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Crohns diagnosis....

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Crohns diagnosis....

Posted by Anna on December 28, 2000 at 10:25:04:

How does a doctor diagnose Crohns disease? Here's my situation... about a year and a half ago, I developed severe intestinal pain with diarrhea for one month straight. An initial cat scan showed "multiple prominent swollen lymph nodes and the mesentery" inflammed along with possible inflammations on terminal ileum and sigmoid colon. My doctor said that all of this pointed towards a Crohns disease diagnosis so he referred me to a gastroenterologist. About a month later, the gastroenterologist did a colonoscopy and even looked at the terminal ileum and saw no signs of Crohns disease. About a year later I developed more severe diarrhea and had a small bowel follow through that was normal. Could I still have Crohns disease with the cat scan being abnormal but the colonscopy and small bowel x-being normal? And ever since all of this, I still suffer with diarrhea that comes and goes and sometimes can last two weeks straight. I do know that whatever "diagnosis" it is, it can be cured and controlled through Dr. Stoll's approaches in his book. But, even with understanding this, I am still a little uneasy going into my healing not knowing what exactly is going on in my body. I guess I am just scared that if it is Crohns... at anytime I may develop an obstruction or something. Any prompt responses would be ever so appreciated.



Re: Crohn's diagnosis.... (Archive in Crohn's.)

Posted by Walt Stoll on December 30, 2000 at 07:30:12:

In Reply to: Crohns diagnosis.... posted by Anna on December 28, 2000 at 10:25:04:

Anna,

The only sure diagnosis is biopsy. Unfortunately, in the beginning of the condition it tends to be patchy. Since there are about 35 feet of small bowel, what are the chances that a "patch" will be biopsied in the early stages?

What will you do differently whatever the diagnosis? The causes are the same and the way out is the same. It is your genes that determine which "diagnosis" any individual will end up with from exactly the same causes.

See my response earlier today about a similar question.

Walt



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