Is it safe to have a colonoscopy during a flare?

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AMinNJ
Regular Member


Date Joined Feb 2009
Total Posts : 40
   Posted 5/25/2010 4:09 PM (GMT -7)   
Hi everyone,

I have had many colonoscopies in the past, but always when things were "working normally". Only one ever showed any problems (small apthous ulcers in the rectum to 15 cm.) However, I spent Saturday in the hospital ER with bad cramping and VERY bloody watery D. They did a CT scan that showed bowel wall thickening in the descending colon. Saw my GI today (he's a colo-rectal surgeon) and he wants to do a colonoscopy on Thursday (day after tomorrow) to see what's going on. I trust him, but hmmmmm.... sort of scared. Is it better to wait until things calm down, or better to see what's going on?

I was certain I was having a relapse of C. diff (I had it 2 years ago) and so the ER doctor prescribed oral Vancomycin at my request, but the stool tests came back negative today. They can be notoriously innacurate though.

Still chasing a diagnosis after all these years. Sigh.

Angela, 44
Angela
Crohn's possibly since early 20's (bowel obstruction)
Colonoscopy 2008: ulcers in rectum
Small capsule endoscopy: ulcers in terminal ileum
Chronis RLQ pain, no diarrhea
Gluten-free, dairy-free, low sugar diet


grayeyedblonde
Regular Member


Date Joined Jul 2008
Total Posts : 383
   Posted 5/25/2010 4:24 PM (GMT -7)   
If you are still 'chasing a diagnosis', having the colonoscopy now may give them the definite answers they are looking for. Because I am notorius for putting things off, I am almost positive that every colonoscopy I have ever had has been during a flare.
Dx'd w/ Crohn's in 1979 at age 13. Bad flare 2008 but no health insurance so I dealt with it. Colonoscopy in July 2009 caused a perforated colon, emergency bowel resection. 2 fistula's, perianal and perivaginal.

Humira, probiotic, a multivitamin, calcium, magnesium, zinc, and fish oil. I also take Tramadol 50 mg and Klonopin (for anxiety) as needed.

Life may not be the party we hoped for, but while we are here we might as well dance!


NiceCupOfTea
Veteran Member


Date Joined Jan 2010
Total Posts : 8584
   Posted 5/25/2010 4:33 PM (GMT -7)   
If you wait until things have calmed down, any evidence of disease activity may have disappeared by then so I wouldn't. IBD sufferers often have to have colonoscopies during flare-ups. It's more gruelling than when you are comparatively well, but there's no reason to believe it's any more dangerous.

Good luck.

AMinNJ
Regular Member


Date Joined Feb 2009
Total Posts : 40
   Posted 5/25/2010 4:44 PM (GMT -7)   
Thank you VERY much for the information and reassurance, grayeyedblonde and NiceCupOfTea. That's exactly what I needed to hear. :)

Angela
Angela
Crohn's possibly since early 20's (bowel obstruction)
Colonoscopy 2008: ulcers in rectum
Small capsule endoscopy: ulcers in terminal ileum
Chronis RLQ pain, no diarrhea
Gluten-free, dairy-free, low sugar diet


Aimee =)
Veteran Member


Date Joined Jun 2004
Total Posts : 1020
   Posted 5/25/2010 5:33 PM (GMT -7)   
I think all mine were during flares - they were done to see how severe my flare actually was.

NiceCupOfTea
Veteran Member


Date Joined Jan 2010
Total Posts : 8584
   Posted 5/25/2010 5:43 PM (GMT -7)   
AMinNJ - You're welcome :p

WriterMum
Regular Member


Date Joined Apr 2009
Total Posts : 166
   Posted 5/26/2010 3:44 AM (GMT -7)   
I have only had colonoscopies during a flare. I think that a good number of GI's do them when there are problems, so they are very careful. The prep part is no fun when you are already having difficulties, but the biopsies they take etc. are best done when they can see what is really happening.
45 years old. Diagnosed with moderate to severe Crohn's in April 2005. Hiatus hernia diagnosed in 2008. Had Crohn's under control until March last year when I had a major flare up and ended up in hospital. Diagnosis is now CD and IBS. Getting it under control again.
Currently taking: Salofalk 2000 mg, Nexium, Calcium and Vitamin D, Matamucil, Yogurt for probiotics, Salofalk suppositories as needed.

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