Question 1

what does congested mucosa in the terminal ileum mean?

Accepted Answer

It means that the: lining of the intestine at the end of the ilium is thickened and engorged with fluid or blood.

Question 2

my scope report says there was "dark blood in rectum overlying congested mucosa, no specific colitius/lesions seen." what does that mean? what is it?

Accepted Answer

Description: Your endoscopist must describe what they see and many of this is descriptive.  It is not normal to have dark blood in the rectum, but the report states there is no evidence of inflammation or lesions present based on visual examination.  The fact that it is dark, most likely means that it came from higher up in the intestines rather than at the site it was seen.

Question 3

what does it mean when there's an area of mild congested mucosa in recto-sigmoid colon?

Accepted Answer

Mucosal congestion: This means that there is some swelling and inflammation that is going on - kind of similar to what is going on in your sinuses when you're having a cold. I would not worry too much over that if it is the only thing found to be abnormal. The doc who discovered should be able to help you treating it if it is what is causing your symptoms. In most cases, it would be expected to be asymptomatic.

Question 4

i have mildly congested mucosa in rectosigmoid junction.  does it sound like crohn's disease or ulcerative colitis? biopsy came out negative.

Accepted Answer

Non specific : This is a very nonspecific finding. With biopsy being negative, it would b difficult to say. If only recto sigmoid is involved then its definitely not uc. Ur GI doc will give u the best guess based on ur history, family hx, symptoms etc.

Question 5

colonoscopy showed an area of mild congested mucosa in recto-sigmoid colon. does it sound like ulcerative colitis or crohn's disease?

Accepted Answer

Not likely: Only biopsies of these areas of the colon during colonoscopy could diagnose inflammatory bowel disease.  Usually the doctor performing the colonoscopy will combine his visual findings with the results of pathology from biopsies to make an accurate diagnosis.

Question 6

what does the statement "a diffuse are of mucosa in the terminal ileum was nodular" mean. i dont understand the medical language ?

Accepted Answer

Ask GI doc who ordrd: This question's best answered by the GI doctor who performed the procedure &amp; submitted the report. The GI doctor should explain its significance (i.e., if it correlates with your symptoms or not). "Diffuse" = widespread. "Terminal ileum" = region of small intestine near appendix / large intestine. "Nodular" means forming a mass or round spherical shape (nodule). TTYD. Good luck &amp; thanks for asking

Question 7

terminal ileum biopsy- ileum type mucosa with prominent lymphoid aggregate. what does this mean.

Accepted Answer

Normal biopsy: The ileum normally has numerous lymphoid aggregates. To a pathologist, this actually helps us figure out which part of the small intestine the biopsy is from. Unless something else was stated in your report, this should be taken as "normal."

Question 8

terminal ileum biopsy: unremarkable ileal mucosa. negative for active/ chronic ileitis, no granulomas seen. meaning? good? 
bad? thanks

Accepted Answer

Sampling: It is good that there was no pathology in the tissue biopsied. Please keep in mind that the pathologist can only tell you what was in the tissue that was removed, not what is the rest of the body. Lesions in Crohns can be patchy and you need to follow your doctor's advice about follow-up care.

Question 9

the doctor biopsied my terminal ileum because there was a patchy area of mucosa that was mildly granular. could this be serious?

Accepted Answer

Yes: He/she is probably being careful and looking for a diagnosis. Early Crohn's can look like this, and there are other entities. The pathologist may or may not be able to call it.

Question 10

nodularity, erythema and ulceration in the terminal ileum
otherwise normal colonoscopy
normal mucosa in the whole colon
what does all this mean?

Accepted Answer

Terminal ileitis: Terminal ileitis can be a cause of abdominal pain and possibly anemia but may be asymptomatic in some people. It can be already or can progress to a chronic inflammatory bowel disease. Please see your provider when the tissue biopsy results come back.

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Doctor answers about:

Congested mucosa in the terminal ileum

A member asked:

What does congested mucosa in the terminal ileum mean?

A member asked:

My scope report says there was "dark blood in rectum overlying congested mucosa, no specific colitius/lesions seen." what does that mean? what is it?

A member asked:

What does it mean when there's an area of mild congested mucosa in recto-sigmoid colon?

A member asked:

I have mildly congested mucosa in rectosigmoid junction. does it sound like crohn's disease or ulcerative colitis? biopsy came out negative.

A member asked:

Colonoscopy showed an area of mild congested mucosa in recto-sigmoid colon. does it sound like ulcerative colitis or crohn's disease?

A member asked:

What does the statement "a diffuse are of mucosa in the terminal ileum was nodular" mean. i dont understand the medical language ?

A member asked:

Terminal ileum biopsy- ileum type mucosa with prominent lymphoid aggregate. what does this mean.

A member asked:

Terminal ileum biopsy: unremarkable ileal mucosa. negative for active/ chronic ileitis, no granulomas seen. meaning? good? bad? thanks

A member asked:

The doctor biopsied my terminal ileum because there was a patchy area of mucosa that was mildly granular. could this be serious?

A member asked:

Nodularity, erythema and ulceration in the terminal ileum otherwise normal colonoscopy normal mucosa in the whole colon what does all this mean?

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