endoscope today- more news, and confused

So, we go to the doctor today for the endoscope- he told my husband to stay on the omeprazle becauuse of his high acid content.

He is "hesitant"to call my husba'nds condition crohn's because hethinks it is IBS-

the pahtology report said that he had profuse peyers patches (what the heck are those anyways) and the differential diagnosis is crohn's colitis along with medicne induced colitis- i'm thinking that was from the osmo prep.

THey also told my husband that he is not making any pancreatic enzymes- so they want him to take something called creon 10. Can't he just take a digestive enzyme instead of going right for the big stuff?  He's supposed to take 2 at each meal and one at every snack-

he has too much fat in his bowels- which is obviously why he is so tired and lost more weight, because he's noteven breaking down his food.

He also had a moderate case of diverticulosis.....

This doctor is not big on any "natural"anything- but from w hat i've read

he should be on a good multi vitamin

probiotics

fish oil (omega fatty acids)

calcium/magnesium

digestive enzyme-

I'm not a doctor, but I think that it cant hurt to try these things, first.. before we go right for the creon 10- which is full of other stuff that i'd rather not go down that trail if we don't have to, right now.

I need a few opinions from been there/done that people.

I second what RA&CD says and I also agree that naturals can be very beneficial, top 3 that have helped me is probiotics, bee propolis (avoid if you're allergic to bees) and fibre supplements...you'll see in my sig I use others and I've also altered my diet, it takes more than just one route to find a way to feel better, it's often a combination of things (which is why I exercise regularly as well), but keep in mind everyone's combination slightly differs since it's a very individualistic disease.

:)

He needs to be getting the oil soluble vitamins because he won't have been absorbing them due to the undigested fats. That's vitamins A,D and K. I don't know how a doctor can skip over such an obvious observation - it's as if there is an off switch on any connection between dietary influences and their specialty. Which is pretty weird when they are GI doctors. Anyway, multivitamins usually have adequate vitamin A and your diet provides a lot of carotene usually, so that is less urgent. The vitamin D requirement depends on where you live and how much sun exposure he has been getting. Normally, people with Crohn's are vitamin D deficient and a supplement should provide 2000 IU to 4000 IU per day. Vitamin K should be taken at about 1 mg per day.

The pancreatic insufficiency is the probable cause of his GERDs. When his small intestine does not digest fats, sensors in the SI slow down peristalsis and that causes the stomach to empty slowly. The normal stomach contractions don't pass digested food into the SI, so it is squeezed up into the esophagus. The use of pancreatic enzymes should reduce the GERDs.

I just thought I would chime in and reiterate: Get a second opinion!