I think it's both Expecting. Whatever has caused the immune system to go into "tilt" mode...reacting and reacting and reacting to chronic infections tires the response to be discriminating. I had chronic lung infections before my asthma became apparent/full-blown in my adult years...and it was during that time that my doc wasn't wanting me to use antibiotics..so fighting it off was a long process... It was a tough time....although it runs strongly in my family, I look back and see I already showed some symptoms during colds (My UC is both intrinsic/cough variant and extrinsic).
Antibiotics for many can normally cause increased activity in the bowel..and can definitely disrupt the protective bacteria hence causing destruction in the mucosal layer. If the immune response again is to the point of becoming indiscriminating and the person prone to autoimmune response..the bowel will start the process...but again, the predisposition has to be there. For some it might be a process that doesn't cause UC but can cause another autoimmune response which may eventually stop after an extended period of time...for others, UC (or CD) is the forever friend who brings others along for the perpetual party.
I do think that proper diagnosis is a huge factor....there are some who have Microscopic Colitis and don't know it because it's either in conjunction with UC or is mimicing it.
Whatever the reason....it sucks.
*Heather*Status:mini flare June 23* 6asacol daily+ Salofalk (tapered every 4th 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 !!!
Post Edited (quincy) : 11/28/2007 11:23:47 AM (GMT-7)