Hi,Dear,Thanks for your query to HCM.
Dear I read facts of your query and reviewed it in context to your query health issues.
I understood your health concerns and feel Concerned about them.
Based on the facts of your query the reply of your query is-
YES.With family history of your Aunt having IBS with Crohn's, You have very high chances of having IBS with Crohn's .
So Investigate for Crohn's with EGD and biopsy to fix grannulomatous disease.
Pains after dair and sugary stuff indicate
fructose intolerance and dairy product
Food Intolerance mostly with IBS C / D combination.
Hope this reply would help to plan right treatment with your doctors there.
Do's Suggested-
Check with GI Physician and GI-Surgeon and assess the case by ruling out other causes which give such complaints such as IBD /
Ulcerative Colitis / TB enteritis ect needs to be ruled out.
Diarrheas after Italian food , could be from intolerance to spices and
Gluten allergy.
Gluten free and dairy free diet with fructose omission would resolve your illness.
Constipation after this food could be functional paresis leading to Constipation.
Though are only 16 , with the positive family history, you need to change your dietary life style to come out of this.Consult GI Physician and Enoscopic -Surgeon , who would be the right doctors to treat your chronic and complicated case.
The Antibiotic Cover with Ciplox 500 mg x 2 weeks with Motrin 400 x 2 times a day would reduce the swelling.
Ileo-Colostomy could be the last remedy if the complaints don't regress.
Tab Serropetidase- 2 x 3 times a day x 2 weeks, would recoup the swelling.
So looking in to the sensitive complaint of yours,I would suggest you to rule out other causes of such a complaints by Consulting and investigating with GI Physician and Endoscopic Surgeon doctor.
It would be prudent to have physical Check from GI Physician and Endoscopic Surgeon to start with/ first- before planning further investigations and treatment for it.
Other causes need to be ruled out in any case.
Constant followup for long term to fix the Crohn's / Ulcerative Colitis and other causes, would be needed to give you long remissions in time to come and would depend on meticulous followup treatment of your chronic problems.
Just don't worry and be patient and co-operate with your doctors,till you verify with your attending doctors.
Need to Check with
General Surgeon and UroSurgeon- if need be, if things don't recover.
-Other causes need to be verified with your family GP /GI Physician and Endoscopic Surgeon-Specialist doctors, as the facts may be different what you submitted.
-For this
Second opinion with GI Physician and Endoscopic Surgeon- specialist-is needed who would do proper investigation after proper physical assessment to resolve your health issues.
-for early recovery-please follow above do's which would resolve your complex health issues.
Hope this would help you to treat your health issues in the best way possible.
Welcome for any further query in this regard.
Good Day!!
Dr.Savaskar M.N.
Senior Surgical Specialist
M.S.Genl-CVTS