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Crohn's disease in Hindi- Introduction, cause, symptoms, investigation, T/t |Learn with Dr. Shipra|
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- Опубліковано 5 січ 2022
- Crohn’s disease symptoms & signs, Crohn’s disease treatment, Crohn’s disease symptoms & signs in hindi #largeintestineulcer #smallintestineulcer
• stricturetomy procedur...
for study material or notes telegram link - t.me/learnwithdrshipra
It is a granulomatous transmural inflammatory condition of the ileum.
Rarely other parts of the GIT (colon, jejunum, stomach, duodenum, esophagus)
It is precancerous condition (not as much as ulcerative colitis)
Involvement
Small bowel alone(ileum)- 30% cases(Terminal ileum is most commonly involved (60%)
both small and large bowels(ileocolic)- 50% cases
Large intestine(colon)-20%
Cause
Infectious-Mycobacterium paratuberculosis and atypical mycobacteria
Immunologic
Genetic
Environmental
Smoking, diet, OCPs (controversial), psychosocial factors
Clinical Features
Common- 15-40yr
Abdominal pain
Diarrhea-blood, pus or mucous present-severe
Mild fever
Weight loss
Lethargy
Obstruction
Fistula formation
Perforation
Bleeding (usually chronic but occasionally massive)
Investigations
CBC
Plain X-ray abdomen
USG abdomen.
Barium meal enema
CT scan and CT fistulogram is useful method.
Colonoscopy
Capsule endoscopy
MRI
Serum markers: 90% of patients
Treatment
Medical therapy-
Cessation of smoking
Bed rest, protein and vitamin supplementations. Often nasogastric tube nutrition or TPN is required.
To induce remission-steroids
For maintenance-immunomodulating drugs like azathioprine Antibiotics, metronidazole (as immunomodulator)
Avoid NSAIDs.
Surgery Indications
Failure of medical treatment
Intestinal obstruction-most common indication
Crohn’s disease children with growth retardation
Fistula formation
Bleeding
malignant change
Perforation
Perianal problems(Fissure-in-ano)
Surgeries
Ileocaecal resection
Total colectomy and ileorectal anastomosis- It is only done in extensive colonic Crohn’s.
Stricturoplasty.
Right hemicolectomy is done occasionally.
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I liked your teaching method.
You explained in very easy way. Thank you.
Very nice explained ❤
Very good presentation 😊
Bhut aacha padete ho mam
Thank you mam🙏
Thanku ma'am
Thanks 👍
Good speech
Ma'am ultrasound report me likhahe ki mildly inflammated terminal ileum and IC junction . Me doctor dikhaya tha doctor kuch medicine diyethe tb 20 to 30 percent kam lag ra mujhe kya kar na padega plzz ma'am reply kijiye
Thank you mam
Very nice mam
Mam mera ileal ulcer biopsy report me -chronic ileitis bola hai.ei kya hai.
Very very nice mam
Please reply maam.. My usg report shows terminal ileitis with reactive lymph nodes.. Is it crohns maam?? After medicine diarrhea stops but there is mild stomach pain and intense pelvic joint pain.. Please reply maam
Very nicely explained.
A common man can understand many thungs.
Thnkx sir
Thanks for the information, you can also try Crohn's care pack along with diet chart from planet ayurveda.
Mam mene colonoscopy karuya tha usmei .. acute ileites hai ...yeh normal hai ya nahi .. doctor ne bola ki infection ha ..
Thank you mam for answering my all question and clear my all doubt about Crohn's... Thanks a lot.
Hope you get great success in your life❤🙏🙏
Thnkx gamer🥰
Mam mujy rat ko soty waqt pet k right said par dard hota ha phr suba utty he sai ho jata ha please bta dyn ya kia waja ha
Thanksb
Mujhe aap se prsenaliy baat karni hai
Maam kya ap BSN ka syllabus cover krwa den gi .
Patho , pharma, ADH , health assessment k lectures bnaye na plz
Thanks mam for information.
Mujhe bhi biologics lene ko bola hai. Aap ki sister ko biologics se relief Mila?
@@deeptimohla8672 now she is just ok . But don't why after starting treatment too much money invested and results is not completely ok . She is just ok ok
I am suffering from ileal ulcer .
Talking medicine from 6 months not totally cure till now
Suggest treatment in Delhi....?
It takes time for complete recovery
Can you add pathology nd stages??
Sure
Ma'am please reply..my mom have crohn disease since 2 years she took treatment getting better than earlier but now have tumour in uterus doctor advised to do hysterectomy.. does it have risk?? Is it safe??
Age?
