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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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    Have severe abdominal pain. CT scan done. No diarrhoea, fever and nausea. On antibiotic. Concerned

My husband complained of severe abdominal pain . CT showed thickening of the ileum . Negative for diarrhea ,fever, nausea. Appendicitis , cholecystitis was ruled out. About 6 months ago, he had the same symptom, was treated with antibiotics. After 2 weeks, the thickening disappeared. A few days ago, it recurred. He is currently on antibiotics again.Thank you.
Wed, 4 Jul 2012
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General Surgeon 's  Response
According to the information provided it appears as part of colitis.Sometimes Appendicitis can mimic all this. Since the CT scan has ruled out appendicitis, the best treatment now is with antibiotics. After this episode diet modification will help to prevent recurrances. Avoid oily, fried,spicy food for 2 months.Have plenty of fruits, veg and fluids.Also avoid Red meat for another 2 mnths and limit their consumption. What is his weight? If overweight, loose weight and regular morninng brisk walks for 20 min would be ideal.Consumption of meals at right intervals also is important... Many patients still do have recurrances but by diet control,it usually settles...
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General Surgeon Dr. Shekappa C M's  Response
hello dear
thickenig of termenal ileum common causes are Krohn's disease , a type of inflammatory colitis reported among western world. And ileocaecal tuberculosis in Asian countries. better to under go colonoscopy to rule out colitis. and diagnostic laparoscopy (a key hole surgery) to rule out tuberculosis. relapses are common among inflammatory colitis.
take care of your husband
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General & Family Physician Dr. Sourav Ganguly's  Response
Hi jbanuphigh.

Thanks for your questions.

Thickened terminal illeum suggest crohns colitis but for proper diagnosis a colonoscopy is must.

With this report consult a gastrosurgeon or general surgeon he will help you out.

Best wishes
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