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Maybe UC, Maybe Something Else?

I'm a month out from my colonoscopy, and without a Primary Care Physician for a couple more weeks as I fired my PA for his response to this - both medical and personal malfeasance.

I definitely have either IBS or IBD of some sort - including ALL of the extra-intestinal symptoms of UC - but only one flare with bloody stools and no mucus. These include uveitis, two types of skin lesions, joint pain and mild fibromyalgia lasting a couple of days after mild exercise, fatigue, and fatty liver (I'm overweight, but don't drink). I'm also an ex-smoker, a risk factor for UC.

I've had problems slowly worsening since a food poisoning incident 6 months ago - though in retrospect something has been going on for awhile. My biggest flare was in response to a round of Flagyl, the complications from which could have killed me.

My diarrhea isn't severe, mostly loose stools, 3- 5 per day, with psyllium for awhile now. I have consistent tenesmus, with or without the psyllium and frequent, but variable, narrow stools. Without the psyllium the stools are still loose, not full on diarrhea. They are not black and 'tarry' but definitely darker and oily - small quantities and IIRC about the same frequency of 3-5 per day. When I first started the psyllium some black material came out, much of it looked like maybe some sort of flake off the intestinal wall.

I'm now 50 and have been diagnosed with diverticulitis for ten years, my first adult health problem. The last colonoscopy was 3 years ago, no polyps in that one. I have been a diet controlled diabetic, but I've had to restart my meds during this same six months. My health generally has been improving, but NOT the stress. I also have right side abdominal pain, which may or may not be related - a gall stone ultrasound was negative - and where they diagnosed the fatty liver.

I have had a first round of blood tests done, but I'm not comfortable releasing specific tests that I don't understand in a public forum. I was negative for celiac disease. I've just finished a two week lactose diet and that wasn't it, though it does seem like it might be increasing gas. A FODMAP diet is in progress.

As a personal aside - I've got stress issues including a recent foreclosure and I sure don't accept a Physicians Assistant telling this medicaid recipient that it is all in his head and the patient is making up his problems.


It is totally inappropriate and irresponsible for a doctor to be telling you that your host of symptoms is in your head. It's really important to be under constant care and have access to a medical team. I hope you find a new doctor shortly.