Conditions similar to crohn's disease?
Topic: What are potential sources of information for a case study
November 21, 2019 / By Toya Question:
I've been having diarrhea since the 26th December every few days alongside stomach pains and nausea. It comes on REALLY suddenly and in the beginning I would have hour or so long bouts of diarrhea and then I wouldn't have it again for the rest of the day but as it's progressed, I seem to have it staggered throughout the day. My stomach pains are normally fairly moderate, but can progress to the point where I can't walk. My doctor pretty much tested me for everything - celicas, vitamin deficiencies, parasites, bacterial infections... basically the works. I've recently been referred to a consultant who did a fecal calprotectin to rule out Crohn's and other IBDs and the results have come back negative. I've been on every diet you can imagine, gluten free, egg free, dairy free and have at some stage have basically cut out all the foods that I regularly eat, so I'm confident it's not dietary related. I don't think it's stress related either, my AS exams start Monday and I've been super stressed, yet there's been no change in my symptoms and when symptoms started, I wasn't stressed at all.
Basically I'm just a bit fed up now. The consultant said he's going to leave it a few weeks to see if it "goes on it's own", but to be honest, I don't see why it would since I've had it for 5 months. My attendance at school has been poor because of it and it's controlling my life - I'm only 17 and don't want to leave the house in case I have diarrhea. From what the consultant said, I basically have the symptoms of Crohn's disease, but I obviously don't have it since my tests were negative, I was just curious as to if there are any other conditions that are similar to Crohn's that may be causing my problems. Thanks.
Best Answers: Conditions similar to crohn's disease?
Sable | 1 day ago
So sorry that this has been so difficult for you.
The only thing I can add that might be of any help - and it may not be - would be re: the elimination diets. How careful were you about cross-contamination? And how much research did you do into the potential contamination of any of the food you ate?
I ask this only because many doctors do an utter crap job of helping people do an elimination diet. I've never had a doctor do more than touch on the idea that there are some ingredients that go by different names, and seem rather oblivious to the reality of our food supply and contamination.
Take corn, for example. If you are very sensitive to corn, anything with iodized salt will make you react, most meat bought at the grocery store will make you react, anything with vitamin fortification will make you react, anything with baking powder, any fruit or veggie with the wrong type of spray or coating, anything in those 'ecologically friendly' bottles, most syrups, anything washed with soap that contains corn or corn derivatives can make you react (and most soap has these).
Derivatives from corn are literally in almost every food we come into contact with. Even on a diet with just 4 foods, the odds are good that you would still have one or more of them with corn contamination, if you didn't source them very carefully with that in mind.
Gluten sensitivity is similar - unless you called up companies to see if their food was made in gluten free facilities, and made sure you food had no contact with gluten OR with anything else that contacts gluten, and didn't KISS anyone on the mouth who was eating gluten (no kidding, really) - well, then you weren't gluten free enough to make a difference IF you are very sensitive.
And unfortunately, that makes a difference. It really doesn't make sense, but for many people, dropping a food that is hurting their body doesn't make them feel a little better for each small amount they drop. For some, it's literally all or nothing. They feel utterly terrible until they get rid of the smallest scrap of the 'bad' food, and only THEN do they finally start to feel better. A friend of mine recently had exactly this happen, where the gluten free diet was a bust, but after seeing what my own diet was, she tried again with a much higher level of strictness, and suddenly all the symptoms disappeared.
I'm not even trying to say that food or substances in your food are an issue. Bodies are too complicated for anyone to be able to say that. I just wanted to bring up this information so that you had some information to add to the pile of it that you are using to analyze what has been eliminated and what might warrant further study.
Oh, but one last thing - I would get a copy of every single test you've had done. I cannot tell you how many people I know who have been in your position, and years later they discover that one of the tests actually came back positive and the doc missed it. It's really important to make sure you have a copy of them all, so you know exactly what they say.
Good luck to you.
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We found more questions related to the topic: What are potential sources of information for a case study
Originally Answered: Can a doctor find out if I have Crohn's disease?
The diagnosis of Crohn's disease is based on a combination of exams: endoscopic, X-rays and histologic blood and tissue tests. Upon diagnosis, patients may need additional tests to monitor the disease and diagnose possible complications or side effects of medications.
