Hi Dear !! Thanks for your query to HCM .
Read and reviewed your query and health concerns.
You seems to suffer from-Crohn's with Fissure in ano/with Polypoid mass in sigmoid colon
with stricture in rectum
and sigmoid Colon.
Though You are a known case of Urinary TB, extensive Crohn's Colon, makes your case-liable to go for Predimet-for expected remissions of Crohn's disease.
A watch for recurrence of Urinary TB, needs to be kept,with IGRA tests on Blood and urine Samples.
Also review of Crohn's diagnosis needs to be done- in the background of stricture Sigmoid Colon in your Case.IGRA tests on blood and stool samples and colonic polypoid tissue,would fix the dilema of ruling out TB Colon from-Crohn's disease,which is challenging job in this complex case of yours.
Consults with the attending GI-surgeon/Colonoscopist and Second opinion
from Second team of doctors would confirm the doubts and resolve the anxiety
for early recovery with Predimet -steroid
Hope this would help you to plan further care of this complex illness of yours.
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You are most Welcome herewith !!
Wishing Good Healthy Life in time to come!!
Senior Surgical Specialist