Hi Dear !! Thanks for your query to HCM .
Read and reviewed your query and health concerns.
You seems to suffer from-Other Causes- like Ileo-Ceacl TB- Enteritis-Which could
cause
night sweats,
weight loss with blood mucus/
diarrhea complaints.
Steroids used have made the picture blurred and its not easy to reply your query- in the given situation.
Accompaniment of
Fissure in ano and abscess- makes it more suspicious of Crohn's ,but TB enteritis causing fistular abscess with fissure in ano-can't be ruled out.
Check and rule out accompanied
Diabetes in such cases.
NOrmal
Colonoscopy would alert one, as the ulcers could resolve in crohn's but would recurr with more flare up in both conditions, but more so in TB enteritis.
Other causes of weight loss with blood mucus-like-Ulcerative Colitis/Diverticulosis/Polyposis coli, need to be watched during later followup colonoscopies for the recurrence and or 1 yrly if you can afford to avoid complications and risks of CA-Colon in such cases with Crohn's.
Blood Tests-with IGRA-of blood and stool samples would fix the TB entero-colitis causing such a complaint.
CT Abodmen with Contrast Colon Studies would fix Crohn's with Thickened Colonic or enteric walls .
Reply to your query-
Q-Can a colonoscopy be inaccurate as i still strongly believe all the above symptoms relates to crohn's.
Ans-AS the steroids recovered the complaints fast-don't jump to some wrong conclusions.IN the given scenario-wait and watch for recurrence and its picture.
But in the given scenario of accompanied night sweats with weight loss-accompanied with other complaints-makes TB-entero-colitis to be more likely.
Hope this would help you to plan further care of this complex illness of yours.
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Good Day!!
Wishing Good Healthy Life in time to come!!
Dr.Savaskar M.N.
Senior Surgical Specialist
M.S.Genl-CVTS