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Crisis


This page aims to give you a better understanding of what happens during the painful times of a crisis for a patient with Sickle Cell Anaemia. These are all my accounts of what it's like, the problems you face in hospital, how you are treated et cetera. I hope it helps you in your understanding of Sickle Cell Anaemia.

Well, there are several reasons why people with Sickle Cell Anaemia can get ill. However, one important factor is good hydration and of the most common reasons for having a crisis is because of an infection like a cold or influenza. And it can be very basic things that start off crisis like cold weather.


The Science Bit...

Sickle Cell Anaemia has many variables which can start a crisis but the basic reason is lack of oxygen to the red blood cells, causing them to 'Sickle'. Sickled red blood cells then become clogged in the veins which causes the host to get ill. The ill effect of having a sickle cell 'crisis' is mild to severe pain. See What is Sickle Cell Anaemia? for a better description.

What it's like...

Well, ask any person with Sickle Cell Anaemia this question and they'll tell you this answer... It is painful!. It is hard to explain the type of pain that it is - because the severity of it is quite unbelievable. Sometimes it throbs, sometimes it just hurts!

A typical crisis for me can start like this...
  • I'll be fine for most of the day. I may have a few symptoms which can sometimes warn me that I am going to be ill, or have a crisis later on.
  • When I am definitely having a crisis I'll know roughly around 30 minutes beforehand. This is because the gums holding the teeth in my lower jaw starts to feel numb (sounds odd I know). I was thinking that maybe it was my body's own analgesia working because it feels like a drug. I do not know if anyone else with Sickle Cell has this but I have got this 'warning signal' for around a year now.
  • After this period of time comes the serious pain. Before this point I'm usually anxious of the fact that I know I'm going to get ill and have to go into hospital.
  • Within the 30 minutes of time the amount of pain increases greatly, and the normal physical tasks like walking become very difficult.
  • At this point my mother would call an ambulance to get me to the hospital as quickly as possible. This is to ensure speed in getting treated as soon as possible in hospital. This is because Sickle Cell Anaemia can affect you very quickly, i.e. temperature, pain severity.
  • In the ambulance Entinox is given to calm me down and to ease the pain a little. Also my personal information, such as Name, Age, Date of Birth, When the pain started, Any recent infections, Last time admitted to hospital, How many Crises I've had this year, are taken and passed onto the hospital's Casualty staff.