Should I worry about IBS and chronic ileitis treatment?

Question

Hi doctor,

I have been suffering from IBS for the last year. I am getting diarrhea whenever I eat outside food. Recently, I have been diagnosed with chronic ileitis with activity after a colonoscopy. I am ready to send the reports for the kind perusal of the gastroenterologist. Is it curable?

I am now on Mesacol 800 mg three tablets daily and Folvite 5 mg one tablet daily. I am also taking some supplements like Amway Nutrilite multivitamin once daily and cod liver oil capsules two to three times daily. I have already taken medication for the last month with restricted foods such as no tea, no dairy products, no fried food, no spices, etc.

I also take cabbage juice as I have found that it is good for the disease. There is a burning feeling in the upper abdomen when I take lemon and tea. I am worried about what would happen.

Will it lead to cancer? I have attached the reports of my stool, blood, urine, colonoscopy, and ultrasound. I am eagerly looking for your kind reply.

Please help.

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

Yes, these ulcers can be healed. But it will take some time.

Colonoscopy shows multiple ulcers in the terminal ileum. The cause of these ulcers could be Crohn's disease, tubercular ulcers, or chronic non-specific ulcers that heal on their own.

But your report does not suggest Crohn's disease or tuberculosis (attachment removed to protect patient identity) as the cause. So, you just have to adhere to medication and diet modification to heal them.

Your gallbladder shows adenomyomatosis, which is a benign enlargement of the gallbladder. But your direct bilirubin and liver enzymes are raised, suggesting liver injury and adenomyomatosis could be the cause of it.

Please do not fear cancer, as the histopathology report has ruled out cancer.

Medication with strict adherence to the diet that you are following will show good results soon.

Cod liver oil should not be taken more than once a day.

I hope this helps.

Please revert in case of further queries.

Thank you.

Answer 2

Hi,

Welcome back to icliniq.com.

I read your query and can understand your concern.

Stomach burning problem is due to ulcer and ileitis only. Once the ulcer heals, the burning sensation will also resolve.

Itching around the anus could be due to worm infestation, and the most common is pinworm. Worm infection can be treated with Albendazole. It can also be due to piles, but that needs physical examination to rule out.

I hope this helps.

Please revert in case of further queries.

Thank you.