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This website is dedicated to the OTHER Inflammatory Bowel Diseases — Microscopic Colitis, Collagenous Colitis, Lymphocytic Colitis, Mastocytic Enterocolitis, and Associated Issues

What microscopic colitis is not

Microscopic colitis (MC) is not "just a little diarrhea", as some GI specialists seem to feel.  Nor is MC a disease that is likely to run it's course, and then disappear forever, as some physicians claim.  Unlike Crohn's disease and ulcerative colitis, MC normally is not visually identified during a colonoscopy exam.  It can only be reliably diagnosed by a pathologist who examines slides made from biopsy samples taken from the colon during a colonoscopy or sigmoidoscopy exam.  If the gastroenterologist who performs the exam fails to take biopsy samples, or takes them from areas of the colon that are not affected by the disease, then the resulting diagnosis will almost surely be IBS, by default, and this is a very common misdiagnosis.

There are a couple of old research articles (written in 1997 and 1998) that reached the conclusion that the symptoms of both collagenous colitis (CC) and lymphocytic colitis (LC) typically resolve, with or without medical treatment or any other intervention, within a period of slightly over three years.1, 2 And over the years, those articles have been cited so often in the literature that unfortunately, the conclusions reached in those articles are often assumed to be correct, even by many GI specialists.

As is pointed out in the recently-published book titled Microscopic Colitis, the authors of those early articles apparently reached those conclusions in error, because more recent studies published by other researchers, and the experiences of many, many patients who have lived with the disease for many years, clearly demonstrate that MC does not typically resolve within a few years, and it certainly does not normally resolve without any form of treatment.  In fact, for many patients, the disease is quite difficult to treat, because there is no one-size-fits-all treatment, and an on-going treatment program is almost always necessary, in order to prevent a relapse

1. Collagenous colitis: Histopathology and clinical course.

2. Lymphocytic colitis: Clinical presentation and long term course.

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Certain members of the discussion board that is associated with this website are practicing medical professionals. They are not here to offer medial advice, they are here because they have been diagnosed with microscopic colitis, and they are interested in sharing their own personal experiences concerning the disease, and learning from others in all walks of life, who also have to deal with these issues. If you have any questions or concerns regarding your health, you should consult with your own doctor, or medical professional.

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