Crohns or Colitis

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New Member

Date Joined Jul 2008
Total Posts : 6
   Posted 7/24/2008 3:58 PM (GMT -6)   
Which one is the worst of the two evils. Which one is more severe and worst to have?

Regular Member

Date Joined Mar 2008
Total Posts : 274
   Posted 7/24/2008 4:00 PM (GMT -6)   
I think Crohns because it can effect your entire digestive system.
Jenn 26/female
Ulcerative PANCOLITIS diagnosed 2004
Asacol 3 pills once/day
Daily Vitamin for Women and Folic Acid
Flare March-June 2008.. pretty much in remission again July

Veteran Member

Date Joined Apr 2007
Total Posts : 1366
   Posted 7/24/2008 4:09 PM (GMT -6)   
I don't know, I think it really depends on the person and the extent of the disease. Someone can have mild Crohn's or severe UC and vice versa.
To be honest, I always got kind of offended when people said "well at least it's not Crohn's" like my disease isn't as bad and I must not be suffering as much. I agree, UC is better in the fact that it CAN be cured by surgery, where crohn's cannot. Other than that... I mean, we have continued inflammation, bleeding ulcers, and all the other fun stuff... And even though I don't have Crohn's, I still managed to get GERD and gastritis and usually have at least two painful ulcers in my mouth at all times, so my entire digestive tract is effected except for the small intestine.

Here's a website that talks about some of the differences in the two diseases:

Female, 23, Ulcerative colitis (pancolitis) diagnosed at age 15; GERD; gastritis; osteopenia in femur head & lumbar spine from long term prednisone use. 

Current Meds:
Lexapro 10mg
Trying out Lialda, 2 pills/day


Elite Member

Date Joined Feb 2004
Total Posts : 20577
   Posted 7/24/2008 4:58 PM (GMT -6)   
Bottom line, crohn's is more serious because it can affect your entire GI tract ( mouth to anus) and also for part of this reason can be tougher to get under control, UC is limited to the colon/rectom area only, it too has the same extraintestinal manifestations, EXCEPT for fistulas, those are CD related only, obstructions/blockages are more common with CD than with UC, so CD is worse that UC in those regards...

Symptoms wise, you could have a mild crohnie compared to a severe UCer which would make the UCer somewhat worse off, symptom wise.


ediekristan, no need to be offended when someone says "at least it's not crohn's", as you wrote "To be honest, I always got kind of offended when people said "well at least it's not Crohn's" like my disease isn't as bad and I must not be suffering as much. I agree, UC is better in the fact that it CAN be cured by surgery, where crohn's cannot."

We have polyps which can bleed these are basically the same as ulcers and although bleeding is more common with UC compared to CD *unless CD is affecting the colon*, having it throughout your intestinal tract along with the extraintestinal manifestations which are almost identicaly to the ones UCers get, we also can be plagued with fistulas and surgery for a crohnie basically means within a matter of time the disease will affect the area where surgery was done.

They both suck, but clinically CD is worse because of the extra complications and the entire GI tract being at risk.


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

Regular Member

Date Joined Apr 2007
Total Posts : 75
   Posted 7/24/2008 5:35 PM (GMT -6)   
For patients who have severe symptoms and for whom medications don't work very well, Crohn's would be worse to have since there's no surgical "cure", meaning you could be really really sick indefinitely.

With mild cases, you often can't tell the difference between the two diseases and it doesn't especially matter. Also, some meds only work in Crohn's or vice versa, so Crohn's might be "better" for one person but not for another.

21 yrs old, diagnosed severe ulcerative pancolitis 2 Mar 2007
Hospitalized 27 Apr-5 May 2007; 16 Jun-22 Jun 2008
Asacol (mesalamine) 400 mg x 12 daily
Remicade <--first infusion on 3 May 2007
Imuran (azathioprine) 50 mg x 4 daily
Iron, Vit C, Vit D, Zinc, and seemingly always on Flagyl
Eating fruits and vegetables like there is no tomorrow...

potty girl
Veteran Member

Date Joined Dec 2006
Total Posts : 835
   Posted 7/24/2008 8:58 PM (GMT -6)   
I would really like to not have either one I think they both are life altering. and cause alot of pain and agony

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nitroquick, proventol, plavix 75 mg, protonix 40 mg x 2, asacal 400mg x 9
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Elite Member

Date Joined Apr 2004
Total Posts : 23551
   Posted 7/25/2008 6:41 AM (GMT -6)   
I agree Rona.
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Regular Member

Date Joined Apr 2007
Total Posts : 194
   Posted 7/25/2008 8:24 AM (GMT -6)   
When I was a kid and got diagnosed at 15, in 1961 back in the dark ages, I WISHED I had anything except UC (of course I didn't know what Crohn's was). I did not know another human being my entire life (until five years ago ) who had UC. I knew people with diabetes, with ulcers, with anemia......and all those diseases and others were portrayed on medical shows. When I was young, shows like Dr. Kildare, Dr. Welby and others were popular. Yet never did any of these shows portray UC. I swear I thought I was the only human being on the planet with this disease where the main sympton was bloody diarrhea. I was too embarrassed to talk about it so most of my life I suffered in silence. I did not want to be pitied or mocked or embarrassed .......

Whether or not it is worse than Crohn's I can't say although clinically it seems UC people have more options NOW.

To this day, my friends that have developed diabetes (on set) get more empathy. Maybe my own fault for not wanting to be known for my disease. But people are still pretty ignorant about UC. Emotionally I think both Crohn's and UC take an enormous toll because there is so much ignorance.
But between the two, I don't know which is worse. I still only know people here with either of these diseases.
diagnosed with UC in 1962
regualr meds:
Asulfadine (500mg tablets, 6 daily)
Folic Acid
Zantac as needed
open heart surgery in 2005 for removal of aortic root aneurysm

Elite Member

Date Joined Mar 2003
Total Posts : 10407
   Posted 7/25/2008 8:29 AM (GMT -6)   
Ediekristen, it's funny, because when I was at my very sickest, I consoled myself by saying "At least it isn't Crohns." I think Crohn's would be worse for me because there's no cure. I know if worst comes to worst, I can always shed the defective organ and have a new normal life.
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.

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