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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suffer From Severe Abdominal Pain, Fatigue, Night Sweats. Family History Of Crohn's Disease. Is That The Reason?

I have been suffering from severe abdominal pain for months, it also includes diharrea occasionally, extreme tiredness, night sweats. The pain is always worse after eating anything. Crohns disease runs in my family, could this be a possibility? I have had blood tests which showed nothing and recntly had a scan of my ovaries. My doctors are really long winded and its a fight to see them, would you recommend more tests or ignore the pain and try to carry on?
Mon, 13 May 2013
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Gastroenterologist,  's  Response
Hello,
Thank you for contacting HCM with your quiery.
The most significant is the positive family history
of Crohn's. This can run in families and also the
other type of colitis called "Ulcerative Colitis" can
occur as well. With your history of chronic diarrhea,
abdominal pain, night sweats and tiredness , I would
not dismiss these syptoms. You mention that the blood
tests were normal. I am not sure if the doctors sent you
for IBD-Panel of tests that include pANCA and ASCA, these
are markers for Crohn's and also ulcerative colitis. You need
a complete blood count, protein levels.
You need small bowel x-ray series , a colonoscopy with biopsies.
Initially you may not have bloody stool but depending on the
segments involved , you can start having this as well.
If you have not seen a gastroenterologist , you should get a referral.
You may need stool tests to rule out ova, parasites or other infections.
As I mentioned before , your family history is very important.
I want you to pursue this further.
I wish you the very best.
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Suffer From Severe Abdominal Pain, Fatigue, Night Sweats. Family History Of Crohn's Disease. Is That The Reason?

Hello, Thank you for contacting HCM with your quiery. The most significant is the positive family history of Crohn s. This can run in families and also the other type of colitis called Ulcerative Colitis can occur as well. With your history of chronic diarrhea, abdominal pain, night sweats and tiredness , I would not dismiss these syptoms. You mention that the blood tests were normal. I am not sure if the doctors sent you for IBD-Panel of tests that include pANCA and ASCA, these are markers for Crohn s and also ulcerative colitis. You need a complete blood count, protein levels. You need small bowel x-ray series , a colonoscopy with biopsies. Initially you may not have bloody stool but depending on the segments involved , you can start having this as well. If you have not seen a gastroenterologist , you should get a referral. You may need stool tests to rule out ova, parasites or other infections. As I mentioned before , your family history is very important. I want you to pursue this further. I wish you the very best.