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Gastroenterology (Expert Forum)
Colonoscopy results...
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 momyde__0, Nov 14, 1998 12:00AM
: I just had a colonoscopy following continuing worsening diahrea, 6 - 10 times a day, totally yellow liquid, sometimes even awakening me at night, and very small amounts of rectal bleeding (found only on toilet paper). Anyway the colonoscopy showed several areas that were very red and raw and inflamed. I have a prior history of NSAID induced gastric ulcer (8 months ago) and take cytotec with nsaid therapy to protect stomach. The gastroenterologist is attributing these raw inflamed areas as being more than likely due to the Relafin use (although I have had no NSAIDS at all for the last month, due to abdomen pain). He says the cytotec protects only the stomach, not the colon, and I won't be able to take them anymore. He says it is likely the rectal bleeding originated from these very raw areas in the colon...although they could have come from a hemoroid he saw absolutely no evidence of a hemoroid in the test. They did take some biopsies, but he said he is sure the problem is medication related. In
: addition, he said the colon was extremely spastic during the procedure and he used IV Levsin to calm it down for the procedure. The generic Levsin I have been taking has not been working too well with sublingual tablets...now he says since it is so spastic even after fasting perhaps I should take the Levsin first thing in the morning.
: Here are my questions! #1...what name is given to having raw, red, inflamed, possibly with transient bleeding areas on the colon...is there a differnet name depending on whether the cause is medication or not? 2) Prior diagnosis was IBS, does this degree of spasms in the colon still support IBS as a diagnosis? Or does the sore areas of colon now remove the IBS diagnosis? 3) I have tried Naprosyn and got a gastric ulcer...I tried Salsolate and got stomach pain and ringing ears. The Relafin was supposed to be the NSAID that wouldn't cause all this damage. I have connective tissue disease plus back pain from bulging discs in back. Now the CTD is undifferentiated,but the rheumatologist is checking again to see if a specific disease can yet be identified as the connective tissue disease. The NSAIDS help with some but not all of the pain and stiffness...they do enable me to live a more or less normal life...for the last month I have had to deal with almost constant pain since I quit the Relafin. I do
: take 2.5 mg prednisone daily, and 200 mg Plaquenil twice daily, but these do not control the pain. With first the gastric ulcer and now the colon complications...are NSAIDS out forever for me? Are there other options available....Tylenol does not do the trick. Or am I destined to hurt forever?
: Finally, a question about the procedure itself....I got very dehydrated from the prep...I think since I was already having such large number of diahrea episodes a day that the prep went a little too far. When they tried to start the IV they couldn't get a vein because of the dehydration. A couple of nurses and sticks later, they finally got it, but they told me they had to bruise me to do it...I have a large bruise running from inside the wrist where they finally got it started halfway up to my elbow. Two days later, I still feel very dehydrated, my mouth is parched and I need to drink almost constantly...the diahrea has already started agian even though I am still on a low residue diet for the next week. I was running a fever when they did the workup right before the test 100.7, and still am, and wonder if it could be from the dehydration. Plus it seems the more I drink, I am peeing out! So am I or am I not dehydrated. I hate water, but have been drinking 50 -60 oz of water yesterday and today,
: trying to combat this dry feeling. Is this a normal after effect?
: Thank you for your help in answering these questions.
_____
dear mommydee,
I agree with your rheumatologist that Crohn's disease is a possible cause for your problems. The differentatiation among the various causes for colitis requires microscopic study and usually can not be done by the observations made through the endoscope. Examination of the biopsies is needed. Relafna is not considered a common cause for gastrointestinal problems because of the greater specificity of its antiinflammatory effect. Relafan inhibits the production of prostaglandins by inflammatory cells but has less inhibition of the cells that make prostaglandins for otherr purposes.
This information is presented for educational purposes only. always ask specific questions to your personal physician.
HFHSM.D.-rf
*keywords: colitis, prostaglandins
0.2
: addition, he said the colon was extremely spastic during the procedure and he used IV Levsin to calm it down for the procedure. The generic Levsin I have been taking has not been working too well with sublingual tablets...now he says since it is so spastic even after fasting perhaps I should take the Levsin first thing in the morning.
: Here are my questions! #1...what name is given to having raw, red, inflamed, possibly with transient bleeding areas on the colon...is there a differnet name depending on whether the cause is medication or not? 2) Prior diagnosis was IBS, does this degree of spasms in the colon still support IBS as a diagnosis? Or does the sore areas of colon now remove the IBS diagnosis? 3) I have tried Naprosyn and got a gastric ulcer...I tried Salsolate and got stomach pain and ringing ears. The Relafin was supposed to be the NSAID that wouldn't cause all this damage. I have connective tissue disease plus back pain from bulging discs in back. Now the CTD is undifferentiated,but the rheumatologist is checking again to see if a specific disease can yet be identified as the connective tissue disease. The NSAIDS help with some but not all of the pain and stiffness...they do enable me to live a more or less normal life...for the last month I have had to deal with almost constant pain since I quit the Relafin. I do
: take 2.5 mg prednisone daily, and 200 mg Plaquenil twice daily, but these do not control the pain. With first the gastric ulcer and now the colon complications...are NSAIDS out forever for me? Are there other options available....Tylenol does not do the trick. Or am I destined to hurt forever?
: Finally, a question about the procedure itself....I got very dehydrated from the prep...I think since I was already having such large number of diahrea episodes a day that the prep went a little too far. When they tried to start the IV they couldn't get a vein because of the dehydration. A couple of nurses and sticks later, they finally got it, but they told me they had to bruise me to do it...I have a large bruise running from inside the wrist where they finally got it started halfway up to my elbow. Two days later, I still feel very dehydrated, my mouth is parched and I need to drink almost constantly...the diahrea has already started agian even though I am still on a low residue diet for the next week. I was running a fever when they did the workup right before the test 100.7, and still am, and wonder if it could be from the dehydration. Plus it seems the more I drink, I am peeing out! So am I or am I not dehydrated. I hate water, but have been drinking 50 -60 oz of water yesterday and today,
: trying to combat this dry feeling. Is this a normal after effect?
: Thank you for your help in answering these questions.
_____
dear mommydee,
I agree with your rheumatologist that Crohn's disease is a possible cause for your problems. The differentatiation among the various causes for colitis requires microscopic study and usually can not be done by the observations made through the endoscope. Examination of the biopsies is needed. Relafna is not considered a common cause for gastrointestinal problems because of the greater specificity of its antiinflammatory effect. Relafan inhibits the production of prostaglandins by inflammatory cells but has less inhibition of the cells that make prostaglandins for otherr purposes.
This information is presented for educational purposes only. always ask specific questions to your personal physician.
HFHSM.D.-rf
*keywords: colitis, prostaglandins
0.2
