UC or CD

[nved]

Back in April I had a flare with bloody diarrhea. Had sigmoidoscopy which showed inflammation in rectum sigmoid and descending colon. Had therapy with 3.6g 5-ASA daily. Blood stopped in day 2. Had a complete colonoscopy with intubation of the terminal ileum in July and everything was normal except a mild proctitis. If it was Crohn's disease, would my terminal ileum or cecum appear fine with 5-asa therapy?  

[Leedsmike]

Hi,
   My mother showed similar symptoms. Usually bloody diarrhea mostly refers to ulcerative colitis. She had colonoscopy for about 3 times and there was no signs of ulcer, but there was some swelling near the anus. The doctor told that it was proctitis, and treated her. She continued with the treatment for about 2-3 years, but nothing improved. She again had colonoscopy and histological examination inferred that it was ulcer. She is being treated with Mesalamine and now she is well. Please check with your doctor. Thanks

[Dr. Kokil Mathur]

Hi!
If it is a recent onset disease then the mucosa of ileum and caecum may appear fine in between flares and after taking 5-asa. However, a long standing inflammatory bowel disease brings about mucosal changes that are evident even after the therapy. Please discuss with your doctor. Take care!

The medical advice given should not be considered a substitute for medical care provided by a doctor who can examine you. The advice may not be completely correct for you as the doctor cannot examine you and does not know your complete medical history. Hence this reply to your post should only be considered as a guiding line and you must consult your doctor at the earliest for your medical problem.