I am a medical student from the UK and am finding it really hard to understand the nature of Crohns and ulcerative colitis. Basically, I have been to a lot of clinics, seen lots of patients and there seems to be a big variation in presentation but I am trying to understand and differentiate it from IBS type symptoms, which can be difficult and therefore mistaken for [I don’t want to miss something if I can help it]. I am aware that some ‘red flags’symptoms such as weight loss, fever, and blood are not seen in IBS but I have seen drastic changes in weight even with IBS patients so sometimes presentations may not be classical. I really wanted to know how people presented when they first went to their GP with their symptoms. From the questions below I am mainly concerned with first presentations to the doctor and what happened at this stage before any special tests such a colonoscopy were performed and a diagnosis given:-
First presentation symptoms [e.g. constant abdo pain, bloody diarrhoea, weight loss, lethargy and back pain] :
Duration of them first symptoms [basically did these symptoms carry on until a diagnosis was made and medication was given or did you spontaneously go into remission. With this question include the time before presenting to the GP that you had symptoms also; was it an emergency department presentation]:
Abdominal pain [nature of the pain- sharp, dull, burning, achy, general upset, other- was there pain on touching your abdomen]:
Where was the abdominal pain [could you localise it with a finger; generally lower abdomen; around belly button; above belly button, other]:
Abdominal masses [e.g. mass felt in lower left/right abdomen]:
Blood in stool [e.g. blood as if cut yourself; tissue type blood; mixed in with stool; one day blood the other day not, clots, other]:
Stool consistency [people say diarrhoea but one definition may differ from anothers definition- literally water like, porridge like, constipation and diarrhoea mixed, constipation, other]-
How many times during the day would you go to the toilet:
Other pains [back, legs, ribs]:
Blood tests [more specifically, was there a change in your ESR or CRP]:
Other abnormal blood results:
Extraintestinal manifestations [eye problems, skin tags, fissures, fistulas, rashes, mouth ulcers]:
Weight loss [how much and over what duration of time; was you eating the same amount or even eating less or more]:
Anything else that might be an interesting point to note about
Thank you for your time in answering my questions. Honestly, even consultants who have been doing their job for years find this hard to pin down and a lot of people in healthcare just miss it completely and put it down to psychological issues especially if the presentation is atypical.
I would suggest you email with site admin (firstname.lastname@example.org) for permission to post this because it is a little close to: 5. No posts regarding research studies, surveys or clinical trials without obtaining prior approval.
Since you said this was for your education, and not for your own personal information.
Please know that you are welcome, we just have to follow the rules.
Post Edited By Moderator (MMMNAVY) : 3/22/2008 10:46:15 AM (GMT-6)