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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Upset Stomach, Nausea, Chest Pressure, Abdominal Pain. Have Crohns Disease

Hi there. I m currently expereinceing a very upset stomach . I have the feeling that there is something sitting on my chest . When I lay down I have an intense feeling to vomit . When I sit up its better but I have cramping/pain in my abdomen . I have thrown up about 5 times now and can t hold down any water. I am just dry heaving now. I have moved to crushed ice as I m trying to keep my strength. I have Crohns dessease and have had this once before. I went to the ER and they gave me fluids but couldn t give me an answer. Please help!
Mon, 10 Dec 2012
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Gastroenterologist 's  Response
Hello, Defi,
I want to tell you that if you were diagnosed with Crohn's disease,
there is no cure for it. We can get the disease under remission or
control and make you symptom free but unfortunately there is no
cure for this. There has been a lot of progress trying to understand
what may be the causative factors, including genetics, viruses,
atypical tuberculosis, autoimmune mechanisms etc. but nothing
definitive yet. We keep looking for answers.
As for medications, from sulfadrugs,steroids, immune modulators,
now lot of biological agents are available to acheive remission.
Everything depends on the extent and severity of the disease.
Typically Crohn's more commonly affects the last portion of the
small intestine called the terminal ileum but it can affect any part
of the digestive tract from mouth down to the anus.
It is associated with lots of complications, infection, abscess,obstruction,
bleeding, fistulas,skin and joint problems etc.
If you google CCF.ORG (Crohn's and colitis foundation) you will get a lot
of information including latest advances etc. Plese do that.
As for your stomach issues, you do need to get an upper GI x-rays with
small bowel follow through to find out if your Crohn's is active. You
may even need an endoscopic evaluation. I advice you to see a specialist
who treats these kinds of problems.
I wish you well.
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Upset Stomach, Nausea, Chest Pressure, Abdominal Pain. Have Crohns Disease

Hello, Defi, I want to tell you that if you were diagnosed with Crohn s disease, there is no cure for it. We can get the disease under remission or control and make you symptom free but unfortunately there is no cure for this. There has been a lot of progress trying to understand what may be the causative factors, including genetics, viruses, atypical tuberculosis, autoimmune mechanisms etc. but nothing definitive yet. We keep looking for answers. As for medications, from sulfadrugs,steroids, immune modulators, now lot of biological agents are available to acheive remission. Everything depends on the extent and severity of the disease. Typically Crohn s more commonly affects the last portion of the small intestine called the terminal ileum but it can affect any part of the digestive tract from mouth down to the anus. It is associated with lots of complications, infection, abscess,obstruction, bleeding, fistulas,skin and joint problems etc. If you google CCF.ORG (Crohn s and colitis foundation) you will get a lot of information including latest advances etc. Plese do that. As for your stomach issues, you do need to get an upper GI x-rays with small bowel follow through to find out if your Crohn s is active. You may even need an endoscopic evaluation. I advice you to see a specialist who treats these kinds of problems. I wish you well.