Microscopic Colitis
A type of inflammatory bowel disease causing chronic, watery diarrhea, diagnosed only by colon biopsy.
Overview
Microscopic colitis is an inflammatory condition of the colon that causes chronic, watery diarrhea. Unlike Crohn's disease and ulcerative colitis, the colon appears normal on colonoscopy — the inflammation is only visible under a microscope (hence the name). It is more common in older adults, particularly women, and is often misdiagnosed as IBS. Treatment with medication is usually effective.
Symptoms
Common Symptoms
- Chronic, watery diarrhea (the hallmark symptom)
- Abdominal pain and cramping
- Bloating
- Urgent bowel movements
- Fecal incontinence (in some cases)
- Weight loss (in some cases)
- Fatigue
- No blood in stool (unlike other IBDs)
Diagnosis
Diagnosis typically involves clinical evaluation, medical history, blood tests, and appropriate imaging studies. A healthcare provider will assess symptoms, order relevant laboratory work, and may refer to a specialist for confirmation.
Treatments
Treatment depends on the underlying cause and severity. Options may include medication, lifestyle modifications (diet, exercise, stress management), and ongoing monitoring. Always work with a qualified healthcare provider to develop an appropriate treatment plan.
Important: This report is educational information, not medical advice. Always consult a qualified healthcare professional for diagnosis and treatment decisions.
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