ibs??? who knows

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New Member

Date Joined Sep 2007
Total Posts : 4
   Posted 9/18/2007 5:29 PM (GMT -7)   
Hi all, I"m a newbie here but I am way confused and figured maybe somone could shed some light.  8 years ago (Iwas 17) I was diagnosed with Crohns and saw a gi specialist who started me on asacol and stated that I could try taking it only when I had a flare up so I did that and it has  worked well for me. No one has questioned it and I have been able to keep it under control (well 4 flare ups a year) for the past 8 years when it was uncontrollable. Now I am an adult and have moved to a different city and have a new gi specialist I have just started seeing. He was confused as to why only taking asacol when I had a flare up worked and that i had never been hospitalized for the crohns so he ordered a colonoscopy... which I had today. we were talking afterwards and said he is unsure as to what is going on since my intestines look very healthy and is sill boggled by the asacol on a prn basis. He is having biopsys done hoping to shed yet more light but he thinks it is ibs.
the symtpoms I get with my flare ups are extreme nausea, no appetite, blood in stool that is typically a little bloody and it is always diahreah, with an elevated white blood count, extreme cramping and back aches.I have never been constipated in my life til just recently which is what prompted me to see a gi specialist since this was a new symtpom. THere are foods I cannot eat,and foods I can eat if I take my asacol prior to...
anyone ever heard of this???

Veteran Member

Date Joined Jan 2004
Total Posts : 4151
   Posted 9/19/2007 7:11 AM (GMT -7)   
Blood in the stool is not a symptom of IBS, it can be a symptom of hemroids but there is no inflammation or ulceration with IBS so I would be concerned about the blood. Elevated white count is indication of some kind of infection which also is not a sign of IBS. Its possible that its not Crohn's as he said however there seems to be something else going on. I get D, elevated WBC, and blood when I have a diverticulitis flare but that can definitely be seen on a scope.

Have they tested your small intestines also to see if anything is going up in there? As you know, Crohn's can attack anywhere from the mouth to the anus so its important that they cover all areas in between to completely rule it out.

It is also possible to have both IBS and IBD, although some would suggest otherwise. If your colon looks good but still have sypmtoms (minus the blood), it could be that your IBD is in remission but your IBS is acting up. These are all possibilities that you may want to discuss with your doc.

Good luck, I hope you can get some answers soon... please keep us updated

Take Care
Co-Moderator ~ IBS Forum
Co-Moderator ~ Lupus Forum 
Dx: IBS 1989, Diverticulosis 2004, Idiopathic Acute Colitis 2006, UCTD 2007
Meds: Plaquenil 400mg, Chlorzoxazone 500mg, Lyrica 50mg, Protonix 40mg, Lodine XL 1000mg, Klonopin PRN, Miralax 17g, Supplements


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