Obvious differences between UC and Crohn's?

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Micky3270
Regular Member


Date Joined Oct 2009
Total Posts : 119
   Posted 11/8/2009 7:27 PM (GMT -7)   
Just curious if anyone has any input. I know there are similarites, I was diagnosed with UC but think it might actually be Crohn's. I do have an appointment coming up for a second opinion I want to know for sure what I have. But I was just wondering what you all thought. Are there any typical symptoms with Crohn's that you don't see with UC? Thanks.

wednesday77
Regular Member


Date Joined Oct 2007
Total Posts : 390
   Posted 11/8/2009 8:31 PM (GMT -7)   
They way I understand it, there are so many similarities that it can be difficult to diagonose one vs. the other.  I, for example, have what my GI dr refers to as Crohn's Colitis - meaning I am part of the small percentage for whom they cannot differentiate.
 
While UC tends to stay in your intestinal/colon area, Crohn's can affect all parts of your body.  The first time I got really sick I had skin rashes and eruptions, a raspberry-looking rash on my leg (indicator of Crohn's) and sores all in my throat and esophogas so I couldn't swallow.  But the primary inflammation after that was in my intestinal area.  There is a test they can do, but it is expensive and insurance doesn't cover it, and my results were inconclusive.  I was on 6mp and it didn't help, after I weaned off the prednisone I got sick again.  I am on Remicade now for over a year, and while I have some symptoms, I am for the most part feeling great. 
 
Good luck to you!! :)
32 yr old Female
Crohn's Colitis
DX 12/06
 
Currently on Remicade, Oxycodone, Protonix, trying to remember to take Multivitamin and Calcium, need to start taking Probiotics and Omega 3-6-9
 
Presently healing from a flare and 2 week hospital stay, during which abcess was drained by surgeon


Julia Hill
Veteran Member


Date Joined Mar 2008
Total Posts : 543
   Posted 11/8/2009 8:49 PM (GMT -7)   

UC effects the large bowel only.  My nephew has UC and he has alot of blood  and mucus in his stools, whereas I have crohns and I never have blood.  I do know that if you have your colon removed you will then be rid of the UC, whereas with the crohns it can effect us from the mouth to the anus.  I've also been told that it is rare for a patient with UC to suffer from abscesses, whereas I seem to have enough for two people, lol.  It would be nice to be healthy and not have either one.

All the best,

Julia

 


NostraHistoria
Regular Member


Date Joined Nov 2008
Total Posts : 351
   Posted 11/8/2009 9:08 PM (GMT -7)   
1 GI said I had both, 1 GI said I am in between, and 1 GI said I have UC. I am guessing that the body is so complex and that diseases are very complex as well. I guess you cannot really classify something conveniently under a human made label. In conclusion, you have a problem. Do not worry about what it is. If the meds do not work, then get new meds. If the meds are working, go and have a normal life. Do not come here. It can make it worse.
27m - Dx January 2005: UC/Crohn's
Humira, Entocort 9 mg, Asacol 4 x 3, Flagyl 250 mg x 3
Imuran failed


CrohnnieMan
Regular Member


Date Joined Aug 2008
Total Posts : 190
   Posted 11/8/2009 10:02 PM (GMT -7)   
My GI told me the other day UC is pretty much the same as Crohn's. Not sure if he said that to hurry the conversation or not, but I know there are some differences from visiting this site.

pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20576
   Posted 11/9/2009 12:10 PM (GMT -7)   
I have crohn's colitis, this simply means crohn's is affecting my colon (where UC typically hangs out), it doesn't mean that they cannot tell if it's either CD or UC, when they are not sure if it's CD or UC then it's called "indeterminate colitis". With crohn's colitis becaue your CD is affecting your colon your symptoms are closer to UC symtpoms with bleeding/mucus...the same meds used to treat UC are used to treat crohn's colitis as well. The same extra intestinal manifestations that are present with UC are also present with CD, skin issues, eye issues, bone and joint issues, ect. The word colitis mean "col"=colon and "itis"= inflammation.

The distincitive differences (via colonoscopy) between UC and CD are with CD there are patchy or skipped patterns of inflammation (healthy tissue in between inflamed tissues), with UC the entire area will be inflamed with no patchy/skipped pattern...with CD the inflammation can go deep into the many layers of the intestinal lining, with UC it remains on the surface of the lining only. UC is limited to the colon/rectom, where as CD can affect any part of the GI tract from mouth to anus, and can affect more than one area at a time.

