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Misdiagnosis... Crohn's disease missed diagnosis


Forum: Autoimmune Diseases and Disorders

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  #1  
May 11th, 2010, 05:48 PM
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Misdiagnosis of Crohn's diseaseA diagnosis of Crohn's disease may missed because its symptoms may be mistaken for symptoms of such conditions as colitis, irritable bowel syndrome, celiac disease, and diverticulosis. In addition, sometimes it is difficult to distinguish between a diagnosis of colitis and Crohn's disease.

Some people have such mild symptoms of Crohn's disease that they mistake them for the symptoms of a less serious condition, such as gastrointestinal upset, gas, or gastroenteritis. This can result in a delay in seeking medical care and a diagnosis.

To ensure a prompt diagnosis of Crohn's disease or other potentially serious gastrointestinal diseases, it is vital to seek immediate medical for symptoms of bloody diarrhea, rectal bleeding, recurring bouts of diarrhea, abdominal pain, or fever....more about Crohn's disease »

Alternative diagnoses list for Crohn's disease:For a diagnosis of Crohn's disease, the following list of conditions have been mentioned in sources as possible alternative diagnoses to consider during the diagnostic process for Crohn's disease:

Digestive disease, chronic
Irritable bowel syndrome
Ulcerative colitis
Celiac disease
Appendicitis - colicky spasmodic abdominal pains of Crohn's disease may be mistaken as appendicitis
Acute appendicitis
Microscopic ulcerative colitis
Microscopic lymphocytic colitis
Microscopic collagenous colitis
Ulcerative proctosigmoiditis
Pancolitis
Intestinal bacterial infection
Gastrointestinal tuberculosis
Viral intestinal infection
Rotavirus
Fungal intestinal infection
Intestinal histoplasmosis
Parasitic intestinal infection
Amoebic dysentery
Schistosomiasis
Girardia intestinalis
Campylobacter jejuni intestinal infection
Salmonella intestinal infection
Shigella infection intestinal infection
Escherichia infection intestinal infection
Staphylococcal enterocolitis
Bacillus cereus intestinal infection
Clostridium perfringens intestinal infection
Clostridium botulinum intestinal infection
Zollinger-Ellison syndrome
Vipoma
Somatostatinoma
Glucagonoma
Carcinoid syndrome
Thyrotoxicosis
Medullary carcinoma of the thyroid
Diabetic autonomic neuropathy
Malabsorption
Carcinoma of the colon
Gastrointestinal lymphoma
Behcet's syndrome
Infective colitis
Indeterminate colitis
Crohn's colitis
Stomach ulcers
Collagenous colitis
Lymphocytic colitis
Ischemic colitis
Diversion colitis
Gastrointestinal basidiobolomycosis
Endometriosis
Pelvic inflammatory disease
Sexually transmitted disease
Cytomegalovirus
Kaposi's sarcoma
Amyloidosis
Diarrhea of AIDS
Bacterial overgrowth
Nonsteroidal enteropathy
Postsurgical adhesion
Diseases for which Crohn's disease may be an alternative diagnosisThe other diseases for which Crohn's disease is listed as a possible alternative diagnosis in their lists include:

Appendicitis/acute appendicitis/chronic appendicitis
Behcet's Disease
Celiac Disease
Chronic diarrhea
Chronic Fatigue Syndrome
Colorectal cancer
Diabetic Diarrhea
Diabetic Gastroparesis
Diverticular disease and diverticulitis
Giardia
Irritable bowel syndrome
Peptic Ulcer
Pyoderma Gangrenosum
Small Intestine Cancer
Ulcerative colitis
Yersiniosis
Crohn's disease: Hidden Causes Misdiagnosed?Causes of Crohn's disease may include these medical conditions:

