When were you diagnosed? how large is the area of dysplasia? Where in the colon is it?
Dysplasia in the colon is divided into low grade and high grade dysplasias. While all high grade dysplasias need to undergo total removal of the colon, low grade dysplasia has some criterias for this surgery.
-There must be long term ulcerative colitis or other inflammatory bowel disease - usually more than 8 years.
- If the dysplasia affect more than 50% of the colon.
- If it is a flat type of dysplasia (was yours on the polyp or in another part of the colon?)
- If the ulcerative colitis has not responded to the maximum possible medical treatment
Since, in your case, the dysplasia was diagnosed from only a small biopsy specimen from the rectum. I believe that you will need a more detailed colonoscopy and further biopsies from other sites higher up in the colon to decide on the course of the treatment.
But, I am afraid many gastroenterologists do suggest that total removal of the colon is the only treatment of colon dysplasia, whether high grade or low grade, since the chances of developing full-blown cancer is very high.
To know more about the treatmnet procedures of low grade colon dysplasia, please see:
- http://www.aafp.org/afp/20050201/practice.html please scroll down to 'Cancer Surveillance'.
I hope this helps.
Chronic loose stools, especially if accompanied by cramps and bloating can be a part of colitis. But since it was a long time ago and you were cured by medicines, I do not believe that that could be a cause of the dysplasia now.
Rectal polyps often cause an inflammatory reaction around them which can lead to dysplasia. This may clear up spontaneously after removing the polyp. If this is the case, then you may not need removal of the colon.
If the dysplasia is not related to the polyp and occupies a large area of the colon (which can only be diagnosed by further colonoscopies), then surgical treatment may be necessary.
But in your case, I think that your symptoms are quite hopeful that you may not need a removal of the colon, especially the facts that you have not had continuous inflammatory bowel disease for a long time, the fact that the colitis was cured by medicines and the fact that there is a chance that the dysplasia could be due to the rectal polyp.
I believe you should continue to take the Pentasa - it should be helpful for you. But the other supplements should be avoided until a definitive diagnosis has been made.
Peantasa is a drug used in the treatment of Ulcerative Colitis todecrease the inflammation associated with the condition. But Pentasa cannot prevent or stop dysplasia once it has already occured.
Non-bleeding hemorrhoids are not related to your dysplasia. It can occur independently.
UVB light for psoraisis will have no effect on the dysplasia.
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Penatas would decrease any inflammation of the colon and prevent further dysplasia. Which is why your doctor prescribed it.
But it would not stop what you already have.
No, I am afraid that there are no non-surgical treatment.
Endoscopic Mucosal Resection is a surgical procedure.
If the diagnosis is established as low grade dysplasia occupying a wide area of the colon, then I am afraid there is no other option than removing the colon. If the dysplasia is lcocalised, then the part of the colon affected must be removed.
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