:)
bee propolis caps 500mg one cap twice/day
omegas 369 caps one cap twice/day
probiotics 10 billion cfu once/day
vitamins C-calcium ascorbate (easy on the gut) and vitamin A each once/day
Prodiem fibre supplement one cap before bed
I've also altered my diet (no junky stuff at all, processed, fast-foods, refined sugars, ect) and exercise regularly.
I went from 30+ bloody BM's/day with lots of lower back pain to an average of 5/day no bleeding no back pain and completely formed stools, still have severe urgency issues.
~~~~~~~~My bum is broken....there's a big crack down the middle of it! LOL :)~~~~~~~~


Lipstick101
New Member


Date Joined Nov 2009
Total Posts : 1
   Posted 11/9/2009 12:42 PM (GMT -7)   
Oh, poor you. The bum rips are really awful...they do heal, though. Try some barrier cream. Zinc Oxide along with Prep H works and helps relieve a bit of the swelling. And just plain old petroleum jelly. I find using baby wipes (no alcohol) keeps things clean and isn't abrasive like toilet tissues can be. I've had Crohn's since a child, about 32 years now, and have had it in my colon as well as everywhere else, and the complications. UC is very different from Crohn's. I studied med. for three years, and have had quite a few surgeries, winding up with short bowel so am fairly familiar with most treatments and issues. If anyone here has questions and/or needs a fellow CD person to talk to, please feel free to post to me. Currently taking Remicade for the last 2 and 1/2 years, and though it seems to be preventing a chronic abscess condition, it doesn't do much once that much damage has been done. Sure do miss having an immune system though! Not sure which is worse. Take care, and be careful of the sulfas if that is what your doctors have prescribed for the colon problems (it's in all the 5-ASA preps too). It is so common for CD people to develop an allergy to them, so see your doctor right away if you start getting itchy etc. BEST WISHES!!!

pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20576
   Posted 11/9/2009 5:51 PM (GMT -7)   
There are some differences between UC and CD but they are both an IBD so they are close enough in regards that they both are about inflammation in the GI tract, have the same symptoms (almost identical) and the same meds can be used to treat UC and CD when CD is affecting the colon...they also have the same extra intestinal manifestations as well.

:)
bee propolis caps 500mg one cap twice/day
omegas 369 caps one cap twice/day
probiotics 10 billion cfu once/day
vitamins C-calcium ascorbate (easy on the gut) and vitamin A each once/day
Prodiem fibre supplement one cap before bed
I've also altered my diet (no junky stuff at all, processed, fast-foods, refined sugars, ect) and exercise regularly.
I went from 30+ bloody BM's/day with lots of lower back pain to an average of 5/day no bleeding no back pain and completely formed stools, still have severe urgency issues.
~~~~~~~~My bum is broken....there's a big crack down the middle of it! LOL :)~~~~~~~~


Sweetcorn
New Member


Date Joined Oct 2009
Total Posts : 9
   Posted 11/9/2009 6:12 PM (GMT -7)   
Hey Micky
 
I'm sorry your feeling unwell and it never helps if you're unsure about your diagnosis either.  It's difficult enough without the added extra worry - I hope your second opinion puts some of those concerns to rest.
 
I couldn't agree with pb4 more though.  It's great advice and exactly what I've been told by my doctors too.  I was diagnosed with Crohn's colitis/proctitis.  Which, as pb4 explains, is Crohn's disease in the colon and the rectum/anus area of the body.  Because Crohn's can affect anywhere in the digestive system, some doctors often refer to oral crohn's, small bowel crohn's, crohn's colitis or crohn's proctitus - simply to avoid any confusion - it instantly tells any medical practitioner where your particular crohn's is in the body.
 
My doctor told me that he could never differentiate between Crohn's and Colitis without, in the very least, a colonoscopy.  Notes on symptoms alone cannot be truely accurate, although some symptoms (like erythema nodosum, pyoderma gangrenosum, and perianal complications) would tend to point more towards Crohn's, but not exclusively.  As pb4 says, the inflammation in each disease looks different, is spaced differently and can cause a different pitting on the bowel wall.  Have you had a colonoscopy yet?  Or is that how you were originally diagnosed?
 
Talk over any concerns with the doctor to put your mind at rest, and either way, all the very best Micky.
 
Love Sweets
xxxx

Micky3270
Regular Member


Date Joined Oct 2009
Total Posts : 119
   Posted 11/9/2009 9:28 PM (GMT -7)   
Thanks. You are all really helpful. I know they are similar, but I thought there must be some differences in the way they are treated - so it would be nice to know for sure. I have had horrible itchy rashes over the years that no doctor could explain, bad sores in my throat, stomach pain and vomiting, along with bloody diarrhea that gets really bad sometimes. I had a colonoscopy a couple of years ago and my doctor said UC, but he has been less than attentive and things have been getting worse since I first had the colonoscopy. I'm glad I'll be getting a second opinion.

pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20576
   Posted 11/9/2009 9:47 PM (GMT -7)   
Sores in your throat are indicative to CD rather than UC since UC is limited to the colon/rectom region and CD being able to affect any part of the GI tract, from mouth all the way down through to the anus...and CD can affect more than one area at a time.

:)
bee propolis caps 500mg one cap twice/day
omegas 369 caps one cap twice/day
probiotics 10 billion cfu once/day
vitamins C-calcium ascorbate (easy on the gut) and vitamin A each once/day
Prodiem fibre supplement one cap before bed
I've also altered my diet (no junky stuff at all, processed, fast-foods, refined sugars, ect) and exercise regularly.
I went from 30+ bloody BM's/day with lots of lower back pain to an average of 5/day no bleeding no back pain and completely formed stools, still have severe urgency issues.
~~~~~~~~My bum is broken....there's a big crack down the middle of it! LOL :)~~~~~~~~

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