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Remission?

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Ulcerative Colitis
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Mackster
Veteran Member
Joined : May 2007
Posts : 781
Posted 8/16/2007 12:02 PM (GMT -8)
Fair question:   As to the definition of this common medical term, with regards to UC what could generally be considered to be 'in a state of remission'?

Whilst on a 'maintenance' drug eg Azathiprine say 50-150g per day to negate any inevitable relapse.

 1)  completely 'normal' ie  1 BM per day (even 0 occasionally) no urgency, no bleeding or D, well-formed stool, eat whatever you want etc. (within reason) 

2)   'almost normal' ie  2 BM's per day, no urgency, no bleeding or D, stool fairly firm but ocassionally 'ribboned'.   No pain etc.

3)  3 to 4 BM's,  slight urgency, only sporadic minor bleeding,  some firm but mainly sloppy stool, occasional rectal pain etc.

4) 4 to 6 BM's, regular but only minor bleeding, urgency, occasional tenesmos, some D, having to take pain killers and rectal meds etc.

5) 6 to 10 BM's ( afternoons and nights as well) heavier bleeding/pain/urgency/tenesmos/D/ moaning in the bathroom and contemplating suicide etc. :-)

You might want to disregard #5  as it would probably constitute a 'flare-up' and prompt a rapid return to Prednisone and calling your GI.

I realise everyone probably has a different take on what they would call 'remission' but you can be sure I'm not the only one that's curious.

FYI, I'm at about #2 with occasional days at #3.

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kb5
Veteran Member
Joined : Jan 2007
Posts : 1015
Posted 8/16/2007 12:27 PM (GMT -8)
I have asked my GI this and he says what is remssion is up to the pateint. For me it's 2-3 solid/mostly solid bm's a day with no blood or pain. No mucus ect so pretty much your number 2. I have never in my life had 1 bm a day. In remission i can eat whatever i want (within reason) i can eat raw veggies and fruits as long as i don't do too much. Any bleeding to me is not remission.
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tjf
Veteran Member
Joined : Dec 2005
Posts : 3238
Posted 8/16/2007 12:35 PM (GMT -8)
I guess I am close to your 2nd option when in remission. Usually 1-3 bms a day. Sometimes I do have diarhea b/c of IBS. That is typically brought on by me eating something I shouldn't. No blood, no mucous, no urgency and no pain. I have forgotten what life is like pre-uc but this is as good as it gets for me now.
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