Question: I have diarrhea and gas/bloat on and off(2 episodes 4 days each in 9 months), no weight loss, no loss of appetite, no bleeding (stool is not black or red), just XXXXXXX sometimes from passing too fast through the intestines, or its watery when the diarrhea is severe. Physician suspected IBS or lactose intolerance or celiac disease since everything else was normal. I saw a Gastro too, he was of the same opinion since my stool sample returned negative for parasites/ infections - he recommended a colonoscopy to rule out other possibilities.
I got a colonoscopy done, Large intestine was normal but terminal ileum has very small ulcers and some inflammation. GI suspects crohns disease, asked me to get XXXXXXX and ASCA marker tests done, and also sent samples from colonoscopy for biopsy. I also took a TTG test, results for all these will come back in a week. My blood test report is as follows -
Leucocyte count - 9330
Erythrocyte count - 5.49 millions/c
WBC differential count -
Neutrophils - 59.5
Lymphocytes - 32.2
Eosinophils - 2.5
Monocytes - 5.5
Basophils - 0.3.
Erythrocyte Sedimentation rate is 11. I also got a C-reactive protein test, result was 2.79.
all other blood work is normal, stool sample returned no parasites/ there is no blood in stool.

I am a little disturbed over the possibility of Crohns, but since the blood work - specially the differentials, ESR, C-reactive protein are normal, would like to know if there is a possibility of Crohns and how strong that possibility is - and also what else could this be? Could this be a viral infection or intestinal tuberclosis? Are terminal ileal ulcers always crohns? both times, I think trigger was beer, i had 3-4 pints the preceding 2-3 days. other forms of alcohol does not affect me/ cause symptoms, just beer, i am a moderate drinker normally have 1 or 2 drinks a day at most, regularly.

Also, I have never had nausea or vomitting.
Thanks.

Thank you - how are ulcers caused by infections, drug intake and nonspecific causes treated? or do they go away on their own? Also, can celiac disease cause these? how is TB treated? does no fever rule out any of the above conditions? Also, how do I have ulcers/ inflammation and still no blood/ puss in stool? I have had 3 stool tests since last august, none of them show any parasites, blood cells or pus in stools.

How is crohns ruled out once the biopsy is back?

Also, i just want to confirm one more thing - I travelled from the US to Dubai, Dubai in singapore and singapore to India and back to singapore over a period of 10 days on work, with absolutely very little sleep, i did not eat my regular sized meals - smaller size meals with fruits like watermelon thrown in - the 2 days i was in india, i did not sleep both days (slept for 2 hours a day) - and also had a colonoscopy done - I had to flush my colon out and did not eat anything for an entire day - i checked my weight yesterday and I've lost 5-6 pounds - is this normal? my weight has been pretty stable at 164 pounds over the last one year.

Weight loss is also considered one of the symptoms of crohns, and i wanted to check if this was uncontrolled or caused due to my travel. Since i have never had fever, no blood or puss in my stools, and no loss of appetite, if the weight loss is normal, i will be a little more calm.

Also, loperamide and bananas along with psyllium husk and probiotics help my diarrhea, my stool comes out well formed thick and long, but i still feel a little gassy and sometimes because of that, not empty, could this be the psyllium husk causing the gas?

Thanks