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Doctor insights on: Crohns Disease And Uc And Prozac

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Dr. Heidi Fowler
1,053 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


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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. ...Read more

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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. ...Read more

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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. ...Read more

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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. ...Read more

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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 ...Read more

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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. ...Read more

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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. ...Read more

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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. ...Read more

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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. ...Read more

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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. ...Read more

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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. ...Read more

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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. ...Read more

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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 ...Read more

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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! ...Read more

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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. ...Read more

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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, don't just rely on labels (diagnoses) possibly 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. ...Read more

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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. ...Read more

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Sore breasts, diminished positive feelings during orgasm, increased depression, thoughts of hurting myself. Also diagnosed w/ crohns disease?

Sore breasts, diminished positive feelings during orgasm, increased depression, thoughts of hurting myself. Also diagnosed w/ crohns disease?

Depression: You need professional help and shouldn't attempt to work your way through these worrisome symptoms. Make an appointment with a psychiatrist as soon as possible and be sure to inform him or her of your thoughts of harming yourself. A combination of psychtherapy and medication should help you. If your Crohn's disease is acting up, your state of mind may well be an aggravating factor. ...Read more

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Crohns disease, just had 2 perianal abcess drained last week. Now having bad pressure in back passage and when passing stool it's thick mucus instead?

Crohns disease, just had 2 perianal abcess drained last week. Now having bad pressure in back passage and when passing stool it's thick mucus instead?

Crohns Disease: All of the above symptoms, the abscesses, the rectal pain, and the mucus in your stool are indicative of the possibility of continued active inflammation from the Crohns disease. You likely need to have your medication either adjusted or changed. I would make it an appointment to see your gastroenterologist as soon as you can. Good luck. ...Read more

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I haven't had a bowel movement in nine days. I have crohns disease but it's never caused me to be this constipated. I've tried laxatives and softeners?

I haven't had a bowel movement in nine days. I have crohns disease but it's never caused me to be this constipated. I've tried laxatives and softeners?

Considerations...: ...include (to name just a few concerns): progressive stenosis of the gut due to scar tissue, early flare with luminal (phenobarbital) narrowing, overuse of narcotic analgesia with gut paralysis. At the very least, see your doctor and get an examination & x-ray. ...Read more

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I have crohns disease and Non healing acne on left side neck. No swolen lymph nodes. Dizziness, fatigue, normal blood work. Could this still be lymphoma?

I have crohns disease and Non healing acne on left side neck. No swolen lymph nodes. Dizziness, fatigue, normal blood work. Could this still be lymphoma?

Acne: Acne seems to be more prevalent in patients with Crohn's disease, maybe because they have a related immune cause. But having acne doesn't indicate anything about lymphoma. You're likely ok, but if you have unexplained fevers with weight loss and swollen lymph nodes, you should talk to your doctor. ...Read more

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Obviously I need to speak w/ my pcp. I've had ^alt, ast, crp, co2, and kidney failure. I also have crohns disease, skin problems and all over pain. Maybe?

Obviously I need to speak w/ my pcp. I've had ^alt, ast, crp, co2, and kidney failure. I also have crohns disease, skin problems and all over pain. Maybe?

So what's the questn: You gave us a list of problems and what you already know. However, since you did not ask a question, there is no way for us to form a reasoned answer. You are welcome to start over, but questions are not linked, so each must have relevant background and ask a clear question. ...Read more

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Are ulcerative colitis and Crohn's disease hereditary?

Are ulcerative colitis and Crohn's disease hereditary?

Somewhat: There are numerous families where there are children and /or grandchildren, cousins, etc. With these diseases. If both parents have ibd, the incidence is around 50% in the kids. Otherwise about 20% of patients will have a first degree relative with ibd. So you do the math! It isn't exactly hereditary, but there a familial incedence. By the way, the kids of colitis patients often have crohn's. ...Read more

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What are symptoms of Crohn's disease and ulcerative colitis?

What are symptoms of Crohn's disease and ulcerative colitis?

See below: Ibd usually presents with lots of diarrhea (mucousy, bloody or just loose). Some have bad pain, cramping, nausea, wt loss etc. ...Read more

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What are the causes of Crohn's disease and ulcerative colitis?

What are the causes of Crohn's disease and ulcerative colitis?

Genes+environment: A combination of genetic predisposion (for example Crohn's is more common in ashkenazi jews), life events (eg appendectomy increases one and decreases the other), and environmental influences (eg smoking increases Crohn's and decreases severity of uc...). Bet you didn't expect the latter! As knowledge increases more precise factors are identified. ...Read more

Dr. Jonah Essers
541 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
774 Doctors shared insights

Prozac (Definition)

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


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