I understand your doctor wanting to see what condition your colon is but it seems to me that 3 colonoscopies in less than 6 months sure seems excessive by any stretch of the imagination. Plus there is no doubt in my mind that the prep and the scope itself do NOTHING to keep the colon happy. That prep is not at all friendly to the gut and the scope nosing around in there can't be making the poor ole colon any too happy either. Were the previous two scopes done by this same gastro? It is a little more understandable if this will only be the first he's done, maybe even the second, but for him to need a third???
And what is meant by lateral colon? Lateral = side, but dang there's TWO sides, the left which is the descending colon and the right which is the ascending colon. I'm taking a guess he probably means the ascending colon on the right only because the most common, but by no means the only, area for Crohn's to first "strike" is at the terminal ileum's ileocecal valve which is located at the back of the cecum which is the first part of the ascending colon. The appendix runs off the bottom of the cecum to help you w/
On the other hand, he seems to be counting on this colonoscopy to help him determine what your treatment options are now and he is justified in wanting and hoping to get you off the Entocort. As an old "pro" at living w/Crohn's disease (33 years) I'd have to have a few more questions answered before agreeing to yet another scope. For instance, is your Crohn's in a
location wherein inflammation could be detected by a nuclear White Blood Cell Scan (it used to be the Ceretec WBC scan, but I now sometimes see Indium WBC scan)? I wouldn't necessarily let the "miseries" of a prep and scope stop me from agreeing to this third scope - BUT - he would have to convince ME that "I" had something REAL to gain from enduring it and its consequences.
As for not wanting to take any meds. Who does? BUT - it really is the only real viable option. Unmedicated, untreated Crohn's is NOT a wise decision for the VAST MAJORITY of crohnies! And, frankly, the immune modulators like Imuran or 6MP are good choices for those not ready to jump onto the new "step down" theory of IBD treatment. Their greatest drawback is that they take so long to "kick-in" and do their job. I know that Pentasa is not particularly favored by the IBD specialists now but there are many of us who DO respond well to it. Especially those of us w/"mild" Crohn's.
I think you'd do well to request some extra time w/this gastro for your next appointment to learn MORE about
YOUR Crohn's disease. Where it is, how many areas it was found in, how bad that or those areas were, what your options are, what tests there are besides the colonoscopy to monitor your disease activity, what if anytning besides inflammation was found, etc., etc. Were you given still pictures of the disease area(s) from your prior scopes? Why not if you weren't?
You really do need to be more familiar w/your particular Crohn's disease and your options before you can make any really informed decisions. But wrap your mind around the fact that medication is your BEST chance at attaining and maintaining remission of disease activity.
Good luck and God bless!!!
Some people are like Slinkies... Not really good for anything, but they still bring a smile to your face when you push them down a flight of stairs.