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1 " ...many patients with MC have actually been diagnosed with other autoimmune syndromes, only to discover that when they were able to control their MC symptoms, those other autoimmune issues disappeared. "
― , Microscopic Colitis: Revised Edition
2 " It is known that if the symptoms of MC remain untreated indefinitely, additional autoimmune issues are likely to become a reality, and even if the issues are later resolved, permanent damage can remain, especially in the case of arthritis symptoms. In addition, permanent residual neurological damage can result from untreated gluten sensitivity. (Hadjivassiliou, Grunewald, & Davies-Jones, 2002) "
3 " One of the symptoms often mentioned by many people who have active MC is abnormally loud digestive noises...these noises are usually amplified to a level where they can be easily heard by someone on the other side of a large room. "
4 " Unfortunately, the disease cannot be diagnosed unless the gastroenterologist looks for it, so referring to it as a rare disease was a self-fulfilling prophecy. "
5 " After diarrhea, the second-most prominent symptom of MC for many patients is extreme fatigue...fatigue is an almost constant companion. "
6 " The typical medical interpretation of microscopic colitis does not include the possibility of constipation as a symptom, nor alternating diarrhea and constipation, and yet many MC patients have those symptoms rather than chronic diarrhea. ...Unless a patient comes to a gastroenterologist complaining of watery diarrhea, MC will probably be completely off the doctor's radar. Few colonoscopies are done to investigate cases of constipation, and without a colonoscopy or sigmoidoscopy plus biopsies, diagnosis of MC is impossible. In cases such as these, the default diagnosis will almost surely be irritable bowel syndrome (IBS), so the patient will be very unlikely to receive any treatment that is effective at relieving the inflammation that's causing the symptoms. "
7 " Diagnosis rates of MC seems to be improving recently, but misdiagnosis has been so common in the past that an old joke on microscopic colitis Internet discussion forms goes something like this: "What is the difference between MC and IBS?" The answer, of course, is, "Biopsies. "