Recently Answered Questions
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How to differentiate ulcerative colitis and Crohn's disease?
Query: Hello doctor, My six year old daughter was born with tyrosinemia type 1. She had diarrhea and bloody stools for 10 days, a month back. She was tested for many things, and everything came back normal, except her calprotectin level was 1250 while she had loose and bloody stools. She was admitted and h... Read Full »
Answer: Hi, Welcome to icliniq.com. I have seen all the attached reports (attachment removed to protect patient identity). We see many tyrosinemias and IBD (irritable bowel disease) patients. In smaller children, it is sometimes difficult to differentiate between ulcerative colitis and Crohn's disease. Cr... Read Full »
Can a CT scan miss appendicitis?
Query: Hi doctor, I was in an emergency last night because of 48 hours of pain that moved to my right lower abdomen. Also, I am not eating, and I have severe diarrhea if I do. They said my white blood cells were a bit elevated. The CT scan without contrast did not show an inflamed appendix. Now it is the... Read Full »
Answer: Hi, Welcome to icliniq.com. CT scan could not miss a case of appendicitis unless the medical personnel who viewed the CT scan were not qualified enough for correct interpretation of the scan. However, the other causes of right lower abdomen pain may be any one of the following. It could be d... Read Full »
The wound around my anus is not drying. Please suggest.
Query: Hello doctor,I am 35 years old, and I have a deep wound around the anus. I have been taking Cefixime dispersible tablets 200 mg for the last two weeks. However, the wound is not getting dry; please advise me. Read Full »
Dr. Mahmoud Ahmed Abdelrahman Abouibrahim
Answer: Hello, Welcome to icliniq.com. I understand your concerns. From what you mentioned, there are many differentials, for example, anal fissures, piles, and perianal fistula. So, I need to know more details like: Is there any pain during defecation? Is there any blood on the paper? Any constipation o... Read Full »
Is Skyrizi effective for managing Crohn's disease?
Query: Hi doctor, I am a 32-year-old man with Crohn's disease, and my doctor prescribed Skyrizi (Risankizumab) for it. I am a bit overwhelmed and have some questions. Could you please explain more about Crohn's disease and how Skyrizi helps in treatment? Are there any specific lifestyle changes I should c... Read Full »
Answer: Hi,Welcome to icliniq.com.I do understand your concern.I would be delighted to offer more information about Crohn's disease and Skyrizi. Crohn's disease is a chronic inflammatory condition affecting the digestive system, causing symptoms like abdominal pain, diarrhea, fatigue, weight loss, and malnu... Read Full »
I need advice on Ustekinumab for ulcerative colitis. Please help.
Query: Hello doctor,I have recently been diagnosed with ulcerative colitis (UC), and my gastroenterologist has recommended Stelara as part of my treatment plan. Can you provide detailed information on how Stelara manages UC symptoms, the expected timeline for its effectiveness, and any potential side effec... Read Full »
Answer: Hi, Welcome to icliniq.com. I have read the query, and I can understand your concern. You can use Stelara (Ustekinumab), which works in autoimmune diseases like ulcerative colitis and Crohn’s disease. It works the same as other monoclonal antibodies. It boosts our immune system. As the immune s... Read Full »
I am suffering from chronic stomach pain. Please help.
Query: Hello doctor, I have had a stomach problem for four to five years. I do not know what it is. But, it is there all the time, and I get pain when I eat something. Another thing is that when I eat something, I get pressure on my stomach. Nowadays, I am not able to control my stomach problem. I am not a... Read Full »
Answer: Hello, Welcome to icliniq.com. Thanks for writing in, and I understand your concern. A better assessment can be done if you answer the following questions. 1. Which area of the abdomen do you feel the pain? 2. Are you burping frequently? 3. How many times in a day do you pass the stools? 4.... Read Full »
I am experiencing stomach issues post-surgery. Please help.
Query: Hello doctor, I am a 27-year-old female who is 5 feet 3 inches weighing 140 pounds. For the past four months, I have been dealing with stomach problems such as diarrhea and bloating and lack of appetite. It did turn out that my gallbladder was functioning at 18% and just last week I had a laparoscop... Read Full »
Answer: Hello, Welcome to icliniq.com. I went through your detailed summary. It takes around two to six weeks in some individuals for the bowel motility to normalize. It is just a transient phenomena which result slowly in the adaptation of the bowel to the absence of the gallbladder. I suggest ... Read Full »
My daughter's barium meal shows gastritis. Please review.
Query: Hello doctor,My daughter has had recurring vomiting and stomach cramping intermittently since the last eight months. Barium meal has shown 'gastritis' with a possible duodenal band and the small bowel series reflects some matting of the Ileum. I am not sure what all of this means and the tests do no... Read Full »
Answer: Hello, Welcome to icliniq.com. Gastritis reflects simply a consequence of chronic acidity and for that, I suggest the following : A combination of Pantoprazole (proton pump inhibitor) and Domperidone (anti-emitic) once daily for at least a month. A soft and blend diet. Take a walk after ev... Read Full »
I had intestinal resections. Do I have short bowel syndrome?
Query: Hello doctor, I have been suffering from Crohn's disease, and I had two small intestine resections (ileal and terminal ileum area) for a total of 28 inches removed. Recently, I have had blood tests that show low levels of albumin, vitamin D, hemoglobin, calcium, and phosphorus. I usually defecate on... Read Full »
Answer: Hello, Welcome to icliniq.com. I can understand your concern. Small bowel syndrome can occur if the remaining small bowel is only 39 inches along with an intact colon or less than 78 inches without a colon. As only 28 inches of small intestines have been removed, there are low chances of having s... Read Full »
Can I become pregnant even though I have a family history of Crohn's disease?
Query: Hello doctor, I have been trying to get pregnant and have recurring chemical pregnancies. I do not know my history of autoimmune diseases and have never been tested, but my family has got a history of Crohn's disease and potentially IBS. I also develop a high fever at the end of my miscarriage while... Read Full »
Answer: Hello, Welcome to icliniq.com. I went through your query and understood your concern. I suggest you follow the instructions mentioned below, 1. Get a detailed evaluation, investigation, and treatment for your immune disease. 2. Get checked for other health problems like thyroid, diabetes, and h... Read Full »