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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Could Be The 8 Aphtha Found In Terminal Ileum In Colonoscopy?

I just had a colonoscopy and they found 8 aphtha in the terminal ileum. They were biopsied and I when they got the results they said I had an infection and that the Dr would see me in 3 to 4 wks! That does not really make sense to me! What do you think?
Thu, 19 Dec 2013
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Internal Medicine Specialist 's  Response
Hi there,

Thanks for your query.

Biopsy from ulcers in terminal ileum must have revealed features suggestive of a chronic infection, which can be H.pylori, amebic or a fungal infection. Apparently, the pathologist is yet to isolate the organism, identify it and also subject it to sensitivity test so as to determine the most effective anti-microbial drug. This process is time consuming. which accounts for the fact that you have been asked to meet the doctor after 3-4 weeks.

There is nothing to worry about, as the treatment is different for all infective agents. There is no rationale behind giving a presumptive treatment.

Hope I have addressed to your concerns to your complete satisfaction and you find my response helpful and informative. I will be happy to answer further queries, if any.

Fond regards and have a nice day,

Dr. Rakesh Karanwal
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What Could Be The 8 Aphtha Found In Terminal Ileum In Colonoscopy?

Hi there, Thanks for your query. Biopsy from ulcers in terminal ileum must have revealed features suggestive of a chronic infection, which can be H.pylori, amebic or a fungal infection. Apparently, the pathologist is yet to isolate the organism, identify it and also subject it to sensitivity test so as to determine the most effective anti-microbial drug. This process is time consuming. which accounts for the fact that you have been asked to meet the doctor after 3-4 weeks. There is nothing to worry about, as the treatment is different for all infective agents. There is no rationale behind giving a presumptive treatment. Hope I have addressed to your concerns to your complete satisfaction and you find my response helpful and informative. I will be happy to answer further queries, if any. Fond regards and have a nice day, Dr. Rakesh Karanwal