Hi Meg and welcome,
Can it spread? Well for me it did, my GI says in only about 20% of the cases it does, so I am one of the lucky ones.....I can't keep on playing the odds game = )
I was dx'd w/Proctosigmoiditis is 2000 and it affected .25cm of my colon, in 2005 I had a colonoscopy and it was .30cm of my colon and after that I got lax taking my meds and was ok on and off. If I flared then I would take my meds as prescribed and be ok. In Sept 07 I was recovering from a flare and had to stop taking Asacol cold turkey (in retrospect, I should have weaned off of it) and was put on pred, then I had the worst flare ever and now am in remission but my colonoscopy on 4/4/08 showed that I have pancolitis now (affects my whole colon) though I think I have a 'mild' pancolits. (seeing that word associated w/myself still scares me).
I think if I had taken proper care of myself as Sherry mentions and not stopped Asacol cold turkey, I might not have pancolitis and not have gone through as bad a flare as I did. Whatever you do, I would always recommend researching it fully, discuss w/your GI and any time a flare starts up to contact your GI immediately. This is all just based on my recent situation.
HTH! Stay Well!
Beth, 32 ~ Major Flare Sept/Oct 07 ~ in remission
UC dx'd 03/00 (Proctosigmoiditis); Pancolitis since 09/07
Azathioprine 200mg 1xday nightly; Calcium and Vit D 500mg 3xday, Multi Vit, Folic Acid 400mg 2xday, Prilosec, Probiotics.
Minimal Change Disease (Kidney Disorder) dx'd 09/07 - partial remission since 03/08
Prednisone 10mg 1xday (taper 5mg a week from 60 = ), Simvastatin 20mg 1xday, Diovan 160mg 2xday. Enalpril 20mg 1xday, Fursomide 20mg 1xday, Fosomax 70mg 1xweek. MCD may be from hypersensitivty to 5ASA drugs. Do you have edema? If so, check your blood protien level!
Pre-Diabetic from Prednisone use - Low carb/sugar diet & exercise.