No reason for pain??

[Ships]

I'm currently in the ER because I woke up with horrible abdominal pain in the lower right abdomen. They did an X-ray to check for obstruction and blood work. The X-ray was clear and she said my inflammation markers and white blood cells were perfect... any ideas on where the pain is coming from or anything I can ask while I'm here?

I don't want to leave without answers, I always feel dumb for coming in when they don't find anything.

 

[ronroush7]

I am not sure but ask if they can check the terminal ileum. Be persistent. Hope you get answers.

 

[Trysha]

There is always a reason for pain and from your description sounds like a really bad one.
Sometimes there can be a transient obstruction which your body has cleared for itself,other reasons could be cramping from food intake, maybe your body did not like it.
I would certainly be asking what the possibilities are and how you can be helped if there is a recurrence.
Also ask if the tests they have given you are enough to rule out any pathological reasons
I would also suggest asking for another blood count within a few days if symptoms persist.just because the pain is occurring in the right side does not necesssarily mean that is where the problem is.
Have you been seen by a gastroenterologist by the way...if not it might be a good idea to contemplate this if there are ongoing problems.it might be advisable to ask about colonoscopy.
Feel better soon
Hugs
Trysha

 

[Ships]

They called my GI office my doctor was out of town, his nurse was there and spoke with another doctor, who wanted the ER to do an MRI but the ER doctor didn't want to because I've had so many last year she was worried about my lifetime radiation amount. I usually always blame food but I didn't eat much yesterday and what I did doesn't usually cause problems. She released me and said it was probably a flare up, but I don't know how when she said I have no inflammation markers or other indications in my blood work.

I sometimes worry that it could be non crohns related and would be missed because that's the only place anyone ever looks. But I have been really stressed out at work lately and am going to blame that for now.

 

[Scipio]

Appendicitis?

 

[Jabee]

MRIs don't use radiation. They use magnets to produce the images, so you can have as many as necessary.

 

[Faithsg]

My son has the same issue except all over pain and worse on left side. He had remicade one week ago labs looked good was in ER Tuesday for pain labs good. He's in pain and hasn't been in school in 3 weeks. He's 11 getting colonoscopy Tuesday. From the lans and medicine he should be feeling great but isn't good at all

 

[ronroush7]

My son has the same issue except all over pain and worse on left side. He had remicade one week ago labs looked good was in ER Tuesday for pain labs good. He's in pain and hasn't been in school in 3 weeks. He's 11 getting colonoscopy Tuesday. From the lans and medicine he should be feeling great but isn't good at all

Hope he feels better soon.

 

[Lisa]

Have you been checked for kidney stones?

 

[Ships]

MRIs don't use radiation. They use magnets to produce the images, so you can have as many as necessary.

I didnt know that, and I have no clue why she didn't do one then.

 

[Ships]

My son has the same issue except all over pain and worse on left side. He had remicade one week ago labs looked good was in ER Tuesday for pain labs good. He's in pain and hasn't been in school in 3 weeks. He's 11 getting colonoscopy Tuesday. From the lans and medicine he should be feeling great but isn't good at all

That is awful, I hope the colonoscopy gives you some answers so he can get some relief! I couldn't imagine going through all this at 11! I got diagnosed at 19 and couldn't even handle it then!

 

[Ships]

Have you been checked for kidney stones?

No I haven't. That's what my mom thinks it is, because I complain to her mostly and have complained of pain in my lower back sides for a couple weeks on and off. I told the ER doctor about the pains, but she never really addressed more than the lower right abdominal pain.


I'm just kind of at a loss on what to do. The pain meds they gave me at the hospital wore off and they didn't give me a script because she was worried about causing more issues with constipation. I feel like I have gotten too good at masking the pain, so it never looks like I'm in as much pain as I'm in. I just want to crawl in bed and cry for the next month.

 

[Jabee]

I really feel for you. Ever since I spent a week in the hospital last spring because of a flare I've been in pain. At first it was constant and severe (my GI switched me to 6MP but it gave me severe pancreatitis so I am back on Entocort). It gradually got better but has not gone away. These days I have one or two days every week when I am in severe pain. My GP doesn't want me on pain killers (which I both understand and don't understand), so I've been taking anti-spasmodics and Tylenol. I've been on the verge of going to the ER more than once, and when I did go in October they discharged me saying everything was fine. Two weeks later I received the report from the CT scan that actually found narrowing in my terminal ileum and a low grade blockage. The ER docs had discharged me on a preliminary report which wasn't accurate. I survived, but now am even more reluctant to go in. It's awful to go in with severe pain and be told "you're fine". Can you get an appointment with your GI or GP? I'm so sorry.

 

[Ships]

I really feel for you. Ever since I spent a week in the hospital last spring because of a flare I've been in pain. At first it was constant and severe (my GI switched me to 6MP but it gave me severe pancreatitis so I am back on Entocort). It gradually got better but has not gone away. These days I have one or two days every week when I am in severe pain. My GP doesn't want me on pain killers (which I both understand and don't understand), so I've been taking anti-spasmodics and Tylenol. I've been on the verge of going to the ER more than once, and when I did go in October they discharged me saying everything was fine. Two weeks later I received the report from the CT scan that actually found narrowing in my terminal ileum and a low grade blockage. The ER docs had discharged me on a preliminary report which wasn't accurate. I survived, but now am even more reluctant to go in. It's awful to go in with severe pain and be told "you're fine". Can you get an appointment with your GI or GP? I'm so sorry.

It's super hard because life still goes on, can't call in every time or anything, so I push myself until I just can't anymore. I'm not feeling any better but I can't miss any work, and while the no pain pill thing makes since, it'd be nice to have to help get through. Releasing you like that is horrible. It's like they think because Crohns causes pain it is just normal every time we go in, it drives me nuts.