The exact cause of Crohn disease remains unknown. Current theories implicate the role of genetic, microbial, immunologic, environmental, dietary, vascular, and even psychosocial factors as potential causative agents
Imbalance between proinflammatory and anti-inflammatory mediators
Research shows that the inflammation seen in the GI tract of people with Crohn's disease involves several factors: the genes the patient has inherited, the immune system itself, and the environment. Foreign substances, also referred to as antigens, are found in the environment. One possible cause for inflammation may be the body's reaction to these antigens, or that the antigens themselves are the cause for the inflammation. Some scientists think that a protein produced by the immune system, called anti-tumor necrosis factor (TNF), may be a possible cause for the inflammation associated with Crohn's disease
more causes...»
Rare Types of Crohn's disease:Crohn's disease of oral cavity
Crohn's disease of the hypopharynx
SLE associated with Crohn's disease
More rare types »
Crohn's disease Diagnosis: Book ExcerptsHistory and physical examination - Bowel sounds, hyperactive
Diagnosis - Crohn's disease
History and physical examination - Bowel sounds, hyperactive
History - Gastrointestinal Bleeding
Differential Overview - Gastrointestinal Bleeding
Diagnosis - Intestinal obstruction
Diagnosis - Crohn's disease
History - Bowel sounds, hyperactive
History - Bowel sounds, hyperactive
Clinical Features and Diagnosis - Gastrointestinal Bleeding
History and physical examination - Bowel sounds, hyperactive
Crohn's disease: Medical MistakesRelated medical mistakes may include:

Crohn's Disease -- Health Mistakes
Ulcerative Colitis -- Health Mistakes
Celiac Disease -- Health Mistakes
more mistakes...»
Crohn's disease: Undiagnosed ConditionsCommonly undiagnosed conditions in related areas may include:

Chronic Digestive Disorders that can remain Undiagnosed:
Crohn's Disease -- Undiagnosed
Ulcerative Colitis -- Undiagnosed
Celiac Disease -- Undiagnosed
Heartburn -- Undiagnosed
GERD -- Undiagnosed
Inflammatory Bowel Disease -- Undiagnosed
Irritable Bowel Syndrome -- Undiagnosed
Carcinoid Syndrome -- Undiagnosed
Pancreatitis -- Undiagnosed
more undiagnosed conditions...»
Common Misdiagnoses and Crohn's diseaseChronic digestive conditions often misdiagnosed: When diagnosing chronic symptoms of the digestive tract, there are a variety of conditions that may be misdiagnosed. The best known, irritable bowel syndrome, is over-diagnosed, whereas other causes that are less known may be overlooked or misdiagnosed: celiac disease, Crohn's disease, ulcerative colitis (both are called inflammatory bowel disease (IBD)), diabetic gastroparesis, diabetic diarrhea. Other possibilities include giardia, colon cancer, or other chronic infections.

Intestinal bacteria disorder may be hidden cause: One of the lesser known causes of diarrhea is an imbalance of bacterial in the gut, sometimes called intestinal imbalance. The digestive system contains a variety of "good" bacteria that aid digestion, and they can decline for various reasons, leading to digestive symptoms such as diarrhea. The main treatment is to eat foods containing probiotics, typically yoghurt cultures. See intestinal imbalance and probiotics.

Antibiotics often causes diarrhea: The use of antibiotics are very likely to cause some level of diarrhea in patients. The reason is that antibiotics kill off not only "bad" bacteria, but can also kill the "good" bacteria in the gut. This leads to "digestive imbalance" where there are too few remaining "good" bacteria in the digestive system. The treatment is typically to use "probiotics", such as by eating yoghurt cultures containing more of the good bacteria. See digestive imbalance and probiotics.

Food poisoning may actually be an infectious disease: Many people who come down with "stomach symptoms" like diarrhea assume that it's "something I ate" (i.e. food poisoning). In fact, it's more likely to be an infectious diarrheal illness (i.e. infectious diarrhea), that has been caught from another person. Such conditions may be transmitted via the fecal-oral route.

