What is sickle cell crisis?

A sickle cell crisis is a painful episode that may begin suddenly in a person who has sickle cell disease.

A sickle cell crisis occurs when sickle-shaped red blood cells clump together and block small blood vessels that carry blood to certain organs, muscles, and bones. This causes mild to severe pain and other problems. The pain can last from hours to days. "Painful event" and "painful crisis" are other terms used to describe these episodes. Some people who have sickle cell disease have many painful events, while others have few or none.

The pain can happen in any part of the body. But the most common areas include the:

• Bones of the spine.
• Bones in the arms and legs.
• Chest.
• Abdomen.

The symptom of a sickle cell crisis is pain. It may be mild to severe, and it may last from hours to days. The pain most often happens in the spine, arms, legs, chest, and abdomen. Some people who have sickle cell disease have many crises, while others have few or none.

Your doctor will ask about your symptoms and do a physical exam. You'll also be asked about your health history, including if you've been diagnosed with sickle cell disease. This condition is usually diagnosed during routine newborn screening tests. But adults can also be diagnosed using a blood test.

Treatment depends on the level of pain and how long it lasts. Sometimes, nonprescription, or over-the-counter, pain relievers such as ibuprofen can help. Other times, a person needs stronger pain relief medicine that is prescribed or given by a doctor. Some painful episodes may need I.V. therapy for fluids and powerful pain medicines, such as morphine, to ease the pain.

You can prepare for a crisis in advance by creating a pain management plan with your doctor. This plan should include not only the types of medicines you can take at home but also other actions you can take at home to relieve pain. Also, your plan helps you know when to call your doctor or go to a hospital.

• Create a pain management plan with your doctor. This plan should include the types of medicines you can take and other actions you can take at home to relieve pain.
• Drink plenty of fluids. If you have kidney, heart, or liver disease and have to limit fluids, talk with your doctor before you increase the amount of fluids you drink.
• Take your medicines exactly as prescribed. Call your doctor if you think you are having a problem with your medicine.
• Take pain medicines exactly as directed.
  • If the doctor gave you a prescription medicine for pain, take it as prescribed.
  • If you are not taking a prescription pain medicine, ask your doctor if you can take an over-the-counter medicine.
• Avoid alcohol. It can make you dehydrated.
• Dress warmly in cold weather. The cold and windy weather can lead to severe pain.
• Do not smoke. Smoking can reduce the amount of oxygen in your blood.
• Get plenty of sleep.