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Doctor insights on: What Is The Cancer Risk In Ibd Patients

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What is the cancer risk in ibd patients?

What is the cancer risk in ibd patients?

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 more

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Dr. Arthur Heller
448 doctors shared insights

Inflammatory Bowel Disease (Definition)

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


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Could a positive FIT test (occult blood) in 23 yr old mean IBD? I'm obviously too young for polyps/cancer.

Could a positive FIT test (occult blood) in 23 yr old mean IBD? I'm obviously too young for polyps/cancer.

Bleeding in colon: Positive FIT means bleeding in the colon and rectum. It is not diagnostic of a disease per se. It may be inflammatory bowel disease, ischemic colitis, infectious colitis, hemorrhoids, anal tears and polyps and cancer. Please consult the doctor who ordered the test. ...Read more

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Will a video colonoscopy completely rule out crohans disease, ulcerative colitis and other ibd. Will it also rule out cancer?

Will a video colonoscopy completely rule out crohans disease, ulcerative colitis  and other ibd. Will it also rule out cancer?

Not all: Colonoscopy will rule out colon cancer , ulcerative colitis , ( early uc in remission may not show the disease ) but not crohn's involving only small bowel only , other ibd some times may not have visible pathology . All of these diseases need biopsy as a proof. ...Read more

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I have diarrhea for around 20 days now got fecal calprotectin 77ug/g should I be worried abt cancer or ibd?

I have diarrhea for around 20 days now got fecal calprotectin 77ug/g should I be worried abt cancer or ibd?

IBS VS IBD: Given the duration of your symptoms , you need a prompt reevaluation. Exam and labs. Especially stool for O& P, Giardia , c diff , isospora, cryptosporidium. And h pylori. A Gi cosult for colonoscopy an endoscopy. While you are getting things set up , you should move to a gluten free diet Wholeapproach.com and gutbliss.com. They will do biopsies to evaluAte for cancer and IBD and celiac. ...Read more

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I am having a CT colonography due to chronic constipation & pencil stools. Will this show IBD, such as Crohn's/Colitis as well as colon/rectal cancer?

I am having a CT colonography due to chronic constipation & pencil stools. Will this show IBD, such as Crohn's/Colitis as well as colon/rectal cancer?

CT resolution : CT examination illustrates the anatomy of a part of the body, the lay of the land. The functionality of the lining of the wall is best illustrated by a colonoscopic exam. Talk to your doc about why he is doing any given exam on you. ...Read more

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Smoke/alco free 15 months. New labs show high ldh + lipase; borderline low amylase + globulin. Already ruled out ibd, celiac, mono, hep, hiv, tb, lupus, ra. July ct=normal liver/kidneys/panc. Cancer?

Smoke/alco free 15 months. New labs show high ldh + lipase; borderline low amylase + globulin. Already ruled out ibd, celiac, mono, hep, hiv, tb, lupus, ra. July ct=normal liver/kidneys/panc. Cancer?

MRCP: Looks like you have pancreatitis, but if you have not had alcohol, need mrcp to see if there any pancreatic duct abnormalities. Need more info, were you drinking before and did you have multiple pancreatits before? Mrcp followed by eus would help. Ercp may be needed once acute episode is resolved, or if you find any stricture in the duct. ...Read more

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What symptoms are experienced by 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 more

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Dr. Barry Rosen
4,222 doctors shared insights

Cancer (Definition)

Cancer is a group of diseases that is characterized by uncontrolled cell growth leading to invasion of surrounding tissues that spread to other parts of the body. Cancer can begin anywhere in the body and is usually related to one or more genetic mutations that allow normal cells to become malignant by interfering with internal cellular control mechanisms, such as programmed cell death or by preventing ...Read more