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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Chronic Abdominal Pain

Hi sir,im 30 yrs old.since 6yrs im suffering with recurrent right side abdominal pain.but by last one year im getting this pain regularly whenever I do physical activity..uring diagnosis found in CT scan that findings are suggestive of mucosal nodularity and hyper enhancement involving terminal ileum with mesentric lymph node enlargment likely infective/inflammatory ,but in colonoscopy no visual pronlem as said by doctor.sir please suggest me tat wat actually happend to me.im very much afraid of cancer.
Mon, 9 Mar 2015
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General Surgeon 's  Response
Hi.
Thanks for your query.
Since you are suffering from 6 years, the chances of cancer are less, but there is definitely something that matters to be diagnosed and is possible only by Laparoscopy and Biopsy of the lymph nodes to get a perfect diagnosis.

CT scan is showing nodularity and hyper enhancement of the terminal ileum indicates a possibility of Tuberculosis or Crohns. Hence the necessity of another colonoscopy with biopsy of the terminal ileum and lymph node biopsy.

Wait for the reports to get an exact diagnosis so that further proper treatment can be started .
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Suggest Treatment For Chronic Abdominal Pain

Hi. Thanks for your query. Since you are suffering from 6 years, the chances of cancer are less, but there is definitely something that matters to be diagnosed and is possible only by Laparoscopy and Biopsy of the lymph nodes to get a perfect diagnosis. CT scan is showing nodularity and hyper enhancement of the terminal ileum indicates a possibility of Tuberculosis or Crohns. Hence the necessity of another colonoscopy with biopsy of the terminal ileum and lymph node biopsy. Wait for the reports to get an exact diagnosis so that further proper treatment can be started .