Guest guest Posted July 12, 2005 Report Share Posted July 12, 2005 Well, my abdominal pain is once again at a high 8-9. I went to the ER last night (sunday night). The pain and nausea was starting to get out of control. So i called the GI doc that was oncall and he told me to go to the ER. So i did. He told me to tell the ER doc that i have Chronic Pancreatitis, etc. The ER doc didnt like hearing that i have CP, neither did he like hearing what sort of pain medications im on. The ER docs have a tendancy to not listen to the oncall doctor that sends you to the ER. The minute the ER doc came into the room he asked me why im taking Oxycontin. I said because i have Chronic Pancreatitis and it causes a lot of pain. He then asks me..... whats the difference between the pain i have now and the CP pain. I said to the ER doc...... well the difference is that the pain is getting worse and worse and that the pain is worse near my liver. Thats why i came to the ER. My goodness i swear i wish i had a zapper where i could just zap people when they ask really stupid questions so they learn to not ask them again LOL (laugh out loud). Then all i kept hearing from all the nurses and the ER doc was that i was simply way too young to have Chronic Pancreatitis and they kept asking me how i got it. I swear the next time someone says that im simply too young to have chronic pancreatitis i think i might shove my foot up thier @#$. I have it well documented that i have CP, what more do they want from me? BUT ER docs are like that, so im really used to it. I dont expect much help when i go to the ER. When they told me that im pretty young i said to them.... well, diseases pick you at any age, no matter how young or how old you are....not vise versa (unless you have a death wish). Heck, i was born 3 months early and that happened because my mom started to get sepsis. No one chose that to happen, only God did. Anyway... he started an iv and ordered blood work to be drawn. I told him that when i was walking around our pool area (i was slowly helping bring things from the outside to the inside because of the hurricane) i felt something pop in my abdomen and the pain was so intense that it brought me to my knees. I screamed in pain, thats how horrible it was. Then it happened again about 15 minutes later. The pain did subside after the second pop in my abdomen, but then about 2 hours later.....the pain got horribly worse. The nausea and the pain was just getting worse and worse and by early Sunday morning i was crying and rolling around on my bed in pain. So the oncall doc said to go to the ER. Once they got an IV in they drew the blood and put IV Phenergan in. He didnt even run a saline bag or anything. I nearly passed out soooooo many times because of the dizziness and i felt so flushed and i was sweating. I told him that i was getting referred pain and it was causing me chest pain and shoulder pain. All he did was order blood work to check my liver and pancreatic enzymes and he ran a CBC (not sure if it was with diff. i think it was without diff.) I was glad though that the Phenergan helped a lot with the nausea. Everything came back within normal limits so he discharged me. He didnt even give me anything for pain. I didnt want to be there in the first place so i was happy as @## that he came into the room and said the blood work came back within normal limits. I was just so frustrated and all i wanted to do was crawl back in my own bed. The oncall doc told me to call him if the ER doesnt help me, but when i got home i fell asleep for 4 hours. I didnt go back to sleep after that..... i was in such pain. The Phenergan helped me sleep that 4 hours. Then monday morning the pain escalated so i called to make an appointment to see my GI doc. I see him this Wednesday..... so tomorrow. I forced myself to eat because i needed food in me. Every single bite i thought was going to rip my body into pieces. It drastically made the pain worse and i got the popping feeling back and my RUQ (right upper quadrant) abdominal pain is pretty bad. I feel like all i want to do (if i had the energy) is yell and punch something because of the pain. My question is this....... Has anyone had this happen, but their liver and pancreatic enzymes are within nomal limits? Im dumbfounded as to what it might be, other then the chronic pancreatitis pain getting worse. Which could simply be whats going on. I see my GI doc this wednesday and i see my Pain Management doctor this thursday. Should i talk to my GI doc about maybe trying to let my pancreas rest for a week or so and not take anything by mouth? BUT if i do that.... then how in the world will i be able to do that successfully. The only thing i can think of is if they place the PICC Line back in, but im not sure if and what i should bring up with him. All i know is that the pain, nausea, diarrhea, is simply getting worse. I also, just started getting a lowgrade fever. I feel very miserable and totally run down. I barely have energy to think. Im tired, but i cant sleep because of the pain. So the no sleep is really making things more difficult to get through this attack. If anyone has had an similar experience or if anyone knows what i should ask my GI doc this wednesday..... i would greatly appreciate it if you could throw out as many suggestions as possibly and/or experiences. I just dont know what to ask the GI doc. Im already on Pancreatic Enzymes and a slew of other meds, but my intution really is telling me that the ER doc missed something. And my intuition tells me that if i go NPO for a few days, that it might help lesson the pain of this attack. Thanks everyone for listening...... im just between a rock and a hard place right now. I dont know what to do and i dont know what to think anymore. God bless you all greatly. Much love, Karolina. