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

### input:
Hi - 10 days ago I woke to an abdominal pain mainly centered on my left side which literally brought me to my knees. I knew this couldn t be appendicitis because mine had been removed years ago plus the location]was wrong. In the hospital ER a CAT scan was performed which confirmed the attending physician s initial suspicion plus a surgeon had already been called in. It ended up that the right side of my bowels had totally flipped over to the left side, there were pockets of septis (?) & a large mass of impacted dry fecal matter needed removal. Eight inches of my bowels were removed & reconnected but at least I don t have a colostomy. I came home from hospital today with 23 staples which needed to stay a few extra days because I needed a dose of steroids due to major breathing issues after the anesthetic. My questions are: How common is something like this? Over the years I would have MAJOR pain which could bring me to the ER yet nothing would be discovered - even once after exploratory surgery. Could this have been my bowels having flipped out of place before but then flipping back in place again? All those years of agonizing pain leading up to the straw that broke the camel s back ! & can something like this happen again? The surgeon said I came this close to things rupturing whatever that may mean. Oh yeah, I forgot to mention that 3 years ago my sister went through practically the same thing & now has been diagnosed with crohn s disease. She now calls me a copycat - the nerve :) Is this unusual?

### output:

Hello n welcome. I read your history carefully. Firstly u need to specify the flipped bowel description from your surgeon i.e. whether your bowel was obstructed strangulated or ischemic2ndly Crohn s disease is part of inflammatory bowel disease which initially presents with episodes of FEVER WEIGHT LOSS BLOODY DIARRHEA AND ABDOMINAL PAIN. CROWNS SIGNS INCLUDE A PALPABLE ABDOMINAL MASS AND HAS ORAL N PERIANAL INVOLVEMENT, ALSO CAUSES FISTULA N STRICTURE FORMATION.DIAGNOSTIC TESTS FOR CROWNS IS ENDOSCOPY BOTH UPPER N LOWER GI TO FIND SKIP LESIONS. AND BARIUM STUDIES. THE DIAGNOSIS CAN BE AIDED VIA PERFORMING SEROLOGICAL ASIA ANTIBODIES IE ANTI SACCHAROMYCES CEREVISCIAE ANTIBODIES.  HOPE THIS HELPS. THAN