I have UC...used oral and rectal meds for 31 years. It has NEVER healed patchy, and Ive never read that it can. UC is pretty much typical in its pattern...think of how a thermometer goes up and down. Chronic patchiness...not UC. Although there is one form that has cecum and rectum involvement with little to no inflammation between. But there would never be patchiness anywhere between...
What medication were you already on?
Do you have a copy of the full pathology biopsies report and the comments by the pathologist?
Did you have a c-scope ever? And when?
I had been taking the Lialda when I had my last scope (the flex sig). I did have a colonoscopy in 2017 that showed inflammation in the rectum and sigmoid, however, they only took biopsies of the rectum and TI. Those biopsies showed normal TI and inflammation in the rectum. That office has since closed down.
For my last flex sig, they took biopsies of the top of the descending where the visible inflammation was seen, in the lower descending colon, in the sigmoid, and in the rectum. The top of the descending shower chronic active colitis, the descending showed non-specific chronic inflammation, the sigmoid showed chronic inflammation/inactive colitis, and the rectum showed patchy chronic inflammation with regenerative features.
The pathologist noted: “Distortion of crypt architecture and increased inflammation in the lamina propria. Cryptitis and crypt abscesses noted. No evidence of dysplasia or granulomas. The microscopic features are compatible with IBD. Correlation with clinical and endoscopic findings is recommended.”