What Do My Lab Test Reports Indicate?

Posted on Thu, 12 May 2016

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Thu, 12 May 2016 Answered on

Thu, 23 Jun 2016 Last reviewed on

Question : Sir, on last 23rd March, 2016, I have been detected with "Chronic ilietis with activity" after colonoscopy. Sir, I had on medication for last one and half month. 1. Mesacol 800 mg - 3 tablet daily 2. Folvite - 5 mg - 1 tablet daily. Besides , I am also taking some supplements like Amway nutrilite Daily- multivitamin - 1 daily and Cod liver oil capsule - 2 to 3 daily. I have already taken medication for last one month with restricted foods - no tea, no dairy product, no fried food, spice etc. Since last 7 days , I have started taking PANTODAC as I had some stomach burning. Now feeling better.

Stool is mostly semi solid.

I would like to know is it crohn disease ?

Is the medication I am taking ok ? Recently one doctor asked me to stop Mesacol, and asked to take Meva C. Other doctor asked me to take Normaxin and Rifagut.

I shall be grateful if you kindly advice me on the medicines, on food foods.

Regards

Baba Dutta

Answered by Dr. Dr Samir Patil (2 days later)

Brief Answer:
Could be Crohn's need further workup

Detailed Answer:
Hello ,
I have gone through the reports you ave provided the symptoms could be due to Crohn's disease. Chrons's Disease is one of the causes of chronic ileitis.
I would suggest some further work up

1. C enteroclysis - this will help to determine what parts o2the intestine are
inflammed
2 Upper GI endoscopy
3 Fecal Calprotectin
4 Xray chest ( we need to look for TB as tuberculosis can cause a picture similar to Crohns)
Mesacol is not very effective in Crohn's disease.

My Advise would be to continue Rifagut 550 mg twice a day
get the tests which I have suggested.
If the tests indicate Crohn's then you would need steroids.
Hope this helps
Do get back in case you have further queries
Regards
Dr Samir Patil

Above answer was peer-reviewed by : Dr. Prasad