Pathology report

[matty]

pathology report

hello everyone and hope all is doing okay. I seen my gp on thur and told him of my continueing stomach issues and he did prescribe me asocal, 2x800mg daily. He wants to give me lowest dose and he said that its not even the lowest, he says 6 of them is lowest. Trying me out first on 2. I asked him for copy of report. I read after left office and am confused. The surgeons report says resolving colitis, here's the other report-Ileocelcal junction: consistant with ileocecal junction with a severely active mildly crypt distorting colitis/ileitis with crypititis and overlying ulceration. Comment: Although the features are in keeping with ibd, a chronic infective etiology could appear similarly and clinicopathological as well as colonoscopic correlation is recommended. I don't understand the resolving and active part. The surgeon said its resolving and not to treat it, but it says active. Also doesn't ileitis mean chrons. They don't say which one i have. If anyone can understand this a little would be appreciated. thank you

 

[sunflower]

Did you get to see the pathologist report?? Diagnosing Crohn's often depends on specific types of cells appearing in the ulcers.

The word root "itis" means swelling, or inflammation. So any word ending in "itis" simply means there is swelling there. Col"itis" - swelling in the colon, ile"itis" - swelling in the ileum, tonsil"itis" - swelling in the tonsils. There is swelling and ulceration in the ileocecal junction. I do not know what "crypt" is to help with that part.

What the report seems to be saying is that it could be due to an inflammatory process, but they recommend looking into it further and taking some biopsies to make sure it isn't an infection. There are several infections that make Crohn's-like lesions making it hard to diagnose Crohn's. Sometimes you even have the disease for a while before the marker cells make an appearance. That happened to me.

Has your doctor ruled out infections?

Does anyone else want to add in some wisdom? My anatomy is rusty. LOL!!

 

[DustyKat]

What are these results from? You have already had a colonoscopy haven't you?

You may well have ileocolitis, this involves both the ileum and the large bowel so will include the ileocaecal junction. Ileocolitis is the most common form of Crohns disease.

As sunflower has said, all the itis's mentioned mean you have inflammation present in those areas. Crypts are a feature of Crohns and some infections and what they are small sacs or cavities in the bowel wall.

Do you see an gastroenterologist? I don't have an issue with surgeons but I don't think they are the best doctors to deal with crohns on an ongoing basis.

Dusty. xxx

 

[matty]

hello and thanks for replies. That was the pathology report. On followup with surgeon, he said its resolving and not use meds right now becasue its mild. If i ask gp to refer me to gastro dr., will he make me do another colonoscopy, i really hate that. Also i did do blood tests, stool test for infections and the 3-day one and dr. didn't call me back. It was another dr. last month because mine was on holiday. I phoned and receptionist said they all came back and dr. didn't call for me so they must be okay.

 

[DustyKat]

I still maintain that a surgeon is not the best person to manage your condition on an ongoing basis.

If you continue to have gastrintestinal issues I strongly suggest you have a referral to a GI.

Take care,
Dusty. xxx

 

[sunflower]

I agree. Surgeons and GP's like to think they can help you, but they are not the best ones to work with. Find a good Gastro. You need to get a diagnosis and on the right meds. If you have to have another Colonoscopy, so be it. They are not fun, but isn't like a punch in the eye.

 

[matty]

yes i totally agree, its just having to go through another colonoscopy. I am going to ask gp to refer me. I'm also kind of anxious about because i hear so many horror stories of gi's. But I do have to give him the benefit of doubt.

 

[sunflower]

I have heard some horror stories, and had some not so nice Gastros. But, then you just look for the next one. Remember that doctors work for YOU. You hire them, and if they don't work out, you hire another one. You have not obligation to him whatsoever. You don't even have to pay unemployment if you change doctors. It is easiest to stay with what you know, but you need someone who cares about you. I am going through this right now, and may be about to fire a gastro. I like him, but his office staff is off-putting and act like my calls and questions are not necessary and they are not nice. Doc and I will have a talk and see what happens.

At least you are not looking for a nice neurologist. Never met one of those! LOL!! Good luck.

 

[matty]

Thank you and i hope my first gastro dr. is okay.