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Mackster
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Date Joined May 2007
Total Posts : 768
   Posted 8/16/2007 1:02 PM (GMT -7)   
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.

kb5
Veteran Member


Date Joined Jan 2007
Total Posts : 1015
   Posted 8/16/2007 1:27 PM (GMT -7)   
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.
Kelly, 29

Left sided UC diagnosed 1/98 age 19, Pan colitis diagnosed 1/07
Currently on 4x3 Asacol, Rowasa every other night, back to 30 mg pred.
Waiting for prometheus test to start Immuran
Prontonix once daily for acid reflux, zofran twice daily for nausea


tjf
Veteran Member


Date Joined Dec 2005
Total Posts : 3238
   Posted 8/16/2007 1:35 PM (GMT -7)   
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.
Tabitha

100mg Azathioprine, 2 Fibercon, Colazal-9 a day (attempting to cut this down to 6 by slowly tapering), acidopholis pearls, just added Prilosec OTC

http://www.healingwell.com/donate
Co-Moderator UC Forum

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