What is this classified as???

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brettc83
New Member


Date Joined Apr 2009
Total Posts : 4
   Posted 4/8/2009 2:55 PM (GMT -7)   
After my colonoscopy..the doctor said i have ulcerative colitis, but he called with the offical results today and said there might be a trace of crohns in my small intestine, and UC is definate.
since i might have crohns..would it be classified as having UC and Crohns..or would UC fall under the crohns category..?

Valerie3
Veteran Member


Date Joined Feb 2009
Total Posts : 529
   Posted 4/8/2009 3:03 PM (GMT -7)   
Ulcerative colitis and Crohn's are two distinct diseases. I'm guessing what your doctor meant is that you may have Crohn's in your small intestine, but your large intestines are affected by Ulcerative Colitis. Unlucky if you actually have both!

brettc83
New Member


Date Joined Apr 2009
Total Posts : 4
   Posted 4/8/2009 3:10 PM (GMT -7)   
so whats the difference? just the location?

yellowfin43
Regular Member


Date Joined Aug 2008
Total Posts : 305
   Posted 4/8/2009 3:34 PM (GMT -7)   
UC is only located in the large intestines and generally only affects the inside surface lining of the colon whereas Crohn's can affect any area of the digestive tract from the mouth to the anus. CD can ulcerate the intestinal wall all the way through. I've never heard of someone having both diseases but I'm not a doctor. If the disease is located only in the colon, I have heard that to be described as Cron's colitis. Ask your doctor about the differences. I'd be curious to know if someone could have both diseases.
Crohns 30 years. Ileostomy for 15 years. Symptom free for 14 years until 8 months ago. Now on Remicade, Flagyl, B-12 injections and iron. Feeling much better!
God Bless. Tony


pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20576
   Posted 4/8/2009 4:21 PM (GMT -7)   
There is aprox 2% chance of one patient having both UC and CD, UC is limited to the colon/rectom and the inflammation only affects the surface of the intestinal lining, with CD it can affect any part of the GI tract and the inflammation can affect the many layers of the intestinal lining...With UC the entire area is inflammed, with CD there are skipped patterns of inflammation (there will be healthy tissue in between inflammed).

Make sure you understand your doc correctly because if he only used the term "colitis" then he means you have crohn's colitis (CD affecting the colon)...there are 5 subtypes of crohns....
 
  • Gastroduodenal CD - Gastroduodenal Crohn's disease, which affects the stomach and the duodenum (the highest, or beginning, portion of the small intestine), is often misdiagnosed as ulcer disease. The correct diagnosis frequently is not made until various ulcer treatments have failed, or until Crohn's disease is identified farther down the gastrointestinal tract. Symptoms of gastroduodenal CD include loss of appetite, weight loss, nausea, pain in the upper middle of the abdomen, and vomiting.

  • Jejunoileitis - Jejunoileitis is Crohn's disease of the jejunum (the longest portion of the small intestine), which is located between the duodenum and the ileum. Symptoms include mild to intense abdominal pain and cramps after meals, diarrhea, and malnutrition caused by malabsorption of nutrients. (The majority of nutrients are absorbed in the jejunum.) Fistulas (abnormal openings in the intestinal tract) may form. These can link a diseased area of the small intestine to another area of the intestine or another organ, such as the bladder. Fistulas may increase the risk of developing infections outside of the GI tract.

  • IleitisVIEW IMAGE - Ileitis affects the ileum (the lowest, or last, part of the small intestine). Symptoms include diarrhea and cramping or pain in the right lower quadrant and periumbilical (around the bellybutton) area, especially after meals. Malabsorption of vitamin B12 can lead to tingling in the fingers or toes (peripheral neuropathy). Folate deficiency can hinder the development of red blood cells, putting the patient at higher risk of developing anemia. Fistulas can develop, as can inflammatory masses.

  • IleocolitisVIEW IMAGE - Ileocolitis is the most common type of Crohn's disease. It affects the ileum (the lowest part of the small intestine) and the colon (the large intestine). Often, the diseased area of the colon is continuous with the diseased ileum, and therefore involves the ileocecal valve between the ileum and the colon. In some cases, however, areas of the colon not contiguous with the ileum are involved. Symptoms of ileocolitis are essentially the same as those present in ileitis. Weight loss is also common.

  • Crohn's Colitis (Granulomatous Colitis ) - Crohn's colitis affects the colon. It is distinguished from ulcerative colitis in two ways. First, there are often areas of healthy tissue between areas of diseased tissue; ulcerative colitis is always continuous. Second, while ulcerative colitis always affects the rectum and areas of the colon beyond the rectum, Crohn's colitis can spare the rectum, appearing only in the colon.
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    :)


    My bum is broken....there's a big crack down the middle of it! LOL :)

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