How to Read a Colonoscopy Report with IBD

Posted on July 21, 2026 · Getting Started

Content note: Educational content aligned with publicly available patient materials from the Crohn's & Colitis Foundation and other major IBD education sources. IBDPal is not affiliated with or endorsed by the Foundation. Last reviewed June 2026. Not individual medical advice.

Educational use only. IBDPal does not provide medical advice, diagnosis, or treatment. Always consult your gastroenterologist or IBD care team for personal decisions.

After a scope, the portal often drops a report full of unfamiliar words. You do not need to become a pathologist. You do need a short glossary so your next visit is productive.

Pieces of the report

Indication: why the scope was done
Findings: what the doctor saw (inflammation, ulcers, strictures, polyps)
Extent: how far the scope reached and which segments looked involved
Pathology: microscope results from biopsies

Ask for a one-sentence summary: "Is my disease active, quiet, or mixed?" See what remission means.

Words patients often see

Erythema, friability, ulceration, granularity, and loss of vascular pattern usually describe inflammation. Strictures describe narrowing. Dysplasia is a separate conversation about precancerous change and surveillance timing. Do not Google yourself into panic overnight; schedule a results visit.

Questions to ask

Which segments are involved compared with my last scope?
Do biopsies change my medicine plan?
When is the next surveillance colonoscopy?

Read the full interactive version on ibdpal.org.