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Doctor insights on: Crohns Disease Ulcerative Colitis And Asacol

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Are ulcerative colitis and Crohn's disease hereditary?

Are ulcerative colitis and Crohn's disease hereditary?

Somewhat: There are numerous families where there are children and /or grandchildren, cousins, etc. With these diseases. If both parents have ibd, the incidence is around 50% in the kids. Otherwise about 20% of patients will have a first degree relative with ibd. So you do the math! it isn't exactly hereditary, but there a familial incedence. By the way, the kids of colitis patients often have crohn's. ...Read more

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Dr. Jonah Essers
533 doctors shared insights

Ulcerative Colitis (Definition)

An inflammatory bowel disease (IBD) that causes long-lasting inflammation in part of your digestive tract. Ulcerative colitis usually affects only the innermost lining of your large intestine (colon) and rectum.There's no known cure for ulcerative colitis, but therapies are available that may dramatically reduce ...Read more


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What are symptoms of Crohn's disease and ulcerative colitis?

What are symptoms of Crohn's disease and ulcerative colitis?

See below : Ibd usually presents with lots of diarrhea (mucousy, bloody or just loose). Some have bad pain, cramping, nausea, wt loss etc. ...Read more

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What is the disparity between Crohn's disease and ulcerative colitis?

What is the disparity between Crohn's disease and ulcerative colitis?

Unclear question: If by disparity you mean "the difference between" then: ulcerative colitis affects just the large intestine(colon) and causes bloody diarrhea and abdominal pain. The inflammation is superficial on the bowel lining. Crohns causes deep inflammation through the whole bowel wall and affects anywhere in the GI tract from lips to anus.Symptoms of crohns can be more severe and can cause bowel obstruction. ...Read more

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How can you get ibd if you don't even have ulcerative colitis or Crohn's disease?

How can you get ibd if you don't even have ulcerative colitis or Crohn's disease?

IBD: Perhaps there is some confusion inflammatory bowel disease(ibd)refers specifically to ulcerative colitis and crohn's diseasr. If a person has been informed that he or she has ibd then the diagnosis is either ulcerative colitis or crohn's. Inflammation in the intestine caused by infection or other causes may mimic ibd & thus not be either ulcerative colitis or crohn's. ...Read more

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Calprotectin result is 81 mild does that means i may have crohn's disease or ulcerative colitis or it is just mild information like microbial?

Calprotectin result is 81 mild does that means i may have crohn's disease or ulcerative colitis or it is just mild information like microbial?

Mild not definitive: Calprotectin, like ESR or CRP tests is indicative of inflammation, but doesn't exactly diagnose CD or UC. So its 'mild information' in the sense I think you are using it. However, if you are considering biological treatments that are viewed as DMARDs (Disease modifying medicines) than it could help you and your practitioner consultants decide on accepting the risks of the newer medications. ...Read more

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I was dignosed with ulcerative colitis its been nearly 4years now. When my colon is removed and looked at can they diagnose me with Crohn's disease?

You probably have UC: You have ulcerative colitis for 4 years. If you have been taking medication and avoid flare ups you may not need to have your colon removed. If your colon is removed they will examine it under the microscope just as they have the biopsies from colonoscopy. It will confirm the disease. ...Read more

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What are the causes of Crohn's disease and ulcerative colitis?

What are the causes of Crohn's disease and ulcerative colitis?

Genes+environment : A combination of genetic predisposion (for example crohn's is more common in ashkenazi jews), life events (eg appendectomy increases one and decreases the other), and environmental influences (eg smoking increases crohn's and decreases severity of uc...). Bet you didn't expect the latter! as knowledge increases more precise factors are identified. ...Read more

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Colonoscopy shows no sign of Crohn's disease but can it be ulcerative colitis ?

Unlikely: if no signs of crohn's disease was seen on colonoscopy, then it means there was no inflammation seen. Ulcerative colitis would have been seen on colonoscopy, unless it is "quiescent" or controlled with medications. ...Read more

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I have a j pouch, because i had ulcerative colitis, but now i'm worried that i might have Crohn's disease, can that happen?

I have a j pouch, because i had ulcerative colitis, but now i'm worried that i might have Crohn's disease, can that happen?

Yes, sometimes: Sometimes after colectomy, pouchitis can act like crohn's disease even if you don't have crohn's. Also sometimes crohn's colitis can act just like ulcerative colitis but not extend beyond the colon until after the colon is removed. It is often very difficult to distinguish between the two. Scope with biopsies can help. Ask your gastroenterologist about evaluation and treatment options. ...Read more

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Ibs/ulcerative colitis/crohn's disease, how to find relief?

Ibs/ulcerative colitis/crohn's disease, how to find relief?

