Suggest Treatment For Crohn's Disease, Colitis And Ileitis

Posted on Mon, 16 Mar 2015

Question: 54 year old female, diagnosed with crohn's disease (crohn's colitis and ileitis) in 2001. Colonoscopy shows chronic colitis in ascending and descending colon with lymph collections and in the transverse colon chronic inflammation, predominately eosinophilic. Also stenosis in ileocecal valve so they did not go into terminal ileum. Does this mean my crohn's is active? What does it mean that there are lymph collections?

Answered by Dr. Grzegorz Stanko (22 minutes later)

Brief Answer:
Yes, your Crohns is active.

Detailed Answer:
Hello!

Thank you for the query.

Yes, this means that the Crohn is active. This disease is caused by autoimmune system activation against host intestinal cells. This inflammation causes white blood cells activation. Lymph nodes are a kind of station for white blood cells. So in case of active inflammation lymph nodes get enlarged. Lymph nodes produce lymph. So lymph collection is a sign of active inflammation.

Ileocecal stenosis is a Crohns complication which may need surgery. Without it you may have bowels obstruction giving you cramps, bloating and nausea.

You should discuss with both gastroenterologist and general surgeon to get proper treatment.

Hope this will help. Feel free to ask further questions.
Regards.

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar