How is IBD diagnosed?
Diagnosis begins with a review of your symptoms, medical history and a physical examination. Next, our team uses a wide array of state-of-the-art diagnostic tests, imaging and endoscopic procedures to determine the specifics of your condition. Among the diagnostic tools we offer:
- Blood tests examine cell counts and basic chemicals in the body.
- ESR (Estimated Sedimentation Rate) and C-reactive protein (CRP) can indicate chronic inflammation.
- Stool studies for inflammation and to look for bacterial or viral causes.
- X-rays can identify obstructions or perforations in the intestines.
- Computerized Tomography (CT) enterography scans can identify strictures, fistulae and thickening of the bowel wall.
- Magnetic Resonance Imaging (MRI) enterography uses magnetic fields to provide 3-D images of the gastrointestinal tract. These scans can identify inflammation, strictures, fistulae and abscesses. It also can look at the small intestines, which cannot be reached with endoscopy or colonoscopy.
- Upper GI endoscopy: A small flexible fiber-optic tube is used to examine the esophagus, stomach and duodenum (the first part of the small intestine.) The physician also can take samples of tissue or fluid.
- Colonoscopy: A flexible fiber optic tube is inserted through the anus to examine the colon, or large intestine. Preparation includes a clear liquid diet the day before the procedure, as well as colon prep medication to clear out the colon.
- Flexible sigmoidoscopy: This is a shorter version of the colonoscopy that examines only the left side of the colon. It is often used to monitor response to therapy.
- Video Capsule Endoscopy: A small pill-sized camera (either swallowed or placed via endoscopy) is used to take pictures of the small intestine and bowel as it travels through the body.
- Chromoendoscopy: This is a technique used during a colonoscopy, in which a dye is sprayed on the lining of the colon wall. It allows for better detection of precancerous lesions.
- Double balloon enteroscopy: This is a technique to examine the small intestine where a long tube is used with an overtube to access deeper parts of the small intestine.