Does the pillcam rule out crohns?

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Hi all,

If ive had a colonoscopy and its been clear, blood tests-clear and i get a pillcam and that comes back clear...do i definitely not have crohns?? My symptoms are so severe and debilitating.

Thanks
 
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Ive always thought that the colonoscopy can rule out crohns. if that comes back clear and all those other tests, I'm not sure there's anything else that can find it....but I'm not an expert
 
im sorry for your struggles.you have done pretty good tests, some others exists, but it seems you have done the best I believe. You have probably been told about Irritable bowel syndrome right? I knew of a girl who had that condition, and a very severe case. Every morning she would eat, she'd run to the bathroom in explosive D with cramps. What are your symptoms? have you ever tried a FODMAP diet? Fodmap diet was designed to help IBS. I'd give it a try in the meantime of finding an answer and see if that could help your symptoms. good luck.
 
Ye the doctor has always said it was IBS but it's recently I've developed worse symptoms. I have D quite frequently, bad abdominal pain, nausea and, sorry tmi, mucus. The thing is going to the loo doesn't even really relieve my issues which is meant to happen in IBS. I've twice been to A&e with suspected appendicitis but was never diagnosed, apparently I've got loose fluid in my pelvis. I've also got gastritis.
What is even more depressing is I'm already on the fodmap diet, it hasn't made a difference. I'm at a loss.
Thanks for your responses.
 
Ye the doctor has always said it was IBS but it's recently I've developed worse symptoms. I have D quite frequently, bad abdominal pain, nausea and, sorry tmi, mucus. The thing is going to the loo doesn't even really relieve my issues which is meant to happen in IBS. I've twice been to A&e with suspected appendicitis but was never diagnosed, apparently I've got loose fluid in my pelvis. I've also got gastritis.
What is even more depressing is I'm already on the fodmap diet, it hasn't made a difference. I'm at a loss.
Thanks for your responses.
 
Ive always thought that the colonoscopy can rule out crohns. if that comes back clear and all those other tests, I'm not sure there's anything else that can find it....but I'm not an expert

A colonoscopy can't rule out Crohn's, as it only looks at the colon, and Crohn's can occur anywhere in the digestive tract. You'd also need at least an upper endoscopy, which looks at the oesophagus, stomach and first part of the small intestine. That still leaves the rest of the small intestine, which can all be seen with a pill cam. Whether Crohn's can be missed by a pill cam, I wouldn't say that's impossible but to me it seems unlikely that you can have all three tests come back negative yet still have Crohn's.

Megan - IBS symptoms do not have to be relieved by a bowel movement. IBS is a very vague diagnosis. Don't give up if the pill cam is clear though. If it is, I think it's unlikely you have Crohn's, but that does not mean you have IBS. Not all digestive symptoms are caused by conditions which can be seen with scopes. There are other organs involved in digestion; digestion can be affected by the nervous system; by rheumatological conditions and so on.

Many people google digestive symptoms and assume they must have Crohn's or IBS because those are the most common causes and so they monopolise the search results. As I said on your other thread, reality is much more complicated than that. Similarly, there are many more diets than FODMAP, many more treatments, etc. You need to find good doctors to help you narrow all this down. I would concentrate on finding good doctors, and maybe also play around with diet, but don't worry if you haven't yet found one that helps, and don't stress over the prospect of negative tests. There is something wrong with you, no matter what the scopes say; negative test results just mean the cause has not yet been found and good doctors will understand that.
 
Thank you. You are all really much more comforting and helpful than any of the doctors I've even seen (and the list is quite extensive)...I suppose because they can't relate at all. My pillcam is on the 3rd of next month so I suppose I will be a bit more informed then, I think if it's clear I'm just going to go privately to a specialist who might be able to help me a bit more
 

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