My GI is out of town but the ER doctor spoke with his nurse who said she was going to block some time out for me to see another doctor if I called, I left her a message but never heard back. I just found my GP a few months ago and he leaves the crohns to my GI.

 

[ronroush7]

I am sorry you never heard back from the nurse

 

[Jabee]

My GP prefers to let my GI handle things, too. My GI won't prescribe anything for pain, and my GP doesn't like to either. It's part of the backlash from the large numbers of people becoming addicted to heroin after abusing prescription pain medication. I understand it, but it's absurd to let people who use their medication responsibly remain in pain. I've never become dependent on pain medication, primarily because I know it's always possible, so I use it with great care.

 

[Ricky_V]

1) Appendix
2) Gall Bladder
3) Liver abscess

 

[Faithsg]

My son got tramadol yesterday. Today he seems in better spirits for a few hours every 8 hours. Ask again for pain meds if you can. It's giving him a little relief I saw some smiles today and he was playing a little

 

[Cheesy79]

I have problems with intense pain sometimes but I've found that going to the ER is no help. My blood work is fine and that's all they will run. It's so frustrating. They won't run CT scans because I've have too many and they're worried about cancer. They always leave me in just as much pain or more as when I walked in. I honestly think they look at me as a drug seeker rather than an answer seeker.

Here's some more information: When I had my j-pouch removed they didn't know all the tissues around my j-pouch had gone bad. Every doctor told me how great my j-pouch was but I could take the pain. I ended up with a permanent ileostomy. After that surgery, my butt would not heal. They would pack it, have a would vac, reopen it, and do drains. I ended up doing a muscle flap and they found I had MRSA contained in that area despite blood results that good. After, the abscesses persist, I had a surgery who was a friend of my brother's try to clean out the abscess. The muscle flap had died and it didn't show up

All this to say, even when blood work is fine, it doesn't mean there's nothing wrong. You have to be persistent. The ER docs see a lot of people that just want drugs. Working around the doctors are difficult. Keep your head up. Some one will figure it out.

 

[Ships]

I am sorry you never heard back from the nurse

I'm sure I will hear back Monday. They have forgotten about me a few times though lol. I'm not sure I want to drive an hour one way to see a different doctor in the office anyways, because I have a feeling that they won't do much because they aren't my doctor.

 

[Ships]

My GP prefers to let my GI handle things, too. My GI won't prescribe anything for pain, and my GP doesn't like to either. It's part of the backlash from the large numbers of people becoming addicted to heroin after abusing prescription pain medication. I understand it, but it's absurd to let people who use their medication responsibly remain in pain. I've never become dependent on pain medication, primarily because I know it's always possible, so I use it with great care.

I sometimes wonder as I'm laying in bed folded around my heating pad if there are people that become addicted to hard drugs because they were searching for some relief from pain because no one would give anything due to fear of addiction. I understand the thought behind not prescribing them, but from this side it seems ridiculous. I have to go to work today and I have no clue how I'm going to make it.

 

[Ships]

My son got tramadol yesterday. Today he seems in better spirits for a few hours every 8 hours. Ask again for pain meds if you can. It's giving him a little relief I saw some smiles today and he was playing a little

I'm so glad he is getting some relief! I was on tramadol for awhile and I loved it, it helped with the pain and I never felt to loopy on it. My doctor wouldnt perscribe anymore during my last flare because he doesn't want me on any NSAIDs, but I would take it again in a heartbeat.

 

[Ships]

I have problems with intense pain sometimes but I've found that going to the ER is no help. My blood work is fine and that's all they will run. It's so frustrating. They won't run CT scans because I've have too many and they're worried about cancer. They always leave me in just as much pain or more as when I walked in. I honestly think they look at me as a drug seeker rather than an answer seeker.

Here's some more information: When I had my j-pouch removed they didn't know all the tissues around my j-pouch had gone bad. Every doctor told me how great my j-pouch was but I could take the pain. I ended up with a permanent ileostomy. After that surgery, my butt would not heal. They would pack it, have a would vac, reopen it, and do drains. I ended up doing a muscle flap and they found I had MRSA contained in that area despite blood results that good. After, the abscesses persist, I had a surgery who was a friend of my brother's try to clean out the abscess. The muscle flap had died and it didn't show up

All this to say, even when blood work is fine, it doesn't mean there's nothing wrong. You have to be persistent. The ER docs see a lot of people that just want drugs. Working around the doctors are difficult. Keep your head up. Some one will figure it out.

It makes me crazy sometimes when I go in there and get treated like that. They act like I shouldn't be there because I already know what's wrong with me.

That is crazy, I think I sometimes put to much faith into my bloodwork and not enough in myself.

 

[Jabee]

Ships, are you possibly thinking of Toradol? Tramadol is an opiate not an NSAID. Toradol is a powerful NSAID and isn't usually prescribed for more than a week. Tramadol doesn't do much for me. For some reason low doses of Percocet work best for me, and in the hospital morphine does. I don't get loopy, can still use my mind, and don't get sleepy. Different drugs affect people differently.

 

[Cheesy79]

Ships, are you possibly thinking of Toradol? Tramadol is an opiate not an NSAID. Toradol is a powerful NSAID and isn't usually prescribed for more than a week. Tramadol doesn't do much for me. For some reason low doses of Percocet work best for me, and in the hospital morphine does. I don't get loopy, can still use my mind, and don't get sleepy. Different drugs affect people differently.

I have taken Toradol and it works for joints but not for abdominal pain.