Microscopic Colitis - Symptoms and Diagnosis

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Жыл бұрын

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Do you suffer from diarrhea that has persisted every day for weeks? You may have microscopic colitis! In this video I discuss what defines microscopic colitis. I present who is at risk of getting microscopic colitis, including common medications that can cause microscopic colitis. I also discuss how diarrhea is evaluated, to exclude other much more common causes of diarrhea, evaluate for problems of electrolytes, anemia, and protein that result from chronic diarrhea, and perform a colonoscopy to evaluate for microscopic colitis.
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DISCLAIMER: While I am a Gastroenterologist, I am not acting as your Gastroenterologist. The information provided on this channel is intended to be general educational content and not directed towards any one individual. If you believe you have a medical condition that deserves attention please seek care from your healthcare provider. If you are experiencing a life threatening emergency, call 911.

Пікірлер: 42

@blue-ss8nn 3 ай бұрын

I was told for 15 years I just needed to eat more fiber and it was probably ibs. I had my first colonoscopy and just got diagnosed at 34. My gastroenterologist really listened to me and made sure to take a biopsy. Im so grateful. Hopefully I can finally get some help for my symptoms.

@ksd9503 8 ай бұрын

Was diagnosed with this at 14. Still battling this horrific disease every day.

@verofisher8684 Жыл бұрын

Thank you for a very interesting video.

@MarkCooperMD Жыл бұрын

You’re welcome. Thanks for your support and watching.

@dcantwell119 10 ай бұрын

It is under diagnosed probably because the colon looks normal despite having chronic diarrhea too frequently the doctor doesn’t take biopsies of a normal looking colon. So I don’t think it’s so rare. It’s under diagnosed.

@cocolamonte2458 3 ай бұрын

Totally agree with u. I had it, undiagnosed, for about 20 years 🥹

@LB-sw2km 11 ай бұрын

I have this ! I’m 57 . Wow about the medicine list . Tell my drs this information. They know nothing .

@kathyr1516 10 ай бұрын

Thank you Doctor! I had microscopic colitis and it was caused by an SSRI called Zoloft. I also have Coeliac Disease and Hashimoto’s, but when I changed to another med from Zoloft the Colitis went away. Thank you for drawing attention to this possibility in your presentation. It is an extremely unpleasant complaint.

@MarkCooperMD 10 ай бұрын

It really can be a disaster. I’m amazed at how severe the symptoms can become - they can really disrupt daily living. That’s interesting about Zoloft as some of the data that suggests these specific meds are culprits has been questioned recently. In practice I’ve seen people improve when making Med changes. Overall I think both the data and experience point towards SSRIs, statins, PPIs, and NSAIDs being culprits. Thankfully it remains a rare problem of these treatments. Glad you’re doing better and thanks for watching.

@kathyr1516 10 ай бұрын

Thank you so much Doctor! Wasn’t expecting a reply. Very kind. It truly is a debilitating illness so your information is very greatly appreciated! Blessings. @@MarkCooperMD

@ooommm4024 Күн бұрын

I have had this multiple times as a man since his mid 20's. I also have well controlled type 1 diabetes + well controlled celiac disease + hypogammaglobulinemia, so this makes me curious what the connection is at the genetic level? Usually I get hospitalized when this appears due to it causing abdominal sepsis.

@janethalliday1317 Ай бұрын

My 16 year old daughter had a colonoscopy today because she has had lots of blood in stools and a mixture of chronic diarrhoea and constipation they have taken biopsies too look for microscopic colitis but the symptoms doesn’t seem to fit so much like Crohn’s does because mc says no blood and rarely any constipation so I feel a little confused. Also does this require surgery at all because theres not alot of information on it and she is terrified she will need an operation I will watch out for your reply thanks in advance also she had gallbladder removed last year

@nancyjachec7449 Жыл бұрын

Had microscopic colitis was treating with Imodium for 8 weeks completely gone now on its own do I still need budesonine bc I finally y got it

@MarkCooperMD Жыл бұрын

This is a good question to ask your GI clinic.

@critter4004 4 ай бұрын

I've had these symptoms for almost 3 years 😫 ran so many, many tests. Colonoscopy a year ago showed nothing so ... 😡... no biopsies! Im 67, female. I just want a diagnosis! I used to be on a PPI, and recently got off antidepressant. 😢 so sick of being sick 😫

@MarkCooperMD 4 ай бұрын

Yikes. I’m sorry they didn’t take biopsies. Have you had your gallbladder removed?

