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Dr.M.D.Mazumdar, Doctor
Category: Medical
Satisfied Customers: 9011
Experience:  MBBS.MD
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I have crohns... Distal ileum. Why is it when I Am having

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I have crohns... Distal ileum. Why is it when I
Am having a flare its Soooo painful to drive
In a car and hit bumps in road but yet I can jump
In place while standing and its not painful just slightly?
When they test appendix you can't jump in place without
Guarding due to pain.... And that's a swollen intestine. ???

Welcome and thank you for your question.

While driving and you are sitting down, there is pressure on the rectum and perineum. Hitting a bump increases this pressure and so increases the abdominal pressure inside. And increased abdominal pressures causes pain in the inflamed intestines.

When jumping, the abdominal pressure is not increased and the entire abdominal structures, including the intestines moves as one mass. Since there is no pressure on the intestines there is no pain.

Also , in appendicitis, the peritoneum - the mucosal covering of the inner abdominal organs - is also inflamed leading to muscle gaurding. any movment can cause pain.

I hope this helps.

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