How to Diagnose Inflammatory Bowel Disease
Instructions
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Expect to undergo a sigmoidoscopy. A sigmoidoscopy helps a doctor diagnose ulcerative colitis by examining and taking pictures of the rectum and sigmoid (or left) colon. The procedure is done with tubing inserted into the rectum with a camera on the end called an endoscope.
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Request a colonoscopy for a complete picture of rectum and colon health. A colonoscopy entails an endoscope traveling through the rectum and the entire large bowel while the patient is under sedation. A colonoscopy is routinely used to diagnose Crohn's disease and a tissue sample might be taken for further examination as well.
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Get a copy of the pictures your doctor takes of your colon during sigmoidoscopy and colonoscopy procedures. To diagnose Crohn's disease, a doctor must find random patches of deep ulcers. To diagnose ulcerative colitis a doctor looks for an even amount of inflammation in the colon that bleeds with contact.
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Ask your doctor about looking at your digestive tissue under a microscope for inflammatory cells called granulomas. Granulomas can help diagnose Crohn's disease, but they are also present in other health conditions.
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Undergo magnetic resonance spectroscopy (MRS) to help your doctor diagnose Crohn's disease or ulcerative colitis. MRS is a variation of magnetic resonance imaging (MRI) and can help doctors determine which of the two diseases a patient is suffering from.
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Check your small intestine for Crohn's disease with an upper barium X-ray. This procedure requires the patient to drink a barium shake to have X-ray pictures taken.
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