Many IBS patients have had less than satisfactory experiences when they go to the emergency room for extreme symptoms. The overall problems in the doctor/patient relationship when it comes to IBS seem to be highlighted under the high stress conditions of the average ER.
Anecdotal reports from IBS patients are frequently filled with frustration that their fears and concerns about their health are minimized by emergency room personnel, since IBS is not viewed as a "serious" health problem. Some IBS patients report that they get treated like "druggies" because they are seeking medical intervention for severe IBS pain. At its worst, IBS patients are mocked or made fun of by EMTs and emergency room personnel because IBS is a "bathroom problem" issue.
IBS patients deserve the same care and respect as any other individual who goes to an emergency room. Here are some pointers to help ensure that your visit to the ER is a positive one.
Assess Your Needs
First, you need to decide if your symptoms are severe enough to warrant the trip to the ER, whether or not you need an ambulance, or if it is okay to have someone else drive you. This article offers some pointers:
Contact Your Doctor
If there is time, call your doctor and ask them to call ahead for you. A call from your doctor will help to legitimize your trip in the eyes of ER personnel and will help them to be prepared to best assess your symptoms and meet your care needs.
Bring a Buddy
Whenever possible, try to have someone along with you. A companion can do wonders in terms of soothing your anxiety and helping you pass the time as you wait to be treated. A companion is also a second set of ears. When you are sick, in pain, and anxious, your ability to take in information is limited. A companion can also serve as an advocate to make sure that your needs are being adequately met and to report any inappropriate treatment on the part of staff.
What to Have With You
Having your medical information organized will help the ER personnel to quickly get a read on what may be happening to you. It is a good idea to bring along the following items:
- Health insurance card
- List of all medications, including dosage and how often you take it
- List of any allergies
- Account of your health history, including any prior surgeries, hospitalizations and medical diagnoses
- A letter from your doctor describing your IBS diagnosis and approving any ER intervention, e.g. prescription of pain medication
- A cell phone charger: Hospitals tend to have poor cell reception, which can rapidly drain your battery
Dealing with Staff
Be matter-of-fact about your symptoms: Do not be embarrassed about your IBS. Just because your symptoms are related to the digestive tract does not mean that they are less relevant. Medical professionals deal with all the messy parts of the body! Speak calmly and assertively about your symptoms, your concerns, and your needs.
Be patient: Remember that emergency rooms are busy places. The sickest patients will be treated first, which is something that you would want if you were the one whose life was on the line. Remember that if you are being kept waiting it means that your symptoms are not as seen as life-threatening, a thought that may help to ease your mind.
Don't be afraid to speak up: Use your voice! Be sure to describe your symptoms in a clear manner. If you are in severe pain, tell them! Some of us have a tendency to downplay symptoms because we don't want to be a "problem." This tendency is not helpful in this situation, as the ER doctors need to come to some sort of an accurate diagnosis quickly. They need your input in order to be able to do this most effectively. Speaking up is also essential if your symptoms start to worsen. If you feel that your concerns are not being heard or that you are being treated poorly, have your companion ask to speak with an ER supervisor.
Be nice to staff: For the most part, ER personnel are caring, but often over-worked professionals. Treat them with kindness and they will be more likely to be kind to you. Thank each person for the care they give you and if someone went above and beyond, let them know.
Essential Reading from Dr. Bolen, Your IBS Guide:
"About Emergencies" Emergency Care for You: Website of the American College of Emergency Physicians Accessed October 10,2012.