Hello Doctor, I’d like a second opinion regarding possible IBD and need for colonoscopy.
• Anxiety (4–5 yrs, Paroxetine and now Seratline), cholesterol meds (Rosastatin EZ 10 - 1 yr), BP (Cosyrel 5 mg, 1 month back)
• Weight loss ~6–7 kg in 3 months, now stable; active (gym 5 days/week + daily 20 mins walking)
• Consulted gastro 15 days ago: Rifaximin + Vizylac, later ibset and suggested below tests
• Tests: Stool routine normal, calprotectin 185 µg/g, USG abdomen normal
• Blood tests (10 Mar):
CBC normal,
Hb 15.7,
TLC 4.5,
hs-
CRP 0.169 (low inflammation),
LFT mostly normal except mildly high bilirubin 1.8
• Symptoms: Soft stool but pain during passage, burning, 2 times/day, no persistent diarrhea.
Doctor suggested colonoscopy.