Sick in the morning???

I've noticed that recently (a few times per week) I've been feeling weak and nauseous shortly after getting up in the morning. And no, sadly, this is not the result of wild parties/hangovers.

anyway, again this morning i woke up feeling ok. I had breakfast and then shortly afterwards i started feeling week and then i threw up a bit. i no longer feel like throwing up, but i feel very weak. i know about anemia and my recent blood test showed the hemoglobin to be 12.5 so i don't think this is completely related to iron deficiency. my b12 was low, but i don't know how low.

also, i've been reading some of the other threads and i see that many people have it far worse than i do. in a way, that actually terrifies me because i'm afraid my crohns could progress to that point. so far, my crohns has been confined to the small intestine. i haven't really had any of the bathroom issues (urgency and diarrhea) that others have had. i haven't been hospitalized or had surgery. until recently, i thought my case was more of a 'mild' one. but then my doctor told me that the pill cam showed a good deal of ulcerations in the small intestine and that he would consider my case "moderate to severe". when i was initially diagnosed in 2004, i had crohns in the duodenum and jejunum only. then recently it was found in the illeum. i'm scared that it could spread to the large intestine.

i don't know if i actually have any questions. i think i'm just venting. i feel crappy today and just don't want things to get worse.

thanks for listening.

kazbern said...
Avi, are you following a low residue diet? Maybe you should stick to liquids until your DR gets back into town. Vomiting in the morning doesn't sound like fun and I'm sure you're not pregnant either!

In the past, my doctor hasn't really addressed my diet. i asked about it and he didn't say much.

as far as a liquid diet goes, how exactly does that work? what do i eat/drink?

also, while i doubt that i'm pregnant, i haven't had my period in forever. literally. so who knows!

For someone with small bowel disease, especially in the ileum, it seems like you should have been told about low residue diets. I guess you and your DR have a lot to talk about next week.

Liquid diets are available OTC (Ensure, etc.), but a lot of folks here say they have too much sugar and make them feel ick. You can also get meal replacements by prescription - many folks here have done that and I'll leave it to them to comment on taste and palate.  When I've had to do liquid/low residue, which hasn't been often, I resort to making my own smoothies out of lactose-free milk and banana and yogurt and whatever else comes to mind. Soups are liquid, of course, and you can make them hearty if you can tolerate the meat and/or legumes. Avocado and ice cream are also low residue,

My first thought was pregnancy. And no, you weren't venting - you should see of the other posts, lol!

Are you having any other symptoms, like cramping or diarrhea or anything? My only nausea experience has been with c-diff, but I also was having bloody diarrhea and cramping.

Please don't be scared of other peoples's stories. I get scared too when I read them because I wonder if what they have will happen to me. But you can't let that get in your head!

It could be the nausea isn't even related to Crohn's. I get nauseous if I have too much nasal drainage at night because of a cold or allergies. It could be one of your levels is low, so maybe just get a regular blood test to make sure there's not something out of the ordinary going on.

Good luck!

I am sick to my stomach all day, don't vomit but it doesn't matter what or if I eat. Didn't feel like this before CD

I have suffered primarily with CD gastritis and mostly flare ups in the small intestines..The only thing that worked well for me was an anti-nausea drug called phenegren--I use to take a pill as soon as I got up in morning..I was also taking carafate & donotol before I ate..My diet at that time was baby food and alot of meal replacement shakes to low residue--I could not take any pain meds without being serverely nauseated--it might be the percoset..

I believe Avi is a guy. Pregnancy testing would be interesting but probably not a good use of his $$.

Yes, I'm a guy. My comment about being pregnancy was facetious. I've heard so many people jokingly ask me if I'm pregnant that I decided to have fun with it.

I knew that not everyone would be familiar with the name "Avi" and therefore not know that it's a man's name, but I don't mind clarifying.

Anyway, I've been nauseous and vomited each morning for the past few days. I'm working on starting remicade soon (hopefully next Friday) so maybe it will work and i'll start feeling better.

My doctor finally came back from vacation and I found out the CT scan results yesterday. As suspected, I have some inflammation and narrowing in the small intestine.

So I'd guess that your digestive system is not able to move dinner through the inflamed part of the bowel while you are lying down at night. Maybe one strategy would be to eat a larger meal midday and then just a light meal at night, preferably mostly liquid and low residue.