unexplained pain

[bab624]

does anyone have any clues as to what may be wrong with me?  I am in my 50's, female, diagnosed with Crohn's at age 14 when abcess formed, apendix burst and fistula grew from surgical incision to outside abdomen.  I've have 13 bowel surgeries to correct the fistula, obstructions, perforation, and narrowing of the surgical site.  The Crohn's has been on again off again.  Last took meds 3 years ago.  I have had a complete hysterectomy due to endometriosis.  I've have my gall bladder removed.....normal tests did not reveal it's disease, when it was finally removed it was so solid with sludge it almost burst.  I have had several kidney stones and one surgically removed when it was lodged in the duct.  I am in contant pain, whether it be muscle or other.  I had an intestinal hernia repaired 2 years ago and the surgeon discovered that I had torn almost all of my stomach muscles (I'd been caring for my dying mom, lifting her, etc.)Here's my current situation.......I've been having doubling over abdominal pain that feels like gall bladder pain and kidney stone pain together.......but I no longer have my gall bladder or a stone in my kidney.  I have an appointment scheduled to be scoped for Crohn's activity in two weeks.......but, this pain seems different that what I remember my Crohn's pain feeling like at it's worst.  Any suggestions?  I also suffer from migraines ( since 14 too) and have been taking narcotic pain relievers on and off for years.  Please help.

[Kevin Pho, MD]

Difficult to say without evaluation.  However with the multiple surgeries, adhesions are certainly possible and can be evaluated with a CT scan.

If the liver or gallbladder is of concern, an ultrasound can be done for an initial evaluation.  The biliary tree can further be evaluated with an MRCP or ERCP.  

If the tests remain negative, optimizing treatment for Crohn's disease can be considered.  Steroids or immunomodulator therapy can then be discussed with your GI physician.

These options can be discussed with your personal physician.

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patients education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
www.kevinmd.com

[Jatech]

I think it stems back to adhesions as each operation creates another you never really get
on top,also Codien causes constipation this ontop off adhesions can cause your problem. try alternate pain killers such as oil of oregano its natures most potent as\well
you could try 2 tea spoons of apple cider vinegar / teaspoon of honey for taste in 250mm
of hot/boil water every morning before anything else. Dont have to much fibre as it will
only make maters worse with the adhesions. As for your Gallbladder symptoms you
may need a liver detox theres plenty around do a five day one,try this Bab you will
notice a difference i am now stable having had similar problems to you.
                                                                             All the best Jonesy