If tumour diagnosed thn it safe go for it
Mam i have stomach pain and vomtings...my biopsy report is more to words intaxtine tb..my medicine le rahi hu 4 months acha tha fir se mera darad aaiya hy my parents to pareshan ho rahe hain..we shows our reports to another doctor he suggested me surgery can u plz hlep me doctor i don't know what is happening...my agar surgery karlethi hu kya a phir se aane k chance hy??
Kya chron's hy ya tb??
Mam bones disease ka vedio bhi bna do plz
Sure
Mam i have crohns since 2years. Azaron 50mg is my daily dosage can i stop it slowly
Hi can you please tell me is it working? R u cure now?
Mam mera colonoscopy report -ileal ulcer and nodular mucosa seen.
Biopsy report me crohnic iletis with follicular lymphoid hyperplasia aya hai... Symptoms- only loose stool h 2 saal se....please mam bataiye ye Crohn's disease h kya aur life threaten disease h kya
kya bataya apko doctor ne
Kya pata chala bhai apka abhi
Dear sister I was diagnosis by chronic colits, infective etology... Kya mai thik ho sakta hoon??
Ha sir
Ap mujhe mere instagram pr dm kr skte h jyada jankari ke liye learn_with_dr_shipra
100% thik ho skte ho
@@snehapandit1474kaise
Mam mujha ileal ulcer hen biopsy or genxpert test normal h 2021 Jun ko pata cala or 1 month ki medicine calae thikh Ho gya tha but fir mujha 1 mahina sa pat m dard h Dr na dubara Test follow karna ko kha h mam kya ileal ulcer cancer ya tb men badal sakta h
Ha ulcer cancer me badal skta h…bt abhi simply ho skta h ulcer reoccur hua ho to ap vaps test krva le or diet ka dyan rkhe stress na le
@@learnwithdrshipra mam insta p Mena apko apni Sari report bejhi
Ttg test nhi krwaty
Mam aap total bimari banaya bahut achha video banate ho aap
Thankyou
Mam,I am suffering Crohn's disease from 2013, I am taking pentasa 1 gm.mam can I take curcumin plus tablet(vestige company)with pentasa??? Pls pls give me answer
What u want to ask?
I want to eat curcumin plus tablet(vestige company) with pentasa 1 gm sachet.Is it right or wrong process?? Ans mam
Aapka 2013 se shi ni huwa kya...plese reply
Hello
@@priyankasingh996hi please reply if u suffering from crohn's disease?
Mam koi diarrhea nehi hai thoti halka pet me dard he .. usg whole abdomen ka report normal hai ...kya mera chron's disease ka possibility he?? Pls reply ... Bohot tension me hu 🙏🙏🥺🥺
Pet drd mujhe v 1 month se h ..usg normal h
Mam mere biopsy report me aisa aya hai
Section shows ilieal mucosa with patchy chronic lymphoplasmacytic inflammatory infiltrates,few neutrophils and occasional eosinophils.
Mild cryptitis/crypt abscess noted.
Crypt architecture is mildly altered in form of occasional crypt branching/ crypt fusion.
Impression:
Above histology finding are more in favour of infective etiology.
Aisa aya hai to mam please reply kijiye iska kya matlab hai doctor ne mujhe mild infection bola hai choti aant ke aakhri bhag me
Apka kya test hua tha biopsy kese hui
infection
@@Sahil...497 colonoscopy hui thi
@@shitalwaybhase2522konsi medicine lerhe ho ap?
Shital ji ap apni reports mere instagram id pr bheje
Mam meri ami k stol me egg white jesa kuch ata hai or meri ami ko doctr ne tb bataya hai or Crohn's plz batyen yeh cure hojata hai or egg white jesa jo a rha hai wo medicine k infection nikal rh hy ya phr koi masle ki bt hai
Ap mujhe instagram pr reports send kre
A1
Mam meri bachi ka operation bhi karva liya hai fir bhi uske blockage hota hai thode thode dinon mein
Kuchh upay bataiye 🙏🙏🙏🙏🙏
Ganesh nath ji reports meri instagram id pr send kre..Learn_with_dr_shipra
@@learnwithdrshipra
Mam mene dal diye he pesent kirtika
Humko biopsy Kiya report Aya possible Cohn's and tuberculosis course complete hogiya Phir v bar bar fress hona porta hai
Send ur biopsy report
Completely agree u should take some ayurvedic medicine along with good diet
Such as stop-IBS, irrifix tablet, kutaj ghat vati etc
@@bshah7686 ap apna complete number send karain jis country say ho ap us ka code b lagain sath
Mam i m suffering from chron diaease from 2020
Endoscopy report?
