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Doctor insights on: Dx For Colonoscopy

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Dr. Charles Cattano
2,050 doctors shared insights

Colonoscopy (Definition)

Colonoscopy is the procedure of using a long flexible camera to visualize the entire colon from the inside with the option to take pictures, video, perform biopsies, remove polyps, etc. Generally people are sedated and do ...Read more


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Gastroenterologist is investigating me for Crohn's. For multiple reasons, I can't have a colonoscopy. Would an MRI enterography suffice for now??

Gastroenterologist is investigating me for Crohn's. For multiple reasons, I can't have a colonoscopy. Would an MRI enterography suffice for now??

Probably not: To make a definitive diagnosis, a biopsy of the affected part of the colon would be optimal. A biopsy taken at colonoscopy is the usual diagnostic procedure. You may wish to reconsider why you cannot have colonoscopy. ...Read more

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Biopsy confirmed inflammation on cecum and ileum but Prometheus panel neg for crohns and UC. Stool neg for infec. Only take synthroid (thyroxine). Cause?

Biopsy confirmed inflammation on cecum and ileum but Prometheus panel neg for crohns and UC. Stool neg for infec. Only take synthroid (thyroxine). Cause?

Crohn's: Crohn's is still not off the list, a Prometheus is not a definitive , be all end all test. Rarely does the biopsy come back saying this is absolutely Crohn's. You need to input of a good GI doc.There are other test such as a fecal calprotectin . ...Read more

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Is colonoscopy w/o biopsy reliable? Does routine colonoscopy w/o symptoms also check for anal cancer? Finally, can be cancer mistaken for hemroids.THX

Is colonoscopy w/o biopsy reliable? Does routine colonoscopy w/o symptoms also check for anal cancer? Finally, can be cancer mistaken for hemroids.THX

Here are some...: Your Q is well taken. However, even today all what medical professionals can do is to apply current available knowledge, skill, technology, medication, common sense, & wisdom at reasonable time in reasonable way for reasonable patient. More facts: Behind what we know always still hides a lot of what we do not know. Nonetheless, what you have had should be sufficient to assure your current health. ...Read more

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Is a colonoscopy needed for chronic rectal bleeding?

Is a colonoscopy needed for chronic rectal bleeding?

Yes, if you want to : Find out the origin of the bleeding. Most common cause of rectal bleeding is hemorrhoids, but other causes are possible, such as cancer, ulcerative colitis, crohn's disease, diverticulosis, or angiodysplasia. ...Read more

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Gi suggested colonoscopy to check colon condition before switching from remicade (infliximab) to humira. Treated for uc. Had colonoscopy 2 yrs ago. Is this needed?

Gi suggested colonoscopy to check colon condition before switching from remicade (infliximab) to humira. Treated for uc. Had colonoscopy 2 yrs ago. Is this needed?

See details: Why the switch from Remicade (infliximab) to humira? Are you having any symptoms at present? The answers to these questions determine if colonoscopy is really needed at this time. ...Read more

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Diagnosed with non-specific proctitis. If it is acute, would it last for several months? Colonoscopy negative for IBD. Is retest needed?

Diagnosed with non-specific proctitis.  If it is acute, would it last for several months?  Colonoscopy negative for IBD.  Is retest needed?

Follow up: It is possible to develop chronic proctitis, or you might have a different condition called proctalgia fugax, quite common. Follow up with your provider to determine the proper diagnosis and management. Unfortunately there is not much that can be done about proctalgia fugax. ...Read more

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Can diverticulosis ( not itis) be mistaken for colon cancer on CT scan? PCP says no. No referal for other tests.

Can diverticulosis ( not itis) be mistaken for colon cancer on CT scan? PCP says no. No referal for other tests.

Possible but rare: Yes diverticulosis is benign , has distinct appearance from CA on CT for a trained radiologist will read as accurate as reading finger prints , some times in between diverticula the wall may be thickened , may have mucosal overgrowth will mimic a early cancer , then colonoscopy indicated , at 39 cancer is not common but age is not exception for CA , ask again for referral . ...Read more

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Will a colon biopsy confirm a positive test for ulcerative colitis?

Will a colon biopsy confirm a positive test for ulcerative colitis?