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 12, 2005 Report Share Posted July 12, 2005 First I have been in so much pain like you. Yet, I have had it a bit easier when talking to ER doc's. The Chronic panc. and being refered by the GI doc should have afforded you and easier time with the ER doc. But, I do understand. You may want to try a clear liquid diet. You know juices, tea's, etc. This is not as drastic as NPO, but leave that as an option if you need. Walt Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 12, 2005 Report Share Posted July 12, 2005 Karolina, That is horrible but it has happened to so many of us! I have had it happen to me. I am fortunate to have a hospital within an hour drive though that does understand cp and they are great to me. My local hospital is like the one you describe. I am willing to drive farther to get relief! When I go to the other hospital they understand that cp attacks cannot be determined by enzyme levels etc. Mine no longer go up with attacks and haven't for 2 years. They give me dilaudid and zofran and I have been admitted if I have an ileus or anything at all fishy looking in the bowel. The good hospital is University hospital in Augusta GA. They are wonderful, they have a wonderful ER and a floor called the semper care hospital of Augusta that deals with cp patients and diabetics. I have recieved wonderful care there! I think going npo would be a good idea. It is a shame that you can't get any pain relief. Can your doc call you in something? I go on fluids for a few days after an attack but I have to be careful because of my diabetes. So I check my blood sugar very frequently when I have to go npo. Try broth and clear liquids, maybe some mashed pototoes. No butter! Keep the fat out especially until things settle down! Do you take enzymes? I usually increase mine when I am having an attack. I hope you are feeling better and I am so sorry that you are having to go through that! Angie in SC " The happiest of people don't necessarily have the best of everything; they just make the best of everything that comes along their way. " Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 12, 2005 Report Share Posted July 12, 2005 callalily1983 wrote: Well, my abdominal pain is once again at a high 8-9. I went to the ER last night (sunday night). The pain and nausea was starting to get out of control. So i called the GI doc that was oncall and he told me to go to the ER. So i did. He told me to tell the ER doc that i have Chronic Pancreatitis, etc. The ER doc didnt like hearing that i have CP, neither did he like hearing what sort of pain medications im on. The ER docs have a tendancy to not listen to the oncall doctor that sends you to the ER. The minute the ER doc came into the room he asked me why im taking Oxycontin. I said because i have Chronic Pancreatitis and it causes a lot of pain. He then asks me..... whats the difference between the pain i have now and the CP pain. I said to the ER doc...... well the difference is that the pain is getting worse and worse and that the pain is worse near my liver. Thats why i came to the ER. My goodness i swear i wish i had a zapper where i could just zap people when they ask really stupid questions so they learn to not ask them again LOL (laugh out loud). Then all i kept hearing from all the nurses and the ER doc was that i was simply way too young to have Chronic Pancreatitis and they kept asking me how i got it. I swear the next time someone says that im simply too young to have chronic pancreatitis i think i might shove my foot up thier @#$. I have it well documented that i have CP, what more do they want from me? BUT ER docs are like that, so im really used to it. I dont expect much help when i go to the ER. When they told me that im pretty young i said to them.... well, diseases pick you at any age, no matter how young or how old you are....not vise versa (unless you have a death wish). Heck, i was born 3 months early and that happened because my mom started to get sepsis. No one chose that to happen, only God did. Anyway... he started an iv and ordered blood work to be drawn. I told him that when i was walking around our pool area (i was slowly helping bring things from the outside to the inside because of the hurricane) i felt something pop in my abdomen and the pain was so intense that it brought me to my knees. I screamed in pain, thats how horrible it was. Then it happened again about 15 minutes later. The pain did subside after the second pop in my abdomen, but then about 2 hours later.....the pain got horribly worse. The nausea and the pain was just getting worse and worse and by early Sunday morning i was crying and rolling around on my bed in pain. So the oncall doc said to go to the ER. Once they got an IV in they drew the blood and put IV Phenergan in. He didnt even run a saline bag or anything. I nearly passed out soooooo many times because of the dizziness and i felt so flushed and i was sweating. I told him that i was getting referred pain and it was causing me chest pain and shoulder pain. All he did was order blood work to check my liver and pancreatic enzymes and he ran a CBC (not sure if it was with diff. i think it was without diff.) I was glad though that the Phenergan helped a lot with the nausea. Everything came back within normal limits so he discharged me. He didnt even give me anything for pain. I didnt want to be there in the first place so i was happy as @## that he came into the room and said the blood work came back within normal limits. I was just so frustrated and all i wanted to do was crawl back in my own bed. The oncall doc told me to call him if the ER doesnt help me, but when i got home i fell asleep for 4 hours. I didnt go back to sleep after that..... i was in such pain. The Phenergan helped me sleep that 4 hours. Then monday morning the pain