should upper gi be explored too

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Regular Member

Date Joined Nov 2007
Total Posts : 401
   Posted 1/16/2008 8:56 AM (GMT -6)   
my daughter may be having a colonoscopy if the dr determines she should (will be seeing her tomorrow) her bleeding and d are so back -why does it seem worse in the night when you want to sleep?-
she has not had any upper gi series and i'm wondering if the dr should do an endosoopy while she is sedated for the colonoscopy to check for chron's or whatever you may check for-i would hate to have her be sedated again in the near future for this. i know you can have both done at the same time having been there.
should i request ?
Mom to 19 year old daughter diagnosed 11/07.
asacol 2 3x daily-discontinued
colazal 3 3x daily/switched to 4 4x daily
proctofoam 3x daily/1-2xdaily
mesalamine enema 1x daily
canasa suppostiories 3x daily /switched to court supp 1-2x daily
culturelle probiotic 1 daily/switched to danon activiea?
chewable vitamin
hydrocortisone enema at bed time

Veteran Member

Date Joined Apr 2006
Total Posts : 3402
   Posted 1/16/2008 9:05 AM (GMT -6)   
As long as she's out and has gone through the prep, might as well scope both ends!

Nights seem to be worse for most UCers. My theory: It's because we were eating during the day and things are travelling through the guts at night, rubbing on those ulcers and making a person miserable. When flaring badly, I would find that I would have a temporary reprieve in the afternoon - this seemed to correspond to the time when I was sleeping and not eating and therefore not having a bunch of stuff moving through my guts...

Best of luck with the doc tomorrow!
Pan-colitis and GERD diagnosed May 2003
Asacol 12 per day,  Azathioprine 75mg, Aciphex, Effexor XR, Forvia and a Probiotic
Osteopenia (hip and spine) from prednisone use.  Started Azathioprine because I was steroid dependent.
Co-Mod for the UC forum
Keep HealingWell running smoothly:

Veteran Member

Date Joined Aug 2007
Total Posts : 2204
   Posted 1/16/2008 10:25 AM (GMT -6)   
Is her diagnosis in doubt? If there's any indication she might have Crohn's or celiac disease, it would be worthwhile. Sure doesn't hurt to ask your doctor.
Diagnosed with ulcerative colitis spring 1999
Therapeutic dose sulfasalazine.
Probiotics, l-glutamine and fish oil caps. George's aloe vera juice and Mucosaheal.

Regular Member

Date Joined Jul 2007
Total Posts : 402
   Posted 1/16/2008 11:24 AM (GMT -6)   
I have had UC for several years but just had my first upper endoscopy last year. I was complaining of stomach issues - heartburn, burning, reflux, pain. Only then did my GI think it was necessary. Turns out I have gastritis, too. I asked my GI why he didn't do an upper scope initially, and he said that he has always been able to get into my lower small bowel during the colonoscopies and that was sufficient.
Current Medications:
- Asacol (4 pills, 3x per day)
- Rowasa (1 enema daily, as needed)
- Folic Acid (1 mg, 1x per day)
- Calcium (600 mg, 2x per day)
- Prenatal Vitamin (1x per day)
- Iron (2x per day)

Elite Member

Date Joined Feb 2004
Total Posts : 20577
   Posted 1/16/2008 11:27 AM (GMT -6)   
Just keep in mind that a colonoscopy only goes so far up and will not reach the entire small intestine so you would have to discuss her having a small bowel follow through and upper GI barium tests to check for crohns. Sometimes even an endoscopy is done.

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

Veteran Member

Date Joined Dec 2006
Total Posts : 3670
   Posted 1/16/2008 12:58 PM (GMT -6)   
I had them done at the both time and it was a breeze. It eased my mind about the Chrons .

I had the Rocephin shot and 2 weeks of Omnicef, this helped with my bloating and digestion. That was 4/15/07
Had Cipro and Predison for 10 & 5 days, 7/3/07
Colonoscopy & Endoscopy 7/27, Left sided colitis and near cecum (mild)
Had a shot of steriods for my ear inflammation 8/31
Stopped Colozal 10/1/07 was on it for 7 weeks, side effects
On Standard Process supplements, trying a new protocal from a
natural path as of 9/10/07

Elite Member

Date Joined May 2003
Total Posts : 30999
   Posted 1/16/2008 4:20 PM (GMT -6)   
The small bowel follow-through confirming no CD in the small intestine doesn't mean one doesn't have CD in the colon if symptoms aren't improved by the usual UC meds and it's suspected it's CD and not UC. It would just mean it's not happening in the small colon.

I think if your daughter is having upper GI symptoms that aren't improving to have her checked out from stem to to say.

You'd have to discuss it with the doc beforehand to make sure the time-slot is appropriate.

*Heather*Status: mini flare Dec 28... increased enemas to nightly
~diagnosed January 1989 UC (proctosigmoiditis)
~5ASA: Asacol (6 daily) + Salofalk enemas (increase for flares tapered to maintenance)
~Bentylol (dicyclomine) 20mg as needed
~Probiotic 3(Natural Factors Protec) bedtime + 1 (Primadophilus Reuteri) occasionally
~multi-digestive enzymes as needed ....bromelain 1 - 2x daily
~Ranitidine,Pariet (reflux) Effexor XR 75mg;  Pulmicort/Airomir (asthma)
~URSO for PSC (or PBC) 500mg X 2 daily (LFTs back to NORMAL!!)
My doc's logic.. "TREAT (FROM)BOTH ENDS"  worth it !!!

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