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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Treatment For Pain Abdomen And Nausea?

Hello. I am 38 year old female with diagnosis's of galactorrhea, tinnitus and history of histoplasmosis as a child, take no medications who had RLQ rebound discomfort intermittent nausea and was sent to the ER for possible appendicitis; had CBC, CMP, U/A C&S, and CAT Scan, all labs were normal but CAT scan showed inflammation in the terminal illieum. Was put on Endocort three times day for 10 days; Flagyl 500mg two times per day for 7 days and Cipro 500mg two times per day for 10 days; 72 hours after the ER visit I had a colonoscopy and was found that there was inflammation in the terminal illieum and that there was a stricture, was unable to get scope inside the TI to look (including pediatric scope) doctor was able to get biopsy forceps inside and took biopsies. I received a letter from the MD office that states that the "pathology findings are consistent with Crohn's disease". I am a little taken back with the diagnosis as I have no symtoms of Crohn's and my labs are all normal. Does the pathology always say "consitent with" or does it sometimes say "diagnosis of"?? I am wondering if it is "consistent with Crohn's" couldn't it also be "consistent with" other stuff?
Mon, 20 Jun 2016
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General Surgeon 's  Response
Hi Dear !! Thanks for your query to HCM .
Read and reviewed your query and health concerns.
IN the given situation, You seems to suffer from-Crohn's Disease.
Other causes which cause such picture- are -TB ileitis/ NSAIDs induced enteropathy/intestinal lymphoma/Regional ileitis-or Crohn's disease,IBD -autoimmune,Colonic diverticulosis,Colonic Polyposis with Colitis, Ulcerative Colitis needs to be ruled out,before planning further treatment in your case.
CT Abdomen/ Biopsy / raised white blood count would fix diagonsis.

Hope this would help you to plan further of this complex illness of yours.

If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link-http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229



Dear, if satisfied,Don't forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services.


If you want to update more details and ask more update queries ,
You are most Welcome herewith !!

Good Day!!

Wishing Good Healthy Life in time to come!!

Dr.Savaskar M.N.
Senior Surgical Specialist
M.S.Genl-CVTS
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What Is The Treatment For Pain Abdomen And Nausea?

Hi Dear !! Thanks for your query to HCM . Read and reviewed your query and health concerns. IN the given situation, You seems to suffer from-Crohn s Disease. Other causes which cause such picture- are -TB ileitis/ NSAIDs induced enteropathy/intestinal lymphoma/Regional ileitis-or Crohn s disease,IBD -autoimmune,Colonic diverticulosis,Colonic Polyposis with Colitis, Ulcerative Colitis needs to be ruled out,before planning further treatment in your case. CT Abdomen/ Biopsy / raised white blood count would fix diagonsis. Hope this would help you to plan further of this complex illness of yours. If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link-http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229 Dear, if satisfied,Don t forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services. If you want to update more details and ask more update queries , You are most Welcome herewith !! Good Day!! Wishing Good Healthy Life in time to come!! Dr.Savaskar M.N. Senior Surgical Specialist M.S.Genl-CVTS