Yes: A colonoscopy biopsy would be the most accurate means of testing for ulcerative colitis, more accurate than any other test. Can see: http://www.Mayoclinic.Com/health/ulcerative-colitis/ds00598/dsection=tests-and-diagnosis. ...Read more

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Dx z12.13 on. Mammo script mean is this Dx for a routine mammogram?

Dx z12.13 on. Mammo script mean is this Dx for a routine mammogram?

Yes and No: Yes, whoever wrote the prescription likely meant it for breast cancer screening. No, that diagnosis code is not for breast cancer screening. The code for breast cancer screening is Z12.31, not Z12.13. ...Read more

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Colitis on ct, dr suspects crohns. Colonoscopy showed no infl, biopsy neg for infl, but dr. Says can't rule out crohns. What can I do to get answers?

Colitis on ct, dr suspects crohns. Colonoscopy showed no infl, biopsy neg for infl,  but dr. Says can't rule out crohns. What can I do to get answers?

Crohn's colitis: Is sometimes a difficult diagnosis, even with a biopsy. Other causes of colitis are infection, ischemia, or diverticulitis. Sometimes, the only way to tell is by response to empiric medication trial. Your GI specialist is the best source for answers. ...Read more

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Surgeon says colon doesnt look right on ct scan. Need colonoscopy for more answers. Have diverticulitis with bowel thickening.No symptons.

Surgeon says  colon doesnt look right on ct scan. Need colonoscopy  for more answers. Have diverticulitis with bowel thickening.No symptons.

Particular question?: concerns would be why it is inflamed. infection and autoimmune diseases are some of the possibilites that can only be well answered by colonscopy. ...Read more

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Endoscopy biopsies showed negative for gluten, chron's, ulcerative colitis and etc.One year ago.Recent utrasound showed mesenteric adentitis 4xin2years?

Endoscopy biopsies showed negative for gluten, chron's, ulcerative colitis and etc.One year ago.Recent utrasound showed mesenteric adentitis 4xin2years?

Mesenteric adenitis: Is a virus and you can get it several yimes. It is great that nothing severe or major showed you on the biopsies. Your child probably should have his immune status checked at this point just to be sure he is fine, but he probably is, my guess. ...Read more

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What screening test(s) does a gastroenterologist us to determine the diagnosis for colitis and Crohn's disease?

What screening test(s) does a gastroenterologist us to determine the diagnosis for colitis and Crohn's disease?

The first step: is a complete history, physical examination and basic lab tests (Blood Count, Chemistries) There is no BLOOD SCREENING test for these disease. A stool examination may be helpful( testing for occult blood) Routine genetic testing (HLA chromosomes etc) is NOT recomended. The next step for most Gastroenterologists is ENDOSCOPY (Lower and Upper) which can be done in ONE session (painless nowadays) Z ...Read more

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Mammo Prescription and it as DX Z12.31- encounter for screening mammogram for malignant neoplasm of breast what is DX is it for a routine mammo ?

 Mammo Prescription  and it as DX Z12.31- encounter for screening mammogram for malignant neoplasm of breast what is  DX is it for a routine mammo ?

ICD-10 code: Doctor's have to come up with codes for billing purposes - especially when we order tests. This system is called ICD-10. It is the 10th generation of the International Classification of Diseases if you really want to know. "Dx" stands for 'diagnosis', and Z12.31 is a breast cancer screening code for the mammogram. I'd ask the doctor more questions if you're still not sure. ...Read more

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Is it possible for CEA, C19-9, Abdominal Echo and FOB examinations to detect hemorrhoids, polyps and Colon Caner? Thank you!

Is it possible for CEA, C19-9, Abdominal Echo and FOB examinations to detect hemorrhoids, polyps and Colon Caner? Thank you!

No perfect tests!!: Some of these tests(CEA) are only useful for far advanced Cancers(not helpful for early detection of polyps or colon cancer. CEA and CA 19-9 are tumor markers, they are useless for most cases of early cancer. Abdominal ECHO has limited usefulness to detect fluid and certain cystic lesions, not useful for Colon Cancer. The best test for checking colon for polyps and colon cancer is Colonoscopy ...Read more