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Doctor insights on: If My Colonoscopy Was Clear Can I Still Have Crohns

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Can you still have Crohn's if your colonoscopy test is negative?

Can you still have Crohn's if your colonoscopy test is negative?

Yes: Crohn's disease can affect any part of the GI tract from the mouth to the anus. In many patients, the colon is not involved, and so a colonoscopy will not reveal any abnormal findings. A diagnosis of crohn's disease is made using a combination of symptoms, physical exam findings, blood tests, imaging tests, and other clinical tests. ...Read more

Dr. Charles Cattano
2,044 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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If I'm not in a flare will the colonoscopy still show signs of Crohn's disease?

If I'm not in a flare will the colonoscopy still show signs of Crohn's disease?

Usually No!: Like other medical tests, only what is present at the moment, within the limits of accuracy of the test, may be revealed. Additionally, the range of what is considered "normal" is huge. Eg for most quantitative measurements the central 96% of the range (compared to a small & unspecified group of people measured at some time in the past) is considered "normal". Studying the issues yourself is Best ...Read more

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Can I tell me if I am being tested for Crohn's and I are feeling well before a colonoscopy will it still show up?

Can I tell me if I am being tested for Crohn's and I are feeling well before a colonoscopy will it still show up?

Yes in theory: In theory, if you truly have Crohn's disease and you happen to feel well on the day of the procedure, it will definitely show up on pathology. That is because Crohn's disease is CHRONIC inflammation. It can't disappear over night. Even if you are on the right treatment and are starting to feel better it takes weeks to months for all the inflammation to resolve. Good luck! ...Read more

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Can you tell me if I'm being tested for Crohn's and I am feeling well before a colonoscopy will it still show up?

Can you tell me if I'm being tested for Crohn's and I am feeling well before a colonoscopy will it still show up?

Chron's Diagnosis: Although colonoscopy is usually most useful when you are having symptoms related to crohn's flare, colonoscopy exam can be helpful in diagnosing various aspects (e.g. Stricture, cancer, etc.) of disease even when feeling well. Http://www. Laendo. Net/english/inflammatory-bowel-disease-88079022. ...Read more

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Endoscopy and colonoscopy came out clean but husband still has symptoms of Crohn's what now?

Endoscopy and colonoscopy came out clean but husband still has symptoms of Crohn's what now?

Gastroenterologist n: Your husband should seek help from a gastroenterologist who might be able to prescribe medicines for treating Crohns disease. Since this disease effects the small bowel (predominantly) it typically does not show up in either upper or lower endoscopies (as you rightly indicated) ...Read more

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Are colonoscopies and endoscopes accurate in detecting crohns? Can they be normal and the person still have crohns?

Yes possible: Some Crohn's disease can only affect the small bowel so you'd need to evaluate the full GI tract. If EGD/colonoscopy/capsule are all negative at a time you're having symptoms, then it's pretty unlikely that crohn's is the answer. ...Read more

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Is urgency to empty bowels in the morning normal? Stools come out in smaller pieces. Family history of crohns. Colonoscopy clear.

Is urgency to empty bowels in the morning normal? Stools come out in smaller pieces. Family history of crohns. Colonoscopy clear.

R/O IBS: IBS is a diagnosis of exclusion. IUC/CROHNS DZ/IBD is inflammation usually DX by BX IBS SX can be managed. You need a full exam and blood work. Especially screen for H pylori. Also stool screen x 3 for occult blood /parasite/ &colonoscopy./EGD While you are getting these items checked out you should stick to a gluten free diet. Ie gutbliss. Com and Wholeapproach. Com TXPROBIOTICS/LEVSIN/BENTYL ...Read more

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Having bloody stools and lots of pain for a year had a colonoscopy and no inflammation was found biopsy taken could this still be colitis or crohns.

Having bloody stools and lots of pain for a year had a colonoscopy and no inflammation was found biopsy taken could this still be colitis or crohns.

