Colonoscopy question

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New Member

Date Joined Sep 2008
Total Posts : 2
   Posted 9/11/2008 10:48 AM (GMT -6)   
If you get a Colonoscopy when you're not flaring, does the disease still show up?

Thanks :)
42 yr old female diagnosed 2006
UC Meds:
Colazal - 12 daily
Imuran - 50 mg daily
Mesalamine Enemas - 2 daily
Prednisone - 0 since Aug. 2008 (tapered off from 40mg)
OTC Vitamins,Calcium, B6, B12

Forum Moderator

Date Joined Mar 2003
Total Posts : 10407
   Posted 9/11/2008 10:56 AM (GMT -6)   
If you're in complete clinical remission, your colonoscopy can look entirely normal, as my last one did. Often, though, even when we feel we're in remission, there may still be areas of mild inflammation.
Judy - Southern US 
Moderate to severe left-sided UC (21 cm) diagnosed 2001.
Avascular necrosis in both shoulders is my "forever" gift from Entocort.
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.

Regular Member

Date Joined Jul 2008
Total Posts : 37
   Posted 9/11/2008 11:36 AM (GMT -6)   
Hello there
I was in remission for 14 years but had a colonoscopy done every 3 years where UC was not seen. Recently I had a flare-up and just got myself into a symptom-free state when I had a colonoscopy booked. Reluctantly I went ahead -- showed only mild UC, but unfortunately the clearing out of the system upset that fine balance and the symptoms occurred again. It has taken me a week to try and gain control again -- yesterday was symptom free day and today was slight. Still it seems to be following the same pattern as before where I might have 2/3 days clear followed by 2/3 days of symptoms.
But to answer your question it seems that when in remission it does not show in a colonoscopy.
Good luck to you

Veteran Member

Date Joined Oct 2007
Total Posts : 1190
   Posted 9/11/2008 12:12 PM (GMT -6)   
I know for a fact that the bowel preparation can cause inflammation.

Diagnosis Oct 07 and then Aug 08: Inditerminate Patches of Mild Colitis (including Rectum) - Currently Minor Bleeding
Medication: 1000mg Mesalazine Suppository at night.

Regular Member

Date Joined Jul 2008
Total Posts : 37
   Posted 9/11/2008 12:24 PM (GMT -6)   
Thank you for your prompt reply re. the colonoscopy prep. It never bothered me whilst in remission. This was the first time I had had the procedure in England having lived in Scotland for 14 years. They also did not put me out completely ( as I asked having had it done 5 times before ) -- the result was severe pain and being aware of what was being said. Also they got me up very quickly and I was completely useless and felt dreadfully sick -- never had that feeling before. Never mind it's over for another 3 years ( I hope ! )
Good healing to all.

Veteran Member

Date Joined Mar 2008
Total Posts : 2855
   Posted 9/11/2008 1:35 PM (GMT -6)   
Mine shows extensive scar tissue.
49 year old female attorney, diagnosed UC/pancolitis 1985, no surgery but much suffering.
Asacol/5ASA maintenance for 20+ years, usually 3 pills 2x day. 
Currently tapering OFF prednisone from lingering flare;
August 2008 sought care of naturopathic doctor. Tested gluten intolerant and started gluten-free, soy-free, etc. diet which resolved flare. Also Replete probiotic, DGL (licorice root, slippery elm), Permeability Factors. Slow-release iron and B-12 shots for severe anemia.

Eva Lou
Veteran Member

Date Joined Sep 2006
Total Posts : 3440
   Posted 9/11/2008 2:08 PM (GMT -6)   

mine show 100's of pseudopolypls, which are basically scar tissue from previous ulcers. It also shows any active inflammation...I've never had any type of scope done that didn't show some extent of inflammation. but then again, I've never really been in remission, so... but the presence of scar tissue/pseudopolyps will always be there, whether or not you're actively flaring. If you have the scarring to begin with, I mean.

diagnosed with UC '02
Asacol- 8 tabs/day
Remicade-10mgs/kg- since 4/07
Imuran- 150mgs/day
Fiber supplement

Regular Member

Date Joined Jul 2008
Total Posts : 37
   Posted 9/12/2008 2:29 AM (GMT -6)   
Thanks to all replies,
Interesting about scar tissue, as I have a tale to tell. When I was giving birth to my son in 1976 I was having difficulties -- to shorten the story I was cut into the back passage to facilitate the birth. After that I had many stitches and problems with going to the toilet, obviously. I developed UC 18 months later in the last 10 or so cms of the back passage , and this is where the problem has always remained. I often wonder if the scar tissue from that procedure becomes inflamed and open to infection and thus the UC. Just a thought.
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