Faecal calprotectin

[Catherine]

We have a order for faecal calprotectin. Trying to work out whether to use it.

Sarah started a new treatment plan 6 week ago. We increased aza to 200mg and added Mesalazine. Reason for plan change a increase in fc from 82 to 398.
Highest ever reading 610.

Is to soon to expect an improvement in fc?

If was to increase would mean the flare is increasing?:shifty-t:

Another side question, does one no why chocolate milk, nachos and fish &chips now make her sick.

She has no clear symptoms of a Crohn's flare.

 

[my little penguin]

Fecal takes a long time to go down
3-6 months.
However it can go up very quickly .
So if you are trying to prove the meds are working
You may want to wait
If you are trying to determine if her flare is getting worse
Sooner would be better.

As far as chocolate milk nachos all lactose in them
Lactose tends to aggravate things when there is active inflammation since the enzymes aren't there because of the inflammation.
Same with fish chips nachos
High fat /grease tends to aggravate as well when in a flare .

Again this can vary by person

Good luck

 

[DustyKat]

I agree wholeheartedly with what mlp has said Catherine.

What sort of an indicator is CRP for Sarah? If she is sensitive to that marker then I would use that as an interim guide.

I know what you are saying about no overt signs of a flare but now not tolerating certain foods, increased FC, your own observations…something isn’t adding up.

Thinking of you and hoping whatever it is it is soon nipped in the bud! :ghug:

Dusty. xxx

 

[kimmidwife]

I third what MLP said. It depends on the Info you are looking for at this time. I also think if certain foods are bothersome suddenly it could be a sign of a flare. It certainly can't hurt to check it now if you are worried.

 

[Sascot]

If she doesn't have classic symptoms of a flare then it might be worth doing. It would be good to know if things were getting worse instead of better

 

[Catherine]

I know her CRP was raised at dx but the referral letter for surgeon opinion when her fc was it highest says her inflammatory markers for both ESR and CRP were normal. The GI no longer tests either.