Clinicals in Gastroenterology and Hepatology (2015):
http://www.usahealthsystem.com/workfile ... stions.pdf
MC - Clinicals and Pathological Perspectives
Moderators: Rosie, Stanz, Jean, CAMary, moremuscle, JFR, Dee, xet, Peggy, Matthew, Gabes-Apg, grannyh, Gloria, Mars, starfire, Polly, Joefnh
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humbird753
- Rockhopper Penguin
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- Joined: Mon Nov 28, 2011 4:44 pm
- Location: Wisconsin
MC - Clinicals and Pathological Perspectives
Paula
"You'll never know how strong you are until being strong is the only choice you have."
"Life is not about waiting for the storm to pass... It's learning to dance in the rain."
"You'll never know how strong you are until being strong is the only choice you have."
"Life is not about waiting for the storm to pass... It's learning to dance in the rain."
Paula,
Outside of the fact that the authors are apparently totally unaware of the benefits of diet changes for treating MC, I believe that is easily the most accurate medical article about MC that I have ever seen. Of course, since the benefits of diet changes have yet to be demonstrated by RCTs, it's not surprising that they would fail to recognize diet changes as a possible treatment option.
Thanks, that's an excellent article (as medical articles about MC go).
Tex
Outside of the fact that the authors are apparently totally unaware of the benefits of diet changes for treating MC, I believe that is easily the most accurate medical article about MC that I have ever seen. Of course, since the benefits of diet changes have yet to be demonstrated by RCTs, it's not surprising that they would fail to recognize diet changes as a possible treatment option.
Thanks, that's an excellent article (as medical articles about MC go).
Tex
It is suspected that some of the hardest material known to science can be found in the skulls of GI specialists who insist that diet has nothing to do with the treatment of microscopic colitis.
I agree! So encouraging to see this excellent article, which documents many of our own findings! Re food, at least they mentioned it as something needing further investigation.
I have been experiencing a flare recently for the past few mos. which did not respond to returning to my safest foods. Finally went to GI and had all of the tests again. All normal. At present I seem to be responding to cholestyramine, so there must be an element of BAM (bile acid malabsorption). In searching the net to figure out what was wrong, I read about (and visited support sites for) everything I could think of: gastric acid hyper secretion, bile acid malabsorption, GERD, IBS, SIBO, etc. It seems that food is now being talked about on all of these support sites......paleo, low histamine, SCD, low FODMAP., A.I. diet, etc. So, it appears that MC is only one of many diagnoses that are related to food sensitivities.
I am beginning to see GI diseases as part of a huge continuum, where one condition can easily morph into another.
Polly
I have been experiencing a flare recently for the past few mos. which did not respond to returning to my safest foods. Finally went to GI and had all of the tests again. All normal. At present I seem to be responding to cholestyramine, so there must be an element of BAM (bile acid malabsorption). In searching the net to figure out what was wrong, I read about (and visited support sites for) everything I could think of: gastric acid hyper secretion, bile acid malabsorption, GERD, IBS, SIBO, etc. It seems that food is now being talked about on all of these support sites......paleo, low histamine, SCD, low FODMAP., A.I. diet, etc. So, it appears that MC is only one of many diagnoses that are related to food sensitivities.
I am beginning to see GI diseases as part of a huge continuum, where one condition can easily morph into another.
Polly
Blessed are they who can laugh at themselves, for they shall never cease to be amused.
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JamesEcuador
- Adélie Penguin
- Posts: 54
- Joined: Tue May 13, 2014 6:59 pm
Interesting read. The stat about Rome II criteria I found most interesting as someone who previously had been fobbed off with IBS in the past (doctors in Ecuador still confuse my diagnosis of IBD with IBS): "Abdominal pain is a common symptom in MC. Abdominal discomfort or cramps may occur in up to 50%, and the differential diagnosis between MC and irritable bowel syndrome may be challenging in these patients. In a recent prospective cohort study, 43% of MC patients fulfilled the ROME II criteria"
James,
The statement that you quoted is one of biggest advances reported in the article. The original medical description of CC and LC did not include any mention of abdominal pain, so doctors naturally assumed that pain was not a symptom of MC. Consequently for decades, whenever MC patients complained of pain, doctors insisted that it had nothing to do with MC. Finally, after about 35 years, that oversight is being corrected.
Tex
The statement that you quoted is one of biggest advances reported in the article. The original medical description of CC and LC did not include any mention of abdominal pain, so doctors naturally assumed that pain was not a symptom of MC. Consequently for decades, whenever MC patients complained of pain, doctors insisted that it had nothing to do with MC. Finally, after about 35 years, that oversight is being corrected.
Tex
It is suspected that some of the hardest material known to science can be found in the skulls of GI specialists who insist that diet has nothing to do with the treatment of microscopic colitis.
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JamesEcuador
- Adélie Penguin
- Posts: 54
- Joined: Tue May 13, 2014 6:59 pm
I also found it comforting to read since abdominal pain is the one symptom I can never seem to be able to shake. I look forward to sourcing the article to the next Dr who tells me "there should be nothing wrong with you".tex wrote:James,
The statement that you quoted is one of biggest advances reported in the article. The original medical description of CC and LC did not include any mention of abdominal pain, so doctors naturally assumed that pain was not a symptom of MC. Consequently for decades, whenever MC patients complained of pain, doctors insisted that it had nothing to do with MC. Finally, after about 35 years, that oversight is being corrected.
Tex