My histology Results are back

How am I to read into this?

Histopathology Report – Cromwell Hospital London

 

Specimens Received:

 

Rectal Biopsy                                - Active Chronic Inflammation

Rectal Biopsy                                - Active Chronic Inflammation

Sigmoid Biopsy                              - Normal

Transverse Colonic Biopsy            - Normal

Right Side Colonic Biopsy              - Active Chronic Inflammation

Ileum small bowel Biopsy             - Normal

 

No evidence Malignancy

No Evidence of Dysplasia

No Evidence of Granuloma

 

Large Bowel Mucosa – Minimal distortion of glandular architecture.

No abbesses

Polymorphs are seen in places on the surface of the epithelium.

 

Histology Diagnosis:

“Some features here are of Chronic Active Colitis and could be consistent of IBD or an infective cause must be considered”

 

GI Diagnosis:

“Mild Crohn’s Colitis but no evidence of Granuloma - inconclusive results”

 

Medication:
Pentassa x 4g a day for 3 months then taper down. Steroids 5mg for 1, 2 or 3 months depending on need.

I didn't get that they are leaning towards Crohn's colitis, since the illeum came out normal.... I guess because of the right side of the colon being so inflamed? The GI diagnosis seems strange based on what I UNDERSTAND from the findings. I am no where close to becoming a doctor, though. Sounds like you have a lot of rectal inflammation and you aren't on any rectal meds. Insurance-wise it's better to have a diagnosis of Crohn's Colitis because then you qualify for the Crohn's meds that are not approved for UC yet. I would ask your doctor why the diagnosis is Crohn's Colitis and not just UC. What did he see exactly to come to that diagnosis and how will it effect any possibility of surgery/meds.