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Can you have Crohns and UC together?

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Ulcerative Colitis
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Posted 6/27/2008 5:01 PM (GMT 0)
I had a routine colonoscopy yesterday. As you all probably know I couldnt speak with the Dr. because of the meds but My father in-law told me that they scheduled me for an upper GI next Monday because the Dr wanted to test me for Crohn's. I have been diagnosed and treated fro UC for 5 years. Does this mean that he now believes I may have been misdiagnosed? Or does he think I may have both? His office is closed on Fridays. I will get info Monday I'm sure. Just curious.
Posted 6/27/2008 5:19 PM (GMT 0)
It could be he thinks you were misdiagnosed, but I've also heard of people having something called Crohn's Colitis. I don't know much about it though and unfortunately couldn't find anything online. Maybe someone here can help though.
Posted 6/27/2008 5:30 PM (GMT 0)
Apparently not according to my GI....who I place high on the list of "knowing what's going on in the world of IBD".

I would say misdiagnosis by doctors (where it's CD and not UC) and misunderstanding the terms by patients.
q
Posted 6/27/2008 5:34 PM (GMT 0)
My GI did this too to rule out CD.  He couldn't understand why I could not gain remission so by taking a CT scan they can check for illness in the small intestine and rule out or in CD.  I wouldn't worry about it, your doctor is being proactive and thorough.

Sue

Posted 6/27/2008 5:45 PM (GMT 0)

quincy said...
Apparently not according to my GI....who I place high on the list of "knowing what's going on in the world of IBD".

I would say misdiagnosis by doctors (where it's CD and not UC) and misunderstanding the terms by patients.
q

Sorry Q but your GI is incorrect, there is a 2-5% chance on one patient having both crohn's and UC...(as stated in the "ask the doctor" from the CCFC journal summer of 2005)

Major differences between UC and crohn's is that the inflammation from UC is surfacable only, with CD it can go beneith the many layers of the intestinal lining, also with CD there are usually skipped patterns of inflammation with healthy tissue in between, with UC the entire area will be inflammed...

It's a small percentage but one patient can infact have both conditions since they are still considered seperate entities because of the above mentioned differences (also because UC is limited to the colon/rectom and CD can affect the entire GI tract from mouth to anus, both conditions can be tagged with extraintestinal manifestations.

:)

 

Posted 6/27/2008 5:46 PM (GMT 0)

ediekristen said...
It could be he thinks you were misdiagnosed, but I've also heard of people having something called Crohn's Colitis. I don't know much about it though and unfortunately couldn't find anything online. Maybe someone here can help though.

Crohn's-colitis is simply crohn's disease affecting the colon..."col"=colon, "itis"=inflammation.

:)

Posted 6/27/2008 5:56 PM (GMT 0)
There are also many people who have a chronic inflammatory colitis that can't be definitely classified as Crohn's or UC. They may have UC-type lesions with a Crohn's pattern. It can be difficult sometimes to definitely categorize the two.

Most likely if you have lesions elsewhere, you have Crohn's but it's stayed relatively mild in your colon.
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