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Crohns Disease Diagnosis

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Crohn's Disease - Diagnosis

Diagnosis requires blood and stool tests during an active phase. Blood test for Crohn’s disease that needs to be performed is –

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  • Blood hemoglobin to look for anemia and elevated white cell count.
  • An elevated ESR or erythrocyte sedimentation rate, along with an increased white cell count is a pointer to an acute inflammation.
  • A stool test will have to be done to rule out infection due to parasites, worms and so on.

A colonoscope is a flexible endoscope that will enable the doctor to look into the colon and study the affected areas. Findings of the typical ulcers are very suggestive of ulcerative colitis. A biopsy can be taken to study the tissue and confirm the diagnosis as well as rule out other causes of abdominal pain and diarrhea. Barium meal entails lining of the entire small intestine with an ingested contrast like barium which when x-rayed later show the evidences of ulceration, narrowing, abscess formation and so on.

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CT scans are very useful and find a place in diagnostics in every specialty. CT findings can be correlated to the severity of the disease.

Video capsule endoscopy is a new, state of the art tool in the diagnostic armamentarium. This consists of a small capsule that the patient swallows and as it passes through the intestines, it can give a video image of the state of the inflammation within the intestine. It is however, not recommended in those people suspected of having intestinal obstruction.

Medindia adheres to strict ethical publishing standards to provide accurate, relevant, and current health content. We source our material from reputable places such as peer-reviewed journals, academic institutions, research bodies, medical associations, and occasionally, non-profit organizations. We welcome and value audience feedback as a part of our commitment to health literacy and informed decision-making. 1: J Dig Dis. 2009 Feb;10(1):1-6

Inflammatory bowel disease: A survey of the epidemiology in Asia.

Goh K, Xiao SD.

University of Malaya, Kuala Lumpur, Malaysia

2: Am J Gastroenterol. 2009 Feb 24. [Epub ahead of print]

Differentiating Intestinal Tuberculosis From Crohn's Disease: A Diagnostic Challenge.

3: Expert Opin Ther Targets. 2009 Feb;13(2):259-63.

Inflammatory bowel diseases: highlights from the United European Gastroenterology Week 2008.

Kaser A, Tilg H.

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Do you wish to consult a Gastroenterologist for your problem? Ask your question

Dr. Pankaj Kumar
Dr. Pankaj Kumar
MBBS, MD, DM
11 years experience
Alchemist Hospital, Panchkula
Dr. Deshmukh Parag
Dr. Deshmukh Parag
MBBS, MD, DNB, IDCCM, CCEBDM
5 years experience
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Comments should be on the topic and should not be abusive. The editorial team reserves the right to review and moderate the comments posted on the site.

Comments

Hanumant1971

I have Daughter Kumari VAIJAYANTI, who's liver transplant surgery done on 21 july 2009, after she has been growing normal. now she had loose stool more than 2 months. Transplant center detected it's a CROHN'S disease...

morello

hello, thanks for sharing. by the way, what is the main different between crohn's disease and ulcerative colitis ? are they same ?

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