Dr. Mian Shah Yousaf
Medical Gastroenterology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hi doctor,
I am a 29-year-old male with a weight of 138.9 lbs and a height of 5 feet 6 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 the opposite side of ileostomy. It is not a serious pain but it does not feel right. I have a general feeling of uneasiness and I am unable to describe it exactly. But I have a weird ache throughout my body on and off. I had a blood test two months back and it showed high WBC. Nine years back, I had an ulcer that got ruptured. Then I was diagnosed with IBD or Crohn's disease. I contacted the office of the GI doctor. But he is not available to see me until next week. Should I need to go to ER now? Do I need a CT scan? Is it safe to go to ER now with a mask? Is there a way to speak to a doctor who can get me to do a CT scan or colonoscopy to see what is going on by avoiding ER?
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 to go to the emergency. You can wait to meet a gastroenterologist. But if your pain or discomfort gets increased, then you need to visit an emergency immediately. It is safe to go with proper precautions with a mask and gloves. In the meanwhile, kindly do these tests which will help out in the urgency of this issue. Kindly do CBC (complete blood count) and CRP (C-reactive protein). Kindly feel free to ask if you have any queries. Thank you.
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Medical Gastroenterology
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