My name is John. I have not been given an official diagnosis but my GI doctor is certain I have IBD. I have seen him for a year but have had symptoms for years. The biopsies from my colonoscopy last March did not reveal anything but he said it is common for people to go for years before confirming a diagnosis. It wasn't until 2 or 3 years ago that I even started thinking about something like Crohn's. When I was 19 (1985) I had persistent rectal irritation and an Air Force surgeon told me I had hemorrhoids. It didn't occur to me until years later that not many 19 year old guys usually have hemorrhoids. From my 20's to present I would have episodes of diarrhea but didn't really think much of it since it was not life altering. But it was persistent. In my 20's I had some episodes of mouth sores. In my late 20's to present I had episodes of joint pain that worsened about seven years ago. Around this time I started noticing bad abdominal pain and fatigue. When I developed a rash on my face I went to a rheumatologist thinking I had lupus. She confirmed I did not have lupus, the rash was rosacea. Throughout my adult life I have dealt with rectal inflammation and bleeding, what I thought was hemorrhoids. It took many years to look at all of my symptoms and realize that maybe they are all related. So my PMD did a CT scan that showed sigmoid colitis and sent me to the GI doctor. He did the colonoscopy that did not reveal anything to confirm Crohn's or UC. He gave me Anusol suppositories then proctofoam. I got no relief so he started Asacol last June. My joint pain and abdominal pain went away. I rarely have diarrhea but the proctitis is persistent. I am now on Canasa and Asacol. I'm not sure what I have but I do know that my current treatment is making everything feel better. Is there such a thing as a "mixed picture"? Can Crohn's, UC and UP overlap? Another interesting point is that one of my sisters has the same symptoms I do.