22 yrs boy complaints abdominal pain,loss of appetite,weight loss,mild fever.plz suggest ur valuable opinion

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Ask if fever was checked. Ask for histoty of deworning. Do thyroid profile. Review

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? ENTERITIS .. ? COLITIS .. NEED'S.. FURTHER EVALUATION WITH EXPERTS OPINION..

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Colitis Gastritis With Entritis Inflammatory bowl disease Ad Endoscopy guided Biopsy of Bowl

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SUGGESTIVE. OF. ACUTE. COLITIS WITH G E R D ADVISABLE RULE. OUT INTESTINAL. TUBERCULOSIS NEEDS ALL. ROUTINE. EVALUATION

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INFLAMMATION OF THE LARGE INTESTINE ALSO KNOW AS COLITIS? REFER TO GASTROENTEROLOGIST FOR BETTER DIAGNOSIS AND WELL MANAGE THE

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Suggestive of IBD 1. Stool exam (needed for diagnosis) 2. CBC report 3. ESR, CRP, pANCA (for checking disease severity) 4. CT scan or MRI or USG (for diagnosis of Ulcerative colitis or Crohn's) 5. Colonoscopy (suggestive but not compulsory. On expert opinion only) Treatment for IBD (if confirmed) 1. Pantop- 500mg tablet and or Rantac- 500mg tablet 2. Low fibre diet 3. Meterogly 500mg bd (for 5days) 4. Mesalamine (orally or rectal suppository). Other alternatives include Balsalazide, Olsalazine, Sulfasalazine etc 5. Dicyclomine/Chloridiazepoxide 6. Loperamide/cholesterylmide 7. Prilosec OTC (if needed) 8. Infliximab (Remicade) and infliximab-abda (Renflexis) or infliximab-dyyb (Inflectra) (if moderate or severe IBD) 9. adalimumab/natalizumab if it's accompanied by a complication such as perianal disease (diseased tissue around the anus) then 1. Amoxicillin or Cephalxin or Doxycycline If the first drugs don't provide the adequate relief, the doctor will likely prescribe a corticosteroid, which is rapid-acting anti-inflammatory agent. Corticosteroids tend to provide rapid relief of symptoms along with a significant decrease in inflammation. However, because of side effects associated with their long-term use, corticosteroids are used only to treat flare-ups and are not used for maintaining remission. Immune modifying agents are the next drugs to be used if corticosteroids fail or are required for prolonged periods. These medications are not used in acute flare-ups, because they may take as long as 2 to 3 months to take action. These medications target the immune system, which releases the inflammation-inducing chemicals in the intestine walls. Examples of the most common immunosuppressives are azathioprine (Imuran), methotrexate (Rheumatrex), and 6-mercaptopurine, or 6-MP (Purinethol). Surgical treatment for IBD depends upon the disease, if needed then 1. proctocolectomy 2. ileoanal anastomosis FURTHER EVALUATION WITH EXPERT OPINION MUST BE FOLLOWED

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Enteritis with GERD Infused Ppi with antibiotics.

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Can be IBD, celiac , whipples, topical spruce

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