Doctor insights on:
Cancer Ibd Patients
Increased with time: Colon ca risk is increased in ulc colitis (uc) and crohn's colitis (cd). Risk increases by .5-1%/yr above general public, after 8-10 years after diagnosis. Small bowel cd has increased risk of small bowel ca; cd has increased risk lymphatic ca (lymphoma). Generally recommend annual colonoscopy/biopsy after 8-10 years of disease. Risk ca increased more in diffuse uc vs. Left sided disease. ...Read moreSee 1 more doctor answer
Cancer is a group of diseases that is characterized by uncontrolled cell growth leading to invasion of surrounding tissues that spread to other parts of the body. Cancer can begin anywhere in the body and is usually related to one or more genetic mutations that allow normal cells to become malignant by interfering with internal cellular control mechanisms, such as programmed cell death or by preventing ...Read more
Could a positive FIT test (occult blood) in 23 yr old mean IBD? I'm obviously too young for polyps/cancer.
Will a video colonoscopy completely rule out crohans disease, ulcerative colitis and other ibd. Will it also rule out cancer?
Not all: Colonoscopy will rule out colon cancer , ulcerative colitis , ( early uc in remission may not show the disease ) but not crohn's involving only small bowel only , other ibd some times may not have visible pathology . All of these diseases need biopsy as a proof. ...Read moreSee 1 more doctor answer
What would cause a rectovaginal fistula, not related to birth or ibd.. I have one and don't know why? Please help.. Worried I have cancer
I have diarrhea for around 20 days now got fecal calprotectin 77ug/g should I be worried abt cancer or ibd?
IBS VS IBD: Given the duration of your symptoms , you need a prompt reevaluation. Exam and labs. Especially stool for O& P, Giardia , c diff , isospora, cryptosporidium. And h pylori. A Gi cosult for colonoscopy an endoscopy. While you are getting things set up , you should move to a gluten free diet Wholeapproach.com and gutbliss.com. They will do biopsies to evaluAte for cancer and IBD and celiac. ...Read more
What are the chances this is colon cancer? Loose bloody stool. 25 year old male with history of ibd. Seeing a GI doc soon.
Is elevated lipase associated with early lung cancer? I know amylase is, but my amylase is normal.. I also know elevated lipase is associated with pancreatitis, cp, celiac disease, ulcer, ibd
I am having a CT colonography due to chronic constipation & pencil stools. Will this show IBD, such as Crohn's/Colitis as well as colon/rectal cancer?
CT resolution : CT examination illustrates the anatomy of a part of the body, the lay of the land. The functionality of the lining of the wall is best illustrated by a colonoscopic exam. Talk to your doc about why he is doing any given exam on you. ...Read more
Smoke/alco free 15 months. New labs show high ldh + lipase; borderline low amylase + globulin. Already ruled out ibd, celiac, mono, hep, hiv, tb, lupus, ra. July ct=normal liver/kidneys/panc. Cancer?
MRCP: Looks like you have pancreatitis, but if you have not had alcohol, need mrcp to see if there any pancreatic duct abnormalities. Need more info, were you drinking before and did you have multiple pancreatits before? Mrcp followed by eus would help. Ercp may be needed once acute episode is resolved, or if you find any stricture in the duct. ...Read moreSee 1 more doctor answer
Wide variety: Ibd is a spectrum of diseases that includes crohn's disease, ulcerative colitis and indeterminate colitis. These disease may vary in their distribution and associated symptoms. Because it represents inflammation of the GI tract - and pain, diarrhea, bleeding and wt loss is common. It can also have extra intestinal manifestations - skin, eyes, joints, liver. ...Read moreSee 1 more doctor answer
IBD : You didn't mention which ibd you have? Crohn's disease or ulcerative colitis! how long you have the disease? I don't see you taking any medication, at least not from this history. Are you on remission or relapse? Why do you want surgery? Please leave up to your doctor, who is treating you, to decide when you need surgery. Some have good result and some don't. Good luck. ...Read moreSee 1 more doctor answer
Ibd patient on prednisone for 4 mos MRI now shows osteonecrosis is this reversible or how is it treated now off prednisone will it continue worsening?
It is not reversible: Osteonecrosis actually denotes death of bone. It is not uncommon that with prolonged cortisone use osteonecrosis of bone may occur it is most often seen in the hip. Once it develops it is not reversible. It often leads to chronic pain and may ultimately cause painful arthritis. In its end stages joint replacement may be needed. ...Read moreSee 1 more doctor answer
Risk Factor For: Depending on the extent of disease, after 10 -15 years of either ulcerative colitis or crohn's (newer data also links crohn's) - they are considered risk factors for disease. Individuals with long standing ibd are at increased risk for colon cancer and other illnesses. ...Read moreSee 3 more doctor answers
No!: We can't always cure cancer, but we can always treat pain. Cancer patients should never suffer from pain. We can block nerves that carry pain signals, use medications, and even implant spinal cord stimulators to control pain. Cancer patients die for many reasons, but not from pain. If you are suffering from cancer pain, ask your doctor for relief. And don't stop asking until you are comfortable! ...Read more
Cancer: Love, compassion, tolerance, and most important empathic listening, being able to understand the unique experience of the person suffering without trying to fix or judge. Also helping the person live life despite cancer. Helping the person to participate in life as much as possible. ...Read moreSee 1 more doctor answer
Gluten and Cancer: In my opinion gluten is "bad" for everyone. It is known to increase permeability of the gut, which affects the immune system. Cancer is at least partially an immune problem, so that is bad. I'm sure some others may disagree with me, but I do have lots and lots of training in functional medicine and addressing root causes of problems, including cancers, gluten effects, and immune issues. ...Read moreSee 1 more doctor answer
Depends: ...On the cancer, the treatment, and the general condition of the patient. As a rule, we would like for a patient to spend as much time as possible at home and to be as functional as possible. Unfortunately, that is not always possible, especially with intense chemo programs like the ones used for leukemia. ...Read more
What they like: With little in the way of exceptions, there's no magic in food for particular diseases. A sensible diet, especially avoiding the very greasy, very sugary and very salts items, to the person's tastes is the best choice. If eating is a problem, a real dietician should be consulted. ...Read more