Where would Crohn-related pain be located?

[Ebru]

Dear people,

I am undiagnosed but I suspect Crohn's disease due to bloody diarrhea and an (peri)anal abscess which got drained a half year ago.

Another thing I've suffered for a while is my lower right abdominal pain. It has prevented me from jogging and walking long distances, so I only bike.

I wonder if my pain location is actually indicative of Crohns disease. An inguinal hernia has not been found on an echo.

The radiologist thought my ovary was simply swollen but my gynecologist said that she didn't saw such a thing and has refered me for an MRI-scan.

Everytime I search for 'intestines' on Google image, the intestines are located somewhere else, it really depends on the image.

Can one with Crohns feel pain at the place of the appendicitis/just above the pubic regio/at the place where one would have an ovary/hernia?

I cannot share a picture of the regio.

Thank you in advance.

 

[Scipio]

Can one with Crohns feel pain at the place of the appendicitis/just above the pubic regio/at the place where one would have an ovary/hernia?

Yes, that's exactly where I feel my Crohn's pain. In Crohn's you usually feel pain at the site of the inflammation. And the lower right abdomen (the ileal region) is most common (though not the only) site of inflammation. About 70% of Crohn's cases have inflammation in the ileal region - sometimes, as in my case, the inflammation is confined to the ileal region, and sometimes other areas such the colon are also involved.

 

[Ebru]

Yes, that's exactly where I feel my Crohn's pain. In Crohn's you usually feel pain at the site of the inflammation. And the lower right abdomen (the ileal region) is most common (though not the only) site of inflammation. About 70% of Crohn's cases have inflammation in the ileal region - sometimes, as in my case, the inflammation is confined to the ileal region, and sometimes other areas such the colon are also involved.

Thank you for your comment. It's just vague because all the pictures at Google Images localize the ileum somewhere else. I hope the MRI can give me more clarification. May I ask: do you know if MRI's are good at diagnosing Crohns?

 

[Scipio]

MRI is a good way of finding inflammation in the small bowel, usually seen as bowel wall thickening. It's a very good way of assessing the extent of small bowel inflammation in someone already diagnosed with Crohn's. But it may take more evidence for your doc to make the definitive initial diagnosis of Crohn's.

In my case I had some Crohn's symptoms and lacked others, but the key observation that made the doc say Crohn's for sure, was seeing aphthous ulcers in the ileal region by capsule camera endoscopy. Symptoms (ileal pain), ileal thickening via MRI, and anemia were all parts of the puzzle, but for my case seeing the ulcers sealed the deal.

 

[Lukesky36]

Crohn's is weird when it comes to pain there is so many different ways to feel it to me if im constipated i feel it alot in the ileal region mostly its a sharp pain sometimes

 

[teeny5]

I only have had it in the large intestine, so my pain is in the lower right side and behind belly button. Sometimes on the lower left, but rarely. It depends on where the disease is located.