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Ask Dr. Chip Your Own Question
Dr. Chip
Dr. Chip, Doctor (MD)
Category: Health
Satisfied Customers: 27483
Experience:  Over 20 yrs of Family Practice
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Can I ask you wuestion about the Promethius IBD test

Customer Question

Can I ask you wuestion about the Promethius IBD test
Submitted: 1 year ago.
Category: Health
Expert:  Dr. Chip replied 1 year ago.

What do you know about it first, then tell me your question about it

Customer: replied 1 year ago.
Just thatbit can test to see if someone symptoms might be related to ibd or not
Expert:  Dr. Chip replied 1 year ago.

It's a problematic test. The sensitivity and specificity aren't all that high, so, for example, 23% of people positive for Crohn's with the test don't have Crohn's, and 30% of the people who negative for Crohn's actually do have Crohn's

Customer: replied 1 year ago.
what if you have The genetic mutations
Expert:  Dr. Chip replied 1 year ago.

You obviously know more about it than you indicated at first. Let's cut to the chase--what exactly was the point of your question?

Customer: replied 1 year ago.
If I have 3/4 of the genetic mutations could it still be wrongl
Expert:  Dr. Chip replied 1 year ago.

So have you had it? Sometimes getting the necessary information from you is like pulling hen's teeth

Customer: replied 1 year ago.
U know i have
Expert:  Dr. Chip replied 1 year ago.

No, not that specific test but why are you asking about it now?

Customer: replied 1 year ago.
because if it says chrohns and i habe 3 out of the 4 genetically mutations then why doesnt my gi think i have it
Expert:  Dr. Chip replied 1 year ago.

We've gone over this time and time again and you know full well I don't know why your GI doesn't think you have it

Customer: replied 1 year ago.
well do you
Expert:  Dr. Chip replied 1 year ago.

Yes and you're making me repeat myself for at least the fourth time

Customer: replied 1 year ago.
i am frustrated I get really bad abd painfever/ mucousy stools and it will
Wventually go away
Expert:  Dr. Chip replied 1 year ago.

Why exactly did you bother to open this page?

Customer: replied 1 year ago.
injust want to figure the crohns thing out. If you dont want to help me thats fine but you dont have to be rude about it
Expert:  Dr. Chip replied 1 year ago.

I'm not being rude if I just state the facts. It's not a question of not helping you. I think you have Crohn's and I've said that several times. It's just that so far on this page we haven't moved an inch forward in the discussion about Crohn's.

Customer: replied 1 year ago.
I want to know what the mutations mean
Expert:  Dr. Chip replied 1 year ago.

All I'm going to say is with your history, symptoms and testing so far--including the genetetic tests-- I think you definitely have Crohn's. There's really no need to go any further

Customer: replied 1 year ago.
please dont opt out this is important to me. Will you explain what the genetimutations mean?
Expert:  Dr. Chip replied 1 year ago.

That means you likely have Crohn'ss but it has to be taken in context along with your history and physical symptoms

Customer: replied 1 year ago.
if i go see a new Gi is there any tests i shoukd ask for
Expert:  Dr. Chip replied 1 year ago.

No--for now just have him go over all your previous workup

Customer: replied 1 year ago.
Is it possible for colon cancer to show up 15 months after a colonoscopy?
Expert:  Dr. Chip replied 1 year ago.

Anything's possible but it wouldn't be able to grow to the size that would cause symptoms in that short a period of time

Customer: replied 1 year ago.
Are you sure? There is something going on with my digestive system
Expert:  Dr. Chip replied 1 year ago.

Yes I'm sure.

Time to close this page

Customer: replied 1 year ago.
Why wont you let me continue if its on the same topic
Expert:  Dr. Chip replied 1 year ago.

We've covered two topics here. And we've gone over and over about your digestive problems so basically I just don't have anything useful to add

Customer: replied 1 year ago.
One last question
Expert:  Dr. Chip replied 1 year ago.

That's something you ask a lot, but ok--just one and just one answer

Customer: replied 1 year ago.
http://s890.photobucket.com/user/millerkat7048/media/Mobile%20Uploads/image_zpsd4931f1c.jpg.html?sort=3&o=25
http://s890.photobucket.com/user/millerkat7048/media/Mobile%20Uploads/image_zpscbkgtxre.jpeg.html
What is this
Expert:  Dr. Chip replied 1 year ago.

Can you at least tell me where it's from?

Customer: replied 1 year ago.
Sorry. Inhad it typed. It is on my wrist. Where my fit bit sits. It is only that spot
Expert:  Dr. Chip replied 1 year ago.

Looks like a patch of eczema but it could also be ringworm