What is the best pain reliever to give a child with sickle cell disease who is in a painful crisis?

Often...: ...Iv fluids, oxygen, transfusion, and/or narcotics may be necessary, in a hospital setting.

Have a plan...: It is essential for patients with sickle cell disease to develop a pain plan with their hematologist. Many pain crises can be effectively treated in the outpatient setting (usually starting with Ibuprofen and oral narcotics as well as good hydration). If this is not effective, then usually IV medications such as toradol and morphine are used.