A standard ulcerative colitis diagnosis involves:
1.) A negative stool test result for pathogenic causes to your symptoms (such as c diff).
2.) A scope with biopsies, which is either a colonoscopy or a flexible-sigmoidoscopy.
We get scopes when we're in remission (that is don't have symptoms) and when we're flaring, and signs of chronic illness are always present. Biopsies show undeniable signs of chronic illness, regardless if we feel fine or bad. This is because the repeat cycles of healing and inflammation irreversibly alter the cell structure and blood vessel pattern in the lining of our large intestine. Usually, blood vessels are in a very orderly, predictable pattern. In an IBD patient, those patterns are irregular due to repeat heal/inflame cycles. Cells just look darn weird in IBD patients, cell walls are thicker, there's weird gaps between cells, all because it's a hostile environment for a cell to grow in with chronic inflammation. Under a microscope, the intestinal surface is composed of hills and valleys. In medical jargon, the valleys are known as "crypts", and with an IBD patient those crypts are commonly clogged with cells that don't belong there (known as crypt abscesses filled commonly with lymphocytes or white blood cells).
So, definitely take your medications as prescribed by your doctor. As I'm sure your symptoms were troubling enough to seak a diagnosis. Your medications can indeed bring relief to those symptoms. Your colonoscopy will show signs of UC and IBD if that's what you truly have.
Good luck, I hope you feel better soon and get a diagnosis.
Moderator Ulcerative Colitis
John, 38, in a minor flare, UC Proctosigmoiditis
Rx: Remicade @5mgs/kg/8wks; nightly rowasa; 15mgs predYou know you have UC if you take the dog for a walk and you both end up pooping within the bushes.
Post Edited (iPoop) : 8/22/2016 2:01:56 PM (GMT-6)