

A number of smaller studies were conducted to evaluate the efficacy of anti-TNF therapy in the prevention of postoperative Crohn's disease recurrence. Most of these studies were not placebo controlled and included only a small number of patients. All the studies essentially showed that patients treated with anti-TNF therapy had lower rates of endoscopic and clinical recurrence of their Crohn's disease. It is the authors' opinion that this strategy may be employed for those patients with the highest risk for recurrence. [87] The authors believe that clinical trials are needed for investigating the effect of combination therapy consisting of an immunomodulator plus a biologic in the postoperative setting.
Click to expand...

From:
http://www.medscape.com/viewarticle/772973_6


Which would be why your Gi was recommending biologics ;)

Good luck
 
Oh and given the 84% recurrence rate in the placebo arm may be something to seriously talk to your Gi about
Having damage again would not be something you want......
 
At 1 year, endoscopic recurrence was 9.1% in the treatment arm compared with 84.6% in the placebo arm (p = 0.0006). More
Click to expand...

So at 1 year the people who took remicade only 9.1% had evidence of reccurence on the endoscopy , but of those whose took the placebo 84% had evidence of recurrence.

So doing nothing has a very large chance (84%)
Of letting disease to reoccur.
Make sense???
 
Ok, yes, yes, yes... makes sense. Of all the meds, Remicade is what he spent the most time discussing so I'm guessing that is our next med, though we may have a brief period of nothingness for a short bit after surgery.

Thanks for clarifying, MLP.
 
Mehita,
Your doctor sounds really on top of things so that is great!
I wanted to tell you to ask about an epidural for pain control during and after surgery. It was the greates thing when our daughter had her resection. They kept it in for three days after surgery and she had almost no pain.
Here are a couple links to studies talking about using epidurals for pain control in pediatric surgery:
http://www.ncbi.nlm.nih.gov/pubmed/15515187
http://www.hss.edu/pediatric-anesthesia-pain-management.asp
These two articles talk about it being used in pediatric orthopedic surgery but it is being used in other surgeries such as reactions as well.
 
Surgery is never easy. I know. I might be facing it again for my DD soon. The only advice I can off is a list of things to make the stay more bearable for both of you.

My bags that I pack for us.
  • Lots of lotion- hospitals are terrible for your skin and their soaps can tear your hands up.
  • Bring conditioner for your hair bc they don't ever have any usually.
  • A book something to keep your brain distracted.
  • Cash- I always need cash and never have enough by the end of my stay.
  • Foods he likes that they will not have on hand. Every day snacks.
  • Slippers for both of you.
  • Crossword puzzles or whatever you fancy for more distraction.
  • Movies- our hospital also has the big screen but the same movies can be very annoying. We have a Netflix account and watch a lot of movies via iPad or PC, or portable DVD player that can be plugged into big screen via HDMI cord. (Bring the cord)
  • comforts from home that remind you of home. I bring my pillow, Rowan brings her blanket.
  • Phone Charger or other devices
  • Deodorant / feminine hygiene products (I always start my period when stressed out)
  • comfy clothes
  • Quarters some hospitals have a laundry room our is free but the last hospital we had to pay.
  • a hat or hairdryer. I always have messy hair.
 
Our hospital has those antibacterial pumps like every five feet. I always make them give me a big tub of germicidal bleach wipes and keep them hidden in my room. We have issues too.
 
Hey Mehita,

I'm so sorry for my late reply.

I see that surgery is a definite for you now?

Both of my children have had open resections. My daughter's was emergency surgery and my son's was planned. This is a lifted from what I have in the surgery forum:

Sarah:
had a right hemicolectomy 5 years ago and has been in remission since that time. Her surgery was an emergency, she was undiagnosed, and so was performed as an open procedure. This is an outline of her post op recovery...

Surgery day - She was in theatre for approx 4 hours. When she returned to recovery she had oxygen, two IV's, two drains, an NG tube and an IDC (urinary catheter). She was in ICU overnight. She asked to go back to the ward the next morning. I think the surgeon wanted her to stay another day but she couldn't get out fast enough! Oxygen therapy ceased.

Day 1 post op - Moved to the ward and spent the day on bedrest. IDC removed. NG tube on free drainage and morphine IV remained on PCA (patient controlled analgesia).

Day 2 post op - No change with drains and tubes. Physiotherapy commenced. Up out of bed and gentle ambulation commenced twice a day. Although Roo refused to use a pan so started walking to the toilet that day.
Started eating ice chips.

