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trickynikki
Regular Member


Date Joined Jul 2003
Total Posts : 481
   Posted 2/28/2008 8:23 PM (GMT -7)   
I just saw one of my GI doctors yesterday who prescribed a bone scan.  I'm going to see a rheumatologist tomorrow.  I was wondering if any of you knew if a rheumatologist can do a bone scan, or if I should just call and make an appointment with my family doctor like the GI suggested.  I'm just trying to avoid making yet another appointment if I don't need to.
~Nikki


sr5599
Veteran Member


Date Joined Aug 2007
Total Posts : 1202
   Posted 2/28/2008 8:29 PM (GMT -7)   
My GI wrote the order up and I had it done at the local hospital. Hope it turns out good!

teddybearweiser
Veteran Member


Date Joined Oct 2004
Total Posts : 3042
   Posted 2/29/2008 3:28 AM (GMT -7)   
Hi I had mine done at my internest doctors office. You can have it done at your hospital.
Hi, I am teddybearweiser, I am a male.
I was diagnosed with crohns disease when i was admitted to the hospital
in 1992, in Jan of 1993 I was back in the hospital for surgery for my crohns. I had part of my right colon resectioned with ilecolonstomy.
 My GI doctor has me on Asacol, Dicyclomine,Imuran,Celebrex and Remicade. B-12 injection once a month.
My Internest doctor has me on Lisnopril-HTCZ and Folic Acid. Diagnosed
with Osteoarthritis July 2007
 


lamb61
Veteran Member


Date Joined Jan 2005
Total Posts : 1719
   Posted 2/29/2008 4:26 AM (GMT -7)   
I had mine done at the hospital, my PCP wrote the script due to steroid use. It's quick and painless, usually done in or around the mammogram area.
 


CrohnieToo
Veteran Member


Date Joined May 2003
Total Posts : 9448
   Posted 2/29/2008 6:58 AM (GMT -7)   
Some rheumatologists have DEXA bone scan equipment in their office. Just be sure they scan the hip and back area. Some scan just the wrist and forearm or heel and those are really just "screenings", NOT a true DEXA scan for osteoporosis or osteomalacia. There is evidence that the best results are obtained when each DEXA scan is done on the same machine, or at least same brand equipment, AND when possible by the same tech and read by the same radiologist. I am assuming that in your case this is to be a baseline DEXA scan. If you have the option to choose where it is done, look for the most likely facility likely to be able to provide the continuity mentioned above.
Some people are like Slinkies... Not really good for anything, but they still bring a smile to your face when you push them down a flight of stairs.


map lady
Regular Member


Date Joined Feb 2008
Total Posts : 154
   Posted 2/29/2008 10:00 AM (GMT -7)   
When should you get a bone scan?  Is it based on how much/how long you used prednisone, or based on symptoms, or some other secret criteria?  I was concerned that I am getting bone problems from the prednisone but all the severe pain in my bones mostly goes away when I am off it.  I feel weird bothering the doctor about a bone scan when I may not need one, but I have no idea what the criteria is for needing a bone scan.

yogaprof
Veteran Member


Date Joined Apr 2006
Total Posts : 1665
   Posted 2/29/2008 12:23 PM (GMT -7)   
my naturapath sent me for one to see if I need more vitamin D and just because I am a middle-aged, tiny boned woman with osteoporosis in my family.
48 y/o woman.  Diagnosed 4/06 after colonscopy, SBFT, CT-scan all showed crohns. 3 months later, after pred and remicade, all tests showed no crohns. December '06 had adhesions cut through a laparoscopy. Now taking Glycolax, Ultra Fiber Plus, Florastor, and DHEA. Have become gluten-free diet per naturopath's tests.


trickynikki
Regular Member


Date Joined Jul 2003
Total Posts : 481
   Posted 2/29/2008 12:52 PM (GMT -7)   
Thanks for all the replies. You guys are always super helpful!
~Nikki


CrohnieToo
Veteran Member


Date Joined May 2003
Total Posts : 9448
   Posted 2/29/2008 1:43 PM (GMT -7)   
Generally, once you've been on pred (or Entocort) 3 months or longer, it is wise to get a baseline DEXA bone scan if for no other purposed than to have something to guage any future bone loss against.
Some people are like Slinkies... Not really good for anything, but they still bring a smile to your face when you push them down a flight of stairs.


map lady
Regular Member


Date Joined Feb 2008
Total Posts : 154
   Posted 2/29/2008 3:28 PM (GMT -7)   
Would it be a good idea to get a bone scan if I was on prednisone for 2 months, off it for 6 weeks, and then have been back on it for 3 weeks?  It kind of bothers me that my ankles feel like they are going to break into a thousand pieces and sometimes my hip hurts so bad I can't walk right, but that stuff goes away when I get rid of the prednisone.

gumby44
Veteran Member


Date Joined Nov 2007
Total Posts : 4100
   Posted 2/29/2008 7:49 PM (GMT -7)   
Hi map lady,
I was on and off Prednisone for about a 4 month period. My doc ordered a Dexa bone scan for a baseline, like CrohnieToo said, but also, I'm 49, and I guess it is recommeded for women over 50...I guess with my Crohn's and Prednisone, I'm close enough. I also read that Crohn's disease itself, even without steroids can affect bone loss. I haven't gotten the results yet.
49 yr. old female, diagnosed with Crohn's in small intestine and terminal ileum Sept-Oct. 2007
currently taking Pentasa 2750 mg- 9pills/day and on and off Prednisone for flares


map lady
Regular Member


Date Joined Feb 2008
Total Posts : 154
   Posted 3/1/2008 10:40 AM (GMT -7)   
Ah ok, I'm always putting off and avoiding going to the doctor for stuff until it's bad and can't be ignored.  I figured it would be bad to do that with potential bone damage, but if I'm only 26 and they usually do bone scans for women over 50, guess I'm ok.  Kind of nice to have one less test to worry about ;)

brit tuck
Regular Member


Date Joined Jun 2007
Total Posts : 143
   Posted 3/1/2008 2:11 PM (GMT -7)   
I'm 23 and I had the DEXA bone scan because I was on Entocort for 9 months total. Although I did get the scan after only 5 months I think. I would do it. It showed that I had some osteopenia in my hip, and I hadn't even been feeling any pain. It's a painless procedure. I would just go and do it so your doctor has an idea of what your bone density is. It can't hurt, but it can help you know something is going on.. like it did for me.
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