Following my recent colonoscopy, I saw the consultant yesterday and it seems I have microscopic colitis. I was convinced it would be dismissed as 'just IBS', but no. Thankfully, it is the least serious form of inflammatory bowel disease and is treatable, I am told, with a specific type of corticosteroid. We shall see.
So I guess that makes me an impostor on this forum! With this diagnosis, several other symptoms now make sense too, such as swollen joints and the occasional mouth ulcer.
BW
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BabsyWabsy
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Good news! Wish none of us had immune dysfunction-related gastro illness, but, when we do have this, diagnosis is often hard to achieve. corticosteroids & immunosuppression meds can help hugely: They definitely do work well in my case!
Which inflammatory bowel disease have you been diagnosed with?
That is encouraging. I am supposed to pick up new medication tomorrow, so interested to see if it works for me too.
My consultant says microscopic colitis, but did't differentiate between the two types, however, I think the meds I am getting are prescribed for the collagenous type. Until yesterday, I was unaware that there are two variants of microscopic colitis, so didn't think to ask.
Thanks! 2 types of m.c. is new to me too....am glad research continues to refine diagnosis into variants...in my experience there is always lots of variation with these terms (eg my diagnoses include types of hypermobile ehlers danlos syndrome, lupus, sjogrens, vasculitis & primary immunodeficiency disease and more...and now gastroenterology is caring for me via NHS Crohns Disease protocols for Crohns-like IBD caused by my underlying immune dysfunction & connective tissue disorder diseases).
There seem quite a few of us here like me, diagnosed with AIDs & CTDs and being told they have IBS-like manifestations. But i seldom notice anyone who is prescribed corticosteroids for their IBS-like issues...although even officially published papers are discussing that some variants of IBS do show signs of involving inflammatory process. Meanwhile research continues....
Yes, all of those symptoms. One of the stranger ones is very sore lips, according to the GP who treated me for this, it is dermatitis. He arrived at this diagnosis before I had even sat down, so obviously did not consider any possible cause. All my symptoms make sense now.
I see, so was this your first colonoscopy or did they repete it because of ongoing symptoms.
I had similar symptoms but nothing came out in my first colonoscopy (an year back), further investigation was done a couple of months back however my GI didn’t replete the colonoscopy. Instead he repeated the endoscopy and asked me to go for capsule endoscopy (nothing came out).
This was my first colonoscopy and no where near as bad as I expected. Microscopic Colitis is only diagnosed by taking biopsies and looking at the tissue under a microscope. It is not visible to the naked eye. I can confirm that because I watched the whole process on screen and no inflammation was showing.
Unless you had a biopsy and it was examined under a microscope, they would not have found microscopic colitis. It sounds like your symptoms are very similar. Maybe something you could discuss with your GP? I think it is often misdiagnosed as IBS from what I am reading.
Certainly worth asking the question. I think if they are not looking for it, they won't find it. Some stats have it as quite rare, 3-4 people in 100,000, but I don't know if this is accurate, as it is being found more often due to improvements in diagnostics.You can tell I've been doing my homework
it is such a relief to finally get a clear diagnosis instead of the cloudy label of "just IBS " ..So is it like a subtype of Crohn's disease ?? i mean is it an Auto immune disorder where your immune system attacks its own tissues ???
Chances are it is autoimmune because I have other symptoms which I now realise are related. It is not as severe as Crohn's. My brother has Crohn's and we do compare notes. Also, inflammation is visible at colonoscopy with Crohn's.
Looks like autoimmune stuff runs in the family as we also have two type 1 diabetics who were both diagnosed aged about 11.
I hope the steroids work for me, but at the moment, I am struggling to get the prescription fulfilled, so fingers crossed for when I do get them.
Thank you for your reply ..i asked because i noticed in this forum that there are so many disease subtypes and other disorders that our local doctors here don't know about them or don't bother to test for them ..it's like either you have " just ibs " or Crohn's / Ulcerative Colitis ..but nothing in between !! and they don't like it when i explain to them the different possibilities that they may miss out ( doctor's pride refuse or feel humiliated to take guidance or hints from a regular patient )
Hope you get your prescription fulfilled and feel better soon ..Best of Luck 🌹
I completely agree. My current GP, who referred me to the gastroenterologist admitted he knows nothing about this kind of thing. I suppose the clue is in the name 'general practitioner'. They have their areas of interest that they specialise in, but can't be experts in everything. They get precious little during their training on certain topics, such as nutrition or breastfeeding for example, so it is refreshing to find a GP who is honest about his lack of knowledge. Can be frustrating when they won't admit it. I am looking forward to the day when we start to be treated in a more holistic way, not as a series of separate ailments. But that's another discussion altogether.
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