Moderate to Severe Gastroparesis already and possible Chrons?

Hello everyone, I am trying to find answers and advice for my ongoing progressive health issues and a recent dismissed Ct scan that is showing results that are concerning me. I have been diagnosed with a number of digestive conditions. The worst being the Gastroparesis, by the time they addressed it, I was beyond medication and needed the gastric stimulator, along with this condition, I have active IBS, (now severe from the GP) and the least active are chronic Pancreatitis from biliary disease) Gastritis, diverticulitis, Gerd, all of which
are mild and managed most of the time. Lately I have been feeling like something was off, some different pain, and different flares, and the doctors in my area are always dismissive towards my concerns and I can't get answers or diagnosed until I have a major health issue. I have had a recent CT scan done having to go through my surgeon because my GI didn't think it was important enough. And now that the results are back, I am getting no explanation or tests scheduled. I have to see her in a month. I don't know if I should be worried about this or not. We've waited before on my concerns and now I have a machine inside my abdomen. Which is pretty big and often painful. My results are pointing towards Chrons Disease and I am extremely worried about this being the outcome. I don't think I can manage both conditions with the care I receive here. If anyone has had the same problems, can you offer any insight to what you think I should do. I'll paste my results below.

CT ENTEROGRAPHY
Collected on July 22, 2024 8:47 PM

Test Result Details
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Results
Impression
IMPRESSION:

Moderate to prominent wall thickening involving duodenum, and proximal to
mid jejunal loops. Findings predominantly manifest by thickening,
proliferation and hyperenhancement of the mucosal layers, and with less
involvement of the muscularis or serosal layers. This represents an
interval change when compared to July 1, 2024 study.

Circumferential wall thickening of the gastric antrum and pylorus region
series 2, image 68.

The lumen of the stomach is moderately distended with fluid nature.

Electronically Signed by: Jonathan Levin, MD
Signed on: 7/22/2024 8:51 PM
Created on Workstation ID: DE31KT1G3
Signed on Workstation ID: DE31KT1G3
Narrative
EXAM: CT ENTEROGRAPHY W CONTRAST

HISTORY: Chronic constipation with episodes of severe pain; hx
gastroparesis

COMPARISON: July 1, 2024.

TECHNIQUE: CT ENTEROGRAPHY W CONTRAST [ ] Please note, only selected
portions of the lung bases are included on the scan volume, if concern for
lung parenchymal / pleural abnormality, or or basilar pulmonary embolus,
advise dedicated CT scan of the chest with contrast. Automated exposure
control, adjustment of the mA and/or kV according to patient size, and/or
use of iterative reconstruction.

FINDINGS:

Lung bases: Unremarkable.

Liver: Unremarkable..

Gallbladder and biliary system: Cholecystectomy..

Pancreas: Normal.

Spleen: Unremarkable..

Adrenal Glands: Unremarkable.

Kidneys and collecting system: Unremarkable.

Stomach: Moderate fluid-filled nature of the stomach.

Bowel: Moderate to prominent diffuse circumferential wall thickening
involving proximal to mid jejunal loops predominantly within the mid and
lower right abdomen, refer to series 2, images 50 through 100. There may be
some component of thickening of the duodenum as well. This is a new finding
when compared to July 1, 2024.

Lymph nodes: Unremarkable

Vascular: Unremarkable.

Retroperitoneum / Mesentery / Omentum: Normal

Pelvis: Unremarkable

Osseous structures: Unremarkable.

Soft tissues: Unremarkable

Miscellaneous: NA