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Inflammatory bowel disease - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Chron's Disease
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   Hi, may I answer your health queries right now ? Please type your query
Doctor :   Hi
Doctor :   How can I help you ?
User :   hi, i have been feeling sick since monday. it started with a feeling of dizzyness/disorientation. and then turned into day long nausea, diarrhea, and constant fatigue. the past two days i have slept for over 10 hours at night and then by 4pm i feel exhausted
Doctor :   Ok.
User :   the weird part is i wake up in the morning around 7am and within 5 mins of waking up i have abdominal pains and that lasts at least until 11am. then i have a "good wave" where i feel ok until about 3pm and then symptoms return
Doctor :   May I ask you a few questions to help you better ?
User :   the disorientation/dizzyness is always there.
User :   sure
Doctor :   Ok.
Doctor :   May I know your age please ?
User :   30
User :   5'10" 165lbs
User :   resting heartrate is 73bpm
Doctor :   oK.
Doctor :   How about your Blood pressure ?
User :   121/73
Doctor :   Everything seems absolutely healthy with you and all your parameters show a healthy personality .
User :   hence the confusion
Doctor :   Ok.
Doctor :   Do you have any diarrhea, vomitings ?
Doctor :   Any fever ?
User :   yes to the diarrhea, have had 2-3 bowel movements per day since this all started
Doctor :   When did you last measure your Blood Pressure ?
User :   no vomiting although i constantly have the feeling that i am going to.
User :   2 days ago
Doctor :   Ok.
User :   no fever
Doctor :   How about any other CNS Symptoms ?
User :   not really any headaches per say, but my eyes are very tired and dry throughout the day. but the dizzyness/disorientation is there literally all day.
Doctor :   Ok.
Doctor :   Is there lot of mucus in the stool ?
User :   doesnt appear to be. just very liquid and foul smelling
Doctor :   Your symptoms point to different myriad of differential diagnosis, and as well without examining you , it would be a bit difficult for me, but as far as the symptoms vaguely point to Crohn's disease or Ulcerative Colitis .

User :   ok. how do i get tested for that?
Doctor :   1.Barium X-ray studies can be used to define the distribution, nature, and severity of the disease.
Doctor :   2.When barium is administered through the rectum (barium enema), pictures of the colon and the terminal ileum can be obtained. Barium X-rays can show ulcerations, narrowing, and, sometimes, fistulae of the bowel.
Doctor :   3.Direct visualization of the rectum and the large intestine can be accomplished with flexible viewing tubes (colonoscopes). Colonoscopy is more accurate than barium X-rays in detecting small ulcers or small areas of inflammation of the colon and terminal ileum. Colonoscopy also allows for small tissue samples (biopsies) to be taken and sent for examination under the microscope to confirm the diagnosis of Crohn's disease. Colonoscopy also is more accurate than barium X-rays in assessing the degree (activity) of inflammation.
Doctor :   4.(CAT or CT) scanning is a computerized X-ray technique that allows imaging of the entire abdomen and pelvis. It can be especially helpful in detecting abscesses; Recently, CT and MRI enterography, imaging techniques which use oral contrast agents consisting of watery solutions with or without low concentrations of barium to provide more adequate luminal distension.
User :   can something like this just manifest itself out of nowhere?
Doctor :   I would advise you to see a Medical Gastroenterologist.
Doctor :   Yes, Crohn's and UC are due to immunogical reactions of the human body and are still idiopathic and the cause is still unknown.
User :   ok. thank you
Doctor :   Thank you for consulting me and Take care.
Doctor :   Not to worry, they are all treatable and can be moderated, Do you have anything else to ask ?
Doctor :   Bye for now .
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