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Ultrasound test to show inflammation

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Crohn's Disease
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minnietoty
Veteran Member
Joined : Dec 2010
Posts : 3069
Posted 8/18/2022 9:50 AM (GMT -8)
Things have deteriorated lately. This excruciating pain of the intestines persists and of course it is accompanied by sometimes diarrhea and vomiting/nausea. So, when I saw my GI almost 2 weeks ago, he ordered an MR enterocolonography as I can’t tolerate drinking mannitol. However, the radiology center called me saying that given that I have chronic Crohn’s, I should have a CT enterocolonography and I have to drink mannitol. I saw my GI and he contacted the radiologist, who insisted that I have to take mannitol either ways whether I have an MR enterocolonography or a CT enterocolonography. So, my GI decided I should have an ultrasound to investigate whether there is any inflammation in the intestines which colonoscopy couldn’t reach. Is using ultrasound that effective and can it detect inflammation?
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Lynnwood
Forum Moderator
Joined : May 2005
Posts : 8110
Posted 8/18/2022 11:37 AM (GMT -8)
Never heard of that. Following to see the answer!
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straydog
Forum Moderator
Joined : Feb 2003
Posts : 19337
Posted 8/18/2022 3:37 PM (GMT -8)
Minnie, I did some checking around several medical sites said inflammation can be detected by ultrasound. The indication was areas where scopes cannot reach.

It's not invasive so you have nothing to lose by having it done.

Good luck.
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beave
Veteran Member
Joined : Mar 2007
Posts : 2331
Posted 8/18/2022 3:39 PM (GMT -8)
Ultrasound is used some in many countries in Europe more than it's used in the US or Canada.

It's not as good as an MRI with contrast, but it's easier and cheaper, so it's definitely worth a try to see if they can get good images.
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minnietoty
Veteran Member
Joined : Dec 2010
Posts : 3069
Posted 8/18/2022 6:35 PM (GMT -8)
Dear all, thank you. Yes, it seems I have nothing to lose and I will give it a try. I read articles that say that it is as good as MRI and CT scans in detecting inflammation and measuring wall thickness but it is useless in the jejunum and rectum.
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