Hello, I hope you don't mind if I ask a few more questions in trying to make sense of my symptoms. My GI says no Crohn's based on the colonoscopy I had last Wednesday, no follow up with him was recommmended. I don't know if he took any biopsies, I thought he was going to but now I dont think he did, though I'm still waiting for the pathology report to arrive from a small polyp removed in the rectum.
He did give me three pictures, one is labeled as the TI. If I understand anatomy correctly that is the end of the ileum/small instestine where it joins the large intestine (viewed from the large intestine side) right? So if there is a problem suspected in the TI or ileum area can it be appropriate to rule negative based on the colonoscopy and blood tests alone? He never said anything about an upper, just told me it was IBS and eat more fiber. I'm sounds like I should demand the upper as well, but I don't want to go back to the same GI, he was very patronizing.
I've just been reading that upper right pain (all the way up the right side, to just under the ribs) can be indicative of TI involvement because of the way the nerves work. MY LRQ pain has been around for many years (had appendix out in 2002, but it was healthy, and I do have a history of intestinal adhesions) but since July of this year new URQ pain has shown up as well as milder ULQ pain. Have had abdominal ultrasound, gallbladder is normal, and CT Scan with contrast showed no problems other than a mild thickening in the sigmoid which he said was not seen during the colonoscopy. This right sided pain is usually quite sharp and intense in the lower right, and a feeling of intense pressure and sometimes sharp or burning pain in the upper right, sometimes wraps around to my lower ribs in back. A lot of times it feels like somebody is pushing a fist into my right side. When it gets really bad I have nausea usually followed by either loose BMs or D. I've had a few episodes where it's doubled me over - that peaked in early Sept with an excruciating 15 minute episode that resulted in explosive D, now it's back to just daily mild to moderate pain. Also when the LRQ is really acting up it makes my right leg hurt as well.
Does any of this sound like symptoms you've experienced? Or can IBS cause such extreme pain? Can you have IBD in the TI that's just out of sight from colonoscopy? Thanks again for anything you can share to shed some light. :)