Please help us!

[rga]

Well, we've had probably the worst week of our lives ever waiting for this diagnosis from the doctor. My wife has been crying for a week now since she found out about the ulcers in her colon. Here's a backgrounder:

My wife has been complaining of Diarrhea, gas and pain in her abdomen for 2 weeks. Her OB got her checked up and saw that she has a bit or endometriosis but said that this should not be the cause of her pain. So we had a colonoscopy and they found the ileum to be clean, but she had a few ulcers localised to a small area or the right ascending colon.

TB is extremely predominant here in the Philippines, so it definitely is a consideration but her TB test showed negative. Here are her results:

 

[Scipio]

Has the doctor made a formal diagnosis. This report suggests Crohn's disease of the colon. The granuloma finding is especially strong evidence for Crohn's. But of course the final diagnosis can come only from your wife's doctor.

Crohn's is bad news, but the good news is that there are multiple drugs available that are effective in controlling this disease. Not a cure, but if you can work closely with a doctor skilled in treating Crohn's it is usually possible to find the right combination of medication, diet, and healthy lifestyle to achieve remission and stay in remission for long periods of time.

 

[rga]

Hello Scipio. Isn't the location of the ulcers strange though? It's all clumped up in that one area as opposed to spread out along the colon. The Ileum is clean too. I've also read up that TB gives you far bigger granulomas than Cron's.

 

[Gabriel89]

TB can be checked via serum and biopsy. Was the two test positive for TB?

For example Everyone going to take HUMIRA needs to be checked for TB as far as I know.

 

[Lady Organic]

Hello and welcome

crohn's disease is patchy by definition, as opposed to ulcerative colitis that usually starts by the rectum and goes the way up without segment/patch. You can definitely have a good portion of the colon clean and a small patch of inflammation anywhere with CD.

 

[Kas8173]

The only abnormal finding that I see is the ulcerated area in the ascending colon.
The bloods all appear to be normal. CRP is especially low, which is a good thing, usually with IBD it would be very high.
There is not enough information to determine whether it is Crohn's or Ulcerative Colitis at this stage, as the inflammation is confined to only one area.
A diagnosis of ulcers in the colon is not nice to hear, but it is reassuring that it does not appear to be severe at this stage.