Can a diagnosis be made when sympoms not present?

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Nosilla73
Regular Member


Date Joined Dec 2009
Total Posts : 29
   Posted 12/9/2009 9:30 AM (GMT -7)   
I have been having symptoms of gas, right side pain, bloating, shooting pain in bottom, joint pain, canker sores in mouth etc for the past 6 weeks (have had these episodes on and off for over 3 years). Some symptoms have subsided, and it has taken me this long to get into a gastroenterologist (appointment December 15). My question is if my symptoms go completely away will a colonsocopy still show something if I have something?
 
I have been going through weird flare ups for over 3 years but this is the worst flare up I have had. I have seen many many doctors but never a gastroenterologist. The rheumatologist wanted to refer me last year but I was afraid of a colonoscopy so I didn't go. Now I am tired of this mess and I want a diagnosis.

lilcrohnieUK
Regular Member


Date Joined Dec 2007
Total Posts : 414
   Posted 12/9/2009 10:05 AM (GMT -7)   
It may well do, my last colonoscopy was done 2 months after I'd finished a flare and he said he could clearly see where the inflammation had been and healing was taking place.
 
 


pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20576
   Posted 12/9/2009 12:02 PM (GMT -7)   
It could be, but it's likely quite a bit harder since they need to at least see inflammation going on and it's not often that a person will have some inflammation with no symptoms, not impossible but quite rare, as even the smallest amount of inflammation can cause some patients tons of symptoms.

:)

Nosilla73
Regular Member


Date Joined Dec 2009
Total Posts : 29
   Posted 12/9/2009 1:05 PM (GMT -7)   
Well, I am definitely having symptoms right now, I am just afraid by the time I get a colonoscopy it will be gone again. So far it has been 6 weeks and I don't even see the gastro doctor until December 15. Then who knows how long it will take to schedule a colonoscopy!

pb4
Elite Member


Date Joined Feb 2004
Total Posts : 20576
   Posted 12/9/2009 2:06 PM (GMT -7)   
Dec 15 is next week, chances are if you're having symptoms he'll see something on the scope unless your CD is affecting your small intestines which then he likely wouldn't see anything with a colonoscopy but instead would have to send you for upper GI tests. I always ask them to call me if anyone cancels their colonoscopies so I can take their place, you could mention that you'd like them to call you incase someone cancels before yours is booked.

:)

Dagger
Veteran Member


Date Joined Apr 2008
Total Posts : 1522
   Posted 12/9/2009 6:58 PM (GMT -7)   
I was diagnosed with "Ileitis, probably Crohn's" when my only symptom at the time was anemia. I got scoped from both ends and was fine so the doc had me swallow a pill camera and saw patches of inflammation in my small intestine.

MikeB
Veteran Member


Date Joined Mar 2006
Total Posts : 1169
   Posted 12/10/2009 7:03 AM (GMT -7)   
Remember that the colonoscopy is more than just a visual observation, they also usually take some surface biopsies and pathologists can examine those for the kind of cellular changes that are charaacteristic of Crohns. And as noted, even absent current symptoms there are usually some visual signs of past/healing inflammation. The scope is not 100% defiinitive, but it remains pretty much the gold standard for diagnosing a wide range of conditions that affect the colon.
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