Sandra...we all have the potential for it to spread. UC starts at the rectum and spreads upward in a continual pattern. All UCers have UP, has started with UP...but not necessarily has symptoms that might alert
changes until the most obvious of diarrhea (higher inflammation) and bleeding appears and scares the heck out of us to prompt more indepth investigation.
Some will definintiely spread faster than others. Some may not spread at all. I personally believe that those who don't do the both ends approach of using treatment and then maintenance meds (starting with 5ASA) run the higher risk of it spreading upward.
Statistics don't stop or prevent anything. I cringe when I see that patients with UP have only sig check-ups...never colonoscopies. Grrr...what's going on above that could very well be "something". Especially if it's not fitting a specified criteria.
You can be the one that doesn't fit the "criteria". I know I am...and have learned to not assume too much. I may be one where my UC won't spread beyond the initial diagnosis...but I'm not going to risk it. My doc wants to make sure that everything above that is kept nice and quiet.
*Heather*Status:mini flare June 23* 6asacol daily+ Salofalk (tapered every 3rd night)
~diagnosed January 1989 UC (proctosigmoiditis)
~5ASA: Asacol + Salofalk enemas (increase for flares tapered to maintenance)
~Bentylol (dicyclomine) 20mg as needed
~Probiotic 2 (Natural Factors Protec) + 1 (Primadophilus Reuteri) at bedtime
~Natural Factors Multi Digestive Enzymes with supper
~Ranitidine,Pariet (reflux) Effexor XR 75mg; Pulmicort/Airomir (asthma)
~URSO for PSC (or PBC) 500mg X 2 daily (LFTs back to NORMAL!!)
My doc's logic.. "TREAT (FROM)BOTH ENDS" worth it !!!