Could this be Crohns ? Not sure what to do?

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Joined
May 2, 2013
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Hi
I have recently been diagnosed with non-specific terminal ileitis.
But I really don't know what that means?

I was told I had a 33% chance this may turn into Crohns.
The only markers I had were a calprotectin test of 200. Is this normal or low for Crohns?

In my recent colonoscopy they could see very small erosions and a very very small polyp, but the biopsies could not prove Crohns only that there was some inflammation. I was told that this could be from anything from the prep for the colonoscopy to use of ppi's, etc.

I have previously had a right hemicolectomy due to a botched appendicitis operation. That was 4 years ago. Since then I have had lots of diarrhea with mucus, but no bleeding. I do get abdominal pains in the area of my terminal ileum, but mostly it is not too bad. I have been told for years that the pain is just from scar tissue. I can usually control the diarrhea with benefiber or will use questran if I know I am going out somewhere or eating something different to usual. I was given Pentasa to try, but not sure it agrees with me. (Had lots & lots of diarrhea after starting on it).

I had a previous colonoscopy 2 years ago but they only said I had gastritis, no evidence of erosions. My diarrhea symptoms haven't changed in the 4 years and I was pretty "normal" before the hemicolectomy op.

I actually didn't go to the dr for diarrhea. I went due to the feeling of having food stuck in my throat. This then let to blood tests, endoscopy and the calprotectin test etc ...

I have also been having the feeling that my entire digestive system is irritated - eg I feel like food is stuck in my throat. It is not and I have had a lot of tests on this and there is nothing there or wrong. My endoscopy came back clear as did all blood tests.

I am also getting lots of joint pains, mostly in fingers and feet.
I have had my b12 levels checked and have been using sublingual tablets but I have found they cause me diarrhea, so am using a spray at present. I just had a test to see if this is working but haven't gotten the results yet.

I am at a loss & I really don't know what to do. I feel like I am not quite right most of the time with lots of aches and just feeling very tired, but all my tests have been pretty ok and everyone tells me I look well.
I have lost about 14kgs in weight so far this year without trying.

Does this sound at all like Crohns ?
I am feeling very depressed as I really don't know what is going on.
Any help appreciated.
 
Hi Paranda,

I'm sorry you're feel unwell and down. The one thing that jumps out is the 14 kg weight loss. I think you need to get that investigated.

The pain could be from scar tissue. Does it come after eating certain foods? (Raw veggies, high fiber foods, etc)
 
Thanks. It is the weight loss that worries me too, although none of the doctors seem too worried by it.
I haven't noticed any particular foods that make it worse. But I have started recording what I eat to see if anything triggers it.
 
I think the food journal is a great idea. Crohns can be difficult to diagnose. We do have an undiagnosed section. You will find a lot of great people in your situation...looking for answers.

The weight loss could also be from depression but its important to rule out physiological causes first.
 
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