Meckles Diverticulum: Though this is found mostly in the Pediatric age group, but there are cases reported in Adults. These are found in the distal ilium. Best diagnoses with a Meckles scan. Other causes can be A/V malformation and can be diagnoses with a radioisotope tagged RBC scan or Mesenteric Aa. Angiogram.
Think outside the box (colon) ...Read more

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Colonoscopy pos in 3 areas for inflammation but not for Crohns Dr running Prometheus lab for IBD. Can it still be pos? No infection not caused by meds

Colonoscopy pos in 3 areas for inflammation but not for Crohns Dr running Prometheus lab for IBD. Can it still be pos? No infection not caused by meds

Inflammation = ↑WBCs: (the inflammatory cells protecting us from cancer, microorganisms & viruses) activity. Can WBCs also attack healthy cells? Yes, called autoimmune diseases. Study the http://www. Prometheuslabs. Com test which is about low level body biomarkers which are involved in some of the cell/tissue control mechanisms; not a cure, just some possibly helpful clues. The Soul↔Mind↔Brain↔Body issues are complex. ...Read more

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Calprotectin 680 with right abdomen pain. Colonoscopy clean, stool hard and sometimes liquid. Still got a bit of pain and bloating. 100% Crohns right?

Calprotectin 680 with right abdomen pain. Colonoscopy clean, stool hard and sometimes liquid. Still got a bit of pain and bloating. 100% Crohns right?

Ileitis: Your gastroenterologist is best qualified to answer this, but I wonder if Crohn involvement of the ileus explains the elevated calprotectin level and your symptoms. Apparently no involvement of the colon was visualized. I also assume that irritable bowel syndrome, lactose and gluten intolerance are ruled out. ...Read more

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Have severe intestinal pain for 2 years now. Had mre of small bowel and colonoscopy w/biopsies, stool samples. All normal. Doc says ibs. Could this be crohns? I eat bland and still have pain.

Have severe intestinal pain for 2 years now. Had mre of small bowel and colonoscopy w/biopsies, stool samples. All normal. Doc says ibs. Could this be crohns? I eat bland and still have pain.

Eating bland?: Does that include sugar and sweeteners? If so try doing without. Another possibility is milk and milk products including cheese. Agree that most likely diagnosis is ibs. ...Read more

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31 year-old white man with 2 years of intermittent thrombocytopenia down to 29k, with splenomegaly, looking for a diagnosis after much testing.....?

31 year-old white man with 2 years of intermittent thrombocytopenia down to 29k, with splenomegaly, looking for a diagnosis after much testing.....?

Bone marrow biopsy: A lot of work is done on this pt and still not an conclusive is evident.
At some point a bone marrow biopsy can be helpful to rule any kind of myelofibrosis with myeloid metaplasia, as a cause of this clinical situation in this case ...Read more

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Do I need a colonoscopy to detect crohns?

See below: There are other ways it can be detected such as cat scan, however, colonoscopy is often done because a biopsy to confirm the diagnosis can be done during the procedure. ...Read more

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Colonoscopy showed signs of Crohn's disease what's the next step?

Colonoscopy showed signs of Crohn's disease what's the next step?

Doc: The physician that did the colonoscopy should be advising you. It depends on how active the disease is. See a gastroenterologist. ...Read more

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Can a colonoscopy irritate Crohn's disease and cause symptoms to worsen?

No: Occasionally multiple biopsies and the prep may result in a day or two of minor bleeding, and possibly loose stools, but that should resolve rapidly. ...Read more

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Can Crohn's be diagnosed without colonoscopy or other invasive testing procedures?

Can Crohn's be diagnosed without colonoscopy or other invasive testing procedures?

Diagnosis suspected: ...If your GI imaging radiograph (ct enterography, mr enterography, small bowel study) shows "skip lesions" ; if your ibd markers are consistent with crohn's, however, there is no substitute for procedural evaluation at which time visual inspection can be accurately assessed ; biopsies taken. Finding granulomas on those biopsies is highly supportive of a crohn's diagnosis then. ...Read more

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I'm 26 and was diagnosed with mild Crohn's disease in 2012. How often should I be having a colonoscopy?

