gastroduodenal Crohn's

This is the info I found on gastroduodenal crohn's....

Symptomatic gastroduodenal manifestations of Crohn's disease (CD) are rare, with less than 4% of patients being clinically symptomatic. Gastroduodenal involvement may, however, be found endoscopically in 20% and in up to 40% of cases histologically, most frequently as Helicobacter pylori-negative focal gastritis, usually in patients with concomitant distal ileal disease. In practice, the activity of concomitant distal CD usually determines the indication for therapy, except in the presence of obstructive gastroduodenal symptoms. With the few data available, it seems correct to say that localized gastroduodenal disease should be treated with standard medical therapy used for more distal disease, with the exception of sulfasalazine and mesalanine with pH-dependent release. Presence of symptoms of obstruction needs aggressive therapy. If medical therapy with steroids and immunomodulatory drugs does not alleviate the symptoms, balloon dilation and surgery are the options to consider.

Hope this helps some :)

I take Proton Pump inhibitors myself (Prilosec). I am wondering if the Pred is aggravating her GERD, it is very common for this to happen. Pred is very hard on the stomach. I am wondering if she might need to increase her Prevacid or try a different PPI. She may need to increase or change until she gets off the Pred.

Good luck,
Gail *Nanners*

I talked with her GI and he suggested another Prevacid daily for a few days to see if it helps. Crossing my fingers and hope it helps.

i have similar problems now and then, such as ulcerations causing large bleeds in the duodenum, i use 2 PPI'S each night before bed, when the acid reflux is the worst for me. maybe her dr would try 1 evry 12 hours to spread the dose ?