What is your opinion about my symptoms?

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• Please explain if you have any other symptoms, bowel habits (constipation or diarrhea), consistency of stool, blood or mucus in stool, appetite and fever?

• If you have increased frequency of stool, loose stool and mucus in stool, then there might be possible Crohn's disease. Generally, you might have vague, generalized pain in the lower abdomen.

• If you have decreased appetite, occasional fever, localized pain in the right side abdomen and enlarged mesenteric lymph nodes in the investigation, then you might have abdominal tuberculosis.

• Still, if the diagnosis is unclear, then I suggest to take medicines for TB for four weeks and then repeat the colonoscopy with biopsy. If there is any improvement, then continue the treatment for six months for TB.

For further information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist

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• The possibility of tuberculosis is more likely after evaluating your reports.

• You need to start medication for tuberculosis. Then, follow up colonoscopy after four weeks of treatment for tuberculosis.

• Surgery in abdominal tuberculosis is the last option to treat severe symptoms, but it can never treat the disease itself (tuberculosis). If you have intolerable pain or intestine obstruction then only surgery is indicated.

• After reviewing your history, I do not think about the requirement of surgery at present. Although, physical examination is as important as reviewing the investigation in such critical decision making scenarios.

For further information consult a medical gastroenterologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-gastroenterologist