Important Contact Information
- Primary Gastroenterologist: [Name] _____________________
- Phone: ________________
- After-hours: ________________
- IBD Nurse Coordinator: ________________
- Preferred Hospital: ________________
- Emergency Contact: ________________
Warning Signs Requiring Immediate Action
Call Your Doctor Immediately If You Experience:
- Severe abdominal pain that's different from your usual IBD pain
- Fever above 101.5°F (38.6°C)
- Severe diarrhea (>6 stools per day)
- Significant blood in stool
- Severe vomiting or inability to keep liquids down
- Signs of dehydration:
- Dark urine
- Dizziness
- Dry mouth
- Decreased urination
Go to Emergency Room If You Have:
- Severe, uncontrolled pain
- Continuous vomiting for >24 hours
- High fever with shaking chills
- Severe bleeding or passing large blood clots
- Signs of bowel obstruction:
- Severe bloating
- Complete inability to pass gas or stool
- Intense abdominal pain
Medication Information
Current Medications
- __________________ Dose: ________ Schedule: ________
- __________________ Dose: ________ Schedule: ________
- __________________ Dose: ________ Schedule: ________
Allergies
- List any medication allergies: ________________
Flare Management Plan
Initial Steps:
- Start clear liquid diet
- Rest and avoid strenuous activity
- Monitor and record symptoms
- Contact healthcare team if symptoms persist >24 hours
What to Bring to Emergency Room
- This action plan
- Current medication list
- Insurance information
- Recent lab results (if available)
- List of recent procedures or imaging
Additional Notes
Last Updated: ________________
Next Review Date: ________________