### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
From last 45 days I am suffering from abdominal pain, discomfort , bloating , gassiness , fullness all the time, heaviness in back with constipation. Some times I feel a knot or tie shaped structure bellow lungs or just above the stomach. It alters time to time in size. All the investigations like endoscopy, enteroscopy , colonoscopy , ultrasounds, blood tests & x-rays are normal or negative except ct scan of upper abdomen in which jejunal thickening has been found. I hv visited physicians, gastroenterologists & Gastro surgeon. They have given me razo tab, domstal, dufalac, rifaximine tab , eldicet tab , mesacol tab one by one. But still I am waiting for a treatment for my problems. According to my symptoms I feel it is irritable bowl syndrome but no doctor has pin pointed same. Kindly suggest me ???????????

### output:

Hi. Thanks for your query. Read and understood your problem. The classical finding of jejuna thickening on CT scan is a classical finding in respect of your symptoms. You must be getting enhanced symptoms after taking anything orally. Unless proved otherwise, this can be taken as a case of tuberculosis of the jejunum. You may get the following tests: CBC, Quantifier Gold Test for Tuberculosis, manitou, PCR for TB. If no medicines is helping, it is wise to get started in anti-tubercular treatment on an empirical basis. This will certainly help. Diagnostic Laparoscopy can certainly find other signs of TB like tubercles and so on, which are easily missed on other tests. Endoscopy if reaches the area of jejunum can be a good diagnostic too, if biopsy can be done.