D
daphnie
Guest
Let me introduce myself, I am from China, one of my best friends suffers from CD for years, I do what I can to help her, recently she need to email her case to US doctor for further advice, I help her to translate her story from chinese to English, but it's more like chinglish(chinese english), I had done my best already, I hope you can help me to correct the sentences to idiomatic english, you can copy and paste it to word pad, after correcting, you can post it as comment, thanks!!
Her story
Case from WUHAN CITY of CHINA, Female 23 yrs old, diagnosed with Crohn’s disease in 2004, no family member has Crohn’s disease.
Patient experienced abdominal pain from childhood, because the sharp pain lasted several seconds to several minutes and no diarrhea constipation and throwing up, patient only took anti-stomachache medicine.
In November 2004, patient felt severe abdominal pain lasted longer than ever, she went to hospital and diagnosed with gastroenteritis, patient went home after infusion. It flared up in the mid-night, the patient threw up first then had bowel movement with large amount of blood, and patient felt very sick and was sent to local hospital immediately, in hospital she had another bowel movement with huge amount of blood again, and patient in state of shock then had blood transfusion 400ml to save life, and had the 1st colonoscopy result is:
The patient was treated in medical department of hospital first, took the chest and abdomen X-ray result is normal no symptoms of tuberculosis, PPD test----Negative, Barium meal test found 10cm stricture at the end of small intestine and ileum. Doctor prescribed Rifampicin+Isoniazid+Ethambutol to treat her as tuberculosis. After 3 months’ anti-tuberculosis treatment, no sign of remission and had 2nd colonoscopy the result is:
Doctor prescribed another 3 months’ anti-tuberculosis medicine, during taking the anti-tuberculosis medicine abdomen still feel painful, the tuberculosis was excluded patient was treated as CD.
In July 2005, patient started to take Mesalazine, 5-Amino Salicylic Acid,Pentasa,Etiasa 4000mg/day, patient went to remission.
In November 2005, patient felt sore in anus area, after several weeks abscess developed to size of fist located between anus and vagina area, it made the sitting and walking impossible, and she began to have fever and white blood cell increasing. Patient had abscess drainage in December. Two week after drainage, wound heal from 5cm to a tiny opening, but it never closed up and always have yellow pus come out until today and it becomes a fistula, the opening can close up shortly but it will open because the fistula was filled with pus, it bothers patient very much and makes her depressed.
One month after the drainage patient had an examination for the wound, the result is:
In February 2006 Patient had the 4th colonoscopy the result is:
And Pentasa cannot control the disease, patient began to take Imuran from April 2006, 100mg/day, and patient went to full remission, the quality of life improved a lot, feel as if living without CD, blood and C testing is normal, function of liver and kidney is normal, a bit anemic.
In February 2007 patient had the 5th colonoscopy, the result is:
With taking the immunosuppressant Imuran patient feels no more pain in abdomen, but the opening is very troublesome, patient visited Doctor in December 2007 for the fistula, Doctor checked the cavity of fistula, the surface is not smooth and have granuloma, but never do full examination so don’t know the route of fistula, considered that fistula was caused by CD the hospital refuse to adopt the patient, but she want to cure it, hope specialists can give some advice,thanks!!
Her story
Case from WUHAN CITY of CHINA, Female 23 yrs old, diagnosed with Crohn’s disease in 2004, no family member has Crohn’s disease.
Patient experienced abdominal pain from childhood, because the sharp pain lasted several seconds to several minutes and no diarrhea constipation and throwing up, patient only took anti-stomachache medicine.
In November 2004, patient felt severe abdominal pain lasted longer than ever, she went to hospital and diagnosed with gastroenteritis, patient went home after infusion. It flared up in the mid-night, the patient threw up first then had bowel movement with large amount of blood, and patient felt very sick and was sent to local hospital immediately, in hospital she had another bowel movement with huge amount of blood again, and patient in state of shock then had blood transfusion 400ml to save life, and had the 1st colonoscopy result is:
The patient was treated in medical department of hospital first, took the chest and abdomen X-ray result is normal no symptoms of tuberculosis, PPD test----Negative, Barium meal test found 10cm stricture at the end of small intestine and ileum. Doctor prescribed Rifampicin+Isoniazid+Ethambutol to treat her as tuberculosis. After 3 months’ anti-tuberculosis treatment, no sign of remission and had 2nd colonoscopy the result is:
Doctor prescribed another 3 months’ anti-tuberculosis medicine, during taking the anti-tuberculosis medicine abdomen still feel painful, the tuberculosis was excluded patient was treated as CD.
In July 2005, patient started to take Mesalazine, 5-Amino Salicylic Acid,Pentasa,Etiasa 4000mg/day, patient went to remission.
In November 2005, patient felt sore in anus area, after several weeks abscess developed to size of fist located between anus and vagina area, it made the sitting and walking impossible, and she began to have fever and white blood cell increasing. Patient had abscess drainage in December. Two week after drainage, wound heal from 5cm to a tiny opening, but it never closed up and always have yellow pus come out until today and it becomes a fistula, the opening can close up shortly but it will open because the fistula was filled with pus, it bothers patient very much and makes her depressed.
One month after the drainage patient had an examination for the wound, the result is:
In February 2006 Patient had the 4th colonoscopy the result is:
And Pentasa cannot control the disease, patient began to take Imuran from April 2006, 100mg/day, and patient went to full remission, the quality of life improved a lot, feel as if living without CD, blood and C testing is normal, function of liver and kidney is normal, a bit anemic.
In February 2007 patient had the 5th colonoscopy, the result is:
With taking the immunosuppressant Imuran patient feels no more pain in abdomen, but the opening is very troublesome, patient visited Doctor in December 2007 for the fistula, Doctor checked the cavity of fistula, the surface is not smooth and have granuloma, but never do full examination so don’t know the route of fistula, considered that fistula was caused by CD the hospital refuse to adopt the patient, but she want to cure it, hope specialists can give some advice,thanks!!
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