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painful endoscopy

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Crohn's Disease
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Posted 12/4/2007 4:14 PM (GMT 0)
Since my diagnosis about 4  years ago, I have had so many colonoscopies and endoscopies that I have now lost count.  After each colonoscopy, I have always experienced pain, but no pain after any of the endoscopies.  Yesterday, I had another endoscopy due to a major flare that I have been having.  I was not too woried about it, because there was no prep and I am normally fine right after.  So, I went to my scope, but when I awoke the pain was extreme.  I felt like I had someone stabbing me and all the pain medicine they were giving me, barely even put a dent in it.  The doctor ordered x-rays and more pain medication and valium, but all they found was trapped gas. 

  I have never experienced anything like this after a endoscopy and it has really confused me.  My doctor found that I had severe gastritis, ulcerations, and inflammation.  He has ordered a small bowel series and sent me home with loritab and xanex for pain. (the xanex for pain really surprised me, but he said that it is effective for crohn's disease)  I spent the night in pain and have still not passed much gas and had only a very small bowel movement.(After much effort)

  Has anyone had anything similar?  I started methotrexate recently with my remicade(3 years monthly now) and wonder if it has anything to do with it.

Posted 12/4/2007 9:45 PM (GMT 0)
I spent most of last year and part of this year dealing with repeated bouts of gastritis. Which basically just means I had more colonoscopies and endoscopies than I can count. The only time I had trouble with the endoscopy was when my IV was blown and no one knew it. So I got NO medication and even though I was telling them I was in pain, they didn't stop. They kept telling me they had given me the maximum dose they could. I think I had pain because I was fighting the tube. Usually I have no issues with the endoscopy.
Posted 12/5/2007 3:16 AM (GMT 0)
Maybe pancreatitis? I do know that probing around in the duodenum can initiate that. I was uncomfortable for 2 days after my attempted ercp, and he was unable to find the bile duct. I was ready to call him if I started vom etc.
Posted 12/5/2007 2:26 PM (GMT 0)
Same doctor as prior endoscopies? Makes one wonder if he got overly enthusiastic w/adding air to expand the passages and/or less than efficient at removing the infused air or if the air got trapped lower such as in the duodenum and has moved into the jejunem and must not work its way thru.

Try propping yourself on your elbows chest to the bed and butt in the air for several minutes, then roll to one side, one leg extended the other curled up to the belly for a couple of minutes and then rolling to the other side doing the same and then back on the elbows but in the air. It helps to get the gas moving thru the gut and out.
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