I am suffering from this chrons disease last 1 year, give proper diet, how to contact with you
Contact on my instagram id-learn_with_dr_shipra
@@learnwithdrshipraji
Hello Pritam ji My friend is also suffering from chrons disease.kya treatment le rahe hai aap ?
Mam please reply dijyega....hm 2 baar colonoscopy karaye hai first colonoscopy report me illeum me ulcers aaya tha uska biopsy report (highly suggested of IBD) phir dr fecal calprotion test karwaye to normal aaya............ uske baad 4 months baad colonoscopy karaye to ulcer normal ho gaya kya hmko crohn's hai ki kya hai please suggest mam🙏🙏
Send ur reports to my instagram id
@learn_with_dr_shipra
@@learnwithdrshipra ok mam
@@SahilAnsari-sy3tx bhi thik ho gya tumhara
Bhai... sahil.. aapse baat ho sakti hai bro.. kisi insta ya koi number do na bro... I also have this kind of situation
@@charmingprince7 bhi tumne fecal Calportation test karya. Merko bhi aise hi problem hai
Mam mere kabhi kabhi nabhi ke bich me bahoot tej dard hota h or phir thodi der baad thik ho jata h
So mam ye kiske lakshan h
Plsssss reply mam
Name ?
Age? Sex?
Same मुझे भी आपके क्या था बताओ please 🙏🙏
Maam i want to show u my 5years son report. How can i contact u
9602362626
Mem kya ye thick hoga please reply 🥺
Yes
hi ma'am
mere colonoscopy k time pe sirf colon m ek jgh pe 5mm ka stricture nikla h
or abdominal pain hota tha 2 sal se
doctor ne clear ni kiya h chrons h ya TB
please guide me
filhal bubble se stricture ko fulaya h but ye permanent ni h esa doctor ne bola h
Hi himanshu send ur reports on my instagram id
kaise ho aap abhi doctor ne kya btaya
@@meliodas2690 treatment chal rha h
6-7 months ka TB ka
abhi kaise lag rha hai medicine le kar
@@meliodas2690 3 month bad thoda aaram mila start hua tha
or abhi bhi phle s thik h
My biopsy report is chronic ileitis with reactive lymphoid hyperplasia . Is it a crohn's disease?
Send ur reports to my instagram id
Hello aapke symptoms kya hai? Meri biopsy mai bhi yhi aaya h
What was your symptoms?
Mera same problem he
I have same
Agar ic valve mai ulcer hai 1 ya 2 toh kya crohn hai?
Send your report and query on instagram
instagram.com/learn_with_dr_shipra?igshid=YmMyMTA2M2Y=
Yess its crohns
@@rambo6150 apko bhi hai kya?
@@gamer-bn9fu nhai mere bhai ko symptom ha
@@gamer-bn9fu apka whatsapp no kya ha
Plz guide what's the right way of treating crohn's disease 🙏
Send ur complete history
Please help me for this disease
@@MohammadIqbalKhan533 say?
Mam kya crohns permanent curable hai? Plzz reply
Yes bt life tym diet change krni pdti h
@@learnwithdrshipra mam medicines se hojaati haina?
same problem medm pz help me aruvedad medince
Change ur diet
Assalamualaikum ! Mam I'm Pakistani ..mam Meri large intestine mein left side mein bht bhoj rehta h wazni rehti h agr left side press krn to dikarain ati hein ...mjy 2022 mein June sy loose motion lgy thy or September tk rhy ...tbi sy Meri left side wazni rehti h ...please btaain k Kya masla h ...abi Meri pregnancy chal rhi h to mein colonoscopy b ni krwa skti ...mjy kbi stool k sath blood ni Aya
Mein apk reply ka wait kr rhi hu
Abhi loose motion thik h
Konsa month chl rha h ?
15 week ...left side abi b bht akri hoi h...isi ki wja tension Mein rehti hu bhtt ...or anxiety si ho gai h ...
G G abi motion to thek hein stool pas kerti hu din mein ak time he ...laikin ye masla ni thek ho rha ...Allah Pak reh kren hr bemar py ..
