I completely understand your nervousness — getting a biopsy result can be emotionally intense, even if the doctor says it’s not serious. Let’s calmly go through what “moderate chronic colitis” means and what it might imply for your health.
Colitis simply means inflammation of the colon (large intestine).
“Chronic” suggests it’s been ongoing for some time (not acute or sudden), and “moderate” refers to the degree of inflammation seen under the microscope.
This is a descriptive, not a specific diagnosis. It tells us there’s ongoing inflammation, but not exactly why so don’t worry too much.
Possible Causes of Chronic Colitis:
1. Infectious colitis (post-infection changes)
Sometimes the inflammation remains for weeks after an infection (e.g., after a bout of gastroenteritis).
2. Inflammatory Bowel Disease (IBD)
• Ulcerative colitis or Crohn’s disease
• Usually associated with bloody stools, weight loss, abdominal cramps, urgency
3. Microscopic colitis
• Common in middle-aged adults
• Often causes watery diarrhea without bleeding
4. Drug-related colitis
• NSAIDs, antibiotics, and some other meds can cause inflammation.
5. Non-specific colitis
• Sometimes no clear cause is found, and symptoms settle on their own.
If you’re still anxious and want to be thorough or too sure then you can also get these tests done -
-Stool tests (culture, ova/parasite, calprotectin)
Rule out infection or inflammation
-Blood tests (CBC, ESR,
CRP)
Look for inflammation, anemia
-Follow-up with GI specialist
To monitor symptoms, plan treatment if needed
Changes that you should inculcate in your life
1-Dietary changes (low FODMAP, lactose-free if needed)
2-Anti-inflammatory meds (mesalamine if IBD is confirmed)
3-Probiotics ( take Tab Sporlac 1 tab three times a day after meals for 7 days )
4- Treating any underlying infection or drug side effect
It’s okay to feel anxious, but based on your doctor’s reassurance and the biopsy report not showing anything alarming, your situation sounds manageable and non-dangerous.