Remission, Remission, Remission



The Colitis Coach

You’ve probably discussed achieving remission with your IBD specialist.

But what does it actually mean?

Generally speaking, remission is an improvement in symptoms such as diarrhea, bleeding, weight loss and pain. It’s the ultimate goal in managing your condition and improving your quality of life.

An improvement in symptoms does not paint the full picture. Inflammation can still persist while you might feel in remission.

Specialists will often request a colonoscopy, blood test or stool sample to understand the type or stage of remission you have achieved.

Types Of Remission

  1. Clinical remission. You “feel” better. This might be fewer visits to the potty, less pain or fatigue.
  2. Functional remission. A return to everyday tasks like going to work, school or social/sporting activities.
  3. Biochemical remission. Your blood/stool labs show no classic IBD symptoms such as high levels of c-reactive protein (CRP) or fecal calprotectin.
  4. Endoscopic remission. No inflammation/damage visible on the intestine lining when the camera crew go for a look.
  5. Histologic remission. A biopsy shows no active inflammation when examined under a microscope.
  6. Surgical remission. No active inflammation following surgery.

How To Grade Clinical Remission

The goal is always to achieve true remission (biochemical, endoscopic and histologic), and not rely on how you feel at any one point in time.

Remission should be defined by your specialist.

But there are a variety of methods to help grade your current level of clinical remission:

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