Please help me figure out CT scan and colonoscopy reports, thank you

Hi I apologize in advance for a lengthy post. I'm new to the forum but not uc. Report info is below.
I was diagnosed with uc about 20 years ago can't remember date. I was on Asacol for about 10 years then I stopped ago med and was able to keep myself in control if a flare was starting I would change my diet and ease up on what I was doing and sometimes take some of my Dad's prednisone but I avoid prednisone until I know I can't go without something. I hate going to Dr about this so that's my problem also. I had a dr who if I walked into his office without an appointment and he hasn't seen me in a long time he wound tell his nurse to get me in a room right away. But he moved away. :( Fast forward to about May this year and I started a flare but it would ebb and flo bleeding come and go so I was handling it until about August when boom at least 20 times a day blood, mucus and pain but I was traveling so I waited to till I got home and couldn't get into Dr for 3 weeks when I finally realized I needed help now so ER I went they did test and ctscan told me ctscan results would take 2 to 2 1/2 hours I got wheeled back to my room went to use restroom and Dr s there waiting for me telling me I needed to be admitted. Now I don't understand these results. Especially the CT and the scope say active uc and the biopsy say quiescent IBD could it go into remission in 2 weeks and also scope looked active and still having about 5 to 10 bm a day. Do I have uc? Again I apologize for the long post but appreciate any help. Meds right now Asacol 800 mg, budesonide 9 mg

Ctscan report

Small benign hemangioma in the left lobe of the liver. Liver is
otherwise unremarkable. Status post cholecystectomy with normal
prominence of the biliary tree. The pancreas, spleen, adrenal glands,
and kidneys are negative.

The distal esophagus, stomach, and small bowel are normal. The
appendix is normal. There is diffuse colonic wall thickening from
cecum through the rectum with prominent pericolonic inflammatory
changes. There is no evidence of associated perforation; no free fluid
or free air.

The abdominal vasculature including the aorta and IVC is negative. No
grossly pathologic abdominal adenopathy however there are multiple
sub-5 mm scattered mesenteric lymph nodes present in the colonic
mesentery.

The bladder is partially filled and grossly normal. Ovaries are unremarkable.

Bones are negative.

IMPRESSION:
Pan colitis. The leading considerations are inflammatory bowel disease
such as ulcerative colitis or Crohn's versus an infectious colitis,
most commonly C. difficile. No evidence of complication by perforation
or abscess.

Colonoscopy report
Findings:
MILD ULCERATIVE COLITIS LEFT INVOLVED MORE THAN RIGHT COLON.
The perianal and digital rectal examinations were normal.
Inflammation characterized by erythema, friability, granularity,
scarring, aphthous ulcerations, serpentine ulcerations and shallow
ulcerations was found as medium-sized patches surrounded by normal
mucosa in the rectum, as medium-sized patches surrounded by normal
mucosa in the recto-sigmoid colon, as medium-sized patches surrounded by
normal mucosa in the sigmoid colon and as medium-sized patches
surrounded by normal mucosa in the descending colon. This was mild in
severity. Biopsies were taken with a cold forceps for histolog
y. FROM RT
COLON AND LT COLON.,

Impression: - Inflammation was found in the rectum, in the
recto-sigmoid colon, in the sigmoid colon and in the
descending colon secondary to ulcerative colitis.
Biopsied.
Recommendation: - Use Asacol 800 mg PO TID.
- Use budesonide 9 mg PO one time per day.
- Follow up with me in 2 months.

Biopsy report
Final Pathologic Diagnosis

1. Random right colon biopsies: Moderate to marked crypt distortion with
no evidence of active colitis, compatible with quiescent inflammatory bowel
disease.

2. Random left colon biopsies: Marked crypt distortion with no evidence of
active colitis, compatible with quiescent inflammatory bowel disease.

3. Duodenum, biopsies: Intact villiform duodenal mucosa -- there is no
evidence of villous blunting, intraepithelial lymphocytosis or crypt
hyperplasia.

I'm no expert but it seems to me you still have uc and its not just ibd. Everything matched up pretty well to normal uc symptoms.

Thank you what I don't understand is the scope report said active but the biopsies said quiescent IBD but not uc. The whole secondary to uc is confusing as well. I go back to Dr in Dec.

I haven't taken birth control pills for gosh I don't know how long at least 15 years but I really can't remember when I stopped I went the iud route.

I'm just so confused. I'm not that impressed with this Dr but small town not much choices. He really didn't seem to concerned when I was so weak I almost couldn't get up on the table, that was about a week after being in the hospital. I was 97 lbs when I was admitted and 110 discharged (no food at all) from fluid they pumped me with I had no ankles or wrist I was so full of fluid and my potassium was high when usually it's low I take 3 potassium pills a day just to keep it in a safe range. Once I got rid of the fluid my potassium dropped back down too low.

Thank you it just seems the scope versus the CT scan versus the biopsy report are conflicting. Also I saw the patchy and I wondered if it's Crohn's also. I had an endoscopy and that was all normal.

I've had a hemangioma on my liver for 20 years. It always comes up when I get any type of abdominal scan. Something to watch over several years but most of the time they're nothing to worry about.

I've had patchiness but, according to the Prometheus test, it's 92% certain I have UC. My very experienced GI also said that my colonoscopies look like UC. So it's possible to have patchiness but still have UC. You'll have to have a few colonoscopies over the years before anyone can be certain. MY GI said he doesn't put a lot of stock in the Prometheus test but we did it because I may need surgery and it has become important to know.

Always go with how you feel, not what the test results say. If you're weak and sick, you need treatment no matter what.

Are you anemic? That can happen quickly and make you very weak. Are you eating?

Generally speaking, the CT scan cannot differentiate a cause of colitis. If there is bowel wall thickening, it can be due to many different causes. In general, causes would include infectious colitis, inflammatory bowel disease and ischemic bowel. Depending on the patient's age, one can lean one way or the other (inflammatory bowel disease if younger, and ischemic bowel if older and vessels show atherosclerotic changes). Infectious colitis can itself be caused by many bugs, including (ironically) antibiotic use. All of this has to be taken in light of the specific patient history. I hope you feel better soon.