
What Is The Cause And Treatment For Colitis?

Question: My colonoscopy revealed colitis but dr. says it is not ulcerative colitis. I am having a stomach full feeling even when I don't take food. Passing stools is very difficult and it is always a feeling of incomplete bowel evacuation (for over 15-20 years now.) At present I am using normaxin twice or thrice a week. I get relief only for a few hours after I take the medicines but the symptoms recur. Fail to understand whether the problem is in bowel or stomach or in small intestines. Ultrasonogram revealed there is no abnormality.
Brief Answer:
Biopsy is best
Detailed Answer:
Hi,
Thanks for your query.
Sorry for the delay in my response.
Colitis can be of many causes.Identifying the exact cause is very important to plan the treatment and cure the disease.
The best way to identify the cause for such colitis is by Colonoscopic guided biopsy of the intestinal mucosa. In here a small chunk of the colon mucosa is taken and subjected under tests with microscope. This for sure of about 90% will give the exact diagnosis and also helps to plan management.
A surgical Gastroentrologist will help you with the biopsy.
Hope, I answered your query.
Wish you good health.
regards,
Biopsy is best
Detailed Answer:
Hi,
Thanks for your query.
Sorry for the delay in my response.
Colitis can be of many causes.Identifying the exact cause is very important to plan the treatment and cure the disease.
The best way to identify the cause for such colitis is by Colonoscopic guided biopsy of the intestinal mucosa. In here a small chunk of the colon mucosa is taken and subjected under tests with microscope. This for sure of about 90% will give the exact diagnosis and also helps to plan management.
A surgical Gastroentrologist will help you with the biopsy.
Hope, I answered your query.
Wish you good health.
regards,
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar


Biopsy was also performed with colonoscopy (Sept.2010). It reads " biopsies from rectum and transverse colon. Both biopsies reveal similar histology. Mucosal crypts are uniform and parallel. Lamina propria is expanded, edematous, congested and densely infiltrated by lymphocytes, histiocytes. Stromal hemorrhages are seen, however there is no mucosal necrosis or hemosiderin pigment. There are no characteristics changes of ulcerative colitis. Impression : Chronic colitis with stromal hemorrhages". The bowel movements are very slow and there is always feeling of incomplete bowel evacuation, even after spending 1-2 hours in toilet in 2-3 visits in the morning.
I used the medicines prescribed by doctor (welgut, mesacol etc.)but unfortunately there is little relief. The symptoms are continuing and are I am afraid, worsening. An earlier biopsy said "possibilities of ischemic bowel disease can't be ruled out".
Kindly suggest useful medicines or further diagnosis if needed.
I used the medicines prescribed by doctor (welgut, mesacol etc.)but unfortunately there is little relief. The symptoms are continuing and are I am afraid, worsening. An earlier biopsy said "possibilities of ischemic bowel disease can't be ruled out".
Kindly suggest useful medicines or further diagnosis if needed.
Brief Answer:
Ulcerative colitis
Detailed Answer:
Hi,
Thanks for writing back.
I am convinced that the diagnosis for your condition is Ulcerative colitis which is confirmed by the biopsy.
Now, I believe better management plans have to be formulated and targeted at treating the condition at the earliest. The best management in recent days involves immune modulator medications like MAB (Monoclonal antibodies). Infliximab Golimumab and Adalimumab are MABs with very good response rate. Also other immune suppressors like Azathioprine or prednisolone can be opted for.
Hope, I answered your query.
Regards,
Ulcerative colitis
Detailed Answer:
Hi,
Thanks for writing back.
I am convinced that the diagnosis for your condition is Ulcerative colitis which is confirmed by the biopsy.
Now, I believe better management plans have to be formulated and targeted at treating the condition at the earliest. The best management in recent days involves immune modulator medications like MAB (Monoclonal antibodies). Infliximab Golimumab and Adalimumab are MABs with very good response rate. Also other immune suppressors like Azathioprine or prednisolone can be opted for.
Hope, I answered your query.
Regards,
Note: For further follow up on digestive issues share your reports here and Click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar

Answered by

Get personalised answers from verified doctor in minutes across 80+ specialties
