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Well my biopsy from colonoscopy says Crohns Disease. Hard for me to believe because I don't have the symptoms. All of my symptoms are upper GI- bloating, reflux, burping. Doc says I probably have 2 different problems. I doubt I could wake up overnight with 2 different things. Do you think it is possible that crohns could cause intestinal dymotility which could cause things to back up which in turn could cause the burping and reflux. Also could this cause SIBO. Any thoughts are greatly appreciated.Pete
 
G

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With a serious life changing diagnosis, I would always get a second opinion from the most highly regarded specialist you can find. Good luck!
 
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With a serious life changing diagnosis, I would always get a second opinion from the most highly regarded specialist you can find. Good luck!
 

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Crohn's is a tricky disease, sometimes people don't have the typical symptoms which is why some people go years before getting a diagnosis.Crohn's can infest any part of the GI tract and if it's mucking with the stomach or esophagus that might be causing you problems.And having crohn's doesn't exempt you from getting functional or organic problems including functional or organic problems with the stomach or esophagus. K.PS. Here is a recent article on SIBO and crohn's. The postive SIBO results you had may be because of the crohn's.AuthorsCastiglione F. Del Vecchio Blanco G. Rispo A. Petrelli G. Amalfi G. Cozzolino A. Cuccaro I. Mazzacca G.InstitutionCattedra di Gastroenterologia, Facolta di Medicina, Universita Federico II, Naples, Italy.TitleOrocecal transit time and bacterial overgrowth in patients with Crohn's disease.SourceJournal of Clinical Gastroenterology. 31(1):63-6, 2000 Jul.Local MessagesHSL has complete holdings.AbstractBacterial overgrowth is frequent in patients with Crohn's disease (CD) and can contribute to symptoms. Motility abnormalities can predispose to bacterial overgrowth. The hydrogen (H2) and methane (CH4) breath test is a sensitive and simple tool for the diagnosis of bacterial overgrowth and for the evaluation of orocecal transit time (OCTT). In this study, we investigated the prevalence of OCTT modifications and bacterial overgrowth in a series of consecutive adult patients with CD. In 43 healthy subjects and 67 patients with CD. we performed the lactulose breath test using a gas analyzer that offers the opportunity of measuring both H2 and CH4. Of the patients, 24 had undergone an ileocolic resection before the test with ablation of the ileocecal valve. At the time of the test 15 patients had active disease, whereas in 52 subjects the disease was quiescent. Fifty-seven patients and forty controls were evaluable for OCTT and bacterial overgrowth. In 10 patients and in 3 controls, no H2 or CH4 peak was recorded during the 8-hour test. Out of 57 patients, 13 (23%) were affected by bacterial overgrowth. The prevalence of bacterial overgrowth was higher in patients with previous surgery (30%) than in nonoperated patients (18%). In all patients with bacterial overgrowth, an antibiotic treatment induced a normalization of the test and an improvement of the symptoms. We observed a longer OCTT in the patients compared to controls, although this difference was not statistically significant (154 +/- 45 vs. 136 +/- 45 minutes). OCTT was significantly longer compared to controls in the 14 CD patients with previous ileocolic resection ( 180 +/- 53 vs. 136 + 45 minutes; p < 0.004). In conclusion, we found that a significant proportion of unselected patients with CD has bacterial overgrowth and prolongation of OCTT. We suggest that the modifications in OCTT in patients with CD can predispose to bacterial overgrowth. The lactulose breath test is a simple method that can be more widely used in patients with CD.------------------I have no financial, academic, or any other stake in any commercial product mentioned by me.My story and what worked for me in greatly easing my IBS: http://www.ibsgroup.org/ubb/Forum17/HTML/000015.html
 

