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Reply to "Getting depressed about my ongoing anemia"

@Scott F posted:

From the description I can’t tell *which* junction the ulcer was found at - if it’s at the ileo-pouch junction then it could be backwash-related, but if it’s at the junction of the ileum and jejunum then it must have a different cause. Backwash ileitis can sometimes become ulcerated.

Any ulcer has the potential to bleed. Some can bleed chronically and some can bleed substantially. And some don’t bleed much at all.

For someone with IBD Crohn’s has to be considered when ulceration is seen, but ulcers are not diagnostic of Crohn’s. Nevertheless, if I were having active ulceration I’d probably choose to advance my treatment from antibiotics to a biologic medication, and I’d choose one that tends to work better for Crohn’s, since I’d ideally like to cover that diagnosis even if it were not confirmed.

Hi Scott

Yes i was left with very little information, so i have booked to see him next Tuesday as i’m very impatient and struggle to sit on these kind of things, i can’t relax.

The Ileo pouch junction would possibly make sense given the mild backwash ileitis that was found there a few years ago, but i’ll soon find out.

Your theory on the treatment makes total sense, i’d rather take something stronger and have the peace of mind that it’s hitting the ulceration harder.

i’m still feeling groggy from the anasthetic, and i’m trying to process that i have a new problem, i’m finding it mentally difficult to deal with at the moment because i don’t have any symptoms and my pouch function is the best it’s ever been with no real issues since my surgery 15 years ago.

I hoping that a positive side effect from treating to ulcer is that it improves my anemia.

Thanks for your support, this forum is a life saver

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