Doctor insights on:
Ulcerative Colitis Crohn
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
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
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
Would a regular abdominal/pelvis CT scan with contrast and barium suspension reveal moderate to severe ulcerative colitis / Crohn's?
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
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
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
I have on and off stomach issues. If it was ulcerative colitis or crohn's, would it come and go? Or does it only go away if you receive treatment?
IBD: Inflammatory bowel diseases (Crohn's and UC) typically do not have symptoms that "come and go", however, they can. Warning signs for these 2 disease are persistent diarrhea, weight loss, severe abdominal pain, bloody or mucous stools, vomiting, joint pain, and rashes. If your symptoms are severe OR have lasted longer than 2 months you should see a gastroenterologist. ...Read more
Colonoscopy showed an area of mild congested mucosa in recto-sigmoid colon. Does it sound like ulcerative colitis or Crohn's disease?
90% ulcerative colitis and 10% Crohn's diease what's the percentage pouch surgery being successful?
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My colon results show 90% ulcerative colitis and 10% Crohn's disease. What's 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
I have a friend who took accutane for a few years. Does this mean he's at high risk of developing ulcerative colitis and/or crohn's disease?
I don't believe it: Studies of epidemiology are fraught with pitfalls; the most recent work that I've seen seems to discredit any link at all. Accutane is powerful medicine and does carry some other risks. Best wishes. Http://consumer. Healthday. Com/kids-health-information-23/acne-news-3/study-finds-no-tie-between-acne-drug-accutane-and-crohn-s-colitis-673621.html ...Read more
Blood in stool x2. Dad w/ ulcerative colitis, sister w/ crohn's. Should I have colonoscopy? If so, can I have while breastfeeding or wait until weans?
Crohn's colitis: Can cause bleeding too, but less frequently. Ulcerative colitis is a disease that affects mainly the mucosa or the inner lining, so rectal bleeding is more common. Crohn's colitis, in contrast, affects the entire wall of the colon, so perforations and fistulas are more common. ...Read more
What could cause inflammation in cecum and ileum not caused by crohns ulcerative colitis medication or infection?
Hmmm....: How do we know it is none of those? Biopsy would be the next step in determining a cause, but you must have had a biopsy to know that it was none of the above? I would suspect that this is Crohn's - maybe mild. ...Read more
Does having hemmroids mean that you likely have inflammatory bowel disease (crohns, ulcerative colitis, etc)?
No: Hemorrhoids are extremely common and are not necessarily a marker for IBD. Patients with Crohn's disease can develop large external hemorrhoids that can be very painful, but they almost always have other dramatic symptoms. ...Read more
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
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
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
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
Inflammatory bowel: Both Crohns and Ulcerative colitis are forms of inflammatory bowel diseases. The main differences are that Ulcerative colitis is typically limited to the colon while Crohns lesions can occur throughout the entire digestive tract. Ulcerative colitis lesions usually only erode the bowel lining, whereas Crohns ulcers can penetrate through all bowel layers. ...Read more
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
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
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
Can someone have Ulcerative Colitis for years and not know? Or would that be unusual? I heard its very common in Crohns. What about UC?
Yes: People can have UC but not feel it for a reasonable amount of time. They can present with diarrheas to the ER multiple times until they get a scope and then make the diagnosis, ...Read more
Many people in my support forum insist they are suffering from Crohn's disease and ulcerative colitis. I know it's possible, but how likely is it?
Very possible: When people are posting on specialize forums for specific diseases, they are looking for answers. So often they find comfort in knowing that there is a community of people who have the same conditions, and are who are suffering likewise. So that they can support each other, share treatment plans that has worked, share treatment plants that haven't worked, and keep informed of the latest treatments. ...Read more
My dad has ulcerative colitis and my sister has crohn's. Is there any testing I should have because of this?
Not right now: Crohn's disease and ulcerative colitis have many genetic components so it is too complicated to say for sure what the risk is that you will get one of these. However the risk is definitely elevated above the general population--perhaps a 5-10 fold risk above someone else of your same ethnic background. No screening is necessary but if you have GI complaints they should be checked out. ...Read more
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
Was told I had ulcerative colitis 18 months ago, had another colonoscopy today and he now says Crohn's colitis? What is the difference, thank you
Different diseases: These 2 conditions can be difficult to tell the difference between and pathology review of a biopsy is often needed. Ulcerative colitis only affects the internal lining of the colon. Crohn's disease can affect any part of the intestinal tract from stomach to small bowel ; colon, and affects the full thickness of the bowel wall. Different medical treatments, different risk factors. ...Read more