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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Are sleep apnea and heart failure associated with Crohn's disease?

Query: Hello doctor, Crohn's was an assumed cause for symptoms (bloody stool, abdominal pain) I was experiencing for the past two and a half years. Unfortunately, I was never officially diagnosed due to my negligence in receiving follow-up care. Almost ten months back, I was diagnosed with acute congestive...  Read Full »

Dr. Navajith A. Mani

Answer: Hi, Welcome to I am sorry you have to suffer this way. Please do not worry. Would untreated Crohn's disease be the cause of my heart failure? The answer is no. You can control the symptoms of heart failure like sleep apnea with the following measures. I suggest you 1. Control your bl...  Read Full »

Can antacids, and antibiotics cure H. Pylori infection?

Query: Hello doctor, I wanted a GI doctor's second opinion based on my history. My current GI doctor has worked me up with a colonoscopy, endoscopy, and blood and breath tests. For blood tests, I was found to have a positive ASCA (>50) and a negative pANCA. For breath tests, I had a negative H. pylori t...  Read Full »

Dr. Navajith A. Mani

Answer: Hi, Welcome to I am sorry you have to suffer this way, Do not worry. There are proper diagnostic criteria for Crohn's disease apart from the positive ASCA (anti-Saccharomyces cerevisiae antibodies). It does not just include antineutrophil cytoplasmic antibodies (ANCA). Since your col...  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 »

Dr. Salah Saad Shoman

Answer: Hi, Welcome to 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 due to...  Read Full »

Can my Crohn\'s disease be treated with biome therapy?

Query: Hello doctor, I was diagnosed with Crohn's disease almost six years back. It was very bad and the ulcerated intestine along with most of my ileum was removed next year. Since the middle of last year, I have been experiencing severe abdominal and stomach pain all the time. The abdominal pain intensif...  Read Full »

Dr. Utkarsh Sharma

Answer: Hello, Welcome to I have gone through your query in detail and have assessed the attached reports. Stool report (attachment removed to protect patients identity) is unavailable. It seems you have serious flares of Crohn's disease. CT (computed tomography) suggests the same. It is ve...  Read Full »

I have stomach pain and I am not able to sit for long. What could it be?

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 »

Dr. Penchilaprasad Kandikattu

Answer: Hello, Welcome to 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 »

Every day, I feel to have incomplete defecation. What is the cause?

Query: Hi doctor,I am a 22 year old male, and I have an unusual problem of bowel movements. Every morning, I feel I have incomplete motion. I cannot say it is constipation, but the stool does not come out completely. Even after defecating, I still have an urge to defecate more. Then after taking breakf...  Read Full »

Dr. James Peterson

Answer: Hi, Welcome to Thank you for your question. The feeling of an incomplete bowel movement that you describe is called tenesmus in medicine. Tenesmus, as well as urgency, has quite a few possible causes, but by far the most common is the irritable and inflammatory bowel syndromes. Irritab...  Read Full »

Are my dry mouth and difficulty in swallowing signs of cancer?

Query: Hello doctor, I am having issues with dry mouth and foods getting stuck on the base of the tongue and back of the mouth. A swallow study was done, and they found a "filling defect," but it was said to be air. I also have Crohn's disease. What are the differential diagnoses? Could this be cancer?...  Read Full »

Dr. Anshul Varshney

Answer: Hi, Welcome to I would not say that air pockets are very common in barium swallow but rarely can be seen. I would like to know the following; 1) Has endoscopy been performed? 2) Do you have a problem swallowing solids or liquids? 3) Any weight loss? 4) Any blood in vo...  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 »

Dr. Ajeet Kumar Lohana

Answer: Hi, Welcome to 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 leve...  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. A. V. Hussain Shihaz

Answer: Hi, Welcome to 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 c...  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 »

Dr. Mian Shah Yousaf

Answer: Hi, Welcome to 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 »

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