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Discussion Starter · #1 ·
Well, I had a sigmoidoscopy yesterday and the initial finding (it was not completed) was proctitis and rectal bleeding. I was apparently actively bleeding a bit during the exam, and the internist said there was no need to scope the rest since I need a referral to a gastroenterologist.There was blood on the table afterward, which kinda scared me. She said that I at least had proctitis, but maybe more going on also that she could not see further up.So, does this finding rule out IBS or could I also have IBS as a component?
I am starting on an anti-inflammatory called mesalamine twice a day. It seems to have already cut down on the bleeding, and I started it only last night.I see the GI doc early next week. My doc said they may need to do a biopsy as well. Anyone had experience with this- how are biopsies done ?
I don't think I am having a biopsy at my 1st appt. next week, since they told me I could eat anything- and there is no prep. I am so glad- because it is nice to eat real food again.I have to say, the "turns" in the sigmoidoscopy were almost unbearable! I am glad she stopped the exam half way. What a wimp I turned out to be. Heh heh.Thanks to anyone who can answer my questions.
 

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yeah,it is amazing how it hurts when moving inside and it's also amazing that once outside, the pain is totally gone or almost.
 

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Blood in your stool, or bleeding in general, is a red flag in the diagnostic criteria for IBS. It generally indicates that something else may be contributing to your symptoms.Hardly a wimp. A sigmoidoscopy has always been the most painful procedure for me.Glad that mesalamine has worked so well for you. I have Crohn's disease in addition to IBS, and I effectively went into remission from active Crohn's after just 3 days on an anti-inflammatory. Crohn's disease is quite a different diagnosis than IBS, but it is possible to have both illnesses.I hope you don't have to wait too long to see the GI doc. I believe it was a good call by your internist to send you on to a specialist. Bleeding in general needs to be investigated for a host of conditions.In terms of inflammation and IBS, there are some new findings which does suggest that inflammation is present in some IBS patients; However, the inflammation is rarely visible such as in Crohn's or Ulcerative Colitis, but rather occurring at a microscopic level.Jeff
 

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jeffrey, is there anything that suggests why the inflammation is present in that subset group of IBS patients?i know sometimes it can be laxative enduced(from the prep)...but then again, sometimes it isn't. on one of my previous posts i indicated that my doctor had seen more cellular inflammation(or something, can't recall really what he said) when he looked at the biopsy, and i was visibly inflamed, however... he said it could be part of the ibs.so, is there anything they say that could cause this...?i am taking entocort for 2 weeks to see if it helps, and if it does i'll taper down to a dosage i can take long term.its going to be my 3rd day on the medicine, and I havent had diarrhea, although I've still had that intestinal pain... If you have any links I could read further on the subject, or perphaps if you have time, sharing some of your personal knowledge/experiences, I'd greatly appreciate any help I could get.
 

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I have seen a few papers which seem to conclude that a subgroup of IBS sufferers have a larger number of mast cells in their guts than control subjects. Mast cells appear to be key players in the initiation of inflammation.Jackie Wood reported about this in 2003 at an IFFGD Symposium. You can read about that here:http://www.iffgd.org/symposium2003brain-gut.htmlSince 2003, there continues to be other papers that also discuss this phenomenon. You might want to search through PubMed if you would like to find abstracts of those papers.Jeff
 

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Discussion Starter · #7 ·
Thanks for the responses guys.
Spasman-Yeah, I agree with your description. I hope if I ever get scoped again, it will be with some sort of pain medicine. I almost could not take it (the flex. sig).Thanks Nancy- I wasn't sure if there are other ways to do a biopsy. Jeffrey- I see you you are member #1 and founder.
First of all, a big thank your for starting up this much needed site! It has been a safe haven for many of us to come and to learn and share. These symptoms are something I cannot talk about with many people. I so appreciate this place. I'm also glad your Crohn's disease is in remission. That is wonderful news! And wow, after just 3 days. Amazing. Likewise, I almost can't believe the results I am getting from mesalamine after only one day (two doses a day). The box says it takes at least 3 days to a few weeks to see results. But it is like a miracle.I still have some problems, but it has cut down dramtically on the bleeding. I can only imagine how it will help over the next week or two. Thanks for the good info. I do have an appt. with the GI on Monday, so that's not too bad.And I'm glad I'm not considered a wimp about the flex sig. That was a big shock to me how much it hurt.S.S.S.- Good luck with the entocort.Hope you are pain free ( or in much less pain) very soon.
 
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