Gastrointestinal problem

2026-05-25 05:28:40
Circumferential edematous wall thickening of distal jejunal loops, all along the ileum of maximum thickness 7-8mm with prominenet vasa recta & extensive surrounding mesenteric fat stranding noted. Multiple prominent discrete mesenteric nodes noted. Minimal fluid noted in the abdomen
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This imaging pattern — circumferential small bowel wall thickening (jejunum + ileum), prominent vasa recta (comb sign), mesenteric fat stranding, discrete mesenteric lymph nodes, and minimal ascites — is very characteristic of Crohn's disease, particularly given your autoimmune background and young age. Intestinal tuberculosis must also be strongly considered in an Indian patient as it can be radiologically identical. These two conditions need to be differentiated before starting treatment, as the management differs significantly — steroids used in Crohn's can worsen TB.
Next Steps
Urgent gastroenterology referral. Get colonoscopy with terminal ileum intubation and biopsies (for granulomas, AFB staining). Also: IGRA/Mantoux, stool CBNAAT, CRP, ESR, stool calprotectin, and ASCA/p-ANCA. MRI enterography will better characterize the small bowel involvement.

Answered2026-05-26 20:07:24

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Hi! 😊 The CT findings point towards an inflammatory condition like Crohn’s, which is manageable with the right treatment. I can help get good control and relief. Book a quick consultation with me now I’ll review the full report and give you a clear plan for next steps.

Answered2026-05-26 15:16:03

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??tuberculosis

Answered2026-05-26 12:11:17

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Need a few more details please consult for further evaluation and treatment

Answered2026-06-03 12:06:34

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Avoid fried and spicy food Water intake more Green leafy vegetables more Fiber meal Do connect and consult Will help you

Answered2026-05-26 13:47:10

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Need few more details for further evaluation. Kindly consult

Answered2026-05-26 10:50:36

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Can help you, kindly consult and provide detailed history for proper diagnosis and further management

Answered2026-05-26 10:44:20

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Abnormal

Answered2026-05-26 10:44:04

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What are your symptoms? No doctor treats the reports. With your symptoms no one can correlate your report. Though it could be intestinal tuberculosis.
Next Steps
Share your symptoms first

Answered2026-05-26 10:18:03

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