Member Comments are provided by individuals and reflect their personal opinions only. Under NO circumstances should you act on any advice or opinion posted in this forum. ALWAYS check with your personal physician before taking any action regarding your health! MedHelp International and our partners, sponsors and affiliates have no obligation to monitor any comments posted on this site, or the content and/or accuracy of such exchanges. MedHelp International does not endorse the views of any user.
Gastroenterology (Expert Forum)
Colonoscopy Results
Answered by
Kevin Pho, MD - Internal Medicine
Kevin, M.D.
Boston - MA
This forum is for questions regarding Gastroenterology issues such as Acid Reflux (GERD), Barretts Esophagus, Colitis, Colon/Bowel Disorders, Crohn's Disease, Diverticulitis/Diverticulosis, Digestive Disorders, IBS, Stomach Pain.
 |
Colonoscopy Results
by jfem, May 09, 2006 12:00AM
I am a 40 yo female. No significant med or surgical history.
I finally finished the last of my GI work up.
Sypmtoms of nausea,loose stool, and bloating began in November after taking antibiotics.( Clindamycin , 1 dose after a d & C produced diarrhea for 2 weeks straight, then 2 months later I took Levaquin, and almost immediately, the symptoms began)
The symptoms have gotten better after taking culterelle and vsl#3 however some sypmtoms still persist.
I still have rectal bleeding when I strain, occasionally I have mucous ( maybe once a week). Occasionally, depending if I eat a lot, I'll get so uncomfortably bloated that it keeps me up all night.
I do not have diarrhea ( although I think it's becasue I take Calcium ), but I do occasinally get rectal pressure.
Occassionally, I have some nausea ( again, 1-2 times/week)
Endoscopy, abdominal x-ray, blood work, stool cultures, all were negative.
I just got the resuls of my colonoscopy and they are :
A. Sigmoid Polyp
HYPERPLASCTIC POLYP
B. Rectal Biopsy
Moderate to Severe acute/chronic colitis with acute cryptitis
Epithelial glandular atypia associated with inflammation is noted.
Indefinite for dysplasia ( see comment)
comment:
The inflammatory changes are histologially compatible with inflammatory diease/ulcerative colitis.
My questions are:
1. is the polyp cancerous,if not, can it become cancerous, and what do I do to screen for that?
2. what is acute cryptitis? and how did I get it?
3. indefinite for dysplasia? What does that mean?
4. So the bottom line is that I have ulcerative colitis? Is that correct? Wouldn't this have shown up on the endoscopy?
5.What determines if it's actue or chronic?
6.The GI doctor mentioned proctitis when he was done with the colonoscopy...since it was not mentioned, does that mean that I don't have it?
7. finally, what is the cure or treatment for this? medicine? diet?
Sorry for all the questions, I can't meet with the MD until next week, and I'm scared of what I have...
Thanks,
J
I finally finished the last of my GI work up.
Sypmtoms of nausea,loose stool, and bloating began in November after taking antibiotics.( Clindamycin , 1 dose after a d & C produced diarrhea for 2 weeks straight, then 2 months later I took Levaquin, and almost immediately, the symptoms began)
The symptoms have gotten better after taking culterelle and vsl#3 however some sypmtoms still persist.
I still have rectal bleeding when I strain, occasionally I have mucous ( maybe once a week). Occasionally, depending if I eat a lot, I'll get so uncomfortably bloated that it keeps me up all night.
I do not have diarrhea ( although I think it's becasue I take Calcium ), but I do occasinally get rectal pressure.
Occassionally, I have some nausea ( again, 1-2 times/week)
Endoscopy, abdominal x-ray, blood work, stool cultures, all were negative.
I just got the resuls of my colonoscopy and they are :
A. Sigmoid Polyp
HYPERPLASCTIC POLYP
B. Rectal Biopsy
Moderate to Severe acute/chronic colitis with acute cryptitis
Epithelial glandular atypia associated with inflammation is noted.
Indefinite for dysplasia ( see comment)
comment:
The inflammatory changes are histologially compatible with inflammatory diease/ulcerative colitis.
My questions are:
1. is the polyp cancerous,if not, can it become cancerous, and what do I do to screen for that?
2. what is acute cryptitis? and how did I get it?
3. indefinite for dysplasia? What does that mean?
4. So the bottom line is that I have ulcerative colitis? Is that correct? Wouldn't this have shown up on the endoscopy?
5.What determines if it's actue or chronic?
6.The GI doctor mentioned proctitis when he was done with the colonoscopy...since it was not mentioned, does that mean that I don't have it?
7. finally, what is the cure or treatment for this? medicine? diet?
Sorry for all the questions, I can't meet with the MD until next week, and I'm scared of what I have...
Thanks,
J
Doctor's Answer
by Kevin Pho, MD, May 10, 2006 12:00AM
, May 10, 2006 12:00AM
To answer your questions:
1) A hyperplastic polyp is a non-neoplastic polyp that does not require any additional special screening.
2) Crypts are tubular structures that protrude from the inner linings of the inestinal walls. Cryptitis is inflammation of these structures.
3) Perhaps it meant to say "indeterminate" instead. I am not sure what "indefinite" for dysplasia means.
4) Yes, the biopsy suggests that ulcerative colitis is present. The biopsy is the most definitive test for ulcerative colitis, rather than the endoscopy.
5) The biopsy should be able to determine whether the findings are acute or chronic. However, there are instances where this is indeterminate.
6) Colitis can imply proctitis - or it can mean that biopsies weren't taken of the rectal area.
7) Steroids, sulfasalazine and 5-ASA agents are all within the spectrum of treatment. The choice would depend on the response and severity of the disease. These options should be discussed with your personal physician or gastroenterologist.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_
1) A hyperplastic polyp is a non-neoplastic polyp that does not require any additional special screening.
2) Crypts are tubular structures that protrude from the inner linings of the inestinal walls. Cryptitis is inflammation of these structures.
3) Perhaps it meant to say "indeterminate" instead. I am not sure what "indefinite" for dysplasia means.
4) Yes, the biopsy suggests that ulcerative colitis is present. The biopsy is the most definitive test for ulcerative colitis, rather than the endoscopy.
5) The biopsy should be able to determine whether the findings are acute or chronic. However, there are instances where this is indeterminate.
6) Colitis can imply proctitis - or it can mean that biopsies weren't taken of the rectal area.
7) Steroids, sulfasalazine and 5-ASA agents are all within the spectrum of treatment. The choice would depend on the response and severity of the disease. These options should be discussed with your personal physician or gastroenterologist.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_
Is that bad?
What does it mean?
Dysplasia usually means cancer, so are they saying that they can't rule that out?