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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Colonoscopy Required To Explain Abdominal Pain And Loose Motions?

hi doctor saheb, i am 66yrs male having wt 66-5kgheight 5ft 5inches.iunderwent single baloon entroscopy in medanta hospital &at the junction of smasll intestine &large intestine ileum is there.ileal.ulcer with enoniphilis has been observed by the biopsy report they say ibd is ruled out .may be chrone.they are notn sure they have called me in the monthn of october byb 15thfor review.my this second colnscopy was done on 24thaugust.meanwhile i have been given pantasa(mesalamine),multivitamin,irontablet,calshell.advised for low fibre diet.i have diverticulae in cecum n sigmoid.i have abdominal pain in upper left quadrant.loose motions come occasionally.i have not noticed any bleeding although they suspected it would have been earlier as capsule endoscopy on may 2014 indicated it but could not identify the source.my name is ram.n.kapoor
Tue, 26 Apr 2016
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General Surgeon,  's  Response
Hi.
Thanks for your query.
Noted your history of being a male of 66 underwent single balloon enteroscopy in Medanta Hospital, found ulcer with eosinophils at the ileo-cecal area, IBD ruled out, may be Crohn's, given mesalamine, multivitamins, iron, calshell low fiber diet and colonoscopy done recently, found diverticuli in cecum and sigmoid colon. You have pain in the upper left abdomen, loose motions, capsule endoscopy was done for blood in stool.
Your case looks to be a case of diverticulosis with ulcerative lesions in the terminal ileum and the diagnosis is still not certain why the pain and other symptoms.
You may please go for the tests of stool for days, tests of blood and urine, CT scan will help further to find or rule out any other diseases or so, hence should be done.
This may be due to IBS with colitis and added on by the diagnosis we discussed about.
Continue the medications.
I think a course of an antibiotic, metronidazole, probiotic may help to change the scenario.
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Is Colonoscopy Required To Explain Abdominal Pain And Loose Motions?

Hi. Thanks for your query. Noted your history of being a male of 66 underwent single balloon enteroscopy in Medanta Hospital, found ulcer with eosinophils at the ileo-cecal area, IBD ruled out, may be Crohn s, given mesalamine, multivitamins, iron, calshell low fiber diet and colonoscopy done recently, found diverticuli in cecum and sigmoid colon. You have pain in the upper left abdomen, loose motions, capsule endoscopy was done for blood in stool. Your case looks to be a case of diverticulosis with ulcerative lesions in the terminal ileum and the diagnosis is still not certain why the pain and other symptoms. You may please go for the tests of stool for days, tests of blood and urine, CT scan will help further to find or rule out any other diseases or so, hence should be done. This may be due to IBS with colitis and added on by the diagnosis we discussed about. Continue the medications. I think a course of an antibiotic, metronidazole, probiotic may help to change the scenario.