Open to opinions on this...

 

the history:

I have always had a mild  case of CD....I have never had surgery, had only one fissure.  My biggest problem has always been the big D and therefore i lose weight and have very poor absorbtion of the required vitamins and nutrients.

usually any time I use the john, it has been mildly to severely painful....and that is real problem when you have to go 10 to 20 times a day.  I usually have this problem 5 to 6 days a week.

When I started taking LDN my stool became formed for the first time in years...the pain associated with my BM's also subsided to a very low and bearable level.  I also cut down to muliple trips only 3 or 4 days a week and the numer of trips went from the 10/20 a day to 4 or 5 a day.  A very real improvement....but....my absorbtion was still very poor.  After a few months I decided that the LDN was not doing as much as i needed so i moved to Humira a few months ago.  

the stools have remained formed, the number of trips for the most part stayed on the low end....my absorbtion went way up and for the first time in years I am in the normal or low normal group for all areas of nutrition....

Now the problem

On the Wednesday before thanksgiving (around midnight) i started getting a severe cramp/pain in my stomach and i started to fell a little sick.  Not sure if i was sick from something in my gut or from the very severe pain (pain can and does cause nausea)....I took some pepto thinking it was the flu or food born....by sunrise I had only slept about 2 hours and was up out of bed throwing up my guts...if i was not throwing up i was passing so much poop that I had to wonder where it was all coming from....by mid morning I had thrown up at least 15 times and passed even more poop.  I should mention that all BM's were formed...and fairly solid.  by noon it all started to settle down and then by late afternoon i was fine...tired but fine.  The only thing that kept me from saying it was food born illness was that i never had a fever.  the cramping was the worst ...and I had never had it so bad.

The next week...it hit again, the cramps were just as intense, but I got through the 6 to 8 hour period without actually throwing up...felt like it, but I fought it off.  still I passed so much stool in that time, all formed, but in amounts that single person should be able to hold.

Now this week...a repeat of the first time...throwing up, major out-put of stool, and cramps that make one think strongly about

life itself.  It lasted for about 8 hours and then right as rain as if nothing ever happened. 

In between each bout i still have regular BM's 9so nothing is being stored0 ...I eat fairly normal meals twice a day, not much in the way of snacks.  I drink lots of fluids.  The attacks have all been on a tuesday or wednesday (always a week apart).  I take my Humira every other Friday so I don't see an easy connection there.

i am wondering...could this be a blockage of some sort/  anyone ever had this kind of symptom?

Any help is welcome....

 

Sounds like you have a flare going on, maybe a partial blockage because of narrowing. You know there's only one way to find out for sure, you have to see your GI and probably have some tests done.

Maybe he can put you on a short course of prednisone to see if you can get back on top of this since the Humira seemed to be helping for a while.

Good luck, let us know what happens.

The severe cramps seem to come from the stomach, it is from an area below the protection of the ribs close to the center of the abdomen but a little more on the right of center.

I have something similar to that going on intermittantly, but without the throwing up part. I used to do that from the pain, though. My pain has not been bad enough. But just yesterday my doctor suggested the idea of a narrowing/partial blockage and it may be diet related. He said that something could get stuck then free up and then release, along with everything else. My pain is always worse on those super active bowel days, just not bad enough to cause me to throw up now.

gemini kiwi said...
Can you think back to the night you were so unwell if you'd eaten fried or greasy food.? It could be your gall-bladder if you had.
Tess

Actually, yes I know exactly what i had that night....it was about 6 hours before I got sick....a big reason for me thinking the first attack was food born illness.....and yes it was fried.  But, I eat fried food fairly often and without incident.  One of the things with my CD is that while bland food is a comfort when I am feeling bad, i usually can eat any foods i like without any issues (except chocolate and other very sweet foods).  I know that I have eaten fried foods several times in the last two weeks and been fine....

Still, it could be the start of a gall bladder issue and my diet.  I do plan on calling my gastro.

Thank you to everyone who has responded...there seems to be a theme to the responses and it is one I will address with the doctor.

My daughter had violent vomiting from a blockage but still passed BMs. Even in the hospital, when she couldn't take more than two sips of water without vomiting, still passed BMs. 

Because some contents of the small intestine might already have passed into the colon, I guess it makes sense that you could have a blockage in the small intestine and yet still pass BMs.