Mesenteric adenitis misdiagnosed as appendicitis in children: Because appendicitis is one of the more feared conditions for a child with abdominal pain, it can be over-diagnosed (it can, of course, also fail to be diagnosed with fatal effect). One of the most common misdiagnosed is for children with mesenteric adenitis to be misdiagnosed as appendicitis. Fortunately, thus misdiagnosis is usually less serious than the reverse failure to diagnose appendicitis.

Celiac disease often fails to be diagnosed cause of chronic digestive symptoms: One of the most common chronic digestive conditions is celiac disease, a malabsorption disorder with a variety of symptoms (see symptoms of celiac disease). A variety of other chronic digestive disorders tend to be diagnosed rather than this condition. See introduction to celiac disease or misdiagnosis of celiac disease.

Vitamin B12 deficiency under-diagnosed: The condition of Vitamin B12 deficiency is a possible misdiagnosis of various conditions, such as multiple sclerosis (see symptoms of multiple sclerosis). See symptoms of Vitamin B12 deficiency or misdiagnosis of multiple sclerosis.

Chronic digestive diseases hard to diagnose: There is an inherent difficulty in diagnosing the various types of chronic digestive diseases. Some of the better known possibilities are peptic ulcer, colon cancer, irritable bowel syndrome, or GERD. Other sometimes overlooked possibilities include Crohn's disease, ulcerative colitis, chronic appendicitis, Celiac disease, Carcinoid syndrome, gastroparesis, and others. See all types of chronic digestive diseases.
Crohn's disease: Rare TypesRare types of medical disorders and diseases in related medical areas:

Chronic Digestive Disorders -- Rare Types:
Crohn's Disease -- Rare Types
Ulcerative Colitis -- Rare Types
Celiac Disease -- Rare Types
Inflammatory Bowel Disease -- Rare Types
Irritable Bowel Syndrome -- Rare Types
Carcinoid Syndrome -- Rare Types
Pancreatitis -- Rare Types
Gallstones -- Rare Types
Lactose Intolerance -- Rare Types
Peptic Ulcer -- Rare Types
Colon Cancer -- Rare Types
more ...»
more rare diseases...»
Failure To Diagnose Crohn's diseaseFailure to diagnose Crohn's disease may be associated with the following:

The failure to diagnose Crohn's disease can lead to joint complications (arthritis, joint pain, ankylosing spondylitis, back pain), skin problems (erythema nodosum, pyoderma gangrenosum), liver problems (gallstones, cirrhosis, chronic hepatitis, fatty liver, sclerosing cholangitis), kidney stones, venous thrombosis and eye problems (uveitis, episcleritis, conjunctivitis)
Active undiagnosed Crohn's disease can reduce fertility and increase the risk of spontaneous abortion
Failure to diagnose Crohn's disease can result in complications such as toxic megacolon, colonic perforation, hemorrhage, abscess and fistulae, anal fissures, anal abscesses, anal fistula or colonic carcinoma
The longer it takes to diagnose the Crohn's disease, the more damage that can occur to the bowels
Failure to diagnose Crohn's disease in children can lead to retarded growth or delayed or failed puberty
Peiranal disease may be unrecognized as a symptom of Crohn's disease but may be considered as an isolated condition
Often a co-existing intestinal infection (bacterial, viral, fungal etc) is not diagnosed in Crohn's disease sufferers and as a result their symptoms are exacerbated
Crohn's disease is often not diagnosed in children as the disorder is often considered unlikely to occur and difficult to diagnose in children
Undiagnosed children often suffer the complications and effects of malnutrition - poor growth, depression, sexual immaturity etc.
Untreated and treated Crohn's patients face a greater risk of osteoporosis
Colonoscopies and other imaging tests may still fail to diagnose Crohn's disease. Recent studies using capsule endoscopy may provide a greater degree of diagnostic accuracy
Notes On Hidden Causes Of Crohn's diseaseThe following may be hidden causes of Crohn's disease:

