Clinical and pathologcal diagnosis of my medical condition

[Crohno]

Clinical:- [DATE] Sept 21 2013
Colonoscope passed upto distal ileum
Rectum is normal
sigmoid is normal
Descending is normal
Transverse is normal
Ascending is normal
Caecum and ileocacal valve are normal
Distal ileum shows 3-4 mm multiple apthous ileal ulcers. Bx taken.
Possible ileal crohns.

Pathological:- [DATE] Sept 21 2013

SPECIMEN: Ileal mucosal biopsy.

GROSS: Multiple tiny whitish tissue bits, together 8 X 5 mm. All in 1 block.

MICROSCOPICALLY: Sections show ileal mucosa with mild crypt architectural distortion, crypt branching and ulcer. Ulcer base show acute on chronic inflammatory cell infiltrate. Lamina propia shows edema, hemorrhage, dilated lymphatics and mixed inflammation comprising of lymhocytes, plasma cells, eosinophils and polymorphs. Occasional lymphoid follicle with active germinal cetre and cryptitis also seen. No granuloma and paracytes seen. No neoplasm.

IMPRESSION: ACUTE ON CHRONIC ILEITIS WITH ULCER.
INFLAMMATORY BOWEL DISEASE (IBD)- CROHNS CAN NOT BE RULED OUT.


How and what will one migh interpret based on one's past experience with the colonoscopy tests ?
My doctor says, I have mild infection of crohns.
I dont get stomach cramps (Thank god).
I dont see washroom for more than once. (After treatment).
But, I have loose stools(may be diarrhea).
Also I infrequently suffer from mild constipation, bloating, acidity and dysentery.
I have been treated fro IBS (NOT IBD) for three years!

 

[Trysha]

Crohn's can cause damage to the crypts and sometimes cause granuloma formation..
Perhaps you could look up some of this information and then talk to your GI specialist
for what the future holds regarding treatment.They should be explaining the interpretation and treatment options to you.
This is not the picture of IBS---far from it.
Feel better soon.
Hugs and best wishes
Trysha