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Could lower abdominal pain be Crohn’s disease symptoms?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I had severe abdominal pain with diarrhea a month back. The next day, the pain subsided, but there was slight discomfort for two weeks. Then, I went to see the doctor who prescribed Flagyl and Rifamycin. The lower abdominal discomfort did not disappear, and the stool has not formed yet. Then, recently, last week, I had more investigations, and as per the investigations, the doctor says that I have Crohn's disease. Is it really Crohn's, or could it be something else?

Thank you.

Hello,

Welcome to icliniq.com.

I went through your report (attachment removed to protect patient identity) and post, the thing that favors Crohn's disease is a normal biopsy colonoscopy. You need to do ASCA (anti-saccharomyces cerevisiae antibodies) and a CT enterography. Your CRP (C-reactive protein) and calciprotein are high. So, Crohn's is a strong possibility, which will be confirmed by CT enterography and an antibody test.

I hope this helps you.

Thank you.

Patient's Query

Thank you doctor,

Cancer is not suspected, right?

Hello,

Welcome back to icliniq.com.

It is not cancer, that I can assure you.

For more information consult an internal medicine physician online.

Patient's Query

Hi doctor,

Thank you for the reply.

Hi,

Welcome back to icliniq.com.

You are welcome.

For more information consult an internal medicine physician online.

Medically reviewed byiCliniq medical review team

Published At April 8, 2018
Reviewed AtNovember 11, 2025

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