Doctor insights on:
Tests For Colitis
Ulcerative colitis: Ulcerative colitis can be relatively easy to diagnose because it normally affects only the colon and rectum and usually causes an obvious change in daily bowel habits, such as frequent stools containing blood or mucus. Your doctor will conduct a medical history and physical exam before doing other tests. ...Read moreSee 1 more doctor answer
Proctitis: Proctitis by definition is inflammation of the rectum of any cause. As you'd expect, defecation becomes painful & stool is usually mixed with pus, frank blood, &/ or clots. Proctitis may be due to inflammatory bowel disease, chemical or mechanical trauma, infection, ischemia of the rectosigmoid junction. Investigation at minimum requires at least sigmoidoscopy with biopsy & stool analysis. ...Read moreSee 1 more doctor answer
Diarrhea for 4 months, no blood. Gi doc tested for c-diff, parasites, colonoscopy, IgE other tests?
Sounds Right: That sounds like an appropriate start.Get a more detailed answer ›
Guaiacs-: Are actually tests of thin films of stool to discern if there is hidden blood beneath visiblity, so-called "occult blood". It is a great screen, that if positive leads to a closer, less comfortable, more expensive test: colonoscopy. After 50, you get one per decade without occult blood in stool! ...Read moreSee 2 more doctor answers
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
Medications surgery: The mainstay of treatment is medical, however a small proportion of very sick patients end up needing a colectomy (removal of the colon). Medication regimen inlcudes a Mesalamine product (such as asacol), immunosuppresants (6mp, immuran), biologic agents (remicade, humira). Prednisone is used as little as possible and only to control acute flares. ...Read moreSee 1 more doctor answer
Cerebrovascular: Mra's, carotid dopplers, and carotid computed tomographic angiograms provide the structural backdrop for assessing the cerbrovasculature. ...Read more
'scopes, X-rays, etc: A number of different screening tests are available for colon ca. They include colonoscopy, flexible sigmoidoscopy, double-contrast barium enema, ct colonography (virtual colonoscopy), and fecal occult blood testing. The pro's and con's of each are described here: http://www.Cancer.Gov/cancertopics/factsheet/detection/colorectal-screening. ...Read moreSee 2 more doctor answers
Anti-tTG first: In suspected celiac disease / gluten enteropathy / sprue, the cheap screening test is the anti-ttg (tissue transglutiminase); followup may include the more costly IgA anti-endomysial antibdies (ema), biopsy of the gut, and/or a trial of a gluten-free diet. No one knows how common celiac disease really is; what matters is whether gluten elimination ultimately helps you. ...Read more