Can you have Crohns and UC together?

New Topic Post Reply Printable Version
[ << Previous Thread | Next Thread >> ]

edco76
New Member


Date Joined Jun 2008
Total Posts : 6
   Posted 6/27/2008 12:01 PM (GMT -6)   
I had a routine colonoscopy yesterday. As you all probably know I couldnt speak with the Dr. because of the meds but My father in-law told me that they scheduled me for an upper GI next Monday because the Dr wanted to test me for Crohn's. I have been diagnosed and treated fro UC for 5 years. Does this mean that he now believes I may have been misdiagnosed? Or does he think I may have both? His office is closed on Fridays. I will get info Monday I'm sure. Just curious.

ediekristen
Veteran Member


Date Joined Apr 2007
Total Posts : 1366
   Posted 6/27/2008 12:19 PM (GMT -6)   
It could be he thinks you were misdiagnosed, but I've also heard of people having something called Crohn's Colitis. I don't know much about it though and unfortunately couldn't find anything online. Maybe someone here can help though.
Female, 22, Ulcerative colitis (pancolitis) since 1999; GERD; gastritis; osteopenia in hip & lumbar region of the spine from long term prednisone use.

Current Meds:
10mg Lexapro (for depression/social anxiety)
Digestive Advantage: Crohn's and Colitis formula (2 pills per day, started 5/14/08)
125mg Azathioprine
4800mg Asacol (Four 400mg tablets, three times a day)
 
 
 


quincy
Elite Member


Date Joined May 2003
Total Posts : 31006
   Posted 6/27/2008 12:30 PM (GMT -6)   
Apparently not according to my GI....who I place high on the list of "knowing what's going on in the world of IBD".

I would say misdiagnosis by doctors (where it's CD and not UC) and misunderstanding the terms by patients.
q
*Heather*Status: mini flare Dec 28... tapered to every 4th night
~diagnosed January 1989 UC (proctosigmoiditis)
~5ASA: Asacol (6 daily) + Salofalk enemas (increase for flares tapered to maintenance)
~Bentylol (dicyclomine) 20mg as needed
~vitamins/minerals/supplements 
~Probiotic 3(Natural Factors Protec) bedtime + 1 (Primadophilus Reuteri) occasionally
~multi-digestive enzymes as needed ....zymactive 3 - 5x 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 !!!


suebear
Veteran Member


Date Joined Feb 2006
Total Posts : 5698
   Posted 6/27/2008 12:34 PM (GMT -6)   
My GI did this too to rule out CD.  He couldn't understand why I could not gain remission so by taking a CT scan they can check for illness in the small intestine and rule out or in CD.  I wouldn't worry about it, your doctor is being proactive and thorough.
 
Sue
dx proctitis in 1987
dx UC in 1991, was stable until 1998

1998 started prednisone, asacol, pentasa, nortriptylene, ativan, 6MP, rowasa enemas and suppositories, hydrocortisone enemas, tried the SCD diet, being a vegetarian, omega 3s, flax, pranic healing, yoga, acupuncture, probiotics

2000 lost all my B-12 stores and became anemic

2001 opted for j-pouch surgery- now living life med-free


pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20577
   Posted 6/27/2008 12:45 PM (GMT -6)   
quincy said...
Apparently not according to my GI....who I place high on the list of "knowing what's going on in the world of IBD".

I would say misdiagnosis by doctors (where it's CD and not UC) and misunderstanding the terms by patients.
q

Sorry Q but your GI is incorrect, there is a 2-5% chance on one patient having both crohn's and UC...(as stated in the "ask the doctor" from the CCFC journal summer of 2005)
 
Major differences between UC and crohn's is that the inflammation from UC is surfacable only, with CD it can go beneith the many layers of the intestinal lining, also with CD there are usually skipped patterns of inflammation with healthy tissue in between, with UC the entire area will be inflammed...
 
It's a small percentage but one patient can infact have both conditions since they are still considered seperate entities because of the above mentioned differences (also because UC is limited to the colon/rectom and CD can affect the entire GI tract from mouth to anus, both conditions can be tagged with extraintestinal manifestations.
 
:)
 
 
My bum is broken....there's a big crack down the middle of it!  LOL  :)


pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20577
   Posted 6/27/2008 12:46 PM (GMT -6)   
ediekristen said...
It could be he thinks you were misdiagnosed, but I've also heard of people having something called Crohn's Colitis. I don't know much about it though and unfortunately couldn't find anything online. Maybe someone here can help though.

Crohn's-colitis is simply crohn's disease affecting the colon..."col"=colon, "itis"=inflammation.
 
:)


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

Post Edited (pb4) : 6/27/2008 1:19:09 PM (GMT-6)


jujub
Elite Member


Date Joined Mar 2003
Total Posts : 10407
   Posted 6/27/2008 12:56 PM (GMT -6)   
There are also many people who have a chronic inflammatory colitis that can't be definitely classified as Crohn's or UC. They may have UC-type lesions with a Crohn's pattern. It can be difficult sometimes to definitely categorize the two.

Most likely if you have lesions elsewhere, you have Crohn's but it's stayed relatively mild in your colon.
Judy
 
Moderate to severe left-sided UC (21 cm) diagnosed 2001.
Avascular necrosis in both shoulders is my "forever" gift from steroid therapy.
Colazal,  Remicade, Nature's Way Primadophilus Reuteri. In remission since April, 2006.
 
Co-Moderator UC Forum
Please remember to consult your health care provider when making health-related decisions.

New Topic Post Reply Printable Version
Forum Information
Currently it is Wednesday, September 26, 2018 12:12 AM (GMT -6)
There are a total of 3,006,703 posts in 329,381 threads.
View Active Threads


Who's Online
This forum has 161845 registered members. Please welcome our newest member, StanInCA.
137 Guest(s), 7 Registered Member(s) are currently online.  Details
StanInCA, Bear12, wayup, martian2, Girlie, Alex ArmPain, Cajun Jeff