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Doctor insights on: Inflammatory Bowel Disease Diff Panel

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Why is the p-anca test included in the inflammatory bowel disease panel that I just had done by labcorp?

Why is the p-anca test included in the inflammatory bowel disease panel that I just had done by labcorp?

Correlation: Low-level anti-neutrophil cytoplasmic antibodies of varying specificities, including anti-lysozyme and anti-myeloperoxidase, are often found in ulcerative colitis and sclerosing cholangitis. It's good to check as they support the diagnosis and may eventually be guides to treatment. ...Read more

Intestine (Definition)

The gastrointestinal tract starts at the mouth, travel down the tunnel (esophagus), which connects to the stomach, which then empties into the duodenum, jejunum, and ileum---the three parts of the small intestine (@25 feet). This empties into the colon or large intestine (about 5 feet), which then becomes the sigmoid colon, rectum and out the anus. So, every morsel eaten ...Read more


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How can I treat inflammatory bowel disease?

How can I treat inflammatory bowel disease?

Medications: Variety of medications that will try to down regulate the inappropriate immune response found in ibd. Mesalamine (ie 5asa) products are a mainstay for uc and crohn's colitis. Other medications include immunosuppresant agents such as 6mp, immuran as well as biologic agents such as remicdae or humira (adalimumab). Steroids such as Prednisone are used in severe flares, but a not a long term option. ...Read more

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Can changing what I eat help control inflammatory bowel disease?

Can changing what I eat help control inflammatory bowel disease?

With flares, but...: Ulcerative colitis involves inflammation of the colonic mucosal surface, so colectomy (removal of the colon) is curative for it. Crohn's disease however is a transmural (full-thickness) inflammation of any part of the GI tract (from mouth to anus). Crohn's is not curable, but it is controllable with medications (see my previous healthtap answer regarding "step up" versus "top down" treatments. ...Read more

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I'm concerned. What symptoms go with inflammatory bowel disease?

I'm concerned. What symptoms go with inflammatory bowel disease?

Cramps diarrhea: Symptoms vary from patient to patient, but most have some sort of abdominal pain - usiually cramping and loose, frequent bowel movements. Sometimes fever, sometimes blood in the stool, frequently weight loss if the symptoms are bad enough. See your doctor because many of these symptoms are nonspecific. ...Read more

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Can I do anything to avoid getting worse inflammatory bowel disease?

Can I do anything to avoid getting worse inflammatory bowel disease?

IBD treatment: Make sure that you follow up regularly with your gastroenterologist and take your medications as prescribed. ...Read more

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I have had a cal protection level 58 my gi doesn't think this is inflammatory bowel disease is this a low level?

I have had a cal protection level 58 my gi doesn't think this is inflammatory bowel disease is this a low level?

51 is: The upper limit at your age but I'm sure that your GI has his/her opinion for a number of reasons. The level is generally MUCH HIGHER in active inflammatory disease! FOLLOW YOUR Gastroenterologist's advice!!!! Hope this helps! Dr Z ...Read more

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How would I know if I had inflammatory bowel disease?

Sometimes it is: Difficult for doctors, even specialists, to determine if you have it or not. So it would be even more difficult for you to figure out on your own. Typical symptoms of crohn's disease or ulcerative colitis would be unexplained abdominal pain, nausea, vomiting, diarrhea, fevers, weight loss. It is unpredicatable. Go see a GI specialist. ...Read more

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Can you tell me how is inflammatory bowel disease diagnosed?

Can you tell me how is inflammatory bowel disease diagnosed?

Symptoms: The two main disease processes are ulcerative colitis and Crohns colitis. Symptoms are related to diarrhea, pain, wt. Loss all of which can be defined by GI xrays followed by biopsy. ...Read more

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Any advice for someone age 22 with an inflammatory bowel disease?

Gastroenterologist: The most important thing is to know that ibd is a treatable condition. It is best managed by a gastroenterologist who can discuss medications, dietary management and lifestyle to deal with this diagnosis as you go forward. ...Read more

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Any advice for someone with an inflammatory bowel disease for diet?

Any advice for someone with an inflammatory bowel disease for diet?

Avoid toxic foods: Avoid sugars, fried foods, vegatable oils like canola & soy, meats that are cured wth nitrates & nitrites, aspartame, splenda, partially hydrogenated vegetable oils, maragarine, soy based products, sweetened beverages like juice & soda, microwaved foods, artificial colors & flavors. All of these products cause damage to the cells, tissues & organs in your body contributing to various diseases. ...Read more

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How does inflammatory bowel disease interfere with your digestion?

How does inflammatory bowel disease interfere with your digestion?

IBD and digestion: As the name says, inflammatory bowel disease. This group of diseases produces inflammation of the lining in the gastrointestinal tract. Therefore, the process of digestion and absorption p of nutritents is affected when the lining of the bowel is iflammed. ...Read more

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Can my inflammatory bowel disease harm the fetus?

Can my inflammatory bowel disease harm the fetus?

Indirectly.: If the mother is feeling/feeding well the the pregnancy should be fine. When the mother is sick and/or cannot tolerate a balanced diet, then vitamin deficiencies and preterm labor or fetal growth restriction can occur. Women in remission periconceptionally have the best chance for optimal perinatal outcomes. ...Read more

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Do probiotics help with inflammatory bowel disease?

VERY LITTLE: Anecdotal evidence. Large prospective studies are lacking support so far, but I guess it wouldn't hurt to try if all else fails? ...Read more

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Can inflammatory bowel disease affect your sex life?

Can inflammatory bowel disease affect your sex life?

Yes: Certainly if you don't feel well, have pain, diarrhea, bleeding can put a damper on sex life. Fistulas (abnormal connection between loop of bowel and something else-bowel, bladder, vagina, outside world) definitely can affect sex life. Meds like steroids can affect. Sulfasalazine can decrease sperm count. Ostomies can be a challenge. ...Read more

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Do pre- and probiotics help with inflammatory bowel disease?

Do pre- and probiotics help with inflammatory bowel disease?

Probiotics and IBD: One of the different theories about the mechanism of disease in ibd is the interaction of the gut flora and the lining of the bowel. There are instances on which the bowel flora could make the inflammation worse and probiotics may be able to modifiy the flora and decrease the inflammation. ...Read more

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Could pre-biotics and probiotics help with inflammatory bowel disease?

Could pre-biotics and probiotics help with inflammatory bowel disease?

Maybe: There is decent evidence that probiotics can help with ulcerative colitis and excellent evidence that it can help with patients after colectomy when they only have a surgical pouch left over. In Crohn's disease, the data do not support their use. ...Read more

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What new treatments for inflammatory bowel disease are being researched?

What new treatments for inflammatory bowel disease are being researched?

Many: There are many different immuno modulating medications currently being evaluated for the management of ibd. They target different aspects of the immune system with hopes of dowregulating the inappropriate immune response present on most patients. ...Read more

Bowel (Definition)

The bowel is the intestinal tract in the body. The small intestine ...Read more


Dr. Arthur Heller
461 Doctors shared insights

Inflammatory Bowel Disease (Definition)

Ongoing inflammation of all or part ...Read more