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Crohn's is a tricky disease, sometimes people don't have the typical symptoms which is why some people go years before getting a diagnosis.Crohn's can infest any part of the GI tract and if it's mucking with the stomach or esophagus that might be causing you problems.And having crohn's doesn't exempt you from getting functional or organic problems including functional or organic problems with the stomach or esophagus. K.PS. Here is a recent article on SIBO and crohn's. The postive SIBO results you had may be because of the crohn's.AuthorsCastiglione F. Del Vecchio Blanco G. Rispo A. Petrelli G. Amalfi G. Cozzolino A. Cuccaro I. Mazzacca G.InstitutionCattedra di Gastroenterologia, Facolta di Medicina, Universita Federico II, Naples, Italy.TitleOrocecal transit time and bacterial overgrowth in patients with Crohn's disease.SourceJournal of Clinical Gastroenterology. 31(1):63-6, 2000 Jul.Local MessagesHSL has complete holdings.AbstractBacterial overgrowth is frequent in patients with Crohn's disease (CD) and can contribute to symptoms. Motility abnormalities can predispose to bacterial overgrowth. The hydrogen (H2) and methane (CH4) breath test is a sensitive and simple tool for the diagnosis of bacterial overgrowth and for the evaluation of orocecal transit time (OCTT). In this study, we investigated the prevalence of OCTT modifications and bacterial overgrowth in a series of consecutive adult patients with CD. In 43 healthy subjects and 67 patients with CD. we performed the lactulose breath test using a gas analyzer that offers the opportunity of measuring both H2 and CH4. Of the patients, 24 had undergone an ileocolic resection before the test with ablation of the ileocecal valve. At the time of the test 15 patients had active disease, whereas in 52 subjects the disease was quiescent. Fifty-seven patients and forty controls were evaluable for OCTT and bacterial overgrowth. In 10 patients and in 3 controls, no H2 or CH4 peak was recorded during the 8-hour test. Out of 57 patients, 13 (23%) were affected by bacterial overgrowth. The prevalence of bacterial overgrowth was higher in patients with previous surgery (30%) than in nonoperated patients (18%). In all patients with bacterial overgrowth, an antibiotic treatment induced a normalization of the test and an improvement of the symptoms. We observed a longer OCTT in the patients compared to controls, although this difference was not statistically significant (154 +/- 45 vs. 136 +/- 45 minutes). OCTT was significantly longer compared to controls in the 14 CD patients with previous ileocolic resection ( 180 +/- 53 vs. 136 + 45 minutes; p < 0.004). In conclusion, we found that a significant proportion of unselected patients with CD has bacterial overgrowth and prolongation of OCTT. We suggest that the modifications in OCTT in patients with CD can predispose to bacterial overgrowth. The lactulose breath test is a simple method that can be more widely used in patients with CD.------------------I have no financial, academic, or any other stake in any commercial product mentioned by me.My story and what worked for me in greatly easing my IBS: http://www.ibsgroup.org/ubb/Forum17/HTML/000015.html
 

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Well Pete - welcome to the club.
I only had a sigmoidoscopy in May that showed enough inflammation to indicate I also have Crohn's. This after 25 years of a diagnosis of IBS... and like you, I have both Crohn's and IBS. Don't dismiss the IBS. It is by far worse for me than the Crohn's. Once I got the Crohn's under control my IBS still flared up. It is rather confusing when you first receive the diagnose.Biopsies tend not to lie since they are 'read' by people who do that all the time.JeffP.S. There is a wonderful IBD "Ask the Specialist site" which you may like to checkout, http://www.ccfa.org/cgi-bin/ubb/Ultimate.cgi[This message has been edited by Jeffrey Roberts (edited 07-27-2001).]
 

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Well Pete - welcome to the club.
I only had a sigmoidoscopy in May that showed enough inflammation to indicate I also have Crohn's. This after 25 years of a diagnosis of IBS... and like you, I have both Crohn's and IBS. Don't dismiss the IBS. It is by far worse for me than the Crohn's. Once I got the Crohn's under control my IBS still flared up. It is rather confusing when you first receive the diagnose.Biopsies tend not to lie since they are 'read' by people who do that all the time.JeffP.S. There is a wonderful IBD "Ask the Specialist site" which you may like to checkout, http://www.ccfa.org/cgi-bin/ubb/Ultimate.cgi[This message has been edited by Jeffrey Roberts (edited 07-27-2001).]
 
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Pete have you tryed ASACOL man is worked for me but cant afford the stuff your story sounds like mine good luck I wish you and all of us well Karl
 
G

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Pete have you tryed ASACOL man is worked for me but cant afford the stuff your story sounds like mine good luck I wish you and all of us well Karl
 

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I also have Crohn's and my main symptoms were SEVERE BLOATING and upper right quad pain. I did not have the "classic" CD symptoms. I also have IBS along with the CD. Asacol and Pentasa made the bloating worse. I took Prednsione for 6 months and gained 30 lbs. It worked wonderfully for the pain but I chose to stop it because of the weight gain. Tried 6MP for 3 months, purethinol, etc. etc. I wish you luck.
 

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I also have Crohn's and my main symptoms were SEVERE BLOATING and upper right quad pain. I did not have the "classic" CD symptoms. I also have IBS along with the CD. Asacol and Pentasa made the bloating worse. I took Prednsione for 6 months and gained 30 lbs. It worked wonderfully for the pain but I chose to stop it because of the weight gain. Tried 6MP for 3 months, purethinol, etc. etc. I wish you luck.
 

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If you do a search for the Olde Crohn - January 1996, while it is dated, the information on diet modification, digestive enzymes, etc. provided by one of the members is helpful
 

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If you do a search for the Olde Crohn - January 1996, while it is dated, the information on diet modification, digestive enzymes, etc. provided by one of the members is helpful
 
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