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Had Colonoscopy and Endoscopy ....

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Crohn's Disease
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Posted 5/29/2013 4:54 AM (GMT 0)
and really confused with report.

I have been having stomach issues ( cramping, bloating, blood in stool, diarrhea, pain on right side) for over 3 years.

My PCP thought my symptoms could possible be Crohns or Colitis and that when she sent me to GI. So... TODAY...I finally had the test that I was hoping for would give me answers and I do not understand what findings even mean. I was still somewhat out of it when DR came and talked to me so didn't ask questions. So, I was hoping I can give you guys some of what the reports says and hopefully you can help me out =) I don't see DR until Monday.

Endoscopy: 1) A ringed shaped esophagus was noted throughout the esophagus,  proximal esophageal biopsies obtained to evaluate. 2) Mild non-erosive gastritis was found in the distal body and the antrum of the stomach, biopsies obtained. 3) LA classification Grade A erosive esophagitis in the distal esophagus, biopsies obtained. 4) Random biopsies obtained to evaluate foe celiac sprue.

 Colonoscopy: 1) Normal ileum 2) Diverticula, scattered throughout the colon. 3) The ascending, transverse, descending, sigmold colon, and rectum appeared unremarkable. Random biopsies obtained. 4) A single biopsy was obtained at the splenic flexure - there was bleeding post-biopsy with venous bleb. 5) Await biopsy results.

Do I have the answers to a DX and I just don't understand the report. Or do I have to wait for biopsy result to even have an idea. what the heck is going on with me  cry I was really hoping I would leave there with all my questions answered but I am even more confused shocked So, if anyone can even somewhat help me understand this... I would really appreciate it. turn

Posted 5/29/2013 11:10 AM (GMT 0)
I don't know about the endoscopy report, but celiac sprue is celiac disease, so they are obviously checking for that. I can tell you that Crohn's of the upper GI tract, without any involvement of the lower GI tract, is very rare. Crohn's usually appears in the terminal ileum (end of the small bowel) and often in the caecum/ascending colon (right hand side of the colon).

Your colonoscopy was basically normal and free of Crohn's. Diverticula are small pouches which bulge outwards from the colon. Most of the time they don't cause any symptoms, but if they became inflamed or infected that leads to a condition called diverticulitis, which usually isn't serious but can cause abdominal pain, bleeding, fever, etc. That's treatable with antibiotics.

The biopsy results will show if you've got evidence of Crohn's. It is possible to have a clear colonoscopy and have Crohn's show up in a biopsy analysis.

I can't tell you what you've got, unfortunately, but hopefully your doctor can tell you more on Monday. Good luck.
Posted 5/29/2013 1:49 PM (GMT 0)
Twinkle, the observation that there was gastritis and esophagitis makes me believe you're going to have a conversation about taking ppis, like omperazole or prevacid. This should relieve some of the upper GI issues you've been having. The biopsy for celiac is a typical procedure done during endoscopy. If you have celiac disease (really only diagnosable via biopsy like this) you will be counseled about following a strict gluten free diet. This might be the source of most of your issues, including the blood in your stool.

Otherwise, yeah, you're going to have to wait until Monday.

Posted 6/11/2013 5:51 PM (GMT 0)
So,

I got my test results back and everything came back normal. I am happy about that BUT I know something is going on and I got the diagnosis of IBS and was told to eat more fiber! Doesn't Fiber help you go the bathroom? I don't need help in that department by any means. shakehead I have been miserable for going on 4 years. I was put on a PPI Prilosec. It's not helping with the upper issues. The Doctors office told me to give it another week and to call back and let them know if it's working or not. 

I am not on here to self diagnose...Because I have NO idea what is going on with me. I just know it's something and I am tired of it. It is so Frustrating feeling like crap all the time! mad Thanks for reading!

Posted 6/11/2013 6:24 PM (GMT 0)
There are many different ppis out there. If Prilosec isn't helping try another. My daughter went through two before getting Dexilant, which helped her a lot.

Fiber (insoluble like psylliun) can bulk the stool.
Posted 6/11/2013 8:40 PM (GMT 0)
Like Kazbern says, fiber can add bulk to the stool, so it helps with diarrhea and constipation. They seems to see more problems in your esophagus, but you may also have IBS, which can cause a lot of pain itself. How much blood are you losing? Did they also do lab tests to make sure you are not anemic? Sorry you are so frustrated....it's hard to be in pain for a long time, but be glad you don't have Crohn's. I think you may want to keep a food diary to see if certain foods aggravate your symptoms. Lots of folks have food intolerances even when they don't have celiac or allergies. Good luck with everthing
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