@gabrielle99 9 ай бұрын

really curious what the other associated small bowel/stomach conditions are

@kaylawilliams3769 Ай бұрын

Got diagnosed with this but i have no diarrhea symptoms at all just constipation i had colonoscopy with a biopsy when i got diagnosed with this

@MarkCooperMD Ай бұрын

If your symptoms are substantial I would consider treating it to see what happens. You may find your symptoms improve.

@emilia-qq3du 13 күн бұрын

I had a colonoscopy a month before my diarhoe started one night after eating lots of fruits in the evening and at 10 o' clock about half a kilo of homeade ice-cream which was terrible frozen. A few hours later, I woke up at 1-3 a.m with watery diarhoes, about 7-8 times. I have gas which causes cramps, cramps with the first doarhoes stool, then it stops and whatever I eat now for 18 day now is still causing diarhoea. Doctor refuses to give me another colonoscopy because he said I cannot have another one this early. Can what I ate trigger it please?and can a caproctein stool detect if I have UC?thank you! My colonoscopy was normal at the time, but had back burning pain and left hand side burning pain and constipation which made then send me to do a colonoscopy

@emilia-qq3du 11 күн бұрын

Can you please answer?

@virajpawar9049 Жыл бұрын

I was diagnosed microscopic colitis in November 2022 but i don't have diereha i m confused what is? I have chronic cantipation, stomach pain, blotinng, cramps, gas, mucus in stool and unitetional weight loss is possible in microscopic colitis

@holliday1135 10 ай бұрын

I have this also most of the time 😢

@virajpawar9049 10 ай бұрын

@@holliday1135 u have also colitis and when you dignosed?

@holliday1135 10 ай бұрын

@@virajpawar9049 this year I had a colonoscopy with biopsy done

@jilliankowal1061 7 ай бұрын

Omg I have all those symptoms and within the last 2 months I went on sertaline and all of the sudden I started getting watery diarrhea along with everything 😭

@susanzelisko6845 11 ай бұрын

I’ve had this for years. Unfortunately, I know have both types. Pain, diarrhea so bad I stopped absorbing nutrients Budisonide unfortunately works short term.

@MarkCooperMD 11 ай бұрын

If you stopped absorbing nutrients your small bowel is affected by something as the colon has little responsibility for absorbing nutrients.

@susanzelisko6845 11 ай бұрын

@@MarkCooperMD Yes, you are correct. The colitis was found in both large and small. I have Celiac, have been following gf diet for years. Celiac testing came up negative (which is great). They thought crohns but capsule endoscopy showed nothing.

@susanzelisko6845 11 ай бұрын

Wish I had an MD so interested in patients like you. The pain for me gets so bad like wearing a corset with a heating pad

@kellydziver1491 5 ай бұрын

Try taking papaya seeds to stop the diarrhoea. When my microscopic colitis flare up I take five. Stops diarrhea instantly - chew the seeds. Buy a papaya fruit and dry the seeds.

@nancyjachec7449 Жыл бұрын

I just got diagnosed with microscopic colitis it came out of nowhere is it possible that the low dose statin of creator I started 9/22/22 led to this? It’s 6/16/23 just searching for reasons why I got this I’m 61

@MarkCooperMD Жыл бұрын

Crestor is not one of the statins implicated.

@nancyjachec7449 Жыл бұрын

@@MarkCooperMD thanks for responding insurance not letting me get budesonine which is rediculous I have good insurance

@nancyjachec7449 Жыл бұрын

Dr putting me on something that probably won’t work it’s called meth something is it ok to take Imodium every day I’m traveling soon

@MarkCooperMD Жыл бұрын

Methotrexate? It can work well. Entocort is another formulation of budesonide I’ve seen insurance insist on.

@MarkCooperMD Жыл бұрын

I advise my colitis patients take immodium with them when traveling

@LB-sw2km 11 ай бұрын

How is it treated huh

@MarkCooperMD 11 ай бұрын

There’s a separate video on treatment. Thanks for watching

@daniilstruk8853 Жыл бұрын

I just turned 33 and had a colonoscopy due to a positive FIT test. The colonoscopy revealed microscopic colitis and I’ve been very worried about this diagnosis and if it means something else is wrong with me which is causing it. I don’t have the chronic diarrhea symptom that mentioned though I am prone to diarrhea.. always thought it was IBS.

@MarkCooperMD Жыл бұрын

Interesting. If you weren’t having diarrhea what prompted the biopsy?