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Permanent Altered Bowel Movement
Age 30, male. For the last 3 years I have had altered bowel habits. Every morning I need to strain hard to pass stool. Stools are often soft, mushy, semi-solid, flat, or come out in broken pieces. I frequently feel incomplete evacuation and sometimes stool seems stuck near the anus. I also pass clear/transparent jelly-like mucus almost daily.
Colonoscopy (Nov 2025) showed multiple superficial ulcers with surrounding inflammation in the terminal ileum up to 15 cm. Biopsy reported chronic inactive terminal ileitis; Crohn's disease was mentioned as a possibility. CRP, fecal calprotectin, CBC, LFT, kidney tests, and abdominal ultrasound were normal. I have gained about 5 kg and have no significant weight loss. Endoscopy showed only mild antral gastritis.I have mild Burning sensation at top right corner of belly
My questions:
1. What is the most likely cause of my symptoms?
2. Can chronic inactive ileitis alone explain mucus, incomplete evacuation, and altered stool ? 3) Treatment ?
Answers (1)
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If your CBC's are normal, there is a possibility that you might be suffering from IBS rather then Crohn's disease, however keep in mind making a definitive diagnosis of Crohn's disease is sometimes difficult and the diagnosis is made with time only. What you can do is do 3 monthly CBC's, if Hemoglobin starts to fall get a repeat colonoscopy and then on basis of that report, a presumptive diagnosis of crohn's can be made. Alternatively there is a test called as CAPSULE ENDOSCOPY, where you see if there are ulcers in small bowel, if they are present there would be a high possibility that you might have B1 type of Crohn's
Next Steps
I still think its IBS only, Need to take some medications for 2-3 months, it will improve
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Avoid milk and milk based products
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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.