Question 1

I've been dealing with Crohn's for 2 years and my recent MRI enterography showed terminal ileum wall thickening of 20mm and proximal ileum dilated to 4.3cm. My doctor is recommending surgery but I'm wondering if medication could still help instead of going straight to surgery

Accepted Answer

Patient is advised for surgeryand reffered for gastroenterologist.

Question 2

Dear Doctors I am suffering from Fissure and kind of constipation also. I meet a surgeon and he told my fissure is not too old. As a surgeon he suggested surgery. But I am scared of fissure surgery as I heard it too painful. Can it be cured without surgery with medicine and all I feel burning sensation when stooling. Irritation feeling persist for whole day. Please advice me for necessary step which I can plan. Thanks Ravi

Accepted Answer

Please see a local gastroentrologist, physical consultation.

Question 3

I'm a bit concerned about my stool patterns. I've noticed that while in the morning it's more solid, in the afternoon and evening it tends to be flat. Could there be any potential reasons for this?

Accepted Answer

Chest X-Ray Findings

_Interpretation_

1. _Prominent bilateral perihilar vascular markings_: This means that the blood vessels in the lungs, particularly around the hilar region (where the lungs connect to the heart), appear more prominent than usual on the X-ray.
2. _Normal findings otherwise_: The rest of the X-ray findings are normal, which suggests that there are no other significant abnormalities in the lungs or chest.

_Possible Causes_

1. _Increased blood flow_: Prominent vascular markings can indicate increased blood flow to the lungs, which may be due to various factors, such as:
    - High blood pressure
    - Heart conditions (e.g., heart failure)
    - Pulmonary hypertension
    - Anemia
2. _Other possible causes_: Less common causes include:
    - Pulmonary embolism (blood clot in the lungs)
    - Pulmonary vein obstruction

_Level of Concern_

1. _Mild concern_: While the finding is not immediately alarming, it does warrant further evaluation to determine the underlying cause.
2. _Follow-up recommended_: Schedule a follow-up appointment with your doctor to discuss the findings and determine the best course of action.

_Next Steps_

1. _Consult your doctor_: Discuss the X-ray findings with your doctor to determine the next steps.
2. _Additional tests_: Your doctor may recommend additional tests, such as:
    - Echocardiogram (heart ultrasound)
    - Pulmonary function tests (PFTs)
    - Computed tomography (CT) scan or magnetic resonance imaging (MRI) of the chest

I've been experiencing this strange fluttering, pulsating, vibrating feeling under my left rib. There's no pain, and I don't think it's connected to my heart because I've checked my pulse at the same time as the sensation. Could you shed some light on what this might be?

once get your ECG done as a screening for cardiac issues,if it turns out to be normal, General physician consultation would help you.

More Gastroenterology/GI medicine Health Queries

I've been dealing with Crohn's for 2 years and my recent MRI enterography showed terminal ileum wall thickening of 20mm and proximal ileum dilated to 4.3cm. My doctor is recommending surgery but I'm wondering if medication could still help instead of going straight to surgery

I'm a bit concerned about my stool patterns. I've noticed that while in the morning it's more solid, in the afternoon and evening it tends to be flat. Could there be any potential reasons for this?

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