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Q. I have some weird feelings on the opposite side of the ileostomy. Can IBD be the cause?

Answered by
Dr. Mian Shah Yousaf
and medically reviewed by Dr. Sneha Kannan
This is a premium question & answer published on Aug 11, 2020 and last reviewed on: Jul 06, 2021

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 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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