Mam in my test there is written ileal erosion ye cancer to nhi plzz.rply wo logo ne bisopy k lye bheja hai i am very scared plzz rply jo hona tha wo to ho k hi rehe ga pr plzz rply mam😢
Cancer nahi hota tension mat lena report achi ayengi infection hota hai wo
@@shitalwaybhase2522 mam aaj endoscopy hua aur usme gastric erythema bhi aa gaya impression ye kia hai mam body pura burning jaisa chalta hai khas kr k mera back mai or jb se colonoscopy krwaya hu ruine ka sensation bhi chala gaya hai doctor ne 25 ka time dya hai bhutt pareshan hu mam pichle ek sal se anxiety or depression bhi har waqt marrne ka darr rehta hai panic aatack aata hai kch khane k bd jayda hota hai ye sb infection ka symptoms hai kia weight bhi loose ho rha hai plzz rply mam ur doing great job for humanity
Ileal erosion means cancer nhi hota h bt as a precaution further investigation krvayi jati h so dont worry send ur complete reports to my instagram id
Basically apko ulcers h intestine me or eski vjh se sb ho rha h so diet change kijiye spicy food completely avoid kijiye smoke alcohol sb completely avoid kijiye stress nhi lena h stress se condition or khrab ho jati h
@@kaifahmed5594 mera sirf colonoscopy hi kiya hai doctor ne us me biopsy report me terminal ileum me mild infection bola hai ulcer nahi hai aisa bola hai doctor ne bola hai ki koi chinta jaisa nahi hai ha lekin acidity aur pet me ruk ruk ke pain hota rahta hai aur pack pain bhi hota hai 4 month se
Dr.....Mere Biopsy report me Nonspecific crohn's disease aaya he...Kya Muje crohn's disease he?....plz Answer
Send ur report
SPECIMEN : Ileal biopsy for HPE.. CLINICAL DIAGNOSIS : ? Nonspecific, ?Crohn's disease. GROSS EXAMINATION :
Received multiple grayish-white tissue bits aggregate measuring 0.5x0.4cm. All tissue taken for paraffin section. MICROSCOPIC EXAMINATION :
H & E stained section shows fragments of ileal mucosa with focal ulceration and regularity of crypt architecture
seen. There is no evidence of crypt branching or crypt distortion. Lamina propria shows focal collection of an
inflammatory infiltrate comprising of lymphocytes and plasma cells. Cryptitis and crypt abscess is not seen. Granulomas/ Parasite/ viral inclusion/ eosinophilia/pyloric gland metaplasia not seen. No evidence of dysplasia
or malignancy seen in the specimen studied. CONCLUSION :
Chronic nonspecific ileitis, Ileal biopsy. No evidence of dysplasia or malignancy seen in the specimen studied. ADVICE : Clinical, endoscopic and radiological correlation is suggested for further confirmation of findings. NOTE : Slides and block issued with the report. ~~~ End of report ~~~
Ur reports show inflammation of ileum
It is mainly caused by crohns disease
Bhai report dikhao
Mam .Maine 8 month s se suffering may hu ..pet may right side pay dard karta hey . discomfort.hota hey .pentasa dia hey dr.ne.
Colonoscopy me mild chronic ilities batay hey..plz help me
Kesa drd hota h..hlka ya tez
Hello mam
Hello
Man hm aapko Instagram me report send kiye Hain please aap dekh ke Kuch bataye 🙏🙏🙏
Heey meine suna hai dr . Sbki help krte hai kya meri bhi hlp krogi ap 🙄 if you don't mind can we talk in personal
Yes you can contact me on my instagram id- learn_with_dr_shipra
Madam kya ap meri help kar skti hai free of cost
Say
Mam meri colonoscopy endoscopy ct scan mr entrography fecal calprotectin normal he lekin muje pet me bahut dard hota he pet me khana khane me paresani hoti hai weight 70 se 45 ho gya he and mera pet ekdham lohe jaisa tight ho gya he mam mera problem koi doctor pakad nahi pa rahe he mam kya karna chahiye please guide kese
Will you plz send ur reports ?
@@kritigupta6394 abhi nahi ata pahele ata tha
@@kritigupta6394 steroids se
@@kritigupta6394 nahi hua tha
@@kritigupta6394 hmmm...hota h....pr...clearly bolu to starting me..7 se 10 sec n then....jaha jaha mudega waha pr..jyada hoga...
کروہنز Crohns Disease سٹریس و سموکنگ سے جس میں ڈائریا بلیڈنگ وغیرہ جس سے فشر یا فسچولا ہو سکتا خداناخواستہ اچھی خوراک و
پروٹینی خوراک لازمی ہے۔۔۔
Acchi jankari di apne iske baare me but aise to agar surgery hogi to poora body hi barbaad kar degi allopathy treatment.....
Mujhe apse koi shikayat nhi hai apne to acche se samjhaya.. mai to allopathy ki baat par bol raha hu
Ya u r right
Mam aapki insta id nhi mil rhi reports dikhani hain
Learnwithdrshipra