Crohns Disease: The interval for colonoscopies varies for patients diagnose with crohns disease. This should be discussed with your gastroenterologist. ...Read more

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I had a colonoscopy a few weeks ago and got the results today what other diseases could cause crohns like symptoms other than crohns and U C?

Ibs: If your colonoscopy revealed no pathology, ongoing intestinal symptoms like cramps, diarrhea, flatulence can occur with irritable bowel syndrome, lactose or gluten intolerance or sensitivity. Chronic intestinal infections are usually diagnosed by stool cultures. Your gastroenterologist, who knows you well, is best qualified to answer your question. ...Read more

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Can Crohn's and/or colitis go undetected in colonoscopies?

Can Crohn's and/or colitis go undetected in colonoscopies?

Yes and no: It would be very unlikely. To not detect a colitis on colonoscopy, but Crohn, s disease can just affect the small intestine out of view, but other studies can pick it up. Discuss with the Gastroenterologist who performed the colonoscopy. ...Read more

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Can e coli look like Crohn's on a colonoscopy?

E. coli: Very unlikely, but even if there was a resemblance due to the colitis caused by some strains of e. Coli, the biopsy would differ markedly. ...Read more

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Can e coli look like Crohn's on a colonoscopy.

Crohn's on endo: No

crohn's looks like crohn's on biopsy

the overall photo does not mean much - the biopsies are critical and provide the answer. ...Read more

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Will Crohn's disease show on a colonoscopy if you feel fine now (remission)?

Will Crohn's disease show on a colonoscopy if you feel fine now (remission)?

It could. ...: This is why it is important to have surveillance colonoscopies done on the recommended schedule. Even if you are having no symptoms and feeling fine, it is necessary to document that "grossly and histologically" healing has taken place. This means to check how the bowel looks through the scope and to take biopsies to review under the microscope. If not healed completely, complications can occur. ...Read more

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Can Crohn's disease go undiagnosed even after a colonoscopy? Even though all other symptoms suggest Crohn's disease but the doctors won't listen.

Can Crohn's disease go undiagnosed even after a colonoscopy? Even though all other symptoms suggest Crohn's disease but the doctors won't listen.

Seek alternative: Diagnosis. Symptoms of Crohn's disease can occur in the context of other GI or systemic disorders. Highly unlikely to be Crohn's disease if scope negative. Finding the true diagnosis will lead to an effective management plan. ...Read more

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Is Crohn's disease hard to diagnose? Colonoscopy EGD are norm beside minor inflamed cecum and ileum. Dr wants to do capsule test. So many tests!

Is Crohn's disease hard to diagnose? Colonoscopy EGD are norm beside minor inflamed cecum and ileum. Dr wants to do capsule test. So many tests!

Some times it can be: Most crohns affect the terminal ileum as well as the cecum. However as crohns can affect any part of the gi tract, a capsule endoscopy is helpful to find other lesions. My preference is to do a ct or MRI enterography, especially in an untreated crohns patient who I suspect may have tight areas (strictures). Hope this helps! ...Read more

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How important is a colonoscopy within 5 years of previous one...I'm a Crohn's patient on remicade (infliximab) and I'm not flared up. Seems unnecessary and expensiv?

The risk for...: Colorectal cancer in chron's increases with duration of illness and starts to rise 8-10 years into the disease. Further, the extent of bowel affected is directly related to the risk for colorectal cancer. The highest risk is for those with the entire bowel affected and least with just rectal involvement. Not knowing your specifics details this is the best I can do. Best of luck to you! ...Read more

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Colonoscopy shows no sign of Crohn's disease but can it be ulcerative colitis?

Colonoscopy shows no sign of Crohn's disease but can it be ulcerative colitis?

Unlikely: If no signs of crohn's disease was seen on colonoscopy, then it means there was no inflammation seen. Ulcerative colitis would have been seen on colonoscopy, unless it is "quiescent" or controlled with medications. ...Read more

Dr. Abby Caplin
781 Doctors shared insights

Crohn's Disease (Definition)

A chronic inflammatory bowel disease that affects the lining ...Read more