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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)
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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