what can a CT scan really show?

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patientspiders
Veteran Member


Date Joined Jul 2005
Total Posts : 733
   Posted 3/25/2008 7:32 PM (GMT -7)   
I've been having various problems for the last few months... nothing very serious, but enough that my doc has ordered a CT scan for tomorrow morning (wednesday).

The only test that has ever "helped" me in the past has been a colonoscopy. Nothing else ever shows any trouble spots. I guess I'm just wondering if this is another pointless test, or if anyone has ever learned anything useful from a CT scan.

Can it show inflamation? Strictures?

Any experiences are welcome.

Thanks!
26f, dx'd CD July '05 after 6 fistula/abscess surgeries
Remicade only, every 16 weeks.
Digestive enzymes, and probiotics.
Doing pretty darn good, all things considered. :-)

"Our greatest fear is not that we are inadequate, but that we are powerful beyond measure."

~Marianne Williamson


Malibu05
Regular Member


Date Joined Sep 2007
Total Posts : 98
   Posted 3/25/2008 9:31 PM (GMT -7)   
Right before I was diagnosed with Crohn's I had a CT scan and the dumb thing came back NORMAL!!! I had a colonoscopy the next day that showed a lot of inflammation so for me the CT scan was pretty pointless. I did work in the radiology dept at a local hospital and saw ct scans that were helpful in diagnosing a lot of people. I guess it depends on the person and the severity of the problem. I know they are pretty helpful at finding abscesses and such.

Aussie Sheila
New Member


Date Joined Jan 2008
Total Posts : 14
   Posted 3/26/2008 1:51 AM (GMT -7)   

Yes, i am pleased I had a ct scan as it showed jejunal wall thickening and luminal distension, and specified I had jejunitis.  I then had capsule endoscopy that confirmed that I have crohns in my jejunum (the small intestine).

Like you I had many tests and was about to cancel the CT scan because nothing ever showed up,

I am so pleased that I had the CT Scan.

I wish you the best of luck.


misspriss82
Regular Member


Date Joined Mar 2008
Total Posts : 221
   Posted 3/26/2008 3:50 AM (GMT -7)   
I just had my first CT scan last month. All it showed was inflammation, which we already knew was there. Needless to say, $2600 later, I wasn't happy to find out that the test really just told us the same thing that a lower GI would have done.
26 y/o, diagnosed at 25 y/o
Asacol 400mg 3 pills 3x daily
Entocort, 3 pills daily
Upset stomach daily, tired all the time (except when on Prednisone), occasional abdominal pain
Weigh loss, but scared that once I start the Entocort where will be lots of weight gain :(


Kittikatt
Regular Member


Date Joined Jul 2004
Total Posts : 422
   Posted 3/26/2008 4:28 AM (GMT -7)   
Same here...the first CT scan I had before being Dx with CD just simply showed a small amount of inflammation.  I never at that time would have thought Crohn's would be the Dx of that.  The colonoscopy I had after that then showed major ulcers lining my colon.  So yeah, I felt like the CT scan was pointless BUT if it had NOT been Crohn's, they might have been able to conclude something from the CT scan rather than do an invasive procedure like the colonoscopy.

Diagnosed in October, 2004 at age 33.
36/F/SC
Currently taking Colazal, Nexium, One-A-Day multivitamin, Omega-3 Fish Oil, Vitamin D, Vitamin A
Secondary conditions: mouth ulcers, joint pain, extreme fatigue


patientspiders
Veteran Member


Date Joined Jul 2005
Total Posts : 733
   Posted 3/26/2008 5:02 AM (GMT -7)   
Thanks guys. Mixed reviews on the CT scan - I guess that's better than ALL bad reviews, eh? I'm glad to know it has helped SOMEONE, if not everybody. I'm just sitting here, in the dark of the morning, drinking a tasty glass of nuclear-reactive die - or whatever the heck this stuff is, waiting to leave for the CT scan. It's amazing what demented things can become "par for the course" when one is a crohnie, I think.

Thanks for the experiences, guys!
26f, dx'd CD July '05 after 6 fistula/abscess surgeries
Remicade only, every 16 weeks.
Digestive enzymes, and probiotics.
Doing pretty darn good, all things considered. :-)

"Our greatest fear is not that we are inadequate, but that we are powerful beyond measure."

~Marianne Williamson


mel05
Regular Member


Date Joined Jan 2008
Total Posts : 87
   Posted 3/26/2008 8:00 AM (GMT -7)   
I know you already left for your CT scan and are probably already done, but I thought I would share my experiences as well.  Before I was diagnosed I had every test run known to man...okay not quite, but that's what it felt like! tongue    Anyways...I had a CT scan at the end of December that came back COMPLETELY normal.  Then, in January (a week later) when I went to the ER for pain, fever, vomiting, etc. and they redid the CT scan, it showed all kinds of inflamation.  And so the fun began...colonoscopy, SBFT...and the wonderful dx of crohns.  So, I guess sometimes you just have to get it "at the right time."  My doctor says he has no idea why a week earlier it didn't show up because obviously I was in the same pain a week earlier and that's why we did the test.  The only thing that was different was I had no fever the week earlier!  Strange!
Diagnosed with crohn's in January 2008! 
Currently tapering on Prednisone and on Pentasa 1000 mg 4 times a day
On Topamax twice daily for migraines
On nexium while on the prednisone (have been previously diagnosed with ulcers)
 
I am 27 years old and have been married for 2 years.  I cannot wait to try to have children so I want to get this under control!!


Beth
Regular Member


Date Joined Aug 2003
Total Posts : 303
   Posted 3/26/2008 8:18 AM (GMT -7)   
The only time I ever had a CT scan was because during a colonoscopy they found such a severe stricture that he couldn't get past it and during the follow up barium x-ray, I went into shock on the table because the doc kept trying to force the barium through and it wouldn't go because my intestine was so narrow. The CT scan just showed that I had a stricture (really??) and how long it was so they knew what they were getting into when they performed the resection.
Hope all went well today!
Beth
 
Dx in early 1999
Resection in June 2006
Currently on Humira
 


njmom
Veteran Member


Date Joined Apr 2006
Total Posts : 1884
   Posted 3/26/2008 12:00 PM (GMT -7)   
The CT scan -- with contrast solution -- showed a stricture. It also showed the ballooning behind the stricture while my daughter was in flare. The ballooning was due to food, etc, being backed up because it could not get through the stricture.
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