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Doctor insights on: Crohns Disease And Uc And Prozac

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Dr. Jason Reich Dr. Reich
Internal Medicine
4 years in practice
George Washington University Medical School
1

1
Can I know all the cause of fat malabsorption sydrome other than crohns disease ant colitis?

Can I know all the cause of fat malabsorption sydrome other than crohns disease ant colitis?

Happy to touch: Feel free to consult and I can teach you. There are so many causes.

Dr. Heidi Fowler
1,045 Doctors shared insights

Fluoxetine (Definition)

Fluoxetine (brand prozac) is an antidepressant in the class known as serotonin selective reuptake inhibitors aka ssris. Fda approved in 1987 for the treatment of major depressive disorder. Subsequently approved for obsessive compulsive disorder, bulimia nervosa, panic disorder, and premenstrual dysphoric disorder. Significantly safer and much better ...Read more


Dr. Clarence Grim Dr. Grim
Internal Medicine - Endocrinology
53 years in practice
University of Missouri-Columbia School of Medicine
2
Dr. Robert Uyeda Dr. Uyeda
Surgery
41 years in practice
Boston University School of Medicine
3

3
Can pelvic surgeries cause a flare up in crohns disease symptoms. More specifically a robotic cystecomy??

Can pelvic surgeries cause a flare up in crohns disease symptoms. More specifically a robotic cystecomy??

Most likely not.: Surgery on bladder will not affect your gi tract, unless the two are abnormally adherent. Get opinion from gi specialist just to be sure.

Dr. Heidi Fowler Dr. Fowler
Psychiatry
21 years in practice
Uniformed Services University of the Health Sciences F. Edward Hebert School of Medicine
4

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For the past 3 days I had 6 or less hrs of sleep due to my crohns disease. Now I am extremely scared and anxious about sleep. Any ways to reduce anxiety?

For the past 3 days I had 6 or less hrs of sleep due to my crohns disease. Now I am extremely scared and anxious about sleep. Any ways to reduce anxiety?

Anxiety: Talking therapy ranks really high. Cognitive Behavioral therapy or psychotherapy can be effective. Aim for daily exercise, 8 hours of sleep per night & good nutrition w 5 servings of veggies & 4 of fruit per day. Try tai chi, yoga, Qi Gong, progressive muscle relaxation, deep breathing exercises & meditation. Don't isolate - spend time w friends & stay active.

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Dr. Donald Colantino Dr. Colantino
Internal Medicine
57 years in practice
Tufts University School of Medicine
5

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Where are the common areas of pain when you have small intestine inflammation because of crohns disease?

Where are the common areas of pain when you have small intestine inflammation because of crohns disease?

Crohns: A common area of involvement in crohns disease is in the intestine near the appendix which would cause discomfort in the right lower abdomen. Skip areas of the intestines occur in crohns and thus different zones in the abdomen may be involved, however.

Dr. H. Hunter Handsfield Dr. Handsfield
Internal Medicine - Infectious Disease
49 years in practice
Columbia University College of Physicians and Surgeons
6

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I have to take remicade for crohns disease. But have been told there is risk of cancer. How high is that risk for a young male?

I have to take remicade for crohns disease. But have been told there is risk of cancer. How high is that risk for a young male?

Low risk: Crohn's disease also increases the risk of cancer. That risk is a lot higher than the risk from infliximab (Remicade). The more important risk from such drugs is for certain infections, like tuberculosis. Discuss all this with your doctor: but almost certainly you should take the drug as recommended.

Dr. Richard Zimon Dr. Zimon
Internal Medicine
55 years in practice
Harvard Medical School
7

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I have crohns disease & I woke up this morning vomiting and diarrhea badly. This pain is beyond intense. Should I go to the e.r I can't even eat.

I have crohns disease & I woke up this morning vomiting and diarrhea badly. This pain is beyond intense. Should I go to the e.r I can't even eat.

