Possible Crohns, what do all the tests show?

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softballfan
Regular Member


Date Joined Mar 2008
Total Posts : 36
   Posted 3/29/2008 7:23 AM (GMT -7)   
My son, 16, just saw the GI doctor for the first time.  His blood tests results came back from the serology 7 series and puts him in the 84% for Crohns.  He will get an upper GI on Tuesday, a colonscopy and endoscopy is being scheduled as well.  My question is, what exactly will all these test tell us?  What kinds of things can they find from these tests?  When the results come back, what questions should I ask? 
  

Zanne
Veteran Member


Date Joined Apr 2005
Total Posts : 3763
   Posted 3/29/2008 9:36 AM (GMT -7)   
I'm sorry your son has to go through all of these exams. They are not pleasant by any means, but it is neccessary to find out what is going on so that proper treatment can be started.

The Upper GI series can show if there is any narrowing and where it is. I personally have only had one Upper GI series that showed my narrowing. For me it has always been a futile exercise, but one the doctors insist upon, because the Endoscopy and Colonoscopy can only visualize a small portion of the digestive tract. Most likely your son will under go both Endo and Colon on the same day because they both involve sedation. Depending on the doctor, the prep for the Colonoscopy can vary greatly. There have been many threads about preps. You might want to do a search on preps. I will NEVER do any preps but the pill preps again. The liquids are foul. But it is a personal thing and that comes after many years of testing.

The Endoscopy and Colonoscopy are used to visualize what is going on and to take biopsies for evaluation. If there is only inflamation and ulceration in your son's colon, then the biopsies would help determine if he has CD or UC.

Depending on results, your son's doctor might want to do a capsule endoscopy, which would give an even clearer picture of what is going on.
Suzanne

CD 19 years offically, 29 unofficially. 3 resections '93, '95 '97
Symptoms constantly but all tests show only minor ulcerations. Currently having multiple episodes of gastritis with no known cause.


Prednisone, 6MP,Prevacid, B12 shots, Bentyl, Xifaxan.....


bentwistle
Regular Member


Date Joined Jul 2006
Total Posts : 330
   Posted 3/29/2008 10:18 AM (GMT -7)   
My colonoscopy's have shown the extent of the inflammation, and also revealed tell-tale "skip-lesions" that usually indicate CD. These skip lesions are areas of ulceration and inflamation separated by healthy sections of bowel-typically seen in crohn's, whereas ulcertive colitis tends to be a continuous inflammation (according to my doctor).
The doctor also takes tissue biopsies during the scope to have analized in the lab. By performing all these tests, the doctor can have a better idea as to the severity of the disease process, and can treat accordingly.

I'm sorry to hear your son probably has this DD. Hopefully it will be a mild case, and with medications he'll feel better soon.

Best wishes,
Bev

softballfan
Regular Member


Date Joined Mar 2008
Total Posts : 36
   Posted 3/29/2008 3:13 PM (GMT -7)   
Thanks for the great information. It is very helpful. If I may ask one more question, it might sound dumb but how is a mild, moderate, or severe case determined from the proceedures? Do they look for scaring or something? And what is a blockage that I have read about? If something is blocked, can they clear it out during the proceedure?

Thank You for all the helpful info.

Katherine

MMMNAVY
Veteran Member


Date Joined Jul 2006
Total Posts : 6927
   Posted 3/29/2008 3:24 PM (GMT -7)   
Mild, Moderate, and severe are by quality of life issues (some docs use the Crohns Disease Activity Index-CDAI, but it is not as reliable as we would like), surgeries, and amount of damage. It has nothing to do with the procedures for dx of crohns. They look for cobblestoning, narrowing, in short anything that does not look normal. Sometimes blockages are cleared by surgery, but that is when it becomes a bowel obstruction. If your son had this going on he would have been hospitalized. You would know, it is very painful... some compare it with hard labor during childbirth.
Crohn's Co-moderator

We will find a way, or make one.-Hannibal (crossing the Alps in the 15th Century on war elephants)
Praise in public, chew in private.
Make sure your suffering has meaning....
____________________________________
All suggestions/options/opinions are caveated with please consult with your local health care provider...

Post Edited (MMMNAVY) : 3/29/2008 4:29:47 PM (GMT-6)


softballfan
Regular Member


Date Joined Mar 2008
Total Posts : 36
   Posted 3/29/2008 3:30 PM (GMT -7)   
Thanks for the info. Again, very helpful.

Blossom
Regular Member


Date Joined Mar 2008
Total Posts : 176
   Posted 3/29/2008 7:21 PM (GMT -7)   
Sorry to hear your son may have Crohn's. It's a shame that someone his age has to go through all of this. It's important, though, as the tests can help clarify which areas are diseased. As you probably already know, Crohn's can occur anywhere from the mouth all the way to the anus. Knowing exactly which areas are diseased, and to what extent, will most likely help the doctor decide which treatments and medications will be most effective.

I wish the best for you and your son!
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