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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Query: Hi doctor, My son has storage pool defect. Now, his doctor suspects Crohn's disease on him. All cut tests will result in horrible bleeding time. Should hematology be involved? Should the doctors use coagulant as a precaution? Your further advice would be helpful. Thank you. Read Full »
Answer: Hi, Welcome to icliniq.com. Based on your query, my opinion is as follows: Yes, patients with storage pool deficiency (platelet function disorder) will have increased and horrible bleeding time. We are looking at one of the important bleeding disorder here. Unless they have decided to take a bio... Read Full »
What is the reason for nausea and loss of appetite?
Query: Hi doctor,My husband has been feeling very unwell. He is having nausea and dry retching in the morning, loss of appetite, weight loss, and muscle loss. His blood work shows elevated ferritin of 537 and low sodium of 132.He has had a normal colonoscopy, endoscopy, abdominal ultrasound, and CT scan. I... Read Full »
Answer: Hi, Welcome to icliniq.com. Based on your query, my opinion is as follows: Increased serum ferritin (attachment removed to protect patient identity) is usually a sign of chronic inflammation. Here the symptoms of nausea, loss of appetite and morning symptoms indicate possible gastric cause. Chro... Read Full »
Will my bowel infection be detectable by a nuclear scan?
Query: Hi doctor, I am a 70 year old female. My height is 165 cm (5'5") and weight is 70.3 kg (155 lbs). My current medications are Quinapril-HCTZ 20-25 mg and Diltiazem 24HR ER 120 mg. I am experiencing discomfort in the right buttock for the past one year. I had a total body nuclear scan done recently a... Read Full »
Answer: Hi, Welcome to icliniq.com. I have read through your query and reports (attachment removed to protect patient identity) in detail. Please find my observations below. The x-ray is always useful when reporting a CT scan. It provides a two-dimensional picture of the screw which is seen to be partly ... Read Full »
I am suffering from Crohn's disease and have also developed MDR Pseudomonas infection in my urine. Please advise.
Query: Hi doctor, I am a Crohn's disease patient and I am currently on tablet Azathioprine and Mesalamine. I have developed MDR Pseudomonas infection in my urine. What should I do next? Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern. The presence of multi-drug resistant (MDR) Pseudomonas infection in the urine of a Crohn's disease patient who is already on tablets of Azathioprine and Mesalamine requires prompt attention and management. Here are some steps that can be take... 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 »
Answer: Hi, Welcome to icliniq.com. 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 ... Read Full »
I have Hashimoto's and Crohn's disease. Kindly review my attached blood report.
Query: Hello doctor, I was recently in the ER, I received my blood work and was not informed about any of the high and low levels. I have Hashimoto's and Crohn's disease. I was wondering if the blood levels indicate that there are additional problems or what they could mean. Please review my blood report. Read Full »
Answer: Hello, Welcome to icliniq.com. Thank you for your query. I understand your concern. Based on your attached reports, my opinion is as follows: Your values are near normal. Mild nutritional deficiency may be present. No supplements are necessary. Improvement in nutritional diet should be adequate. Av... Read Full »
What are the causes of CD in children?
Query: Hi doctor,I used to get diarrhea and stomach problem since my childhood, and I was diagnosed with Crohn's disease in my small intestine. So I want to know whether people who get this disease in their childhood get it from their parents only? I know that people sometimes get it in their adult stage b... Read Full »
Answer: Hi, Welcome to icliniq.com. I have read very carefully about your queries. 1. Why Crohn's disease is more common than ulcerative colitis in children? In the preschool group, ulcerative colitis is more common than Crohn's disease, but in older children, Crohn's disease is more common than ulcerative ... Read Full »
Why do I have some weird feelings on the opposite side of the ileostomy?
Query: Hi doctor, I am a 29-year-old male with a weight of 63 kilograms and a height of five feet six inches. I went for a pain in my side. It turned out to be an abscess and internal infection. They ended up doing an ileostomy. Recently I started to have some weird feeling in my left side on and off on... Read Full »
Answer: Hi, Welcome to icliniq.com. A patient with suspected Crohn's disease can have some discomfort due to a stricture or narrowing or inflammation in the bowel. If you do not have a fever, then disturbance in ileostomy can cause bleeding or distension in it. Otherwise, it is not an emergency condition ... Read Full »
Can double-balloon enteroscopy with biopsy diagnose Crohn's disease?
Query: Hi doctor, I am a 21-year-old female with a weight of 45 kilograms and a height of five feet four inches. I had symptoms of Crohn's disease without any visible lesions. I got dark blood in my bowel movements with constipation, diarrhea, urgency, nausea, abdominal pain, and weight loss. Every six to... Read Full »
Dr. Ambalathu Veettil Hussain Shihaz
Answer: Hi, Welcome to icliniq.com. Having recurrent symptoms for a long duration with very high stool calprotectin levels strongly suggests Crohn's disease. Treatment cannot be usually started with some evidence such as biopsy or imaging. You have not mentioned whether random biopsies were taken during col... Read Full »
Are my symptoms due to diabetes or Crohn's disease?
Query: Hi doctor, I am a 22-year-old male with a weight of 68 kilograms and a height of five feet seven inches. I do not smoke, drink or use any recreational drugs. I have some pre-existing medical issues for several years like acne, anal itching or jock itch, stomach cramps after eating, and an urge to... Read Full »
Answer: Hi, Welcome to icliniq.com. You have explained your symptoms well. It was palatable to read. Well, your concerns are genuine but here is my take on this. You are too young to develop type 2 diabetes mellitus and dermatopathy. It is far away to be even considered. You have a normal glucose level wi... Read Full »