Crohns Disease Diagnosis
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 -- 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.
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.
References:
1: J Dig Dis. 2009 Feb;10(1):1-6Inflammatory 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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