Day 3 post op - One IV removed and condensed IV morphine and fluids into one. NG tube removed. Increasing mobilisation. Ice chips.

Day 4 - Bowels open. Commenced on clear fluids. Mobilising.

Day 5 - Tolerated fluids from previous day and throughout this day so commenced on light diet at tea time. Both drains removed and IV removed. Oral analgesia and antibiotics commenced.

Day 6 - Discharged home.

I don't know if being paediatric made a difference but each day she was visted by the surgical team twice, the physiotherapist twice, the pain management team once and the dietician once.

Sarah was in very poor condition prior to surgery so I felt that she didn't truly recover for a number of months. I would say she was running on about 80% for the first few months and reached full recovery after about 6 months. She returned to school 3 weeks after the operation and has now been in remission for 5 1/2 years.

Matt:
had a right hemicolectomy in April. It was planned surgery that was required due to an existing fistula and abscess. He had a pigtail drain in for 3 months prior to surgery.

Surgery day - He was in theatre for about 4 hours and recovery for 2 hours. When he arrived back on the ward he had one IV that consisted of the PCA (patient controlled analgaesia) and other IV fluids for hydration and IV medication. He also had one wound drain, a urinary catheter and oxygen.

Day 1 post op - No change with IV's or tubes and drains. Started mobilising and about an hour sitting in the chair.

Day 2 post op - Still no change with the tubes and lines. Commenced on clear fluids and continued with gentle mobilisation.

Day 3 post op - Urinary catheter removed, still on clear fluids, mobilising well.

Day 4 post op - PCA removed and started on oral analgaesia, remains on clear fluids, started farting, only one IV now left.

Day 5 post op - Last IV removed, commenced on free fluids, bowels open.

Day 6 post op - Commenced of light diet.

Day 7 post op - Commenced on full diet, drain out.

Day 8 post op - Discharged!

Matt had no issues post op and I feel that the start of week 4 post op was the real turn around in his recovery. It was at this point that he really started to move freely and shades of his old self started to appear. His recovery has been much quicker than Sarah's. He returned to school 3 weeks after surgery, was allowed to drive short distances after 3 weeks and long distances after 6 weeks but he was driving longer distances at 5 weeks. Started soccer training at about 5 weeks as well. He is also in remission.

The life savers in hospital for them were...TV, mobile phone, iPod, laptop with DVD's, ear plugs, comfortable loose fitting pyjamas/clothes, footwear that is easy to slip on an off, like slippers, magazines/books and short visits from friends when they were up to it.

They have both been on maintenance meds (Imuran) following surgery.
Click to expand...

For both of them surgery has provided a very successful outcome. They are now 6.5 years and 20 months post op respectively and both have maintained remission during this time.

Matt also took Flagyl for 3 months post op as the Crohn's specialist agreed with the research that pointed to doing this results in a longer remission but in view of Sarah's success I have no idea if it has made a difference for him.

Good luck!

Dusty. xxx
 
Just wanted to wish you luck for the surgery. I hope it works wonders and it gets him a good few months symptom free. We have not had abdominal surgery, just the abscess Andrew had last year.
I am assuming they will be clearing him out before the surgery? If so, I would be prepared for lots of trips to the toilet. Andrew was pretty miserable with the prep drink and the best thing was distraction. I would take lots of electronic gadgets - things with a screen that he can watch, as I would imagine he won't feel up to concentrating for reading. Andrew loves his football, so we luckily had a football match for him to watch before he went to sleep and that is one of the positive things he remembers.
 
More vomiting tonight. He's finally fallen asleep... exhausted. On call GI said to just keep an eye on him. There is no way we're going to make it through another week like this until the 17th. I'm going to call in the morning to see if we can get the surgery bumped up.

Have I mentioned how much I hate this disease?
 
OK, we're breathing right along with you!:heart:

I pray that it will go well and your dear child will be back to normal soon.:kiss:
 
Does anyone know if removing the appendix is common along with small bowel resection?

DS has been in surgery for two hours now. Everything is going well so far and they just removed his appendix. He went to the operating room smiling!!
 
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I hope all continues to go well!!! Did they tell you how long they expect the surgery to last?

I do believe the appendix is sometimes/often removed during these surgeries... Someone else's daughter just had it removed as well (Sascot???).

I'm just catching up so sorry I haven't been here to offer support - you guys have been through so much the last couple of weeks!!! I hope the surgery brings you all relief and Lukas has a very speedy recovery!!

