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Infective etiology(Mild active ileitis)
Hello doctors,
I am 33 years old. Height 5 feet 4 inches. Weight 56 kg ( i lost 14 kg within one year)
Present problem:
1. Weight loss ( lost 14 kg in the duration of 15 August 2023 to 2 July 2024)
2. Pain in the right lower abdomen. Specially right hip pain in the position of pocket where i kept my money bag)
3. Yellowish eyes without any jaundise
4. Weakness and fatigue
5. Depression and anemia.
MR Enterography : Normal
Intestinal Ultrasound : prominent walls of Terminal ileam and mild thickened IC Junction.
Xene experts TB: Not detected
Diabetes test : Normal
LFT: Total Bilirubin 1.90, direct bilirubin 0.3, indirect bilirubin 1.6, total protein 8.7, Globulin 3.7 and SGPT, SGOT, ALP are normal.
CBC: all normal without lymphocyte (42.5 k). Absolute lymphocyte count 3630
Please check the report (enclosed). Please kindly tell me what is the root reason for my problems and what is the best treatment for it?
Answers (6)
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Given these biopsy results along with your other findings (prominent walls of terminal ileum, mildly thickened ileocecal junction, significant weight loss, and normal lymphocyte count), the most likely diagnosis to consider is Crohn’s disease. However, other potential causes like infections or less common inflammatory conditions cannot be entirely ruled out without further evaluation.
Next Steps
Blood tests, stool tests, imaging studies like MR enterography or CT enterography etc needed.
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Connect please
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Dr. Zaheer Ahmad
General Physician
10 yrs exp
Bareilly
Kindly connect.
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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. Manoj Kumar
General Physician
10 yrs exp
Dehradun
Need few more details
Kindly consult
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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.