I have had on and off gut issues for years, in last 2 years things have been way worse after a bout of food poisoning. I am 62 year old male.
Diagnosed with Ibs and pelvic floor issues about 1 year ago, tried laxatives did not work, tried pelvic floor therapy did not help, tried hypnosis/CBT that helped me deal with symptoms but symptoms unchanged, they suspected sibo tried rifaximin, did not help, been to 3 gastro Docs.
Symptoms:
Loose stools
Sometimes diarrhea
Takes a half hour in one sitting to go
3 to 4 visits to the bathroom mostly in am
Bloating in signmoid colon after eating
No distension
Sometime mucus only
Feel like I have to go but sometimes it's just flatulence from the bloating
Symptoms worse after eating or drinking anything
Felt problem was in sigmoid colon all along
Tests:
Ct scan with IV contrast dye and oral contrast Jan 2023, found nothing no inflammation
Colonoscopy/Endoscope in March 2023 they said everything normal except diverticula found, which was found on 2 past colonoscopies as well.
September 2023 repeat ct scan IV contrast dye and oral contrast found no inflammation
Calprotectin test attached but 5 out of 6 were abnormal, one was normal. I attached PDF
Blood tests normal including ESR and C Reactive all in range, all vitamins in range except Vitamin D around 23
CT Scan May 2024 was ordered due to recent pain and small amount of blood/mucus coming out no stools, just defecating mucus for 2 days, some stools in am, no fever, no specific sharp pains, mostly cramping and gas pains.
This CT scan found inflammation in sigmoid colon consistent with Diverticulitis. I asked GI if they know for sure that inflammation is caused by Diverticulitis and they said the only can assume it's that, but they don't know for sure. Only another colonoscopy would be able to tell. I had my Doctor call the radiologist and they said they saw no inflammation in small intestine or ilium.
From report:
GI tract: There is no bowel obstruction. The appendix is normal. There is mild wall thickening in pericolonic fat stranding surrounding the distal sigmoid colon consistent with mild acute sigmoid diverticulitis. No pericolonic collection.
I am probably going to do another Colonoscopy, to check for healing and IBD.
What does this community think of this situation and diagnosis?
and is there anything else I could be doing to find out what's wrong with me?
They don't think it's colitis as not a lot of Diarrhea, the also skeptical of Crohn's as its usually starts small intestine, all my symptoms suggest that whatever this is it's affecting mostly my sigmoid colon, as most of my symptoms suggest that's the case.
I am skeptical of the diagnosis of Diverticulitis as I had no fever, no chills, no signs of infection, no sever pain in one spot, all I had was gastro symptoms that could be anything. Bottomline CT showed inflammation this time whereas others did not, and my stool calprotectin has been raised the last year and half, with only one normal result.
Appreciate thoughts?
Diagnosed with Ibs and pelvic floor issues about 1 year ago, tried laxatives did not work, tried pelvic floor therapy did not help, tried hypnosis/CBT that helped me deal with symptoms but symptoms unchanged, they suspected sibo tried rifaximin, did not help, been to 3 gastro Docs.
Symptoms:
Loose stools
Sometimes diarrhea
Takes a half hour in one sitting to go
3 to 4 visits to the bathroom mostly in am
Bloating in signmoid colon after eating
No distension
Sometime mucus only
Feel like I have to go but sometimes it's just flatulence from the bloating
Symptoms worse after eating or drinking anything
Felt problem was in sigmoid colon all along
Tests:
Ct scan with IV contrast dye and oral contrast Jan 2023, found nothing no inflammation
Colonoscopy/Endoscope in March 2023 they said everything normal except diverticula found, which was found on 2 past colonoscopies as well.
September 2023 repeat ct scan IV contrast dye and oral contrast found no inflammation
Calprotectin test attached but 5 out of 6 were abnormal, one was normal. I attached PDF
Blood tests normal including ESR and C Reactive all in range, all vitamins in range except Vitamin D around 23
CT Scan May 2024 was ordered due to recent pain and small amount of blood/mucus coming out no stools, just defecating mucus for 2 days, some stools in am, no fever, no specific sharp pains, mostly cramping and gas pains.
This CT scan found inflammation in sigmoid colon consistent with Diverticulitis. I asked GI if they know for sure that inflammation is caused by Diverticulitis and they said the only can assume it's that, but they don't know for sure. Only another colonoscopy would be able to tell. I had my Doctor call the radiologist and they said they saw no inflammation in small intestine or ilium.
From report:
GI tract: There is no bowel obstruction. The appendix is normal. There is mild wall thickening in pericolonic fat stranding surrounding the distal sigmoid colon consistent with mild acute sigmoid diverticulitis. No pericolonic collection.
I am probably going to do another Colonoscopy, to check for healing and IBD.
What does this community think of this situation and diagnosis?
and is there anything else I could be doing to find out what's wrong with me?
They don't think it's colitis as not a lot of Diarrhea, the also skeptical of Crohn's as its usually starts small intestine, all my symptoms suggest that whatever this is it's affecting mostly my sigmoid colon, as most of my symptoms suggest that's the case.
I am skeptical of the diagnosis of Diverticulitis as I had no fever, no chills, no signs of infection, no sever pain in one spot, all I had was gastro symptoms that could be anything. Bottomline CT showed inflammation this time whereas others did not, and my stool calprotectin has been raised the last year and half, with only one normal result.
Appreciate thoughts?
