
Abdominal Pain And Sensitivity. Blood In Stool, Rashes, GERD, Heart Burns. Investigate Further?

Thank you,
XXXXXXX
Thanks for posting your query
Its appreciable you have been caring for him in adverse situations
What I gather from your history is :
He has symptoms of inflammatory bowel disease
He has symptoms of GERD
He is addicted to Marijuana
He had lactose intolerance/has gluten intolerance and
He is irritable, rather suffering from anxiety disorder
Taking care of this patient medically also needs patience and a systematic approach
No you are not barking at the wrong tree but we need to rule out Celiac disease in a proper differential diagnosis
What is the consistency of his stools? Does he pass foul smelling and fatty stools?
DO you have any blood reports done?
Do you have any Endoscopy reports to share?-as you have mentioned of some ulcers and narrowing ?
Was any biopsy taken from the ulcer or the stricture?
If yes revery back to me with the reports and we will help you sort out the issue
Or else he needs some laboratory investigations and also
He needs to undergo a Upper GI & Lower GI endoscopy with biopsy from whatever suspicious area seen,if the blood reports are normal
He has GERD, and most symptoms do point out to Gluten Intolerance, though the prevalence in males is lower than in females, also this is common in patients of European and caucasian origin, but he has a strong family history [ A biopsy from duodenum will help come to a diagnosis of Celiac Disease]-
I would like to rule out ulcerative collitis and crohn's disease also
Another issue that needs to be taken care of is Marijuana addictions
Hope all clear, Get back to me with the data asked and we will help you out
Wishing your son a speedy recovery

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