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Doctor insights on: Kennedy Terminal Ulcer

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My Bf had colonoscopy done & diagnosed with apthoid ulcer measuring 1 mm in terminal ileum.biopsies were obtained,reports says cannot identify problem?

My Bf had colonoscopy done & diagnosed with apthoid ulcer measuring 1 mm in terminal ileum.biopsies were obtained,reports says cannot identify problem?

Small bowel ulcer: Could be anything from as simple as an isolated ulcer from aspirin or anti-inflammatory medication induced to the early signs of Crohn's disease ...Read more

Ulceration (Definition)

Exact synonym so far as this pathologist is concerned. An ulcer is a lesion on a body surface (outer or inner) in which the epithelium and at least some of the underlying connective tissue has been lost specifically to necrosis (cell death) rather than just mechanical or chemical injury. All ulcer craters ...Read more


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Hey Recently my Bf had his colonoscopy done and it was identified that three apthoid ulcer were found measuring 1 mm in the terminal ileum. biopsies were obtained but the biopsies reports says that they cannot identify the problem. do i need to worry ?

Hey Recently my Bf had his colonoscopy done and it was identified that three apthoid ulcer were found measuring 1 mm in the terminal ileum. biopsies were obtained but the biopsies reports says that they cannot identify the problem. do i need to worry ?

Ileum ulcers: In general, you should not have to worry. Aphthous ulcers in the ileum can have many underlying causes, including infection, autoimmune, medication (pills usually) and idiopathic (inflammatory bowel disease.) Depending on the symptoms that led to the colonoscopy, further work-up or trial therapies may lead to more specific answers. Cancer not likely on the list at his age. ...Read more

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Hey Recently my Bf had his colonoscopy done and it was identified that three apthoid ulcer were found measuring 1 mm in the terminal ileum. biopsies were obtained but the biopsies reports says that they cannot identify the problem. do i need to worry ?

Misinformed: You need to discuss with your physician the exact contents of the biopsy report. It is unlikely that the pathologist would simply say can't identify the problem; more likely it offers several possibilities or differential diagnosis for your physician to work on ...Read more

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What are the causes of having a simple ulcer in the terminal ileum? So far I have read that h. Pylori can cause this. Anything else?

Not H. pylori: This bacteria causes ulcers in the stomach and duodenum. An ulcer in the terminal ileum can be either crohn's disease or medication-induced (like Aspirin and nsaids), . ...Read more

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Can serial aspirin for polycythemia cause ulcers in the terminal ileum?

Can serial aspirin for polycythemia cause ulcers in the terminal ileum?

Yes...: ...but so can lots of other things like Crohn's disease, Behcet's, infection, etc. What tests have you had and have the ulcers been biopsied to assist in diagnosis? ...Read more

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Colonoscopy -small ulcers in the terminal ileum. Biopsy confirms focal ileitis with superficial erosion, but no specific cause identified. What next?

Colonoscopy -small ulcers in the terminal ileum. Biopsy confirms focal ileitis with superficial erosion, but no specific cause identified. What next?

Consult GI: Most common causes are crohn's disease and ulcerative colitis. There are several medications which can be helpful besides diet (gluten free). You should discuss these with the gastroenterologist.If not satisfied, you can always get a second opinion. ...Read more

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Will capsule endoscopy identify cause of ulcers in terminal ileum seen in colonoscopy. Biopsy confirmed focal ileitis with superficial erosion?

Will capsule endoscopy identify cause of ulcers in terminal ileum seen in colonoscopy. Biopsy confirmed focal ileitis with superficial erosion?

Capsule endoscopy is: For small bowel evaluation where upper or lower endoscopy can't reach. It may give you information regarding the rest of small bowel. Its usually done to look for small bowel lesions or to find the source of a bleed where egd/colonoscopy is negative. In your case the better test is mr enetrography or a ct abd/pel with volumen contrast. Your GI doc should decide on further testing. ...Read more

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Colonoscopy ok except terminal ileum tiny ulcer with surrounding nodularity. Multiple biopsy taken.Diagn:nonspecific superficial ulcer with inflammation. Pain in the umbilical. Freq.Dysentery slime?

Colonoscopy ok except terminal ileum tiny ulcer with surrounding nodularity. Multiple biopsy taken.Diagn:nonspecific superficial ulcer with inflammation.  Pain in the umbilical.  Freq.Dysentery slime?

Check small bowel: Aside from checking for infections, parasites, etc. Would make sure rest of small bowel is ok. Make sure no celiac sprue (screen with blood tests), or crohn's diseade ( various radiology tests and/or capsule endoscopy-evaluation may depend on insurance). ...Read more

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Small ulcer in terminal ileum, biopsy: In Eosinophil fokal chronic active ileites, lymphoid hyperplasia. non specific colitis. Crohn ruled out. any suggest?

Yes: Call up the G.I. doctor that did the test he can give you more specific information about diagnosis and treatment for your condition ...Read more

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Doc. Found ulcer in terminal ileum, did biopsy, said biopsy shows inflammation..Now wants to do barium X-ray of small bowel. Why? What's he lookin 4?

Doc. Found ulcer in terminal ileum, did biopsy, said biopsy shows inflammation..Now wants to do barium X-ray of small bowel. Why? What's he lookin 4?

He's looking for...: Crohn's, behcet's, infection, nsaid-related injury, etc. The small bowel imaging (ct enterography, mr enterography, small bowel follow-through) can help determine what other parts of the intestine may be affected ; the extent of that disease (if present), as clues to the diagnosis. ...Read more

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Cbc and iron levels now normal 4 weeks after iron infusion. Colonoscopy saw small ulcers in the terminal ileum of the small bowel can this be crohn's?

Cbc and iron levels now normal 4 weeks after iron infusion. Colonoscopy saw small ulcers in the terminal ileum of the small bowel can this be crohn's?

Could be: Small ulcers in the terminal ileim is usually crohn's disease. They also can occasionally come from NSAID (ibuprofen) use or certain infections like tb. Talk with your doctor to see what the biopsies show. The biopsies should help distinguish the cause. It's also helpful to have imaging of the small bowel by MRI or ct or barium small bowel follow through to determine the extent of involvement. ...Read more

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Terminal ileum absorptionmultiple super ficial ulcer, ileocaecal valve ulcer, colorectal mucosa up to caecum .What treatment i need to take ?

IBD: Two inflammatory disorders of unknown cause affecting intestinal tract are crohn disease and ulcerative colitis.They share many common features and are collectively known as 'inflammatory bowel disease' both are chronic, relapsing inflammatory disorders of obscure origin. Fat/vitamin malabsorption are common in crohn disease. Malignant potential are present in both.In crohn response to surgery good. ...Read more

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My 87year old mother recentlyly past away. She was in a nursing home and developed what i was told was a kennedy ulcer and that it would not heal. ?

My 87year old mother recentlyly past away. She was in a nursing home and developed what i was told was a kennedy ulcer and that it would not heal. ?

Kennedy Terminal : Ulcer. A kennedy ulcer is a pressure ulcer (usually on the sacrum) which evolves as a person is dying. They usually don't resolve. ...Read more

Dr. Scott Bolhack
2,089 doctors shared insights

Ulcer (Definition)

An ulcer is a discontinuity or a break in a body membrane that impedes the normal functioning of the organ of which that membrane is a part. Ulcers are further classified by their location. Ulcers are usually caused by infections, excessive acid production, stress, ...Read more