:ghug: :ghug:
 
I can only imagine! :eek: I hope it's closer to 4 hours and that you'll have some good news soon!! Thinking of you... :hug:
 
Everything went well. They removed 10" of small intestine (we were expecting 6") and his appendix. Took awhile to get a room because the hospital is bursting at the seams with all the flu and everything. They did an epidural, which is working fine for his tummy area, but he is having referral pain in his shoulders from the laparoscopy. So he's intermittently on morphine when his shoulders hurt. He's hating the catheter and NG tube.

I'm getting a little overwhelmed with the meds. Epidural, fentynal was switched to morphine. He's itchy so they're adding Benedryl. Anything I should watch for??

Overall, I think things are going well. Today will be the toughest day.

Thank you for all your good wishes and prayers. You guys are so wonderful!

I'm going to try to catch a nap before my husband leaves...
 
(((Hugs)))))

So glad to hear everything went well. :) Sounds like you are taking good care of him. Praying for rest and healing tonight.

Thanks for the update. I
 
So good to hear that all has gone well. :):):):):):)

How is boy doing today Mum?

The first couple of days are always the most overwhelming hun but as each day progresses it does get easier. :hug: As each tube is removed he will start feeling better about things and so will you. :)

If your son has had an ileocaecal resection then there is no choice but to remove the appendix. If his resection was higher than the terminal ileum then they may have removed it if they thought it was involved in the issues he was having or as a way of ruling it out as a future problem.

Sending loads of luck and healing thoughts your way! :heart:

Dusty. xxx
 
He's had a fever all night and mostly just had shoulder pain. Very little tummy discomfort. The surgeons stopped by late last night to check on him and didn't seem to have any concerns. When he's awake we try to get him to take deeper breathes to avoid getting a lung infection and they are shifting him from side to side in bed so he's not in one spot more than 4 hours. The bummer of the epidural is that he can't move much and the catheter is really bugging him.

The plan for today is to keep the fever down, breathe, shift around, and hope for a clear NG tube soon.

I am very proud of him in that, even tho he's in some pain, he's been pretty cooperative and easy going about everything. Once or twice he's fought back tears and seems to realize crying wouldn't be pleasant with an NG.

We've just passed the 24 hour mark. Time sure gets crazy when you're at the hospital!
 
Mehita - been wrapped up in our own traumas (non crohns) lately and missed your posts. I am so sorry for all you and your boy are going through. The fact that he is handling things so well is certainly attributable to the fantastically strong mom he has.

Hugs to you all and hoping the recovery is going well.
 
So sorry to hear about your son I hope he becomes well soon! Not sure what hospital yore at but I am about I be admitted myself in NY. We coulda been hospital buds!
 
Sorry for not being around much. While I really appreciate the Crohn's Forum, sometimes I just need to take a break from it. Know what I mean?

We are just over 5 weeks post-op now and things have been going great until yesterday. DS has gained 7 pounds, been feeling great and eating like crazy. Last night he had diarrhea, but we didn't think too much of it since I've read that sometimes happens after resections. Before last night all his BM's have been normal looking and formed - haven't had those in a loooonnngggg time.

Tonight he is vomiting again :(

He does have a head cold (stuffy/runny nose, phlegmy cough). He did eat a LOT for dinner and followed it up with ice cream because he was still hungry. Now it's all coming back up. I'm not sure what to think. My gut is saying its the cold... but I don't know?

The only med he's currently on is Pentasa. We were going to discuss maintenance meds in a few weeks. The only other thing worth mentioning is that his labs all came back normal last week with the exception of the liver ones. ALT and AST were slightly elevated but not alarming. No one seemed too concerned and we just need to test again next week.

Should I be worrying??
 
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I don't have any answers but just wanted to send hugs and support.

Hopefully, it is just the bug and things will return to normal quickly!!
 
Glad things have been going well until now. Hope he's just picked up a bug of some sort. Wouldn't worry unless it carries on for a few days.
 
So sorry to hear he had a rough night. Hopefully it's just a bug. i don't know if I would be overly worried, but after my son's resection his GI said he needs to be seen for any vomiting. Wouldn't hurt to give the doctor a call if he's still vomiting. Hope he is doing better this morning.
 
By lunchtime, DS was bouncing off the walls, chasing the dog around the house, and back to his tweeny, normal, sarcastic self. I think the winner is viral vomiting. GI nurse agrees.
 
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Glad it seems to have just been a bump in the road and he is feeling better! I hate to say it but sometimes we have to say Yay for viruses!
 

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