If you cannot: Reach the Medical Provider who is treating your crohns I would opine that an ER (or preferably a Walk In Unit) is indicated. In the meantime Clear Liquids only! Hope this is helpful....Good luck...BE WELL! Dr Z

Dr. John Chiu Dr. Chiu
Internal Medicine - Allergy & Immunology
53 years in practice
University of Vermont College of Medicine
8

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Hello, I have crohns disease and many antibiotics causes a sever flare up. I've had strep for almost 6wks now. I'm allergic to penicillin, so that limi?

Hello, I have crohns disease and many antibiotics causes a sever flare up. I've had strep for almost 6wks now. I'm allergic to penicillin, so that limi?

Which abx?: If you are truly allergic to penicillin, erythromycin would work for strep infection as well unless you have had an adverse reaction to it. If your problem is primarily GI, consider taking a probiotic with antibiotic in the future. May check with allergist to find out if you are still allergic to penicillin as well. By the way, there are good biologics which are effective for Crohn's disease.

Dr. Louis Cooper Dr. Cooper
Pediatrics
44 years in practice
Medical College of Georgia School of Medicine
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Throughout the day my stomach swells, hardens with raised knots sometimes painful. I have Crohns disease don't know if related -happens most every day?

Throughout the day my stomach swells, hardens with raised knots sometimes painful. I have Crohns disease don't know if related -happens most every day?

More info: I would keep a log of your symptoms and indicate time of day and relation to meal time and what you ate. I would present this information to your gastroenterologist and see how this fits into your Crohns process. Good luck.

Dr. Theresa Henderson Dr. Henderson
Internal Medicine - Pulmonary Critical Care
37 years in practice
University of Dublin Trinity College School of Physic
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What are my treatment options for Crohns disease?

What are my treatment options for Crohns disease?

Discuss with GI MD: Treatment of anyone with an autoimmune disorder starts with stress reduction, proper diet and adequate sleep and rest. Lack of any of these can worsen/bring out symptoms. Sometimes treatment involves biologics of which Humera is one, steroids, and 5-aminosalicylates if the colon and rectum are involved. The right medication choices need a discussion with your MD who knows extent of your disease.

Dr. Abby Caplin Dr. Caplin
Integrative Medicine
36 years in practice
Texas Tech University School of Medicine
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Crohns disease, at what point during a flare up should I go to the hospital?

Talk with doctor: You should be in contact with your doctor by phone if you are in pain or bleeding. Going to the er should be a joint decision, unless you are experiencing extreme uncontrollable pain or other unusual or concerning symptoms.

Dr. Eric Kaplan Dr. Kaplan
Surgery - Colorectal
38 years in practice
Case Western Reserve University School of Medicine
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Crohns disease: is the anal gas infectious like a cough to people?

No: Crohn's disease is not an infectious disease. That being said you can have a GI tract infection on top of the crohn's especially if you have been treated with antibiotics and this infection can be contagious from contact with your stool. In general the gas or flatus should not be able to spread any infection without direct stool contact.

Dr. Keshab Paudel Dr. Paudel
Internal Medicine
15 years in practice
Tribhuvan University Institute of Medicine
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Will having IBS, or Crohns disease affect my HIV test and give me a false negative.

Will having IBS, or Crohns disease affect my HIV test and give me a false negative.

Possibly no: There is no relation between these disease and HIV. If you suspect that the screening test was negative then you can discuss with a physician to get a definitive tests.

Dr. David Ziring Dr. Ziring
Pediatrics - Gastroenterology
18 years in practice
George Washington University Medical School
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Just been diagnosed with crohns disease, I have had black stools but they are not tarry they are quite loose as well, should I be worried?

Just been diagnosed with crohns disease, I have had black stools but they are not tarry they are quite loose as well, should I be worried?

Depends: Black stools can be caused by medications like iron or even some mesalamines. If your doctor is not concerned that it's a sign of upper GI bleeding, it may be due to the medication you're taking.

