Brief Answer: Endocopy + colonoscopy for alternative diagnosis Detailed Answer: Hi there, Thanks for your query. To be XXXXXXX I cannot comment on the findings of the inflamed bowels, which lead the surgeon to diagnose Crohn's disease. There are several possibilities:- * A delay in diagnosis of Appendicitis with consequent spread of bacterial infection in the adjacent bowel, mistaken for Crohn's disease. * H. pylori infection of the stomach/ intestine which produces similar symptoms, in addition to occasional inflammation of bowel. Alternatively, given the history of gum disease, the causative organisms trickling down into the stomach and intestine can also cause bowel information. * Irritable Bowels (in view of present symptoms and tremors, which can be due to anxiety/mental stress) * Ulcerative Colitis or non-specific colitis. * Celiac disease or food intolerance, which is characterized by abdominal problems following ingestion of wheat, barley, rye, soya products, dairy products etc... Now that surgery has been carried out and part of bowel removed, the only course of action left to establish the diagnosis is, to do colonoscopy along with biopsy of the inner lining of the bowel. Colonoscopy will provide valuable information. Secondly, an endoscopy with biopsy of the stomach lining, which will establish the diagnosis of H. pylori infection (completely treatable/curable with 2-3 weeks' of therapy). If you son has deep anxiety/mental stress (which can account for hand tremors), Irritable Bowels would be the obvious diagnosis. In that event, regular anti-anxiety + anti-depressants will keep the abdominal problems under check. Kindly discuss my views/opinions/recommendations with the treating doctor, who- if concurs with my opinion- will then opt for the best course of action for your son. Hope I have answered your query. I will be happy to address to further clarifications, if any. Fond regards, Dr. Rakesh Karanwal

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