partial obstruction or pancreatitis?

What is your opinion?

 

I have Crohn's disease and take 50 mg. of 6MP which for the most part keeps the disease relatively calm but I am not in remission.

 

Yesterday, I started have stomach pain up high between the breast bone.  It was like a wave of intense pain that would last about 10 seconds.  Last night before bed I was pretty uncomfortable so I took 5 mg of prednisone.  I took 5 more in the middle of the night, 5 more in the morning and 10 around noon.  The intense intermittent stomach pain continued and wrapped around to steady heavy pain in my back and thighs. I had chills too. A few hours ago, I threw up and had watery d.  The pain in the stomach has reduced to just  a throb but the back and thighs ache quite a bit. I have had partial obstructions before and when I began to vomit, there was no way to keep any liquids down. This time I drank about 12 oz. of water and a little bit of a protein shake and it is staying in. 

As it is a Sunday, I want to see if I can hold out until the morning to see a doctor.  Does this seem more like a partial obstruction or pancreatitis?  I had my gall bladder removed about 15 years ago and I drink alcohol once in a while at a party.

 

Prednisone is not meant to taken intermittently or as needed. Be careful with that. I would stick to liquids and call your doctor in the morning. He/She can start you on an appropriate pred dosage and wean you slowly. If the pain becomes intense, you should probably go to the ER.

I had similar pain n cos it was on the left side they tried to tell me it was constipation.

I'd get checked out regardless, fever & sudden pain is a signal from your body to say something's up!

Just so you know I still get the pain now, the fevers occasionally too. Sometimes it is nothing, but regardless you need peace of mind!!


Hope you feel some relief soon!

I would get to ER sooner rather than later. Partials turn into full obstructions fairly quickly. Pain relief is imperative. No pain no gain does not equate with Crohn's. Muscle relaxant is important as well.

5mg is not a big dose. Don't self medicate with Prednisone.

I have been living with Crohn's for over 35 years and the quicker you can get into ER and relieve that pain the quicker you will recover
Had Bowel resection in 1981 and was in remission for 28 years. 2 years ago after serious tragedies l had a heart attack and a 6 way by pass which followed up with Crohn's coming out of remission.

Thanks for all of the replies. I have had three obstructions requiring hospitalization in the past. With all three, I was severely dehydrated within a few hours of vomiting. This time I was able to keep water down. The doctor gave me the prednisone for times when I could not easily get an appointment so that I could try to avoid hospitalization. I am headed to get lab work and x-rays this morning.

Went to GI today and labs showed elevated liver enzymes.  I think normal is 0-40 and mine were around 220.  Labs showed inflammation as well.  I am going to repeat the blood tests again next week. I am feeling quite a bit better but some tenderness in stomach especially when it is empty.