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Colonscopy and small bowell follow thru?

colonscopy and small bowell follow thru?

can anyone tell me what a small bowell follow thru looks at ? my gastro called me today and told me i had the Celiac gene test come back positive, so they are sending me for a colonscopy and small bowell follow thru. thanks.
Hi Jenny! On the forum wiki there's a basic description: http://www.crohnsforum.com/wiki/Colonoscopy

That'll let the doc look at the colon and up to the sm. bowel to see where/how much is inflammed. I've been told that biopsies taken during the colonoscopy are what leads to and IBD diagnosis - I'm not familiar with what they'd be looking for with celiac, though.

Edit: :blush: ok, it's been a very long time since I had a sm. bowel follow-thru... must have mentally blocked out that it's a separate test and not just looking into the TI with the colonoscopy... read Joe's post for accurate info! :blush:
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Regular Joe

Senior Member
The small Bowel follow through is literally what it says. You go to radiology and drink a yucky strawberry rendition of barium, probably about a quart. Then you wait around for maybe an hour, and the techs start taking upper abdominal x-rays. They literally "follow" the barium "through" your digestive process with a series of x-rays - first of the stomach, and as it flows through your small intestine. So they have a bunch of x-rays that mark the course of the barium until it goes to the large colon. They literally "follow" the barium "through" your small intestine.

When my disease first onset (in 2002), I had a partial obstruction and thickening and narrowing of the ilium. At its smallest point, my ilium had narrowed from 35 mm to 11mm. That is quite small. I was literally spewing puke any time I ate. At times I had diarrhea. I could not hold anything down. It took 8.5 hours for that barium to start moving into the small intestine do to thickening. Normally the follow-through usually is over in 2-3 hours.

Funny thing is they never gave me the dx back then, and I obviously had Crohn's, but I didn't know it. They found a more ominous problem - a tumor on my lung. So my gut became the lesser priority. They did put me on a liquid diet for 2.5 weeks, and that got the situation under control. I was so afraid to eat anything, that even after the liquid diet I ate like a bird because the memory of that upper gut pain was seared into my mind.

I gave my GI the reports from the narrowing ileum and partial obstruction in 2002 last month when I went in for a c-scope and EGD. He took one read and and told me the same thing from 2002 was happening to me in this July because I had the same symptoms, but milder. The irony was that after my procedures, my GI back-dated my diagnosis from 2 years ago to 2002. So technically, I was in complete remission from January 2003 until July 2009. News to me, until I read the reports a couple days later.

I've had 4 colonoscopies and two upper EGD's over the past three years since my disease became active again. You'll probably tolerate both procedures pretty well. They aren't harrowing or extremely painful or too uncomfortable. Bring something to read for the follow-through. These tests are pretty reliable and should shed some light on your condition or conditions.

Good luck, and don't obsess or worry. You should do fine. The barium will give you diarrhea for the rest of the day, and your poop will become white. That's probably the worst of it.
thanks for your posts. do you go to Cleveland clinic joe? i think if i lived closer to the cleveland area i would be going there. i am closer to columbus.

Regular Joe

Senior Member
Yes Jen. I have a GI at the main campus of the Cleveland Clinic. But I also have another GI at University Hospitals. Why?

I would never want to either have an emergency or undergo surgery at the Cleveland Clinic. They have great doctors, but their after-care is frightful. The last time I was visiting a friend there, I noticed how unsanitary it was.

I've had a number of surgeries, but they were done at University Hospitals (not Crohn's related). I don't think I've ever met a finer bunch of surgeons. And the after-care at UH is outstanding.
i have just heard that cleveland clinic it so good but have never been there before. just incase i have to ever go there for something and my gastro in columbus is not helping me out. i will keep in mind university also sounds like they might have a better hospital there.
Following the barium test you must be proactive in scrubbing and flushing your toilet! The barium will come out in your poop and it's not water soluble (which is why it makes a good testing material) so will form a solid mass unless you make efforts to loosen and flush it. Conventional cleaners will not work.