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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I have frequent dysentery, and my lab reports showed the presence of pus cells and mucus in the stool. What is the reason?

Query: Hi doctor,I have had dysentery, stomach cramps, and fever for the past two days. It has recurred thrice during the past three months. My test results showed the presence of pus cells and mucus in the stool. I was prescribed tablet Metronidazole three times daily.  Read Full »

Dr. Ajeet Kumar Lohana

Answer: Hello,Welcome to in stools can be due to infections, hemorrhoids, inflammatory bowel disease, or solitary rectal ulcer syndrome. From the reports attached (attachment removed to protect the patient's identity), your stool test does not show red blood cells (RBC). Pus cells are comm...  Read Full »

Is bowel cancer the reason for my loose stools with blood in it?

Query: Hello doctor, I am 49 years old. Six weeks ago, I passed a loose stool and noticed some blood in it. About five days later, it happened again. My abdomen was tender and swollen. My doctor suggested I do a stool sample, blood tests, and colonoscopy. I do not have any symptoms from the last five week...  Read Full »

Dr. Ajeet Kumar Lohana

Answer: Hello, Welcome to I understand your concern. An elevated calprotectin is not indicative of cancer. It is just an inflammatory marker that indicates that there is an inflammation in the bowel. Also, the tablet Nurofen (Ibuprofen) can cause small and large intestines ulcers. As you are ...  Read Full »

Do gallstones cause bowel changes and yellowish stools for the past nine weeks?

Query: Hi doctor, Can gallstones cause constipation and diarrhea as well as yellowish stools? I have been experiencing these symptoms over the last nine weeks. I have been suggested for colonoscopy. I have some gas. I also have abdominal pain, which comes and goes. Sometimes it is very crampy when I have a...  Read Full »

Dr. Reetika Joshi

Answer: Hello, Welcome to I understand your concern. Gallstones cause symptoms like alternating diarrhea and constipation, pain in the middle of the abdomen under the ribcage, bloating sensation, and sometimes discoloration of stools. Colon cancer may have the symptoms mentioned above and the p...  Read Full »

There is thickening in my intestine, and I have ankylosing spondylitis. Please help me.

Query: Hello doctor, I have already done a CT scan of my whole abdomen. There is some thickening in my intestine. I have been facing ankylosing spondylitis, an autoimmune disease, for the last eight years. I met a gastroenterologist, and he told me about IBS. But yesterday night and today morning, I had bl...  Read Full »

Dr. Arpit Varshney

Answer: Hello, Welcome to To diagnose inflammatory bowel disease (IBD), you need a few tests like colonoscopy and fecal calprotectin. Secondly, blood in stools can also be due to Indomethacin as it is known to cause stomach and intestine ulcers which can bleed. I would suggest you visit your ...  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. Jeremy David O' Kennedy

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 »

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 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 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 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 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 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 »

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