Please help, infectious colitis or UC???

Antibiotics and/or anti-inflammatory mesalamine-based medications are often prescribed for infectious-colitis. What were you given and for how long? It seems to make sense to give you medications for longer, rather than say "just ignore it" which is quite a stupid thing to say. I'd press this doctor and insist, and if not, shop around and find another doctor.

Hi....do you hve a copy of your biopsies Pathology results? If not, get one and let is know what it states.

Welcome to the forum,
q

So, what infection do you have? He should have done stool samples to tell you what you have and then treated you with antibiotics accordingly. Honestly, your symptoms do not sound like infectious colitis at all. Did you take your full course of antibiotics? Kinda weird he gave you Asacol for infectious colitis.

quincy said...
Peter......copy and paste is helpful to see the report as per location, etc. If you can do it, that will be better than giving feedback on information that is 'something like'.

q

I dont have an idea how to use this forum for pictures, I am a newbie, but if you mean location of inflammation then colonscopy showed proctosigmoiditis which was later ruled out with biospy. Thats about everything the paper says its infront of me. As for the things I wrote upper I am sure about I just checked now 100%

with either IC or UC the inflammation can be treated with anti-inflammatory med like Asacol. But for IC it is also important to eliminate the infection to get a cure.

some pathogens are antibiotic resistant, and getting the right ab for the pathogen is important. some pathogen, such as c.diff, respond well to FMT therapy.

your path report found no sign of UC, which would show crypt cell changes.

but to back up, you question seems to frame the idea that you migh have UC, and if you were treated for UC, you would get better. Unfortunately the problem with this is that Asacol is the first-line treatment for us. The only other UC-type treatment that might be added at this point is rectal anti-inflammatory meds which are Asacol in an enema.

without blood, D, or urgency, this sounds more like IBD than IBD or infection. The burn is puzzling. since there was some inflammation seen by pathology, and no sign of UC changes to cells, IC is a reasonable diagnosis. The only think odd is not doing another course of ab to combat the resurgent infection.

There is a remote chance that you do have UC causing the inflammation, but you are so early in the disease that no signs of chronic inflammation are yet visible. I think this is unlikely - but if it is, taking Asacol is the recommended treatment. It can take weeks to start working (for some people) and In my case took many months to give a remission.

If another scope in 6mo or a year shows chronic inflammation, something stronger then Asacol could be used. When anti-inflammatories alone do not work, some type of immune-modulation is used. Drugs to mess with the immune system are always best avoided if possible.

I would continue to take the Asacol, but also press for testing to identify the pathogen and/or further an to get rid of infection.

good luck

DBwithUC said...
with either IC or UC the inflammation can be treated with anti-inflammatory med like Asacol. But for IC it is also important to eliminate the infection to get a cure.

some pathogens are antibiotic resistant, and getting the right ab for the pathogen is important. some pathogen, such as c.diff, respond well to FMT therapy.

your path report found no sign of UC, which would show crypt cell changes.

but to back up, you question seems to frame the idea that you migh have UC, and if you were treated for UC, you would get better. Unfortunately the problem with this is that Asacol is the first-line treatment for us. The only other UC-type treatment that might be added at this point is rectal anti-inflammatory meds which are Asacol in an enema.

without blood, D, or urgency, this sounds more like IBD than IBD or infection. The burn is puzzling. since there was some inflammation seen by pathology, and no sign of UC changes to cells, IC is a reasonable diagnosis. The only think odd is not doing another course of ab to combat the resurgent infection.

There is a remote chance that you do have UC causing the inflammation, but you are so early in the disease that no signs of chronic inflammation are yet visible. I think this is unlikely - but if it is, taking Asacol is the recommended treatment. It can take weeks to start working (for some people) and In my case took many months to give a remission.

If another scope in 6mo or a year shows chronic inflammation, something stronger then Asacol could be used. When anti-inflammatories alone do not work, some type of immune-modulation is used. Drugs to mess with the immune system are always best avoided if possible.

I would continue to take the Asacol, but also press for testing to identify the pathogen and/or further an to get rid of infection.

good luck

Thanks a lot I appreciate it, I dont think its in the early stages, I had similar symptoms 1 year ago but they went away with Flagyl antobiotic after 4 days, so I think what you said about pathogens becoming resistant does really make sense, I asked my doctor if its possible the disease is in its earlier stage he insisted it wouldve showed up. I appreciate your answer thanks for the help! I WISH you the best.