Chron's Test-CT Scan?

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knottedup
Regular Member


Date Joined Oct 2007
Total Posts : 33
   Posted 10/9/2007 10:08 AM (GMT -7)   
Hi,
 
Still new to all of this. I went to the Gastro for the first time today after results of Colonoscopy and biopsies indicated "probable" Chron's. Dr. said he wasn't going to commit to the DX yet. So, he wanted to do a CT scan of the bowel? Is this a common test? Did I get the info right?  Any information would be great.
 
I was given so much info during my visit that I just want to make sure I got this part right.
 
Thanks!!

Mormor Vicky
Veteran Member


Date Joined Mar 2007
Total Posts : 684
   Posted 10/9/2007 10:11 AM (GMT -7)   
I had several CT scans. I think it was used to find a fistula I had to my bladder though. CT scans are easy.
Vicky / 47 years old
DX'd with Crohn's during a resection August 2006
DX'd with Steriod induced Diabetes November 2006
Considered in Clinical remission but have minor signs of disease activity
 
Daughter (26) also has Crohn's since she was 12.
 
Currently on 4000mg of Pentasa only for Crohn's
No longer able to take 6-MP because of Bone-Marrow Suppression
Cymbalta, Metformin, Lipitor


Hindy
Regular Member


Date Joined Aug 2004
Total Posts : 24
   Posted 10/9/2007 11:59 AM (GMT -7)   
I had a CT Scan when I was first sick to rule out appendicitis and other organs. They found colitis. I was then sent to a GI where I was diagnosed with crohns after a colonoscopy. The same goes for recently, when I was sick, I was sent for a CT Scan to rule out anything else...where they saw all the active crohns inflammation.

knottedup
Regular Member


Date Joined Oct 2007
Total Posts : 33
   Posted 10/9/2007 12:58 PM (GMT -7)   
What does a CT scan show that the colonoscopy wouldn't?

Sorry if this is a silly question....

jdiane
Veteran Member


Date Joined Jan 2003
Total Posts : 1131
   Posted 10/9/2007 1:00 PM (GMT -7)   
Abdominal CT scans are used primarily to evaluate IBD patients who have abdominal pain and fever. Although this test can confirm that inflammation is present in the small or large intestine, it is used more importantly to rule out complications of IBD. These complications include abscesses, strictures, small bowel obstructions, fistulas, and bowel perforation. A CT scan also helps eliminating other diagnoses that can mimic IBD, like appendicitis.
 
 


Malibu05
Regular Member


Date Joined Sep 2007
Total Posts : 98
   Posted 10/9/2007 1:15 PM (GMT -7)   
I had at CT scan and it came back normal. The next day I had a colonoscopy that showed Chrons.

mcleaver1969
Regular Member


Date Joined Jun 2006
Total Posts : 267
   Posted 10/9/2007 7:08 PM (GMT -7)   
:-)
The CT scan I had in ER was used to rule out appendicitis but what it showed was partial obstruction in small intestines. That was first clue that I might have Crohn's, then had colonoscopy to verify. I think it's pretty routine, don't worry. And there are no stupid or silly questions, the more questions you ask, the more you learn. Feel better and take care!
Marci C.
38 years old, dx with Crohn's disease March 2007, currently on Humira, Entocort and hydrocodone (for pain), and Effexor


MMMNAVY
Veteran Member


Date Joined Jul 2006
Total Posts : 6927
   Posted 10/9/2007 7:17 PM (GMT -7)   
Crohns signs can sometimes be seen on CT scan i.e. fistulas, etc and can also rule out other dx
Yes you got it right


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huckleberry
Regular Member


Date Joined Sep 2007
Total Posts : 317
   Posted 10/9/2007 7:55 PM (GMT -7)   
My first test was a CT scan with contrast, too. (I was having abdominal pain, fever, D, vomiting.) It showed a blockage and inflammation in the terminal ileum and started us on the path of learning that it was CD.
44 years old, newly diagnosed after an 8-day hospitalization in September 2007 but symptoms for several years before that.
Taking Pentasa, Prednisone (tapering), Cipro, Prilosec, probiotics, calcium and a multi-vitamin -- also Levoxyl for hypothyroid (Dx 2004)
Gall bladder surgery in 1997.
Single working mom to three wonderful kids, ages 9 to 15.

So appreciative to have this forum -- it's all new to me!


