Doctor insights on:
Symptoms Ibd Patients
Wide variety: Ibd is a spectrum of diseases that includes crohn's disease, ulcerative colitis and indeterminate colitis. These disease may vary in their distribution and associated symptoms. Because it represents inflammation of the GI tract - and pain, diarrhea, bleeding and wt loss is common. It can also have extra intestinal manifestations - skin, eyes, joints, liver. ...Read moreSee 1 more doctor answer
IBD : You didn't mention which ibd you have? Crohn's disease or ulcerative colitis! how long you have the disease? I don't see you taking any medication, at least not from this history. Are you on remission or relapse? Why do you want surgery? Please leave up to your doctor, who is treating you, to decide when you need surgery. Some have good result and some don't. Good luck. ...Read moreSee 1 more doctor answer
Increased with time: Colon ca risk is increased in ulc colitis (uc) and crohn's colitis (cd). Risk increases by .5-1%/yr above general public, after 8-10 years after diagnosis. Small bowel cd has increased risk of small bowel ca; cd has increased risk lymphatic ca (lymphoma). Generally recommend annual colonoscopy/biopsy after 8-10 years of disease. Risk ca increased more in diffuse uc vs. Left sided disease. ...Read moreSee 1 more doctor answer
Ibd patient on prednisone for 4 mos MRI now shows osteonecrosis is this reversible or how is it treated now off prednisone will it continue worsening?
It is not reversible: Osteonecrosis actually denotes death of bone. It is not uncommon that with prolonged cortisone use osteonecrosis of bone may occur it is most often seen in the hip. Once it develops it is not reversible. It often leads to chronic pain and may ultimately cause painful arthritis. In its end stages joint replacement may be needed. ...Read moreSee 1 more doctor answer
What is likely hood of patient with undiagnosed inflammatory bowel disease to have normal blood tests levels ?
Depends on disease: activity. A person with quiescent disease is likely to have normal blood test results for the routine tests. ...Read more
I have suspected ibd & have to wait 4 weeks for a sigmoidoscopy to confirm, is there anything I can do to eas symptoms whilst waiting for diagnosis?
Yes: There are many treatments for ibd, but i would not recommend that they be started until a firm diagnosis is made as the medications can often have side effects. A sigmoidoscopy can be useful for one type of ibd (ulcerative colitis), but a full colonoscopy isoften needed to diagnoise crohn's disease, another type of ibd. If you are having diarrhea, and your doctor has ruled out infection, immodium. ...Read moreSee 1 more doctor answer
How reliable is the IBD panel...came back negative But I have every symptom of Chrons disease..haven't been able to eat due to inflammation in ileum?
IBD, ileitis: Did you have a colonoscopy or small bowel follow thru ? Sometimes other conditions autoimmune disease ,sarcoid, Mycobacterium , medicatiions like NSAIDS, ischemia psoriasis, food intolerances can cause ileitis.f/u/w/ GI http://www.questdiagnostics.com/testcenter/testguide.action?dc=TS_IBD_Differention_Panel http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2914216/table/T1/ ...Read more
No: Antidepressants like Prozac (fluoxetine) have not been shown to worsen adhd symptoms. However, if you are on medication for adhd, perhaps it is lowering the effectiveness of that medication. On the other hand, if you are still anxious, the anxiety can make it hard for you to concentrate, leading to adhd-like symptoms. ...Read moreSee 1 more doctor answer
I have 5 small black/blue freckles around my anus. I have had hemorrhoids in the past & more recently red blood after wiping. Also, IBD symptoms. Help?
Proctologist: I find that a proctologist is much better qualified and more interested in treating anal and hemorrhoidal problems, but a gastroenterologist is best to evaluate and treat issues concerning IBD or IBS. ...Read more
Long-term pinworms: Conditions associated with untreated cases of pinworm include diarrhea, malabsorption of food, genital itching, bedwetting & vaginal discharge which can be associated with genital skin irritation and rash. There is a higher incidence of appendicitis in people infected with pinworms but still uncertain whether the worms cause the appendicitis. Discuss your sx with pcp. ...Read more
Can be bloated, gasy: constipation, and diarrhea, and all of the above! So look to your diet/food diary and see when symptoms tend to creep up with specific foods. Then get tested for food allergies & stay away from dairy, sweets, sugar, sodas, GMO soy, corn, potatoes, wheat, pasta until UR symptoms lesson. You can change UR life, and have a normal one. Just need to investigate further with your PCP/ntegrative med Dr. ...Read more
How does the doctor tell if you have food intolerance, IBS or IBD? Symptoms always triggered by certain food types. 31/f. Tests on 1st visit?
2 extensive Inflammatory bowel disease blood tests in past year showed nothing. I have no red flag symptoms either, is it still likely to be IBD?
Unlikley: Two negative workups would make the diagnosis unlikley ...Read more