Colonoscopy results - help

I had the same experience as you...bloods looked really good all yea, no symptoms, scope showed mild redening of the distal colon but my GI was happy....are you getting any right sided pain

I don't have any lower right pain and according to the GI the cecum looked normal. There was only mild reddening in the terminal ileum. I'll get the biopsy results in 3 weeks. Hopefully, it will show no inflammation at all.

I have cecum inflammation that extends into the terminal ileum along with patchy inflammation in my colon. My official diagnosis is pancolitis at this point because the patches merged and became continuous, but originally I had a patch of inflammation at each turn in the colon (the "plexuses") and then continuous inflammation in the last 12 cms of colon. They gave me the dx "interdeterminate colitis". To this day nobody can tell me 100% if it's UC or Crohn's or what. In my reading of the research about disease presentation, it turns out that there is still some lack of clarity about distinguishing the two. Some people are clear cut cases but a lot aren't. I unfortunately am one of the not so clear ones.

It's not uncommon for left sided UC flares to have right sided pain because there is a huge amount of lymphatic/immune tissue at the very end of the terminal ileum called Peyer's Patches. It's how the immune system activates in the bowel. When flares are severe these can really swell up.

Simon1729 said...
Patchy inflammation is usually a sign of Crohns. However, and this is a mistake I see a lot on this site, patchy inflammation will also present in UC when it is medicated. UC will develop continuously but does not heal under therapy in a continuous way and so can give patches of the colon that are not yet as healed as much as others. Cobblestone appearance of the patches is the more definitive sign of Crohns.

Simon1729, to clarify, I was diagnosed, unmedicated, with patchy UC. This isn't due to medication healing my bowel in a non-continuous way. My Gastro believes that I probably still have microscopic UC in the areas that don't visibly show ulcers, but my diagnosis is patchy UC.

In my case this is no mistake. Although this is atypical, apparently it's not rare:

https://www.ncbi.nlm.nih.gov/pmc/articles/pmc4071881/

Post Edited (UCyousee) : 5/5/2021 5:58:01 AM (GMT-6)

Yes, redness can be entirely from the harsh colonoscopy prep. Biopsies tell if it's superficial (from the prep) or actual Inflammation.