Questions in the Gastroenterology and Liver Diseases Forum have been answered by Dr. Kevin Pho who is board certified in Internal Medicine and by doctors from Henry Ford Health System.

Question Title: possible ulcerative colitis?

Forum: The Gastroenterology and Liver Diseases Forum
Topic: Colitis



Hi..

Over the past few years I've had symptoms of some sort of digestive system problem. Generally, 30-40 minutes after I eat a substantial meal I will develop a stomach ache and often this goes without a problem. Many times though, I have diaoreha, sometimes mild, sometimes severe. I believe that as a result of this, my weight never seems to increase (I am an 18 year old male and weigh 54kg) but I always have a very healthy appetite.

Over the past 8 months I've had odd symptoms, a loss of balance, coordination, a sense of being "spaced-out" constantly (these symptoms never disappear).. and my eyesight is getting worse.. I see things swimming across my vision and my eyes are very sensitive to light and this often makes work difficult even indoors with dim lighting. I have a feeling that these symptoms may be a result of the stomach problem, if this is possible (lack of nutrition?)

I am a healthy eater and exercise 1-2 hours per day.

Are these symptoms, which may appear neurological (I *don't* get any sort of tingling sensations or spinal/nerve problems though) a possible result of an ongoing stomach problem.

It is definitely worth mentioning that my family (on my mothers side) are very prone to Ulcerative Colitis, my mother has it and about 4 of her siblings have it or are developing it.

Is there a quick and easy test for such a condition?

All my symptoms are persistent and never lessen (24hours a day).

Any suggestions would be very helpful.

-Adam

Dear Adam,

The best way to diagnose ulcerative colitis is to have a colonic biopsy. This can be done with flexible sigmoidoscopy or colonoscopy. These are tests where a tube with a light and video camera is inserted into the rectum and advanced up the colon. Biopsies or tissue samples can be taken during the procedure and a pathologist can identify characteristic features of ulcerative colitis.

Digestive symptoms, inability to gain weight, family history of ulcerative colitis can certainly be consistent with this diagnosis. Ulcerative colitis can sometimes be associated with ocular manifestations including episcleritis and uveitis. These eye problems can be associated with some of the visual problems that you describe. I hope you find this information helpful.

This response is being provided for general informational purposes only and should not be considered medical advice or consultation. Always check with your personal physician when you have a question pertaining to your health.

If you would like to be seen at our institution please call 1-800-653-6568, our Referring Physicians' Office and make an appointment to see Dr. Muszkat, one of our experts in Gastroenterology.

HFHSM.D.-ym
Keywords: ulcerative colitis, diagnosis



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