People with sickle
cell disease sometimes have pain. When this happens, it is called a sickle cell
crisis, or pain crisis.
What Causes a Pain Crisis?
Sickle cell disease changes the shape of a person's red blood cells. Instead of
being flexible and disc-shaped, they are curved and stiff. These sickle-shaped blood
cells don't flow through blood vessels easily, and can clog the vessels. If this happens,
blood and oxygen can't get through,
and parts of the body (like the heart, lungs, and kidneys) can't work the way they
should. The blockage also can cause pain.
Pain crises are more likely when someone is sick, dehydrated,
cold, or stressed.
What Does a Pain Crisis Feel Like?
Pain during a sickle cell crisis can happen anywhere in the body, such as the arms,
legs, joints, back, or chest. It can come on suddenly, and be mild or severe. The
pain can last for a few hours, a few days, or sometimes longer.
What Should I Do If I Have a Pain Crisis?
If you have a pain crisis, tell an adult what's going on. To help ease the pain,
you can:
Try relaxation techniques and distraction.
Apply warm compresses where it hurts (never use ice or cold packs).
Drink lots of water and other non-caffeinated beverages.
Take over-the-counter pain medicines, like ibuprofen or acetaminophen.
If these things don't help, you may need prescription pain medicine. If you are
still in pain, call your doctor or go to the ER. You may need to get stronger medicines
and
fluids in the hospital.
How Can I Help Prevent a Pain Crisis?
Sometimes a pain crisis happens for reasons you can't control, like when you're
sick. But to lower your chances of having a crisis, you can:
Take all the medicines your doctor recommends as directed.
Drink plenty of water all the time, but especially when exercising and on hot
days
Get enough rest.
Avoid extreme temperatures — for example, dress warmly when going outdoors in
winter.
Talk to your doctor about which activities are right for you and which you should
avoid.
Wash your hands well
and often or use a hand sanitizer, especially before eating.
Stay away from sick people.
Get all recommended vaccines to help protect you from serious illness.
