asked

I experienced a large amount of rectal bleeding a month ago with no stool, followed by inflammation of 60% of the colon (right side greater than left) on CT scan. I had a negative stool pathogen panel and was started on antibiotics, which worsened my condition. I was then hospitalized and switched to steroids, which improved my symptoms. However, the bleeding resumed after tapering off the steroids. I had a normal CT two weeks later. My CRP and WBC were slightly elevated on admission, but everything else was within normal limits. I had a tubular adenoma removed in 2014 and a normal colonoscopy in 2019. I continue to have bleeding and want to understand if this could be inflammatory bowel disease (IBD) versus an infectious cause, and whether I should continue with prednisone or consider other medications.

October 27th, 2023

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