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Forum Name: Gastroenterology Topics

Question: Possible diagnosis of Crohns...


 NOTCONVINCED - Mon Jul 09, 2007 3:08 pm

My husband is 30 yo and is currently seeing a GI and going thru all the tests. He had a colonoscopy and is scheduled for an upper GI and CT scan. The GI doctor is leaning towards a diagnosis of Crohns due to past history with constipation and stomach problems. We are not 100% convinced that Crohns is the answer. Currently has inflammation in small intestine (GI doc said they could not get into the small intestine very much, but did take a biopsy) also they removed polyups (spelling?) and said that this is another indicator of Crohns. But to my knowledge aren't polyups pretty common? Also, he was admitted into the hospital with a pain in his right lower side which we thought was appendicitis (this happened before seeing the GI doc) and the hospital could not determine or diagnose except to say that they thought it was Crohns. He is currently on Prednisone and Prilosec. They did not find fistulas and he doesn't or has he ever experienced bouts with diarrehea, blood in stool etc. that are common symptons of Crohns. Is it possible that this could be something different than Crohns? We feel that the GI doc he is currently seeing saw the report from hospital which listed Crohns as a possibility and is running with that and trying to prove that rather than look at all the possibilities. We are not trying to be argumentative with the GI doctor, but my husband is in the military and this could be grounds for a medical discharge which we don't want. Any advice or help on this matter would be greatly appreciated.
 Dr. Chan Lowe - Mon Jul 09, 2007 10:35 pm

User avatar Based on age, your husband would be getting to the end of the "common" age of presentation. This by no means excludes the diagnosis, though.

As you say, polyps are quite common. They are very non-specific and, while they may be found with Crohn's, they certainly do not confirm Crohn's.

Inflammation in the small intestine is also suspicious of Crohn's but again can be due to other things.

Bottom line, it sounds as if Crohn's is possible but far from being confirmed. There are blood tests that can help confirm/reject the hypothesis of Crohn's as well that may be helpful.

Also, you may want to seek a second opinion. Most physicians are more than happy to have their patients get a second opinion. It is one more person trying to figure out what is going on.

Best wishes.

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