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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Am I Having The Symptoms Of Crohn's Disease?

I had a capsule endoscopy and balloon enteroscopy that found multiple apthous ulcers in my mid to terminal ileum. The gastroenterologist thought that this was consistent with Crohns disease. Biopsies taken in the terminal ileum and colon showed normal pathology. I am waiting to see the gastroenterologist at a followup visit. I continue to have a lot of right lower quadrant abdominal pain and iron deficiency anemia. Could this still be Crohns disease in the face of normal biopsies?
Mon, 30 Mar 2015
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Gastroenterologist 's  Response
Yes, Crohn's disease is sometimes hard to catch on the biopsy unless you get right on the ulcer. It has normal tissue frequently in between. Your doctor could do blood tests to help confirm or try you on a 5 ASA med e.g. laid, to see if it helps . That is a good medicine for ill Crohn's. Budesonide could also be used as a trial. RE-endoscopy is another option but your symptoms and capsule findings are very suggestive of the disease.
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Am I Having The Symptoms Of Crohn's Disease?

Yes, Crohn s disease is sometimes hard to catch on the biopsy unless you get right on the ulcer. It has normal tissue frequently in between. Your doctor could do blood tests to help confirm or try you on a 5 ASA med e.g. laid, to see if it helps . That is a good medicine for ill Crohn s. Budesonide could also be used as a trial. RE-endoscopy is another option but your symptoms and capsule findings are very suggestive of the disease.