First you: have to get the correct diagnosis. All of the above mentioned maladies are treated differently and have different prognoses. See a GI doctor or Colon and Rectal surgeon to properly evaluate and treat your problem ...Read more

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How does IBS differ from Crohn's disease or ulcerative colitis?

How does IBS differ from Crohn's disease or ulcerative colitis?

Very different: Though the diseases may have similar symptoms they are in fact, very different. By definition, a patient with irritable bowel has no inflammation or other significant abnormalities found in their GI tract which would explain their symptoms. Crohn's patient have visible inflammation somewhere which can be confirmed with biopsy. Both commonly have abdominal pain and/or diarrhea. ...Read more

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Ibs/ulcerative colitis/crohn's disease, can you tell me about this?

Quick summary: Ibs is irritable bowel syndrome. It causes chronic abdominal discomfort with changes in bowel movements. Ibd is inflammatory bowel disease, for which ulcerative colitis and crohn's are the two main subtypes. These are characterized by chronic inflammation of the bowel, and can often have diarrhea, blood in the stool, weight loss, fevers, arthritis, vomiting, and (with crohn's) bowel obstruction. ...Read more

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My colon results show 90% ulcerative colitis and 10% Crohn's disease. Whats the percentage of pouch surgery being successful?

Inflammatory Bowel: I think you should see an experienced functional medicine doctor or integrative medicine doctor in addition to your GI doctor and surgeon. Watch Dr Mark Hyman's YouTube videos on your condition. Also, if you have not changed your diet already, strictly remove gluten and dairy from your diet. I wish you the very best. ...Read more

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How common is having ulcerative colitis for few years and then after surgery checking the colon u find out they have Crohn's disease instead?

How common is having ulcerative colitis for few years and then after surgery checking the colon u find out they have Crohn's disease instead?

Not uncommon: Both ulcerative colitis and crohns are an inflammatory disease process. They share several features and can be challenging to diagnose/treat. A specimen removed from the bowel and sent to a pathologist for an exam under microscope makes the diagnosis. In addition to uc/crohns the pathologic exam can find cancer and/or diverticulitis. Stay with your care team. Nicotine cessation will help. ...Read more

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Which is a more serious disease: Crohn's or ulcerative colitis?

Which is a more serious disease: Crohn's or ulcerative colitis?

UC: Question as to which is more serious, Crohn's or Ulcerative Colitis, misses the point that these are different intensities of disorder along a spectrum of manifestation wherein intestinal smooth muscle function is hyperdynamic due to neurologic autonomic system impingement & over-stimulation. Ulcerative Colitis represents greater intensity of these dysfunctions; involving inflammation & bleeding. ...Read more

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How do you tell the difference between ulcerative colitis and Crohn's disease?

How do you tell the difference between ulcerative colitis and Crohn's disease?

Location for one: It can be difficult to tell between the 2 at times. Location is important. Ulcerative colitis always involves the colon starting with the rectum. Crohns can follow any distribution in the gut and often involves the small intestine, especially the terminal ileum. There are also differences when tissue specimens are viewed under the microscope. There are blood tests which can be helpful too. ...Read more

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I had ulcerative colitis, but now i'm worried that i might have Crohn's disease. What do I do?

Colitis: These two forms of GI disease can sometimes have overlap but also have many areas that they are different. Best to discuss with your GI md and or surgeon to help differentiate and sometimes a repeat colonoscopy or upper endoscopy may be needed along with other test to establish a firm diagnosis. ...Read more

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What to do if I had ulcerative colitis, but now I'm worried that I might have Crohn's disease.?

Takes time: It is actually rather common for UC patients to find out they actually have crohns. Maybe up to 10% have this problem. This takes time--maybe even years to fully sort out for some. Many of the medications are useful in both so this is usually not the main issue. Surgical options are different however. Keep having regular discussions with your GI doctor about this ...Read more

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Diagnosed with ulcerative colitis, but now i'm worried that i might have Crohn's disease, can't that happen?

Unlikely: Cd can affect any portion of the GI tract from mouth to anus, uc only affects the rectum and large intestine. Cd can extend through the full thickness of the tract lining - creating holes, infection, or connections to adjacent organs, uc is limited to the lining of the colon. Differentiating can be tough when the rectum and colon are affected by cd. A gastroenterologist should be able to help. ...Read more

Dr. Scott Bolhack
2,077 doctors shared insights

Ulcer (Definition)

An ulcer is a discontinuity or a break in a body membrane that impedes the normal functioning of the organ of which that membrane is a part. Ulcers are further classified by their location. Ulcers are usually caused by infections, excessive acid production, stress, ...Read more


Dr. Abby Caplin
772 doctors shared insights

Crohn's Disease (Definition)

A chronic inflammatory bowel disease that affects the lining ...Read more