Thanks ipoop. I called down to the medical center yesterday and the wait times to see a gastro are already booking into May...Ughh. I started my first dose of proctofoam last night. Second one this morning. I'll try not to worry too much and hope the proctofoam works or at least gets me going in the right direction. I'm a worrier though.
Here's a little more in depth info on the colnoscopy and pathologists report:
The Olympus video colonoscope CF-H180AL
was advanced the full length to the cecum and then into the distal foot or so of
ileum. We did representative biopsies in the ileum, as there was slight
erythema, but no erosions or ulcers or other abnormalities. Coming out, he has
no erythema, friability, erosions, ulcers, polyps, tumors, diverticula, or
telangiectasia until we get back to the rectum. Really, the sigmoid was quite
normal, but in the rectum he has obvious inflammation with friability, erosions,
but no big ulcers. I saw no polyps or pseudopolyps. Digital and other rectal
exam, prostate is normal.
IMPRESSION:
Distal proctitis. Several biopsies were done and will send in for definitive
pathology. We will get some studies here to make sure he has no C. diff
(Clostridium difficile). When pathology comes back, if it does not look
infectious, start treating him with some anti-inflammatory suppositories. We
will send him back to his regular physician after seeing him back and discuss
his pathology.
Pathology info on the biopsies:
Microscopic Pathological Diagnosis:
A. Ileum biopsy - normal small bowel mucosa with benign lymphoid
aggregates.
B. Rectal biopsy - moderate acute colitis (see comment).
Comment: The inflammatory changes in the rectum are most likely secondary
to a self-limited process such as infection. There is minimal architectural
change and early chronic inflammatory bowel disease cannot be excluded.
Clinical correlation is needed. There is no evidence of dysplasia.
Microscopic Descript
ion:
The rectal biopsy shows acute inflammation in the lamina propria with
minimal architectural distortion consisting of gland drop out. There is
reactive epithelial change without dysplasia. No granulomas are seen.
Post Edited (Wolsnik) : 3/31/2017 7:48:49 AM (GMT-6)