CBC (complete blood count) tests detect high white blood cell counts, which could indicate intestinal inflammation or infection and low blood counts (anemia) which might reveal intestinal bleeding. The presence of C-reactive protein can also indicate intestinal inflammation. Tests also monitor for side effects of certain medications. Liver function tests help screen for liver and bile duct abnormalities. Stool studies determine whether patients have treatable bacterial infections. Antibody tests can help clarify the situation for "indeterminate colitis" patients without a definite diagnosis.
Several types of endoscopes are used to determine if the patient has ulcerative colitis or Crohn's disease and how much bowel is affected. All use a thin, flexible tube with a lighted camera inside the tip, which allows doctors to look at the lining of the gastrointestinal (GI) tract. The image is magnified and appears on a television screen. Each procedure is named according to the section of GI tract examined:
Sigmoidoscopy — Examines the lining of the lower third of the large intestine (the sigmoid colon).
Colonoscopy — Examines the lining of the entire large intestine (colon), and sometimes can peek into the very end of the small intestine (or ileum).
ERCP (Endoscopic retrograde cholangiopancreatography) — Examines the bile ducts in the liver and the pancreatic duct.
Endoscopic ultrasound — Uses an ultrasound probe attached to an endoscope to obtain deep images of the gut below the surface. Used to diagnose perianal fistulas in patients with Crohn's disease.
Capsule endoscopy — Patients swallow a vitamin-sized capsule with a camera inside to produce images of sections of the small intestine that are beyond the reach of an EGD. Read more on capsule endoscopy.
These radiologic tests provide information that endoscopy alone cannot:
Plain X-rays without contrast detect blockage in the large intestine.
X-rays with Contrast
Contrast X-rays are used with endoscopy in monitoring and treating Crohn's. These X-rays track special liquid contrast, usually barium, as it passes through the intestine, highlighting specific conditions.
A CT scan takes simultaneous X-rays from different angles to reconstruct images of the internal organs.
Multiphase CT enterography
Multiphase CT enterography (MCTE) is a new noninvasive procedure that uses very fast CT scanning combined with liquid intake to obtain detailed cross-sectional images of the abdomen. Mayo Clinic has been a leader in the development of this procedure and has found it to be very valuable in identifying inflammation in patients with Crohn's disease.
To date I don't believe there is a commercially approved DNA test that would predict Crohn's disease. There are some promising research being done in that regard, but nothing your doctor can use to answer your question.
Wish and your brother you all the best.
Originally Answered: Can a doctor find out if I have Crohn's disease?
He can use the record from the civilian surgeon as an addendum to his rebuttal if the scientific assessment board (MEB) recommends his separation or pass to a incapacity retired checklist for ulcerative colitis. yet, the medicine he takes extra appropriate deal thoroughly with the enteric an infection. If it would not the MEB might shift gears on the prognosis and advise his separation for that enteric an infection. no depend if that's an enteric an infection he picked up down selection, then he additionally should tell his command so they are in a position to bypass on that counsel to scientific government in Iraq.
Your consultant is incorrect. A poor fecal calprotectin would not rule out Crohn's ailment thoroughly. additionally it incredibly is especially now no longer regularly confident with Microscopic Colitis, a distinctive form of IBD. you may desire to have a colonoscopy and endoscopy.
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Your consultant is mistaken. A negative fecal calprotectin doesn't rule out Crohn's Disease completely. It is also often not always positive with Microscopic Colitis, another form of IBD. You need to have a colonoscopy and endoscopy.
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Originally Answered: How is the Surgery for people with Crohn's Disease?
this sounds kind of bizarre, buut i was in literally the exact same siituation as you two years ago. i was in some pain and meds were not really working. the doctor told me i would need a surgery and i got pretty scared. however, i realized that it is best to just forget about it iin the time leading up to the surgery. my plan worked, and two years later i am in complete remmision. after recovering for two weeks i completely forgot about it and i was and stil am completely healed. i now take asacol which is just holding down the fort. after the surgery i felt mediocre. in the time just after the surgery it does hurt to walk a little, but it is easy to fight through with a couple short walks around the hospital ward a day. afterwards, the only thing standing between you and home is farting. concentrate on that, then you get to go home and be a glorified couch potatoe for a while. make sure you have video game systems and movies galore for this time period. anyways, good luck and try not to worry.