Mormor Vicky
Veteran Member


Date Joined Mar 2007
Total Posts : 684
   Posted 10/9/2007 7:59 PM (GMT -7)   
Also a CT scan is less invasive. I think it's used before a colonoscopy to see if one is truly necessary.
Vicky / 47 years old
DX'd with Crohn's during a resection August 2006
DX'd with Steriod induced Diabetes November 2006
Considered in Clinical remission but have minor signs of disease activity
 
Daughter (26) also has Crohn's since she was 12.
 
Currently on 4000mg of Pentasa only for Crohn's
No longer able to take 6-MP because of Bone-Marrow Suppression
Cymbalta, Metformin, Lipitor


knottedup
Regular Member


Date Joined Oct 2007
Total Posts : 33
   Posted 10/10/2007 2:23 PM (GMT -7)   
Thanks, all! I guess I feel good that the Dr. is ordering more tests and blood work.... shows he wants to be accurate and find out whats going on with me.

KaNDiCe21
Regular Member


Date Joined Oct 2007
Total Posts : 106
   Posted 10/11/2007 8:28 PM (GMT -7)   
Yes, it is...In my many trips to the ER lately they have done many CT's on me. It helps them to better see inside your stomach. Having multiple tests done lets your doctor better see whats going on. Crohns is a serious disease and they dont want to mis diagnose you. They did the same thing with me because I am so young (21). Good luck with everything, hope it turns out good news.

Mormor Vicky
Veteran Member


Date Joined Mar 2007
Total Posts : 684
   Posted 10/12/2007 7:09 AM (GMT -7)   
eyes  always thought a cat scan and a CT scan were the same thing.  I've had cat scans before but I'm scheduled for my first CT scan with contrast next Thursday.  See, we learn something everyday. tongue
Vicky / 47 years old
DX'd with Crohn's during a resection August 2006
DX'd with Steriod induced Diabetes November 2006
Considered in Clinical remission but have minor signs of disease activity
 
Daughter (26) also has Crohn's since she was 12.
 
Currently on 4000mg of Pentasa only for Crohn's
No longer able to take 6-MP because of Bone-Marrow Suppression
Cymbalta, Metformin, Lipitor


knottedup
Regular Member


Date Joined Oct 2007
Total Posts : 33
   Posted 10/12/2007 7:56 AM (GMT -7)   
Vicky,

Let me know how it goes. I just got a call and I'm scheduled for the following week.

JudyK89
Veteran Member


Date Joined Dec 2006
Total Posts : 1986
   Posted 10/12/2007 8:57 AM (GMT -7)   
Mormor Vicky said...
eyes  always thought a cat scan and a CT scan were the same thing.  I've had cat scans before but I'm scheduled for my first CT scan with contrast next Thursday.  See, we learn something everyday. tongue

Cat scan and CT scan are the same thing.
Judy
49 years old, CD since I was a child.    
Six resection surgeries, permanent ostomy, adverse reactions to Remicade finally off of Prednisone, back on 6MP for maintenance, hoping for a long remission from this last surgery. 
 
 


Mormor Vicky
Veteran Member


Date Joined Mar 2007
Total Posts : 684
   Posted 10/12/2007 9:03 AM (GMT -7)   
Judy, When I had a fistula I just had a scan. I didn't drink anything. I guess they can use the same machine either with contrast or without. Is that right? See I'm still learning.
Vicky / 47 years old
DX'd with Crohn's during a resection August 2006
DX'd with Steriod induced Diabetes November 2006
Considered in Clinical remission but have minor signs of disease activity
 
Daughter (26) also has Crohn's since she was 12.
 
Currently on 4000mg of Pentasa only for Crohn's
No longer able to take 6-MP because of Bone-Marrow Suppression
Cymbalta, Metformin, Lipitor


JudyK89
Veteran Member


Date Joined Dec 2006
Total Posts : 1986
   Posted 10/12/2007 9:11 AM (GMT -7)   
Yep, depending on what they're looking for, the time restraints, and if you have a history of reactions to contrast medications. I've had Barium, and I've had injections, and I've had no contrast at all in an emergency situation. A very versatile machine, lol.

I think they get better pictures with contrasts, and depending on what parts of the body they're looking at, they use different contrasts.
 
Once I was getting a barium x-ray before surgery and they weren't getting the images they wanted so they rushed me down to the CT scan and got them. 

Actually, I think all the imaging machines can be done with or without.


Judy
49 years old, CD since I was a child.    
Six resection surgeries, permanent ostomy, adverse reactions to Remicade finally off of Prednisone, back on 6MP for maintenance, hoping for a long remission from this last surgery. 
 
 

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