Understanding the Results of Biopsy

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notsosicklygirl
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Date Joined Dec 2008
Total Posts : 16736
   Posted 2/21/2009 12:18 PM (GMT -6)   
If your GI takes tissue to biopsy during a colonoscopy or sigmoidoscopy, are the results conslusive? If my doctor said my biopsy came back as colitis, what exactly does that mean? Does that give any clues as to how it was caused? Could it be bacterial even though you got a biopsy? Can they tell if you have something like c.diff or a bug from a biopsy?
Diagnosed with proctitis in March 2007 - Treated with Canasa 2x Daily
Diagnosed with UC December but had symptoms months ago - Treating with Asacol (feel hopeless)


Scarlet504
Regular Member


Date Joined Oct 2008
Total Posts : 192
   Posted 2/21/2009 2:06 PM (GMT -6)   

Yes, they can tell from the biopsy whether it is a bug of C. diff. I once had the weirdest D for months, but no actual flare symptoms. I went through the whole thing: Blood work, stool sample etc. Turned out I caught Giardia lamblia. Strangely, only a colonoscopy with biopsies revealed that.

So, to answer your question, a biopsy can tell you whether your colitis is UC or bacterial and the like.


Scarlett, 38 yo., TX
Pancolitis since 3/1997
Meds
6 x Asacol a day
75 50 mg 6-MP
Align (probiotic)
Flintstones Complete Vitamins


notsosicklygirl
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Date Joined Dec 2008
Total Posts : 16736
   Posted 2/21/2009 3:05 PM (GMT -6)   

Interesting. My doctor didn't tell me much about my biopsy results. She just said proctitis. I wonder if there was anything else to tell? I wish doctors were more open to explaining these things to us.

Thanks for sharing your experience smilewinkgrin


Diagnosed with proctitis in March 2007 - Treated with Canasa 2x Daily
Diagnosed with UC December but had symptoms months ago - Treating with Asacol (feel hopeless)


notsosicklygirl
Forum Moderator


Date Joined Dec 2008
Total Posts : 16736
   Posted 2/21/2009 3:18 PM (GMT -6)   
I just remembered I actually asked my doctor about bacterial causes and whether the biopsy would tell. She said something about the biopsy not specifically checking for bacterial causes. Kind of vague.
 
She said I need to have stool tests and a colonoscopy to find out more. I had a sigmoidoscopy.
 
She didn't seem to think my issues were bacterial because they have persisted for quite some time. I think they may be bacterial because I took a lot of antibiotics during and after multiple surgeries. I just want to know for sure. Guess I need a stool test or a colonoscopy.
Diagnosed with proctitis in March 2007 - Treated with Canasa 2x Daily
Diagnosed with UC December but had symptoms months ago - Treating with Asacol (feel hopeless)


nucid
Regular Member


Date Joined Feb 2009
Total Posts : 63
   Posted 2/21/2009 3:28 PM (GMT -6)   
Too bad you didn't have the colonoscopy instead of the sigmoidoscopy. I'm thinking that I should have asked my GI doc for more tests too. At the time I was just hoping for no surgery and no cancer.
diagnosed January 2009
mild pancolitis
Sulfasalazin 500mg 3X


notsosicklygirl
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Date Joined Dec 2008
Total Posts : 16736
   Posted 2/21/2009 3:40 PM (GMT -6)   
Yeah, I agree. I wish I had the colonoscopy because now I lost my insurance due to getting laid off and I can't afford one. When I got the sigmoidoscopy, the doctor was looking for hemmroids. I understand why she did things the way she did, no one expected that UC was causing my symptoms... If I knew they could check for bacterial causes with the biopsy I would have definitely inquired into doing it but I didn't know any better. I should have pushed for a stool test but everyone was saying that it was not bacterial. It's annoying that doctors push their opinions on patients, if I want a stool test, I should get one. I would like concrete evidence that it is not bacterial even if the chances of it being bacterial are 1%.
Diagnosed with proctitis in March 2007 - Treated with Canasa 2x Daily
Diagnosed with UC December but had symptoms months ago - Treating with Asacol (feel hopeless)


nucid
Regular Member


Date Joined Feb 2009
Total Posts : 63
   Posted 2/21/2009 9:46 PM (GMT -6)   
I second that about the doctors not wanting to search hard enough. When your the patient you want all the tests if there is any chance of finding a cause. We are just trying to find out what is going on! So many times when I have been in a doctors office I have said to myself: "If I was that doctors wife who is sick, he would be so much more aggressive in finding out what's going on."
I think it must help to have a longer relationship with a doctor.
diagnosed January 2009
mild pancolitis
Sulfasalazine 500mg 3X

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