question about location of illness

My GI believes I have crohns because it looks like I could have inflammation in the ileum, there certainly is severe inflammation there. This was spotted after I was diagnosed with UC and took suppositories only for two and a half years. Since the colonoscopy last July I’ve made a change in my diet and I’ve been taking 5asa orally and in suppositories. I’ve been doing very well since December. My GI said that she thinks I have crohns based on what she saw, but the biopsy was inconclusive so we’ll see.

So anyway, to answer your questions: yes, I have (or had) inflammation in the ascending colon that was worse than the sigmoid. Transverse colon was clear.

That is a bit unusual Rosie....your next colonoscopy will be interesting. Tricky for you, but glad you seem well.


Yeah Quincy. Unless UC has gotten to deeper part of bowel wall, topical meds can be effective in some areas.

Ambling...there are a variety of oral mesalamines that have specific initial release locations and in what PH or time release and continue throughout the colon.

Rectal mesalamine meds don't have release "programming". They come in liquid, foam and suppositories and varying dosages and amounts.

The point of treatment with mesalamines is to cover the entire colon and rectum.

Steroid topicals can also be used in the mix, alone or with mesalaine.

It's not usual for UC to heal in patches., including the rectum (where it starts). Or one having stubborn right side or transverse with rectal healing. To me it would be in the inderminate category (which is usually CD ultimately).

It is possible for someone to have Microscopic colitis (either Lymphocytic or collagenous), ischemic colitis or infectious colitis in areas that are contradictory in a UC patient.

q

Not from what I read....
q