Inflammatory Bowel Disease

Inflammatory bowel disease (IBD) is a term used to describe conditions causing longterm inflammation of the gut. Ulcerative colitis and Crohn's disease are the two types of IBD. IBD results in symptoms like diarrhea, fever, blood in stools, and loss of appetite.

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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. Jeremy David O'kennedy

Answer: Hi, Welcome to icliniq.com. 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 »

When should I be concerned about changes in bowel movements?

Query: Hi doctor, I have recently had a shift in my bowel movements. They are now jagged, look fluffy; some bits will float and have light red streaks or strings on them. When I wake up in the morning, I need to have two to three bowel movements to clear my bowels completely. I am unsure what is causing m...  Read Full »


Dr. Sandeep V Nair

Answer: Hi, Welcome to icliniq.com. I hope you are not on any medications, have diabetes or thyroid disorder, and have not undergone any abdominal surgeries. Recent changes in consistency and color of the stool may be due to change in dietary habits like taking more processed carbohydrates, protei...  Read Full »

What does having loose stool and blood on the toilet paper mean?

Query: Hello doctor,I am 29-years-old male, and I am diagnosed with mild myotonic dystrophy type 2 in the past, but I do not have any symptoms. Furthermore, I was diagnosed with a small rare borderline malignancy called "superficial CD34 fibroblastic tumor" on my left arm four months ago. I had wide excisi...  Read Full »


Dr. Sandeep V Nair

Answer: Hi,Welcome to icliniq.com.The biopsy reports do not suggest lymphoma (attachments removed to protect the patient’s identity). They have done a test called immunohistochemistry, in which they found the cells were negative for INSM 1 (Insulinoma-associated protein 1), which is a marker for a neuroen...  Read Full »

What is the significance of an elevated CA-19 tumor marker?

Query: Hello doctor, I have a question regarding the significance of an elevated CA-19 tumor marker. I recently had one and that came back as 43 (per laboratory should have been under 34). I do not have cancer and I am wondering what else could cause this elevation? Please help.  Read Full »


Dr. Rajesh Kumar Padhan

Answer: Hi, Welcome to icliniq.com. CA 19-9 (cancer antigen) is a tumor marker, but it can be elevated in healthy individual. It can be elevated in benign conditions like pancreatitis, cirrhosis, thyroid disease and inflammatory bowel disease. It can be elevated in various gastrointe...  Read Full »

Should I be worried about the change in the pattern of bowel movements?

Query: Hi doctor,I am a 37-year-old male. My height is 175 cm, and my weight is 72 kg. From my childhood, the pattern of the bowel movements I remember used to be after half an hour or one hour of getting up, around 8.30 AM to 9 AM. But now, for the past two months or so, as soon as I wake up, whatever tim...  Read Full »


Dr. Anshul Varshney

Answer: Hi, Welcome to icliniq.com. These are not the symptoms of any cancer. A lot of people have such bowel habits. I would recommend you following, 1. Drink plenty of fluids. 2. Eat lots of fruits, especially papaya. 3. Take Softovac powder with two teaspoons full of water at night. 4. Exercise reg...  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 »


Dr. Md. Kamrul Hasan Sajib

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 ulcerat...  Read Full »

Pentasa sachet is not helping ulcerative colitis. Please suggest some other medicine.

Query: Hi doctor,I am 23 years old with a weight of 52 kilograms and a height of six feet. I was diagnosed with ulcerative colitis last year. I had an E.coli infection four years back by food poisoning. I have symptoms of rectal bleeding, nausea, and constipation. When I got acute colitis, I took Pentasa s...  Read Full »


Dr. Mian Shah Yousaf

Answer: Hi, Welcome to icliniq.com. You are having left-sided colitis. Before taking Humaira or any other biosimilars, I would like to optimize your medications. Regarding foods, there are no specific foods that can help you. I suggest you take an oral trial of Prednisolone as enema does not help complete...  Read Full »

What is clubbing and why does it occur?

Query: Hi doctor, I am a 41-year-old male, and I have noticed that my fingernails are curving downwards over the past three years. I had the habit of smoking for about 20 years and did quit it a few years back. I also have Ulcerative Colitis, and also it seems that I have a Schamroth window. Is it somethin...  Read Full »


Dr. Zubayeralam

Answer: Hello, Welcome to icliniq.com I can understand your concern. The pictures provided (attachment removed to protect patient's identity), seem to be clubbing due to Ulcerative colitis (chronic inflammatory bowel disease); however, close pictures are needed to confirm the diagnosis. In clubbing, nail...  Read Full »

How to get rid of painful anal ulcers?

Query: Hi doctor, I am suffering from anal ulcers for four months now. I was diagnosed with SIBO last year, which was treated with antibiotics, and now experiencing ulcers in the rectum, which are very painful. I have been tested for ulcerative colitis and Crohn's disease, which came back negative. I have...  Read Full »


Dr. Ajeet Kumar Lohana

Answer: Hello, Welcome to icliniq.com. Painful ulceration over the anal and perianal area plus around the nose and mouth suggests some possibilities. Zinc deficiency, Vitamin B complex deficiency, Folic acid deficiency, Behcet disease, Veneral disease (for which you have tested such as syphilis). Inflamma...  Read Full »

Why do I have pain in my left abdominal area?

Query: Hello doctor, My primary issue was blood in the stool. The stools used to be dark or red in color. It was difficult to pass unless I pushed extremely hard due to very dense or heavy stool. I had constipation almost daily for a few months leading up to seeing blood in the stool. Since I was very ...  Read Full »


Dr. Divakara P

Answer: Hi, Welcome to icliniq.com. I am very sorry to hear about your condition and your experience in ER (emergency room). There are certain conditions that can explain your symptoms. I sincerely feel that you have not been evaluated thoroughly. You might be having an infection of the gut (colitis), infla...  Read Full »

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