Crohn's disease may be inherited in a familial pattern i.e. tends to run in families
Genetic mutation may also have a role in the susceptibility to Crohn's disease
Environmental factors such as good domestic hygiene habits can increase to risk of developing Crohn's disease. A clean environment means the bowel lining has not had the opportunity to build up immunity to minor infections. Therefore, the first bout of Crohn's disease is often triggered by an intestinal infection of some sort. After the condition has been triggered, flare-ups tend to continue
There is unproven suggestion that a diet high in fat or sugars can increase the risk of developing Crohn's disease
Smoking appears to be a risk factor for Crohn's disease and can exacerbate symptoms
Appendicectomy increases the risk and exacerbates the symptoms of Crohn's disease
Immunological defects have been implicated in Crohn's disease
Notes On Wrong Diagnosis Of Crohn's diseaseWrong diagnosis of Crohn's disease may be associated with the following:

Crohn's disease is frequently misdiagnosed as ulcerative colitis and vice versa as they can be difficult to distinguish due to the similarity of symptoms
Crohn's disease is often undiagnosed as patients may have few physical signs other than weight loss and general ill-health
Complications Of Misdiagnosis Of Crohn's diseaseThe following may be complications of misdiagnosis of Crohn's disease:

The abdominal pain associated with acute Crohn's disease may be misdiagnosed as acute appendicitis
The acute abdominal pain associated with Yersinia infection can be misdiagnosed as Crohn's disease and vice versa
NSAID medication can cause a flare up of Crohn's disease
Anemia due to Crohn's disease may be diagnosed simply as anemia
Sudden onset of gastrointestinal symptoms due to inflammatory bowel disease such as diarrhea may be misdiagnosed as an intestinal infection (bacterial, viral, parasitic or fungal)
Other Notes On Misdiagnosis Of Crohn's diseaseStress and lack of sleep can exacerbate Crohn's disease symptoms
Diverticular disease and Crohn's disease often co-exist
Patients with Crohn's disease face a greater risk of neuromuscular conditions such as carpal tunnel syndrome and weakness, pain and numbness in the limbs
Medical news summaries about misdiagnosis of Crohn's disease:The following medical news items are relevant to misdiagnosis of Crohn's disease:

$790,000 settlement for undiagnosed bowel malfunction
Celiac disease is a chronically undiagnosed and misdiagnosed condition
Misdiagnosis appeal reduces $2,66 million to $675,000
More news »
Misdiagnosis and Crohn's disease deathsCrohn's disease is a condition that can possibly be deadly if misdiagnosed...more »
General Misdiagnosis ArticlesRead these general articles with an overview of misdiagnosis issues.

Misdiagnosis Overview
How Common is Misdiagnosis?
Over-Diagnosed Diseases
Under-Diagnosed Diseases
Types of Misdiagnosis
Wrong Type Misdiagnosis
Why Does Misdiagnosis Occur?
Difficult Diseases to Diagnose
More premium medical articles ...
About misdiagnosis:When checking for a misdiagnosis of Crohn's disease or confirming a diagnosis of Crohn's disease, it is useful to consider what other medical conditions might be possible misdiagnoses or other alternative conditions relevant to diagnosis. These alternate diagnoses of Crohn's disease may already have been considered by your doctor or may need to be considered as possible alternative diagnoses or candidates for misdiagnosis of Crohn's disease. For a general overview of misdiagnosis issues for all diseases, see Overview of Misdiagnosis.
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  #2  
May 12th, 2010, 05:15 AM
Kathode's Avatar Mega Super Mommy
Join Date: Jan 2010
Location: Quebec, Canada
Posts: 2,615
Wow! Thanks!

My Gastroenterologist, who is one of the foremost in the field in Canada, complains about this a lot. Crohn's diagnosis is done by eliminating every other possibility, and there is no real test for it, which makes it so hard to diagnose! I guess the bottom line is if you think something more serious is going on, keep at it until you've eliminated all the possibilities!
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