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Ileitis with distal proctitis
Asking for my son. He has altered bowel habits from January 2025 With abdominal pain on right lower side. On performing colonoscopy it's been found that he has ileitis with distal proctitis (patchy mucosal erythema in rectum). The biopsy report says mild focal active ileitis with erosion. (The result is attached here). Doctor prescribed him mesacol od and fa 5 tablets for 2 weeks. Even after completing the medicine for 1 week, he still has loose stools. Can it be the beginning of chrons or uc ?. He has lost about 5 kgs of weight in 3 months. His lipase level is 14.
Answers (25)
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Can help you with the next course of action and treatment plan. Kindly consult via whatsapp at nine zero two nine six zero zero four seven zero.
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Consider visiting gastroenterologist in institutes of national importance.
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evaluate for abdominal tuberculosis too.
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The description of the symptoms and colonoscopy results points to IBD.He may need a dose adjustment with additional treatment.Do consider taking a second opinion from a pediatric gastroenterologist as well.
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Dear Parent,
Your son’s symptoms—altered bowel habits, right lower abdominal pain, weight loss (5 kg in 3 months), and colonoscopy findings (ileitis with distal proctitis and erosions)—are concerning for chronic inflammatory bowel disease (IBD), such as Crohn’s disease or ulcerative colitis (UC). The persistence of loose stools despite Mesacol OD and FA5 tablets suggests the need for further evaluation and possible treatment adjustment.
Key Observations:
1. Biopsy Findings (Focal Active Ileitis): Supports inflammation, common in early Crohn’s.
2.Weight Loss & Low Lipase (14 U/L): May indicate malabsorption or pancreatic involvement.
3. Distal Proctitis:Seen in UC, but patchy ileitis favors Crohn’s.
Next Steps:
- Stool Tests:Rule out infections (e.g., C. difficile, parasites).
- Blood Work: CRP, ESR, albumin, vitamin levels (B12, D) to assess inflammation/nutrition.
- imaging (MRI Enterography):Check for small bowel involvement (Crohn’s hallmark).
- Review Medications:Mesacol may need dose escalation or combination therapy (steroids/immunomodulators).
Immediate Advice:
Maintain a food diary(note triggers like dairy, gluten).
Ensure hydration/nutrition(oral supplements if needed).
Monitor symptoms closely (blood in stools, fever, worsening pain).
This requires urgent specialist care.IBD is progressive; delaying treatment risks complications (strictures, fistulas). **Consult me for a detailed plan.** For quick coordination, message on WhatsApp: **Eight Zero Zero Nine Eight Two One Three Three Two**.
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Hello
Sir / Madam,
I got your health concern , it can be treated with further evaluation, medical counselling, and proper treatment.
Pls do contact .
Dr Hemanth.
MBBS, MEM, FISR .
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I was a known case of illitis for 2.5 yrs hospita for 4 times. Ever time fourth generation injof antibiotics given.i relived.
But after changing my life style n diet plan drastically I was cured of illitis no complaints since two years.
I follow NDS NEW DIET SYSTEM BY ZARINA PATEL, NAVRANGPURA, AHMADABAD.
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Hello need more medical information about your son .
You need to follow up with your gastroenterologist .
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Follow up with gastroenterologist
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Need few more details
Kindly connect.
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Adventuring
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Need proper examination. What’s the age?
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Need few more details for proper evaluation. Kindly consult
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Dr. Koushik
MBBS
4 yrs exp
Karimnagar
Kindly connect to help you out
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Dr. Javed Akhtar
General Medicine
4 yrs exp
Guwahati
Consultation required
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Dr. Sachin Bhiwaji Sanap
General Practitioner
7 yrs exp
Hingoli
need more information
kindly consult
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Dr. Himani Shah
General Physician
9 yrs exp
Rajkot
Need to connect immediately
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Dr. Shruti Goswami
General Physician
12 yrs exp
Pune
Lifestyle morbidities
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Dr. Thresia Pereira
General Physician
37 yrs exp
Mumbai
Consult Gastroenterologist
Patients age???
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Dr. Marini Vanitha
General Physician
12 yrs exp
Kakinada
Dietary changes.
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Dr. Sanghpriya Gautam
General Physician
6 yrs exp
Delhi
Visit to gastroenterologist doctor immediately
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Dr. Shaikh Huzaif
General Physician
20 yrs exp
Mumbai
Please consult
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Consult Gastroenterologist and have a follow up.
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Dr. Anubha Singh
General Physician
4 yrs exp
Jhansi
If you require assistance or have any health concerns, feel free to reach out for a consultation. Your well-being is my priority, and i'm here to support you on your health journey.
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Due to stress
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Dr. Syed Jawwad Hashmi
General Physician
10 yrs exp
Aurangabad
It takes mainly dietary changes will help more along with proper antibiotics
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.