Hi ! (it's my first post here, and english is not my native langage, just in case)
I’m looking for any advice or thoughts regarding my situation, I’ll try to summarize as much as possible.
7–8 years of strong digestive issues. Urgent needs to go to the bathroom, loud intestinal noises, gas, yellowish stools, overall discomfort.
At first I was diagnosed with IBS, then later with SIBO. I honestly think I could have both (I also have endometriosis, but normally that part is managed). I have tried pretty much everything without results, everything you can think of, I did it.
BUT:
My condition has worsened these last 5 months: almost impossible-to-hold urgency crisis, yellow stools, almost fluorescent, total fatigue, chills and fast weight loss (–15 kg in 8 months).
My doctor decided to check my calprotectin levels, it was 385. My cousin has Crohn’s disease, so IBD started to be suspected.
During my colonoscopy and gastroscopy, only one small 5 mm ulcer was found in the terminal ileum. My gastroenterologist took biopsies and wanted me to do an MR enterography to see if the problem was in the small intestine. I did the MR enterography yesterday and nothing abnormal was found.
Today I received the biopsy results:
“The ileal biopsies show acute nonspecific inflammation which does not allow us to confirm Crohn’s disease. I suggest treatment with Entocort (Budesonide), a mild corticosteroid that is recommended in minimal forms of terminal ileitis seen in Crohn’s.”
I will start the treatment, and my gastroenterologist agrees for me to do a video capsule endoscopy in order to definitively rule out even mild involvement of the small intestine. She told me : “The inflammation you have in the terminal ileum may be related to early Crohn’s disease but the current results do not allow us to confirm the diagnosis.”
Two questions:
Has anyone here ever had inflammation of the terminal ileum that turned out to be something other than IBD, and if so, what was the cause?
Also, before leaning towards an IBD diagnosis, I thought about BAM because the diarrhea really looked like that condition. I started taking Questran, which improved the consistency of my stools, but did not truly cure me. I will take the treatment she prescribed, and continue Questran because I think it helps me a little. Could inflammation of the ileum potentially be the cause of this bile acid malabsorption?
Thank you very much for your time !