escalated so i called to make an appointment to see my GI doc. I see him this Wednesday..... so tomorrow. I forced myself to eat because i needed food in me. Every single bite i thought was going to rip my body into pieces. It drastically made the pain worse and i got the popping feeling back and my RUQ (right upper quadrant) abdominal pain is pretty bad. I feel like all i want to do (if i had the energy) is yell and punch something because of the pain. My question is this....... Has anyone had this happen, but their liver and pancreatic enzymes are within nomal limits? Im dumbfounded as to what it might be, other then the chronic pancreatitis pain getting worse. Which could simply be whats going on. I see my GI doc this wednesday and i see my Pain Management doctor this thursday. Should i talk to my GI doc about maybe trying to let my pancreas rest for a week or so and not take anything by mouth? BUT if i do that.... then how in the world will i be able to do that successfully. The only thing i can think of is if they place the PICC Line back in, but im not sure if and what i should bring up with him. All i know is that the pain, nausea, diarrhea, is simply getting worse. I also, just started getting a lowgrade fever. I feel very miserable and totally run down. I barely have energy to think. Im tired, but i cant sleep because of the pain. So the no sleep is really making things more difficult to get through this attack. If anyone has had an similar experience or if anyone knows what i should ask my GI doc this wednesday..... i would greatly appreciate it if you could throw out as many suggestions as possibly and/or experiences. I just dont know what to ask the GI doc. Im already on Pancreatic Enzymes and a slew of other meds, but my intution really is telling me that the ER doc missed something. And my intuition tells me that if i go NPO for a few days, that it might help lesson the pain of this attack. Thanks everyone for listening...... im just between a rock and a hard place right now. I dont know what to do and i dont know what to think anymore. God bless you all greatly. Much love, Karolina. Karolina, Hi I have a daughter named Kristy and she got her first episode of pancreatitis in June 2004 and she was only 19 years old .Never drank , and she had her gallbladder taken out one week before it hit her. Everybody believed her pain at first. Then she had attack after attack and she had many many trips to the er. and they would also say that her enzymes were within normal limits . But if the dr. knows anything about cp then they should know that not always will your enzymes go up.They also said she was too young to have cp. She is also too young for a cardiac pacemaker but she has one.(Got that when she was 18)(She then was said in the ER that she was a drug seeker and honestly this girl never even knew what drugs were until this disease and she had to have pain meds to function with this and the pain meds didn't get rid of all the pain it just made it a little bearable.) Well she had 20 plus hospital stays in ten months and finally was sent to minnesota (14 hrs. away ,but that was ok) A dr. named Sutherland took out her pancreas and he said it was diseased and he transplanted her islet cells back into her liver so maybe one day she wont have to take insulin. and she is doing great . she has her life back and she is painfree.She is now 20 years old. Don't give up and don't let them treat you that way. Find a dr. that will believe you (they are out there its just a matter of finding the right one). Keep fighting.We did and it may of took 10 months of getting our feelings hurt for people saying things that weren't true (about being a drug seeker that really hurt kristy more than anything)but we won the fight and you can too. If you have any questions I would love to hear from you. Take care, and my prayers are with you. deedee Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 12, 2005 Report Share Posted July 12, 2005 Dear Karolina, Wow, your case sounds so much like mine. When my pancreas issues began I also got that horridly painful popping as you described. It took me to the floor too. I ran to the ER and same thing. Everything looked OK, but they did give me pain meds until I could get to my GI. My labs have NEVER elevated thru any of my pancreas issues. I have CP, SOD and pancreas divisim. My ducts in my pancreas blocked up and that's what caused my problem. I personally, due to the ER Mds being pretty clueless on this disease, have my GI MD call THEM before I get to the ER. Some people have a letter from their GI/Pancreas MD that states what to do for you. That works great too. My MDs don't have a problem calling ahead for me. Things move very nicely when you are prepared in advance. Since our cases sound so similar, when I had those huge attacks I would stop eating and go to all liquids. Liquids only. I would drink instant breakfast for nutrition, some people drink ensure. Apple juice worked too. Coke I could handle, it actually reduced my nausea. Once things get a bit better try applesauce, mashed potatoes, pudding. I basically lived on that for months to keep the pain and vomiting down. But if you can't hold that down you may need other help. I hope that your MDs can get your pain under control very soon. My CP is caused from my SOD and pancreas divism. Currently I am pain free and eating everything, so help is out there. What have they found with you? Have you had an ERCP? Welcome to the group and I will be happy to answer any questions you may have. I hope your MD has a game plan for you on Wednesday. Please let us know how your appointment goes. Hang in there. Love, w Wisconsin __________________________________________________ Quote Link to comment Share on other sites More sharing options...
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