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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Are Diarrhea, Lower Abdominal Pain And Peripheral Edema Suggestive Of Ulcerative Colitis?

A 25-year-old who comes to the clinic with a history of diarrhea, lower abdominal pain, and weight loss of approximately 40 pounds over the past 3 months. He also has noticed peripheral dependent edema. His hemoglobin is 8.0 and hematocrit 27%. What is the most likely cause of his signs and symptoms, and what diagnostic tests will he require? Crohn disease or ulcerative colitis?
Tue, 7 Apr 2020
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General & Family Physician 's  Response
Hello,

I believe that neither ulcerative colitis or Crohn's disease can be suspected in this case. I believe that the main probable cause can be Celiac disease. He needs an endoscopy, and biopsy of intestinal villi.

Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Olgeta Xhufka, General & Family Physician
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Are Diarrhea, Lower Abdominal Pain And Peripheral Edema Suggestive Of Ulcerative Colitis?

Hello, I believe that neither ulcerative colitis or Crohn s disease can be suspected in this case. I believe that the main probable cause can be Celiac disease. He needs an endoscopy, and biopsy of intestinal villi. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Olgeta Xhufka, General & Family Physician