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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Horrible stomach pains, cramps and bloody stools. CT shows pancolitis. What is the best way to treat this?

Hi Dr. I was just in the Emergency room with horrible stomach pains, cramps and bloody stools . I just had a baby now 3 weeks ago. The ER doc came in after doing a CT scan of abd/ pelvis and it showed pancolitis. I have a hx of IBS but it went into remission after having my first child 5 years ago. What is the best way to treat this? How long do symptoms usually last? Could this have been caused by my pregnancy?
Wed, 31 Oct 2012
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General Surgeon 's  Response
Hello!

Thank you for the query.

What you are probably dealing with is ulcerative colitis. However it cannot be recognized with CT only. To get it diagnosed, colonoscopy with samples collection should be performed. There is a lot of possible treatments. The best is biologic treatment. It gives very good results and chances of remission. In some cases, when none if medicines works, surgery with total large intestine removal gives permanent relief from this disease.
But before treatment it has to be histological confirmed.

Hope this will help.
Regards.
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