Crohns or UC??

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Jun 18, 2007
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12 years ago I was diagnosed with mild Crohns (the initial flare was bad) and to this day the Doc still says that is what I have yet the only drug I take is Asacol which according to their site is for UC and not even licensed for Crohns??

http://www.asacol.com/ulcerative-colitis/inflammatory-bowel-disease.jsp

Confused???

Also I had a period where I felt so well that I stopped taking the Asacol altogether for about 4 years with the only symptoms being the occasional soft stool and a little blood, when I had my last colonoscopy the Doc said my Crohns was still active and put me back on the Asacol 800mg 3 times a day, now I have cramping back when I didn't before, is this the Crohns or the drug that causes this?

I'm in the UK BTW, are we getting the wrong drugs over here???
 
Welll, there is a lot of confusion over IBD, and what constitutes UC from Crohn's. I would 'expect' that, if there was any doubt, your doctors would state so. If I had to guess (and that's exactly what I'm doing - I'm no medical professional, just a person with a form of IBD none of my doctors can tell whethers it's UC, CC or CD) I would 'guess' that the exams of your colon have pretty much convinced them its mild case of Crohn's 'colitis'.. C.C. for short. The fact that the asacol, in fact a lot of the 5ASA drugs, usually specifically talk about Ulcerative Colitis, is that it's an anti-inflamatory, and helps limit or stop the bleeding that it's infamous for. One of the things that separates it from crohns is that it commonly spreads thru the entire colon, and it bleeds a lot. On the otherhand, crohn's colitis is blotchy, it only attacks 'areas' of the colon. The difference is that, if a medication can slow the bleeding in UC, or stop it, then it pretty much becomes a defacto standard procedure med. If it also lessens any inflamation... then it could prove useful for treating C.C., or even C.D. (crohns that has involved more than the colon. Essentially it's just a 'buffered, coated' form of stronger stength ASA).. Hey, this is just a layman's opinion, and there are plenty of folks on here who could probably give a much more intelligent and educated answer... but they'd be guessing too. I know that, if one was given a choice between a U.C. diagnosis, and a C.D. diagnosis, most would opt not to have C.D., as if it's just a 'colitis' , and hasn't spread/progressed elsewhere, it's feasible to opt for a removal of the colon to make it all go away. Wishing for it won't make it happen... Anyway, welcome to the forum. Hoping I was helpful
 
Thanks for your opinion Kev. :thumleft:

My doc sometimes refers to it as ileocolitis which is crohns but then goes on to say it’s only in the right side of my colon, this hasn't spread in 12 years.

So I guess I have a mixture of the two.
 
Yeah, Matt... That sounds like a pretty conclusive and exact diagnosis.. and since it hasn't spread in 12 years, it would seem like whatever you are doing is working.

I'll give you a little personal history... Had my 1st bout with this (symptom wise) in the early 90's. My GP at the time couldn't pin down a diagnosis. Treated it with a strong pred enema for 45 days, it went away for a decade.

Post millenium, I had a bout of in-explicable pancreatitis... Unfortunately, before they were able to diagnose it as that, one of the possible diagnosis's thrown around was pancreatic cancer... since my father & my doctors father had both passed away from that... AND since I had none of the 'typical' causes of pancreatitis... Early tests were inconclusive, (had to wait a long, long time for an MRI) but amongst them was a sigmoidoscopy done by the leading GI in the area. He found old scarring (from the early 90's episode) that he told me was from colitis, but he couldn't identify what exact type of colitis it was. Since it was old, and no sign of recent activity (at least visible via sigmoidoscope) it wasn't deemed pertinent to my situation at the time. Anyway, after going on a liquid only diet during my stay in the hospital, the pancreatitis mysteriously just went away.

Fast forward a couple of years... Wasn't feeling well, thought I had the flu. It wasn't. Ended up in the ER... Again, had severe pancreatitis, with pancreatic cysts... Dr's thought it was my gallbladder.. But I was bleeding too. so I went back to the GI.. he did a scope (colonoscopy)... found some minor colitis, again he couldn't determine what type.. but it was only a few inches, thought it was treatable with a/b's.. and very mild. And my pancreas and gallbladder were the major issues... After the cysts went down, another dr. removed my g/b and I was given a 'clean' bill of health. However, shortly thereafter my bleeding got way worse.. Showed my docs pix of my bleeding, they did another scope, and scheduled me for 'urgent' resection. those few inches were now 1 & 1/2 feet. Took it out. Told it was Diverticular Associated Colitis, and surgery was a cure.
Wrong. About a month & a half after, my remaining pristine colon was fully inflamed. Again, they couldn't say what type of colitis it was, only they knew it wasn't DAC, AND they (after reviewing the pancreatic, gallbladder, other side issues) WASN'T sure it wasn't crohns.. They were never able to scope inside my ileum to see if it was involved... Anyway, a definite/definitive diagnosis of one or the other really doesn't change my 'treatment', and would only come in to play IF removal of the colon (or the remaining colon) was considered. IF my IBD is just colitis, then removal of it should leave me mostly symptom free. IF it isn't just colitis, THEN it could trigger/force it to enter my ileum (if it isn't there already).. Since I'm not keen on the idea of removing my colon, the point is moot.. for the mo. Anyway, I forced you down my memory lane against your will for a reason... I'm not trying to 'one up' your condition, just trying to point out that a 'stable' case of it with a firm diagnosis CAN be a blessing in disguise.
If my few inches of colitis had stayed that way for 12 years, even 12 months, I would have enjoyed every minute of it, skipped a major surgery, perhaps even managed to hang on to my career... and the associated health benefits that came with it. Not complaining, not bitching.. there are plenty of people who've had it way worse than me... and you. I know, I attended the funerals of some who were way younger, whose diagnosis's make IBD a walk in the park, OK?
 
Hey Matt,

As you can see I am in the UK and we have the same drugs here as they use worldwide. It depends very much on the consultant and also their preferred drug for the problem they are dealing with based on what they have found brings results with the range of patients they see.

Hope you start to pick up soon matt.
 

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