Dr. Jovita Anyanwu Dr. Anyanwu
Internal Medicine
26 years in practice
Lyceum Northwestern, Dr. Francisco Q. Duque Medical Foundation
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I've had no change in diet medication nor have I ate any blue or green foods. I have crohns disease for the past 11 yrs. My stool is blue mucasy green.

I've had no change in diet medication nor have I ate any blue or green foods. I have crohns disease for the past 11 yrs. My stool is blue mucasy green.

Change in stool: Color with symptoms is usually benign. However with history of Crohns, you may have stool cytology done to consider exacerbation

Dr. Amrit Singh Dr. Singh
Internal Medicine - Cardiology
47 years in practice
Baba Farid University of Health Sciences, Government Medical College, Patiala
16
Dr. Richard Gould Dr. Gould
ADHD & Autism
years in practice
17

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I had blood work and my ASCA was abnormal my doctor mentioned possible Crohns Disease. Could my ASCA be abnormal and it be fine. I've had weight loss?

I had blood work and my ASCA was abnormal my doctor mentioned possible Crohns Disease. Could my ASCA be abnormal and it be fine. I've had weight loss?

Yes: Your positive ASCA is suggestive but not diagnostic of Crohn's. But because you have diarrhea, weight loss and fatigue, you should be evaluated further. A CT scan, small bowel series and colonoscopy would be helpful. Good luck!

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Dr. Dean Giannone Dr. Giannone
Internal Medicine
21 years in practice
State University of New York Downstate Medical Center College of Medicine
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I have crohns disease. Today I saw a lot more blood in my stool than usual. Should I wait to see my doctor or go to the ER?

I have crohns disease. Today I saw a lot more blood in my stool than usual. Should I wait to see my doctor or go to the ER?

Go to ED.: This could be a flare of Crohn's disease which may need the immediate initiation of treatment, or this may be unrelated to Crohn's disease. For a rapid diagnosis, the ED would be the best option for you right now.

Dr. Milton Alvis Jr Dr. Alvis Jr
Preventive Medicine
37 years in practice
The Dental School at The University of Texas Health Science Center at San Antonio
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Is it possible to have Crohns disease without diarrhea and weight loss? Could someone with Crohns present with constipation and IBS-like symptoms?

Is it possible to have Crohns disease without diarrhea and weight loss? Could someone with Crohns present with constipation and IBS-like symptoms?

Absolutely, yet be: Careful to not just to labels (diagnoses) which are not correct & potentially misleading/harmful; a common issue. Crohns is an autoimmune disease, i.e. the individual is attacking their body via their immune system. As integrated Soul? Mind? Brain? Body creatures, consider all the potential implications & possible approaches, not just incomplete body mechanic ideas/issues; usual medical approach.

Dr. Ihor Zakaluzny Dr. Zakaluzny
Surgery
34 years in practice
University of Calgary Faculty of Medicine
20

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Crohns disease, gastroesophageal reflux disease, barrett's esophagus, esophagitis. 2010 had a fundoplication. Why isn't it working anymore?

Crohns disease, gastroesophageal reflux disease, barrett's esophagus, esophagitis. 2010 had a fundoplication. Why isn't it working anymore?

Many possibilities: See your surgeon and your gastroenterologist. The surgery may have failed, or your symptoms are not related to reflux. If you had barrett's esophagus, all the more reason to be seen by your physicians.

Dr. Jonah Essers
538 Doctors shared insights

Ulcerative Colitis (Definition)

An inflammatory bowel disease (IBD) that causes long-lasting inflammation in part of your digestive tract. Ulcerative colitis usually affects only the innermost lining of your large intestine (colon) and rectum. There's no known cure for ulcerative colitis, but therapies are available that may dramatically reduce ...Read more


Dr. Alan Ali
766 Doctors shared insights

Prozac (Definition)

Prozac is a serotonin reuptake blocker which is a kind of ...Read more