Ct results, inflammation and thickening

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jeanneac
Veteran Member


Date Joined Feb 2009
Total Posts : 1812
   Posted 1/5/2010 7:35 PM (GMT -7)   
So, my results are in from the ct scan. I have inflammation in my sigmoid and descending colon (still) a year after treatment. He said also I had thickening in the same area. Does all IBD cause this thickening or is it just crohn's that causes thickening? He did mention that my asca test was positive but they couldn't treat and diagnose just on the basis of that. He said he didn't want to create more problems with a heavier medicine. However, we are going to see what the flexible sigmoidoscopy says and the biopsies. Any thoughts from anyone on the thickening thing?? I guess it is more wait, get tested and wait again........ I could have told them 6 months ago the colazal wasn't working. lol.....
diagnosed 1/09 with "diverticular colitis" ?? location: sigmoid colon
localized scleroderma & IBS, low thyroid,claritin, advair, singulair, lisinopril, progesterone, colazal, fish oil, synthroid, zoloft, wellbutrin, VSL#3 probiotic, Vit. D
Blood test positive for Crohn's via prometheus ibd serology panel
 


Equestrian Mom
Veteran Member


Date Joined Mar 2008
Total Posts : 3110
   Posted 1/6/2010 6:27 AM (GMT -7)   
bump

Sorry, I don't have an answer, but I thought someone else might!

Nanners
Elite Member


Date Joined Apr 2005
Total Posts : 14995
   Posted 1/6/2010 7:45 AM (GMT -7)   
I could be caused by inflammation or scar tissue. Sounds like your Crohns is definetly active. Hope these further tests provide some information and they find the right treatment for you. Hugs!
Gail*Nanners* Co-Moderator for Crohns Disease & Anxiety/Panic
Crohn's Disease for over 34 years. Currently on Asacol, Prilosec, Estrace, Prinivil, Diltiazem, Percoset prn for pain, Zofran, Phenergan, Probiotics, Calcium, Vit D, and Xanax prn. Resections in 2002 & 2005. Also diagnosed w/ Fibromyalgia, Osteoarthritis, & Anxiety. Currently my Crohns is in remission, but my joints are going crazy!
*Every tomorrow has two handles.  We can take hold of it by the handle of anxiety, or by the handle of faith"*

Bammer
Regular Member


Date Joined Mar 2008
Total Posts : 381
   Posted 1/6/2010 9:42 AM (GMT -7)   

I had several colonoscopies, sigmoidoscopies and finally a endorectal ultrasound for a stricture in the sigmoid colon. The operative procedure report stated that there is thickening of the mucosa at the site of the stricture. As well, the submusoca and underlying muscularis is thickened. Plus it said thickening a couple of more times. In my case this led to a resection as the stricture was made up of scar tissue.

I question your doctor saying he didn't want to create more problems with a heavier medicine when the colazal doesn't seem to be working. There are problems that could be happening without getting the inflammation under control. Doctors have different opinions on their approach. A sigmoidoscopy should help tell you more.

Good luck!


57 yr. old F dx. CD 07/07
Was on prednisone for three months but no medication for next 11 months.
Started weekly methotrexate injections 09/22/08.
Lap assisted sigmoidoscopy done May 11/2009


jeanneac
Veteran Member


Date Joined Feb 2009
Total Posts : 1812
   Posted 1/6/2010 3:02 PM (GMT -7)   
Thanks everyone for the replies. Yea, my doc may think I am not all that sick. Ha! Ha! I told him about my last episode of diarrhea, bleeding, fever and mucus just a few weeks ago and the ?? potential fissures I had this summer that I was told by my PCP was a yeast infection. Yeast meds did not help btw. I read up here, thought it was fissures and used the cortifoam they had given me a few months earlier. I've had trouble all this year and I don't think the colazal did a d--n thing for me! It took me many calls to get them to decide I was sick enough and complaining enough to get seen! I am kind of frustrated. With a positive test for crohn's and these symtpoms, they ought to treat my butt (pardon the pun.) Anyway, hopefully, the scope and biopsies will be definitive next friday and show something (not that I want them to show crohn's!) but at this point an answer would give me peace and we'd know what we need to do to get me well. My life has been on hold here for the last year! Thanks, as always for listening!
diagnosed 1/09 with "diverticular colitis" ?? location: sigmoid colon
localized scleroderma & IBS, low thyroid,claritin, advair, singulair, lisinopril, progesterone, colazal, fish oil, synthroid, zoloft, wellbutrin, VSL#3 probiotic, Vit. D
Blood test positive for Crohn's via prometheus ibd serology panel
 


sickofitall
Regular Member


Date Joined May 2009
Total Posts : 250
   Posted 1/7/2010 7:05 PM (GMT -7)   
Repeated several times in every CT scan I had was thickening of the wall of the colon. I have crohns colitis. My dr. was pretty agressive with treatment. I was started on Remicade after prednisone and sulfa drugs and mesalamine. Remicade seems to help but is starting to lose effectiveness. But they told me that thickening in the walls of the colon is colitis-- inflammation in the colon. It doesn't dictate what disease you have but that there is an actual problem there that is causing the inflammation. Hope this helps!
Current meds:  Remicade and probiotics
Tried:  Prednisone, lialda, antibiotics all failed attempts.
 

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