I tested positive for ulcerative colitis on the ibd panel. Yet, my colonoscopy came back normal. What could this mean?
IBD panel is a genet. A + ibd panel is present as a preclinical marker and +in a set number of inflammatory bowel diseases. Since autoimmunity is present as a result of t-helper -1 deficiency, t-helper-2 dominance. This state of illness can be caused by a metabolic dysfunction that is also found in diabetes, ra, psoriasis ect. And in certain cancers. If a b-6 is ( low or high) b-6, function is tested by products of b6.
Biopsies? Check w/MD. Blood test can not be relied on to make diagnosis. Can be helpful (or not) in delineating if a diagnosed colitis is from uc or crohn's (or not). Were biopsies done during the colonoscopy, to check for inflammation? Has small bowel been evaluated (by xray, ct, mri, capsule study) to check for crohn's disease-if indicated? Was this short-lived, as possible infection? Ask your doc?
Will a video colonoscopy completely rule out crohans disease, ulcerative colitis and other ibd. Will it also rule out cancer?
I have reasonably well controlled left-sided ulcerative colitis (on azathioprine and balsalazide), diagnosed approx 34 years ago aged 30. How often should I have surveillance colonoscopy?
Every year... ...Or maybe 2 (recommendations are slightly different in uk andus). Long term uc ( even left sided) can have increased risk for colon cancer, without going through the usual polyp gone bad over time stages. Colonoscopy with multiple biopsies to check for " dysplasia" are done. If dysplasia (either a precancer change or marker for current nearby ca), need to seriously consider surgery ( various). Read more...
Well yes, but... Finding that your colon is inflamed by capsule endoscopy does not MAKE a diagnosis of ulcerative colitis. The distribution of colitis, biopsy findings, IBD markers, as well as ruling out infection & ischemia are all important parts of the diagnosis. If you have UC you will likely need repeated colonoscopy surveillance with histology. Get a GI doctor who hears & can address your expressed concerns. Read more...