Crohn's Disease

Crohn's disease is a type of inflammatory bowel disease (IBD), which results in inflammation of the digestive tract. Its symptoms include abdominal pain, diarrhea, weight loss, malnutrition, fever, blood in stools, and mouth sores. If left untreated, it can lead to bowel obstruction, ulcers, anal fissure, and colon cancer.

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Why do I have nodules under the skin which cause pain while touching?

Query: House wife, 37 yrs, 65 kg, 5 feet, 5 normal child birth. Observed some nodules under skin with pain while touching. A hard mass under the skin and it spreads different part of the body. Started before four years. Blood test shows WBC 3300, RBC 2.8 and ESR 100. All other details are normal. Fever ev...  Read Full »

Dr. Sadaf Mustafa

General Medicine Physician, Internal Medicine Physician

Answer: Hello and welcome to icliniq, Thank you for sharing your reports and detailed history. I have not seen your lesions visually but I would strongly favour towards "Erythema Nodosum" which has also been been mentioned in one of you histology report. Your fatigue may very well be due to Vitamin D and ...  Read Full »

Is there any alternative treatment for intestinal stricture other than surgery?

Query: I want to ask someone about alternative treatment options for a high risk intestinal stricture for a patient with crohns disease. Crohns disease has been diagnosed for around 15 years (she is 31). She currently takes azathioprine. I am not sure the part of the bowel unfortunately. I believe it is si...  Read Full »

Dr. Ajeet Kumar Lohana

Medical Gastroenterologist

Answer: Hello..I welcome you to icliniq. Well surgery is the last resort, and it may not end up in stoma formation. Most commonly a resection and anastomosis of the bowel is performed and the lumen is continued without stoma formation. however stoma formation is a possvlibity but not a rule. Biologics li...  Read Full »

How to manage anal fissures permanently?

Query: Hello doctor,I have anal fissures for the past seven weeks, the big wound is curing, but the small wound remains uncured. I have a previous history of these same issues ten years back. I am currently taking Fidonal ointment and antibiotics, which cured only 80% of my wound.  Read Full »

Dr. Sandeep V Nair

General Medicine Physician, Internal Medicine Physician, Medical Gastroenterologist

Answer: Hi, Welcome to An anal fissure is a wound in the anal canal caused by various reasons such as overactive anal sphincter pressure, passing hard stools, straining at defecation, and rarely also in Crohn's disease. I hope the doctor has evaluated you for the same. Usually, anal fissures ta...  Read Full »

Can abdominal tuberculosis recur?

Query: Hi doctor, I am a 21-year-old boy. Two and a half years ago, I got so weak by regular diarrhea (that last for six months), before that, my weight dropped to 47 kg. After visiting several doctors, I was finally diagnosed with abdominal tuberculosis. So the doctor started my medications course that l...  Read Full »

Dr. Ajeet Kumar Lohana

Medical Gastroenterologist

Answer: Hi, Welcome to Well, it does seem to be TB (tuberculosis) again, most probably multidrug-resistant tuberculosis (MDR-TB). So less likely, it is a relapse. If you have a fever and weight loss, similar intensity pain, and diarrhea as it was two and a half years back, you can think of re...  Read Full »

Can inflammation due to IBD result in small bowel obstruction?

Query: Last year, I was treated in the ER for a small bowel obstruction due to inflammation. I do not have a diagnosis of an IBD. After looking at the criteria for Crohns and UC, I fit the bill for at the most 2 of the symptoms. Ive gone now for almost a year without any other issues but know that at times...  Read Full »

Dr. Ajeet Kumar Lohana

Medical Gastroenterologist

Answer: Hello dear. I welcome you to icliniq. Well is may be a simple infection of the small bowel which has led to you some obstructive symptoms, not necessarily complete obstruction, otherwise you would have had surgery at the time. Some bacterial infections involving small bowel can present like that, a...  Read Full »

What is your opinion about my symptoms?

Query: 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 regul...  Read Full »

Dr. Happykumar Kagathara

Medical Gastroenterologist, Surgical Gastroenterologist

Answer: Hello, Welcome to 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 dis...  Read Full »

Are my symptoms due to diabetes or Crohn's disease?

Query: I am a 22 year old male. I am 5 foot 7 inches and weigh about 150lb (Currently; used to weight about 175lb). I don't smoke, drink or use recreational drugs. I have some pre-existing medical issues for several years (acne, anal itching/jock itch, and sometimes have stomach cramps after eating and hav...  Read Full »

Dr. Ajeet Kumar Lohana

Medical Gastroenterologist

Answer: Hello Dear. I welcome you to icliniq. Well you very well explained your symptoms..It was palatable to read, I must say. Well your concerns are genuine but here is my take on this. You are too young to develop dm type 2, and dermatopathy is far far away to be even considered. Plus you have normal di...  Read Full »

Can work-related stress result in Crohn's disease flare-ups?

Query: Hi There, I have a had Crohn’s Disease since I was 12yrs and I am 35yrs now. I have been off medication for over ten years and I have not had a flare up in about 5 yrs. I do still have bowel inflammation from time to time and I do have pain spasms occasionally in my lower right quadron of my abdo...  Read Full »

Dr. Rajesh Bansari

Medical Gastroenterologist

Answer: Dear, Welcome to icliniq I can sense your concern and I know you had seen bad days during the illness. The good news is you are off treatment and still managing everything for a good 5 years. I can understand that working on the front line makes things difficult but you are at equal risk as other...  Read Full »

How to stop continuous sticky mucus leakage from the anus and anal discomfort?

Query: I was diagnosed with Crohn's disease 5 years back with symptoms like multiple visits to Washroom & stomach discomfort. My current symptoms are continuous sticky Mucus leakage from Anus since last 18 months. Also there is anal sweating, itching , discomfort & sometimes anal burning. Facing co...  Read Full »

Dr. Ajeet Kumar Lohana

Medical Gastroenterologist

Answer: Hello Dear. I welcome you to icliniq. Well the symptoms you mention may be secondary to perianal disease. In among 25% to 30% of cases perianal disease in the form of anal fissure, anal fistual, perianal ulceration can accompany with crohns disease. I am afraid that you may have perianal disease gi...  Read Full »

Why do I have some weird feelings on the opposite side of the ileostomy?

Query: Male / 29 / 140lbs / 5'6" About a year ago I went in for a pain in my side which turned out to be an abscess and internal infection. They ended up doing an illestomy (which I still have). Anyway, my concern is that I've recently been having some weird feelings in my left side (the opposite side of ...  Read Full »

Dr. Mian Shah Yousaf

Medical Gastroenterologist

Answer: Dear. Welcome to icliniq. A patient with suspected Crohn disease can have some discomfort like that due a stricture or narrowing or Inflammation in the bowel. If you dont have any fever? Disturbance in Ileostomy out put or any bleeding or distension in it then it is not an emergency to go into ER. ...  Read Full »

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