Share Facebook
Crohn's Disease Forum » General IBD Discussion » I need a help from an expert please


08-22-2017, 05:53 AM   #1
zdhwayyan
 
Join Date: Aug 2017
Location: churchtown, New Zealand
I need a help from an expert please

Greetings, i am 42 years old with no symptoms or complain of anything 4 months ago i did a routine check ups and they did a colonoscopy and endoscopy ( 2 weeks before that i had a food poising with diharriya and vomiting with mild fever which lasted for a day and a half only. everything was ok but the colonoscopy found few superficial ulcers in terminal ileum so they took biopsies. then the biopsy report came back with prominent lymphoid hyperplasia and focal non sceating granuloma sarcoid alike and suggestion an early stage of crohn's ileitis. so my doctor later asked for MRI and multiple tests few weeks later like CRP,Fecal calproctine,ASCA ,, etc and all showed negative including the MRI. so my doctor said you dont have crohns and the superficial ulcers are from that food poising you had . i am healthy ok and i never in my life had an abdominal pain or blood in stool or noticeable episode of diharriya so no symptoms at all .
my question please is do you go with the doctor oppinion that it is not crohn and i have nothing to worry about . if yes how do we explain the pathology report ? could it be a mistake ?
thank you
08-22-2017, 03:16 PM   #2
Guerrero
Senior Member
 
Join Date: May 2017

My Support Groups:
medicine and exams are sometimes not exact sciences...
08-22-2017, 05:15 PM   #3
eleanor_rigby
Senior Member
 
Join Date: Aug 2012
Location: Cheshire, England, United Kingdom

My Support Groups:
I am not sure why you had to have a routine colonoscopy and endoscopy at 42? Seems very young to have such invasive tests for no reason other than "routine".

If the ulcers are just superficial they may not show up on an MRI, blood work may also be normal. It's possible as well the calproctectin would be normal too. When I was diagnosed I had superficial ulcers and all tests were normal (bloods, stool - calproctectin, MRI and CT scan) but colonoscopy showed ulcers at the terminal ileum.

I don't know much about food poisoning but it may indeed be possible that caused the ulcers.
I would probably repeat the colonoscopy in a years time.
08-27-2017, 04:26 AM   #4
zdhwayyan
 
Join Date: Aug 2017
Location: churchtown, New Zealand
thanks all .
08-27-2017, 05:00 AM   #5
Cross-stitch gal
Moderator
 
Cross-stitch gal's Avatar
 
Join Date: Dec 2011
Location: Vancouver, Washington

My Support Groups:
Have you had an appointment or talked with them since then? I'd be curious to know how you're doing now. Also, did they discuss a plan of action as far as meds? If you're questioning this diagnosis, I might also ask for a second opinion...
__________________
Diagnosed:
Ulcerative Colitis/IBD 1996, Iritis 2001, Ulcerative Proctitis 2013, Indeterminate Colitis 2016, Remission 2017, Hand Eczema

Current Meds:
Pentasa 1000mg 2xday or Mesalamine DR 1.2gm 2xday, Canasa Suppositories (when needed) 1000mg 1xday, Tylenol 3 with codeine 300-30mg (when needed)

Non-Meds:
600+D Calcium 2xday, Multivitamin, 65mg Iron 1xday, Fish Oil 1000mg, Vitamin D3 5,000 I.U., Eye Drops 2xday


UP Support Group http://www.crohnsforum.com/showthread.php?t=68350
08-27-2017, 08:06 AM   #6
honey051162
 
Join Date: Dec 2016
Location: south shields, United Kingdom
food poisoning can cause Crohn's like spytoms but in the Uk they also state probable Crohn's even when the disease is active if you have no symptoms at the moment I would not be worrying just keep a check on it and report anything unusual to your doctor .
Good luck
08-27-2017, 01:49 PM   #7
zdhwayyan
 
Join Date: Aug 2017
Location: churchtown, New Zealand
Thank you for your reply honey051162. I guess it is from the food poisoning I had 2 weeks prior to the colonoscopy . One doctor in Munich told me that a pathologist only sees tissues and can not diagnose you without comprehensive symptoms, how ulcers looks like in colonoscopy and MRE with all stool and blood tests. So I my poispy stated (prominent lymphoid hyperplasia and focal non sceating granuloma sarcoid alike ) consistent to early stage of crohn. Food poisining ( contaminated food with bacteria or virus you eat ) can lead to pathology stated like that.
As you mention I will monitor my self for any symptoms and I will do routin tests like crop,ear,caliproctin and b12 . If things are ok then I don't have to do another colonoscopy and I should forget about it.
Reply

Crohn's Disease Forum » General IBD Discussion » I need a help from an expert please
Thread Tools


All times are GMT -5. The time now is 01:22 AM.
Copyright 2006-2017 Crohnsforum.com