Recurring stool upsets with temperature and rheumatic pain

[Artem]

Dear Doctor,
I'm a 29 years old male.
Since 1997 I've had recurring symptoms:
Nagging pain in lower part of stomach, accompanied by
increasing stool upset, rheumatic pain in body,
and temperature between 37.1 - 38.5 t C.
Such condition lasted 1 - 2 days and ceased by itself.
It would recur twice, thrice a year.
I'd passed colonoscopy in 2004, which revealed follicles in ileum
("limpho-follicular hyperplasia of the ileum terminal section").
No medication was proscribed.
In about a year, during another recurrence I'd passed the new colonoscopy
(in 2005), which diagnosed "erosive ileitis"
("in terminal part of ileum there are 0.1-0.2 sm erosions with thin fibrin coating")
I received no prescription and no concrete diagnose that time as well.
Symptoms keep recurring. Often not severely pronounced
(temperature 37.1, slight stool upsets, rheumatic pain),
but lately they last more than 10 days .

What should I do to find the cause of these symptoms?
Thank you.

PS:
One doctor suggested that I pass tests for a special "periodical armenian decease".

(I've also had a duodenal ulcer.
In 1997 I had 1st duodenal ulcer occurrence.
After recurrence I'd passed an antihelicobacter
therapy in 2003. In 2005 gastroscopy with the test
revealed no helicobacter infection and no ulcer.)

[hbrewer]

My grand-father who has congestive heart failure was also recently diagnosed with Barett's esophagus.  He has supplemental oxygen for his heart failure, but is complaining that the oxygen is making his throat hurt.  What can we do to make him feel better about using the oxygen?
Hillary Brewer

[Kevin Pho, MD]

I agree with the colonoscopy.

If there is evidence of inflammatory bowel disease or ileitis, this can be further evaluated with an upper GI series with small bowel follow-through.  Alternatively, a capsule endoscopy can be considered.

Blood tests can be done looking for specific antibodies suggesting inflammatory bowel disease.

These options should be discussed with your personal GI physician.

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patients education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
www.kevinmd.com