Crohn's disease and stomach pain

Crohn's disease can make the bowel wall inflamed and sensitive. Pain may feel cramping, aching, or sharp, and it can occur before or during a bowel movement. Its position and pattern can change depending on which bowel segment is affected. Diarrhoea, urgency, fatigue, reduced appetite, or fever may accompany active inflammation.

A narrowed bowel segment can cause waves of cramping, bloating, nausea, or vomiting, particularly after eating. Abdominal pain has many possible causes, so pain alone cannot establish Crohn's disease or show how active it is.

Arrange a GP Consultation if pain is recurring, lasts beyond a brief episode, wakes you, or changes your usual Crohn's pattern. Record where it is, how it feels, how long it lasts, its relation to meals and bowel movements, and accompanying symptoms. Bring your medicine list and any previous test results.

A Blood Test may help look for inflammation or anaemia. Take prescribed treatment as directed, drink fluids if you can, and avoid taking anti-inflammatory pain medicines unless a clinician says they are suitable for you.

Seek urgent care for severe or rapidly worsening pain, a rigid or swollen abdomen, repeated vomiting, inability to pass stool or gas, black or bloody stool, fever with marked weakness, faintness, or signs of dehydration. Do not wait for a routine appointment when pain is intense or accompanied by collapse.

Could this pain reflect active inflammation, narrowing, or another cause? Which pain medicines are appropriate for me? What symptoms suggest an obstruction? Do I need a Blood Test or further assessment?