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Suggest Trestment For Crohn S Disease
I recently was diagnosed with crohns disease ( Oct 2013).My meds for crohns is Pentasa and Remicade Infusions. This past April 2014 I had a complete hysterectomy ( removed my ovaries, uterus, cervix, appendix) due to stage 4 endometriosis. During my last surgery it was shown I had an enlarged spleen. My left rib cage area is still very much sensitive which I believe is because of my spleen. Fatigue is really been setting in the past 2 weeks, pains are daily, nauseated when I eat, full feeling. Now my left arm is achy, feels like I have a pinched nerve in it or had a vaccination of some sort. I looked at my past blood tests and found my MPV is 7.5, below normal. I looked online to see what that really means and it said it can come from an enlarged spleen!! I have mentioned this to my GI doctor, he told me to try Prilosec to rule out something else. I know this isn t heart burn. Just not sure if it s something I need to be taking more serious and get it checked or wait. Can a spleen become enlarged due to active crohns? Thank You!
Fri, 5 Feb 2016
Hi,Dear,Thanks for your query to HCM.
Dear I read your query and reviewed it with context to your query facts.
I understood your health concerns and feel Concerned about them.
Based on the facts of your query, you seem to suffer from-
Crohn's Disease with Spleenomegaly with Anaemia with Dyspepsia with Left arm aches.
Remedy-
Continue Pentasa and / Remicade infusions for conrolling Ulcerative Colitis and Auto-immune Regional Enteritis with granulomas respectively
Cap Vit B12 1500 mcg
Tab Folic Acid-50 mg - to control Megaloblastic anemia from Crohn's and Spleenomegaly.
Iron fumarate with Vit c- for Anaemia correction
Rule out any accompanied Angina for left arm aches/ or from fibromyalgia.
PPI Tab Normaxin-x 4-6 weeks -to control GERD from anemia with dyspepsia.
Bland Diet-
Yougurt helpings
Butter Milk helpings
Probiotic cap Sporlac Ds x 2 times per day to control bacterial colonic flora.
Rule out the Accompanied IBS with D.
Resection Anastomosis in few cases -by Ilio-Colectomy if its extensive and not responding to medicines.
Hope this would help you to solve your health issues in the best way possible.
Welcome for any further query in this regard.
Good Day!!
Dr.Savaskar M.N.
Senior Surgical Specialist
M.S.Genl-CVTS
Dear I read your query and reviewed it with context to your query facts.
I understood your health concerns and feel Concerned about them.
Based on the facts of your query, you seem to suffer from-
Crohn's Disease with Spleenomegaly with Anaemia with Dyspepsia with Left arm aches.
Remedy-
Continue Pentasa and / Remicade infusions for conrolling Ulcerative Colitis and Auto-immune Regional Enteritis with granulomas respectively
Cap Vit B12 1500 mcg
Tab Folic Acid-50 mg - to control Megaloblastic anemia from Crohn's and Spleenomegaly.
Iron fumarate with Vit c- for Anaemia correction
Rule out any accompanied Angina for left arm aches/ or from fibromyalgia.
PPI Tab Normaxin-x 4-6 weeks -to control GERD from anemia with dyspepsia.
Bland Diet-
Yougurt helpings
Butter Milk helpings
Probiotic cap Sporlac Ds x 2 times per day to control bacterial colonic flora.
Rule out the Accompanied IBS with D.
Resection Anastomosis in few cases -by Ilio-Colectomy if its extensive and not responding to medicines.
Hope this would help you to solve your health issues in the best way possible.
Welcome for any further query in this regard.
Good Day!!
Dr.Savaskar M.N.
Senior Surgical Specialist
M.S.Genl-CVTS
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