Do i have UC or CD

[alexhollo]

Hi everyone, I have a fistula near anus for almost 10 years and decided to get a colonoscopy test. To my surprise, the findings are suggestive of IBD, but I never have any of IBD related symptoms, never get tired never lose weight and never have diarrhea. I had diarrhea for almost 1 week after colonoscopy pre. Could colonoscopy pre caused the inflammation? Also I had 10 days of antibiotic for anal fistula before colonoscopy, is it possible antibiotic caused the colitis? Following are the result of pathology report, could anyone identify the result?

A ILEUM BIOPSY: NON-SPECIFIC ACTIVE ILEITIS

B COLON ASCENDING BIOPSY: NON-SPECIFIC ACTIVE COLITIS

C COLON TRANSVERSE BIOPSY: COLONIC MUCOSA WITH NO SIGNIFICANT PATHOLOGIC ABNORMALITY

D COLON DESCENDING BIOPSY: MILD ACTIVE CHRONIC COLITIS

E COLON SIGMOID BIOPSY: ACTIVE CHRONIC COLITIS

F RECTUM-BIOPSY: ACTIVE CHRONIC COLITIS

 

[ronroush7]

Not sure but the IBD was probably present before hand. I think everyone is different with symptoms.

 

[cmack]

Keep asking for answers. You have some significant issues. A new GI may be needed.

 

[cmack]

Antibiotics can cause trouble. You should ask the doc about VSL#3 probiotics, after you are done the antibiotics. It is the best one at the moment.

 

[Scipio]

Not everyone gets diarrhea, fatigue, or weight loss from their IBD. I don't get any of those, and I certainly do have Crohn's.

The inflammation in the ileum (finding A) suggests that it might be CD rather than UC. Given your history of fistula combined with ileitis and widespread colitis, I'd say that it is fairly likely you have IBD. It would be very unusual for antibiotics or colonoscopy bowel prep to cause this much inflammation, and certainly not a fistula. Has your doc formally diagnosed IBD?

 

[alexhollo]

Not everyone gets diarrhea, fatigue, or weight loss from their IBD. I don't get any of those, and I certainly do have Crohn's.

The inflammation in the ileum (finding A) suggests that it might be CD rather than UC. Given your history of fistula combined with ileitis and widespread colitis, I'd say that it is fairly likely you have IBD. It would be very unusual for antibiotics or colonoscopy bowel prep to cause this much inflammation, and certainly not a fistula. Has your doc formally diagnosed IBD?

Yeah, hes firmly believed that i have IBD. He sent me to CT on small bowel and blood work to rule out CD.