8F Suspected Inflammatory Bowel Disease WB PaJR

 

08-06-2025

THIS IS AN ONLINE E LOG BOOK TO DISCUS OUR PATIENT'S DE-IDENTIFIED HEALTH DATA SHARED AFTER TAKING HER GUARDIAN'S SIGNED INFORMED CONSENT. HERE WE DISCUSS OUR PATIENT'S PROBLEMS THROUGH SERIES OF INPUTS FROM AVAILABLE GLOBAL ONLINE COMMUNITY EXPERTS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUTS.

[08-06-2025 06:48] PPM 1: গত পরশুদিন আমার আট বছরের মেয়ের পায়খানা এরকম হয়,, এখন ওর কোনো শারীরিক সমস্যা নেই,, কিন্তু কেনো এরকম হলো সেটা নিয়ে চিন্তায় আছি । ওর বয়স যখন 3/4 বছর ছিল তখন রক্ত আমাশয় প্রায় বছর খানেক ভুগেছিল,তারপর প্রায় 7 বছর পর্যন্ত কোনো সমস্যা ছিল না । এক বছর আগে আবার আগের মত রক্ত আমাশয় হয়েছিল শুধু একদিন,, তারপর একবছর পর গত পরশুদিন এরকম পায়খানা করে । এরকম অবস্থায় কি করবো বুঝতে পারছি না ।

[08-06-2025 06:48] PPM 1: স্যার একটু দেখবেন

[08-06-2025 06:48] PPM 1: Ore jonye ekta PaJR group create kore okhane janacchi.

PaJR group create korar jonye ekhane bangla consent form ta pore apnar signature, full address, patient er age gender, aajker date, ebong diagnosis 'suspected inflammatory bowel disease' eta form tai likhe, abar chobi tule share korte parle bhalo hoto

3F Diarrhoea, Vomiting, Fever April 2025 (Recovered) Intermittent Abdominal Pain Days WB PaJR

 

02-06-2025

THIS IS AN ONLINE E LOG BOOK TO DISCUSS OUR PATIENT'S DE-IDENTIFIED HEALTH DATA SHARED AFTER TAKING HER GUARDIAN'S SIGNED INFORMED CONSENT. HERE WE DISCUSS OUR PATIENT'S PROBLEMS THROUGH SERIES OF INPUTS FROM AVAILABLE GLOBAL ONLINE COMMUNITY EXPERTS WITH AN AIM TO SOLVE THOSE PATIENT'S CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUTS.

This is the case of a 3 yr old female child experiencing abdominal pain, vomiting, diarrhoea and fever for 5 days since the last week of April. Following this she was hospitalised and some tests were done. Which revealed a CRP (C-Reactive Protein) level of 300+ and was diagnosed with colitis.

After seven days of treatment, she became normal. However for the last 10 days she has been experiencing mild abdominal pain at night.

23M Red Eye, Fever, Dysentery, Arthritis, 1 Week Telangana PaJR

 

04-05-2025

THIS IS AN ONLINE E LOG BOOK TO DISCUSS OUR PATIENT'S DE-IDENTITFIED HEALTH DATA SHARED AFTER TAKING HIS SIGNED INFORMED CONSENT. HERE WE DISCUSS OUR PATIENT'S PROBLEMS THROUGH SERIES OF INPUTS FROM AVAILABLE GLOBAL ONLINE COMMUNITY EXPERTS WITH AN AIM TO SOLVE THOSE PATIENT'S CLINICAL PROBLEMS WITH COLLETIVE CURRENT BEST EVIDENCE BASED INPUTS.

DESCRIPTION

23yr male 

INITIAL ASSESSMENT

1. COMPLAINTS AND DURATION

•c/o loose stools since 5days

•c/o fever since 6 days

•c/o R knee pain 5 days

40F Since 1999 Gall Bladder Surgery and Recurrent Intestinal Obstruction Telangana PaJR

 

29-04-2025

THIS IS AN ONLINE E LOG BOOK TO DISCUSS OUR PATIENT'S DE-IDENTIFIED HEALTH DATA SHARED AFTER TAKING HER SIGNED INFORMED CONSENT. HERE WE DISCUSS OUR PATIENT'S PROBLEMS THROUGH SERIES OF INPUTS FROM AVAILABLE GLOBAL ONLINE COMMUNITY EXPERTS WITH AN AIM TO SOLVE THOSE PATIENT'S CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUTS.

OPD now: Project optimizing clinical complexity in abdominal pain @PPM3 @PPM4 @SE this patient's story is similar to the one I shared about following up since 2005!

40F with problems since 1999 with pregnancy, post cesarean, gall bladder pain and lymph node issues 

1995 Marriage at the age of 12 (while studying in 7th standard, husband was in 10th)

1999: pregnancy with right hypochondrial pain and vomiting everday with weight loss till delivery by LSCS and yet pain abdomen didn't relieve. Referred to Hyderabad pvt hospital where lap cholecystectomy was done on December 1999 and she was alright till 2003 after which she noticed recurrence of pain abdomen and vomiting along with weight loss and cachexia! Went to OH in 2004 on OP basis and after one admission in 6/11/2004 to 26/11/2004 they gave up and asked her to go home and die! She went to GH and there they did an exploratory laparotomy and found a CBD structure which was rou-en-yed by joining the CBD with the jejunum. Then they also removed a lymph node from the abdomen that sent her on an oncology lymphoma wild goose chase @PPM5 

From 2005-2012 she was alright but developed similar symptoms of intermittent intestinal obstruction with pain abdomen, vomiting and abdominal distension which would last 24 hours and keep recurring every week till 2025 and she has avoided all marriage functions that involves eating!