I was initially diagnosed postendoscopy with multiple erosive duodenal ulcers about a month ago due to upper abdominal pain occasionally presenting as chest pain. I was taking Nexium, which looked to be working very well. Since the doctor noted that I was also incidentally chronically constipated even as a child, and diagnosed me with Irritable Bowel and he prescribed Zelnorm 6mg BID. About a week of taking Zelnorm, I started to have lower abdominal pain, became more constipated, had bilateral hip joint pain, and could barely sit or walk comfortably by the 3rd day. I then developed low grade fever, and tachycardia. Colonoscopy was immediately done, and I was diagnosed with Crohn's Ileitis. I have not had diarrhea at all. I was started on Mesalamine 1000mg TID and Metronidazole 250 mg BID. About 3 days after these meds, I started to have vaginal pain near the urethral opening, occasional pruritus, no foul odor, no discharge, I took it upon myself to inspect my introitus, and found a single 1 mm ulcer in the vaginal mucosa near the introitus not where the pain is at. The ulcer itself is painless, with a slightly depressed white center, with no increased redness or inflammation surrounding it. Is this all related? Why the constipation in the diagnosis of Crohn's? Is it OK to refuse treatment with Budesonide, because I work with close contact with infectious patients? Should I seek treatment for the vaginal ulcer with the GI or Gyne since I know it might be related to Crohns. I am Asian. No family history whatsoever. I don't drink alcohol, but I smoke. My past medical history includes Dengue Fever with platelet transfusion and 3 childbirths. Chronic constipation is my only significant past medical history. I used to be on depot injections for birth control, but stopped and my last dose was Nov 2004. With all this happening in a month's time, I am afraid of what is yet to come, and I am not on steroids yet. I use to think of horses all the time, but this looks like a zebra to me, that is why I have been neglecting sporadic low grade fever, about 3X in 6 months. I just always think its the flu. Help me get things straight rather than go doctor shopping or thinking zebras. Thanks!