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How to diagnose and treat inflammatory bowel disease?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I have already done a CT scan of my whole abdomen. There is some thickening in my intestine.

I have been facing ankylosing spondylitis, an autoimmune disease, for the last eight years.

I met a gastroenterologist, and he told me about IBS. But yesterday night and today morning, I had bleeding from my stool.

I searched it online and finally got it as ulcerative colitis under IBD.

My ongoing medications are Esomeprazole and Librax for IBS as the doctor suggested and Indomethacin and Saaz 500 for spondylitis.

Please suggest what to do.

Hello,

Welcome to icliniq.com.

To diagnose inflammatory bowel disease (IBD), you need a few tests like colonoscopy and fecal calprotectin. Secondly, blood in stools can also be due to Indomethacin as it is known to cause stomach and intestine ulcers which can bleed. I would suggest you visit your doctor and get it evaluated. Till then, you should hold on to Indomethacin. I would also like to tell you that Saaz 500 (Sulfasalazine), which you are taking for ankylosing spondylitis, is also useful in inflammatory bowel disease (IBD). So your doctor is treating your inflammatory bowel disease (IBD) while treating ankylosing spondylitis.

I hope this helps. Please revert in case of further queries.

Medically reviewed byiCliniq medical review team

Published At April 28, 2022
Reviewed AtApril 30, 2022

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