IBD Emergency Action Plan: Your Guide to Managing Flares and Emergencies

A comprehensive guide for patients with Inflammatory Bowel Disease

Gastroenterology

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Last updated: Mar 24, 2025

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

  1. __________________ Dose: ________ Schedule: ________
  2. __________________ Dose: ________ Schedule: ________
  3. __________________ Dose: ________ Schedule: ________

Allergies

  • List any medication allergies: ________________

Flare Management Plan

Initial Steps:

  1. Start clear liquid diet
  2. Rest and avoid strenuous activity
  3. Monitor and record symptoms
  4. 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: ________________

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