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Asking for Self, Female, 16 years old, Egypt
Hello Doctor. I am a 16-year-old female with a 2-year history of persistent abdominal pain, mainly in the right lower abdomen, starting after waking up and recurring throughout the day. I also have nausea, frequent bowel movements, alternating diarrhea and constipation. Five gastroenterologists diagnosed IBS, but treatment did not help. A sixth doctor ordered a fecal calprotectin test, which was >2000 µg/g. Celiac tests were negative and stool analysis was normal except for stool color. Colonoscopy showed moderate chronic active terminal ileitis with nodular lymphoid hyperplasia and mild inflammation of the ascending and transverse colon. Biopsy did not confirm Crohn's disease but suggested possible early IBD. CT enterography was completely normal. I completed one month of treatment (Coloverin D, Digest Easy, Gastrobiotic, Linex, and Fonaspir) with no improvement, and my symptoms have become worse. Could this still be early Crohn's disease? What other conditions could explain these findings, and what further tests or follow-up would you recommend?
Aap ka masla both jald homeopathic medicine se bilkul theek ho skta ha, fikr na krain, kindly online appointment ya call krain
042-34500888,
Very high fecal calprotectin (>2000 µg/g): IBS does not cause calprotectin levels this high. This strongly suggests significant intestinal inflammation. I would recommend:
• Repeat fecal calprotectin to assess ongoing inflammation.
• CBC, CRP, ESR, albumin, ferritin, iron studies, vitamin B12, and vitamin D.
• Stool cultures if not already performed, including evaluation for infectious causes based on local epidemiology.
This could be crohns or ulcerative colitis, either of the two. Book appointment for detailed history and examination
I can help you create a gentle, anti-inflammatory gut-friendly meal plan that reduces pain, nausea, and bowel flares while we work with your doctor to get answers. We’ll focus on low-residue foods, proper protein, and symptom tracking so you feel better now and support healing, no matter if it’s IBS or early IBD. Book your consultation for further help.
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