Get E-Book on COVID-19

Q. What is your opinion about my symptoms?

Answered by
Dr. Happykumar Kagathara
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Jul 07, 2018 and last reviewed on: Sep 18, 2020

Hi doctor,

I used to have mild abdominal pain in the lower right part of the stomach. I was diagnosed with PPD six months ago and continued my regular medicine (no ATD). Since then, I occasionally get severe pain at the very same location and it lasts for around 4 to 6 hours. This pain was not regular, but may recur once in 20, 30 or 60 days. After three months, I had my USG, CT scan and colonoscopy with biopsy. The biopsy report shows that I may have either TB or Crohn's disease.

Dr. Happykumar Kagathara

Medical Gastroenterology Surgical Gastroenterology
#

Hello,

Welcome to icliniq.com.

  • 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


Was this answer helpful?

 | 

Thank you doctor,

I roughly have good digestion. Sometimes, it is alright and other times become worst. I used to have regular fever for the past six to eight months during nights only. I do not have much appetite, but lately fever has gone and I started eating more. There is no blood, but sometime mucus in stool. Yes, I have vague pain in the lower abdomen. I am attaching my various reports. I already contacted a gastroenterology surgeon and he just advised me to get operated and remove the part of the affected area. However, I am very afraid of this and seeking an advice if it can be treated without an operation. I have been on liquid food for the past 20 days just to avoid any further pain, which may occur occasionally.

Dr. Happykumar Kagathara

Medical Gastroenterology Surgical Gastroenterology
#

Hello,

Welcome back to icliniq.com.

  • 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


Was this answer helpful?

 | 

Related Questions:
Why is there green stool a day after colonoscopy?
Should my hemophiliac son receive coagulant for colonoscopy?
What is the treatment for Crohn's disease?
 

This is a sponsored Ad. icliniq or icliniq doctors do not endorse the content in the Ad.

Consult by PhoneConsult by Phone Video ChatVideo Chat
Also Read Answers From:

Comprehensive Medical Second Opinion.Submit your Case

Related Questions & Answers


My abdominal pain did not reduce even after taking antibiotics. Please help.

Query: Hello doctor, I am a 52 year old female. Two weeks back, I had severe abdomen pain and got a sonography done. I have been diagnosed with amebic liver abscess. It was identified 13 days back and I was admitted in hospital for three days and was given saline and Metronidazole dosages, but still not re...  Read Full »

Can the lower abdomen pain be due to ovulation?

Query: Hello doctor, For the past two days, I am feeling a mild pain on my lower abdomen and having a feeling that my bowels are not getting cleared. I had my last period about two months back. My periods have become irregular since then. Last month, I got examined and was detected having a uterine fibroid...  Read Full »

Are my symptoms pointing towards Crohn's disease?

Query: Hello doctor,I am a 39-year-old female suffering from abdominal pain and intermittent diarrhea. Had a CT with contrast that revealed bowel wall thickening in ascending and transverse colon- possible transmural thickening, that may just be artifactual, but it did show up and warrant GI consult. Abdom...  Read Full »

Also Read


COVID-19 and MIS-C (Multisystem Inflammatory Syndrome in Children)
MIS-C is a potentially fatal condition that affects children infected with COVID-19. Please read the article to know its...  Read more»
I have fever, severe headache, and cough. Please help me.
I have fever since five days. My fever comes down when I take medicine but eventually comes back. I also have severe hea...  Read more»
Brucellosis - Symptoms, Complications, Diagnosis, and Treatment
Brucellosis, a zoonosis, is caused by consuming unpasteurized milk or raw meat obtained from infected animals. For sympt...  Read more»

Ask your health query to a doctor online?

Ask a Medical Gastroenterologist Now

* guaranteed answer within 4 hours.

Disclaimer: All health Q&As published on this website is not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.