Timely diagnosis of Crohn's disease. MCSC patient history


Patient U., 44 years old, consulted a gastroenterologist at the MCSC named after A.S. Loginov in January 2023 with complaints about:

  • abdominal pain;
  • mushy stools with blood up to 4 times a day;
  • reduction of body weight by 10 kg in 10 months;
  • decreased appetite.

During the consultation, the woman said that every 3 months her body temperature rose to 38-39C and her throat was sore. She thought these were symptoms of ARVI and was treated on her own with antibiotics. At the same time, while taking these drugs, she had abdominal pain.

Then the patient went to the clinic for medical help. The therapist assessed her condition and suggested that the pain was caused by a bacterial infection, prescribed a course of probiotics and recommended performing a colonoscopy. In November 2022, during an endoscopic examination of Tolstoy, multiple mucosal defects were detected, but no biopsy of the damaged areas was taken.

In January 2023, the patient was hospitalized in the Department of Intestinal Pathology of the MCSC named after A.S. Loginov, where she underwent a comprehensive examination – blood tests, abdominal ultrasound, colonoileoscopy, CT enterography and morphological examination.

Both laboratory and instrumental studies indicated inflammatory processes in the small and large intestines. Based on the results obtained, the patient was diagnosed with high-activity Crohn's disease. The doctors picked up her drug therapy, which was followed by a good response.  Today the woman is under the supervision of specialists of our Center. She feels well and leads an active lifestyle.

The story of our patient demonstrates how important it is to seek medical help in a timely manner, without resorting to self-medication. Before prescribing any medication, including antibiotics, it is necessary to analyze the patient's complaints, a thorough examination and diagnosis. Uncontrolled intake entails not only the development of antibiotic resistance (resistance of microorganisms to an antibiotic), but also antibiotic-associated intestinal lesions. In the future, this may adversely affect the patient's health.

According to the results of a new scientific study, the frequent use of antibiotics increases the risk of inflammatory bowel disease (ulcerative colitis, Crohn's disease). In young patients who regularly take courses of antibiotics, the diagnosis of IBD was established almost 30% more often and with increasing age of patients this risk increased by 14-15%. Therefore, the reasonable use of antibiotics will avoid the development of antibiotic resistance, as well as reduce the likelihood of developing IBD.

Dear patients, if you have been diagnosed with Crohn's disease or ulcerative colitis, the specialists of the Department of Intestinal Pathology will help you taking into account the multidisciplinary approach and the use of modern treatment methods. This allows you to quickly and timely select an individual effective treatment strategy, modify the course of the disease and improve the quality of life of patients.

You can make an appointment for a consultation with an enterologist by calling 8 (800) 234-24-22.

GBUZ Moscow Clinical Scientific Center named after Loginov MHD