Doctor insights on:
Inflammatory Bowel Disease Diff Panel
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
Inflammatory bowel disease, also known as IBD, is the chronic inflammation of the digestive tract. There are two main types of IBD: ulcerative colitis and Crohn's disease. Ulcerative colitis causes continuous inflammation and ulcers in the innermost lining of the colon and rectum. Crohn's, on the other hand, is a non-continuous inflammation that affects all layers of the digestive system in the large and small intestine. Both ulcerative colitis and Crohn's cause diarrhea, pain, ...Read more
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 moreSee 2 more doctor answers
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 moreSee 2 more doctor answers
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 moreSee 1 more doctor answer
IBD treatment: Make sure that you follow up regularly with your gastroenterologist and take your medications as prescribed. ...Read more
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
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 moreSee 1 more doctor answer
Inflammatory Bowel: Yes.Get a more detailed answer ›
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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