Microscopic colitis

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What is microscopic colitis?

Microscopic colitis is an inflammatory condition of the large intestine and is most commonly seen in middle-aged women. There are two types of microscopic colitis: collagenous colitis and lymphocytic colitis. The difference between the two types generally has no bearing on symptoms or treatment.

Microscopic colitis is a different condition and is generally less severe than ulcerative colitis and Crohn’s disease. The typical symptoms include chronic diarrhea with frequent, loose, or watery stools. Abdominal pain, bloating, and mild weight loss may also occur, and some people also experience nausea or difficulty controlling their bowel movements.

How is microscopic colitis diagnosed and treated?

Microscopic colitis can only be detected by examining tissue samples under a microscope. The tissue samples are taken during a colonoscopy, during which the mucosa often appears normal. Depending on your symptoms, it may be necessary to perform additional tests, such as stool tests, blood tests, or other examinations.

In some people, microscopic colitis resolves on its own, so medication is not always necessary. If treatment is needed, it may include, among other things, a review of medications, smoking cessation, and medical treatment. For most people, symptoms can be kept under control with treatment.

Patient information

Diagnosis and Treatment

Symptoms and symptoms

The typical symptoms of microscopic colitis are chronic diarrhea with frequent, loose, or watery stools. Abdominal pain, bloating, and slight weight loss may also occur. Some people also experience nausea or trouble controlling their bowel movements.

Assessment

Microscopic colitis can only be detected by examining tissue samples under a microscope. The tissue samples are taken during a colonoscopy, during which the mucosa often appears normal. Depending on your symptoms, it may be necessary to perform additional tests, such as stool tests, blood tests, or other examinations.

Treatment

In some people, microscopic colitis resolves on its own, so treatment with medication is not always necessary. If treatment is needed, it may include a review and, if necessary, adjustment of medications, smoking cessation, and medical treatment. In most people, symptoms can be kept under control with treatment, and the condition does not increase the risk of colorectal cancer.