What Causes Severe Nausea, Vomiting And Abdominal Pain?
Need gastroenterologist consultation
Detailed Answer:
Hello dear
Welcome to HCM and thanks for the query
I understand your concern and sorry to hear about your problem
You have high fecal excretion of calprotectin.
It is a marker of the pathological inflammation of bowel.
So your high fecal calprotectin and associated symptoms could be due to the inflammatory bowel disease.
I would suggest to consult the authorized gastroenterologist.
Colonoscopy and if needed biopsy will help in the diagnosis.
Steroid for 6-8 week will help to reduce inflammation.
Mesalazine will help in the long term management
If above drugs will not responds then drugs like Azathioprine, Methotrexate and Infliximab can be useful
This is my personal opinion based on information available.
Consult the gastroenterologist as soon as possible and take proper treatment.
Hope I have answered your query
I will be happy to help you if you have further query
Best regards
Dr. XXXXXXX
I had a regular Colonoscopy few months ago,plus biopsies, they found nothing. I know that the colonoscopy did not reach the very end of the small bowel though...where the inflammation has been found from a Calprotectin test.
What other kind of Colonoscopy should I ask them to do to see the entire small bowel ? I know there is one that does this.
And...are the steroids I am currently taking, the right ones or the right dose to take..?
Plus, is IM Cyclizine OK to take regularly to ease symptoms. My GP is happy to give this, so am I, I just need affirmation of this. Cyclizine has never given me any horrible side affects...is it OK to take untill other medication starts working..?
Thank you.
XXXXX
Gastroenterologist consultation
Detailed Answer:
Hello dear
Welcome back and thanks for the follow up.
I understand your concern
You can go for Video Capsule Endoscopy.
It is powerful diagnostic tool that has proven especially useful in imaging the small intestine. It help to detect pathology in small intestine like Inflammatory bowel disease, neoplasia and polyp.
You can also go for Barium follow through examinations before capsule endoscopy to rule out any structure/obstruction in samll intestine.
Steroid should be used for short term management to decrease inflammation (only for 6-8 week including tapered off dose).
Budesonide is newer steroid and beneficial in patients with active inflammatory bowel disease.
But after confirm diagnosis of IBD, it should be start in high dose.
After improvement of symptoms, it is tapered off weekly.
Gastroenterologist will explain about dose more better.
You can take cyclizine for symptomatic relief of the nausea.
This is my personal opinion based on information available.
Consult the gastroenterologist as soon as possible and take proper treatment.
Hope I have answered your query
I will be happy to help you if you have further query
Best regards
Dr. Sagar