Ileitis with distal proctitis

2025-04-06 07:08:31
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.
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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.

Answered2025-04-24 05:13:57

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Consider visiting gastroenterologist in institutes of national importance.
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evaluate for abdominal tuberculosis too.

Answered2025-04-10 11:55:11

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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.

Answered2025-04-10 00:42:58

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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**. 

Answered2025-04-09 15:45:03

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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 .

Answered2025-04-09 12:33:35

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Consult Gastroenterologist Patients age???

Answered2025-04-09 11:52:15

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Visit to gastroenterologist doctor immediately

Answered2025-04-09 09:07:27

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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.

Answered2025-04-09 07:37:39

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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

Answered2025-04-09 03:58:58

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Need few more details Kindly connect.

Answered2025-04-09 03:35:49

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Due to stress

Answered2025-04-09 02:53:10

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Need proper examination. What’s the age?

Answered2025-04-09 01:56:04

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Need few more details for proper evaluation. Kindly consult

Answered2025-04-11 18:07:06

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Kindly connect to help you out

Answered2025-04-10 13:46:31

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Consultation required

Answered2025-04-10 07:44:25

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need more information kindly consult

Answered2025-04-10 03:19:29

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Need to connect immediately

Answered2025-04-09 17:23:18

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Lifestyle morbidities

Answered2025-04-09 13:42:43

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Dietary changes.

Answered2025-04-09 11:17:32

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Please consult

Answered2025-04-09 08:16:57

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Consult Gastroenterologist and have a follow up.

Answered2025-04-09 05:57:26

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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.

Answered2025-04-09 04:06:05

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

Answered2025-04-09 03:01:11

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Adventuring

Answered2025-04-09 02:13:54

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It takes mainly dietary changes will help more along with proper antibiotics

Answered2025-04-09 02:05:26

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