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Hi guys, I just had an MRI (MR Enterography) yesterday and made a couple changes that were very successful.

1. Changed oral contrast from Breeza to Volumen. I had Breeza in the past but it contains sucralose which is bad for Crohn's, and a lot of sugar alcohols which cause cramping and diarrhea. Last time the diarrhea was very bad and even had an accident after! This time on Volumen I had no cramping, no diarrhea, and it tasted very similar - slightly sweet but light to medium thick texture. I think this should be the standard oral contrast agent. I can't believe they give Breeza to IBD patients - or anyone, really, without telling them of the possible side effects of ingesting 30g of sugar alcohols. I'm going to talk to my doctor about it.

2. I opted to NOT have IV gadolinium contrast. In the past I have done 3 MRI's with IV contrast. Gadolinium is a heavy metal that is chelated to make it pass through the body, but in reality not all of it is expelled and some deposits in the brain they are now just discovering (MD parents have confirmed and advised to steer clear). I've had unexplained disturbing electric shocks under the skin of my left knee and outside of my right hand, which after further investigation seems to be the defining side effect of gadolinium toxicity; hopefully this will go away in time but it has been almost 2 years since my last gadolinium exposure. There are much worse side effects than what I have. There are other contrasts being used off label (Feraheme iron) but the hospital I was at lacked a protocol for using it so did not want to use it on me in an experimental manner. The other benefit of skipping the IV contrast is that it shortens the procedure time. We'll have to see how the images turned out without contrast - the Radiologist I spoke with thought it would be worthwhile even without it.

I hope this helps!
 
My gastroenterologist wanted me to have an MRE. I decided against it due to reading about the contrast and the fact I’ve had so many MRI’s and MRE’s in the past. I elected to have a capsule endoscopy instead.
 
My gastroenterologist wanted me to have an MRE. I decided against it due to reading about the contrast and the fact I’ve had so many MRI’s and MRE’s in the past. I elected to have a capsule endoscopy instead.

Just decline the IV contrast and you should be good to go. Capsule endoscopy is “topical” and gives more limited results. I’ve also had double balloon enterscopy once too, but it’s quite a bit more invasive.

We got the MRE results back and it seems they got enough information without the gadolinium contrast to be a helpful diagnostic. My disease improved a bit!
 
Just decline the IV contrast and you should be good to go. Capsule endoscopy is “topical” and gives more limited results. I’ve also had double balloon enterscopy once too, but it’s quite a bit more invasive.

We got the MRE results back and it seems they got enough information without the gadolinium contrast to be a helpful diagnostic. My disease improved a bit!

Thanks for the information. And, I’m glad it’s improved. I’m definitely going to decline the IV contrast should they request another MRE. Hopefully, they’ll still do the MRE.

Thanks again, and best wishes on your Crohn’s journey.
 
Hi guys, I just had an MRI (MR Enterography) yesterday and made a couple changes that were very successful.

1. Changed oral contrast from Breeza to Volumen. I had Breeza in the past but it contains sucralose which is bad for Crohn's, and a lot of sugar alcohols which cause cramping and diarrhea. Last time the diarrhea was very bad and even had an accident after! This time on Volumen I had no cramping, no diarrhea, and it tasted very similar - slightly sweet but light to medium thick texture. I think this should be the standard oral contrast agent. I can't believe they give Breeza to IBD patients - or anyone, really, without telling them of the possible side effects of ingesting 30g of sugar alcohols. I'm going to talk to my doctor about it.

2. I opted to NOT have IV gadolinium contrast. In the past I have done 3 MRI's with IV contrast. Gadolinium is a heavy metal that is chelated to make it pass through the body, but in reality not all of it is expelled and some deposits in the brain they are now just discovering (MD parents have confirmed and advised to steer clear). I've had unexplained disturbing electric shocks under the skin of my left knee and outside of my right hand, which after further investigation seems to be the defining side effect of gadolinium toxicity; hopefully this will go away in time but it has been almost 2 years since my last gadolinium exposure. There are much worse side effects than what I have. There are other contrasts being used off label (Feraheme iron) but the hospital I was at lacked a protocol for using it so did not want to use it on me in an experimental manner. The other benefit of skipping the IV contrast is that it shortens the procedure time. We'll have to see how the images turned out without contrast - the Radiologist I spoke with thought it would be worthwhile even without it.

I hope this helps!

I share your concerns over gadolinium. Thanks for sharing.
 
https://www.sciencedirect.com/science/article/pii/S0378603X15000649Milk
My adult child is allergic to gadolinium so we asked to use milk
Gave them the papers but hospital refused since it wasn’t “their” protocol

What were the manifestations of the allergic reaction?

In your son’s case, Does your dr request mri without contrast? What are the doctor‘s comments about the usefulness of mri with vs. without contrast, especially in regards to screening for colorectal cancer?

Have you considered getting the test with a 3T machine, instead of 1.5T? That makes a difference.

Also:

1) read about DWI. It’s done without contrast.

https://link.springer.com/content/pdf/10.1007/s00117-023-01191-y.pdf
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5243884/pdf/261_2016_Article_863.pdf
https://pubmed.ncbi.nlm.nih.gov/27249184/
https://www.ajronline.org/doi/10.2214/AJR.15.15862

2): read about Contrast-enhanced ultrasound (ceus)
the contrast matter used in this screening procedure is completely different and safe.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3259412/
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4957465/
https://link.springer.com/article/10.1007/s11547-022-01535-z
If your son is allergic to GAD, and they still infuse that extremely toxic material into him by premeditating him first, that would make me very worried. Read the studies and articles about the gadolinium deposition in people with normal renal function, and the mechanism of action of how atomic GAD left in the body damages all tissue and organs.
 
MRIMRI & MRACME Articles
Jan 06, 2022



The Future of Magnetic Resonance Imaging Contrast Agents
By Minton LE, Pandit R, Willoughby WR, Porter KK

PorterCME_table01.jpg

This article is accredited for one SA-CME credit and is available at appliedradiology.org/SAM2.
Gadolinium (Gd)-based contrast agents (GBCAs) dominate the current contrast-enhanced magnetic resonance imaging (CE-MRI) market and are proven to increase the efficacy of diagnostic magnetic resonance (MR) scans.1 Adverse side effects of GBCAs are uncommon,2 and the reported GBCA-associated incidence of nephrogenic systemic fibrosis (NSF) has declined due to pre-MR patient screening and replacement of linear GBCAs with macrocyclic compounds.3 Recently, however, there has been concern about Gd de-chelation from GBCAs and possible effects of bioaccumulation in the central nervous system.4-7
The future of MR contrast may see a replacement of Gd with alternative metals, such as manganese (Mn) or iron-based agents. Metal-based paramagnetic contrast agents are limited by the intrinsic toxicity of many metal ions, their persistence in tissue, and their ability to provide only one type of contrast.8 This has led researchers to pursue contrast mechanisms that do not require metals. A promising example is chemical exchange dependent saturation transfer (CEST) MRI, which can generate clinically useful contrasts using diamagnetic molecules with exchangeable protons in amine, amide and hydroxyl groups.9-15
Recent work has also been done to improve the relaxivity and in vivo lifetime of metal-free, nitroxide-based contrast agents.16 Alternatively, the development of sequences, arrays of coils, k-space strategies, stochastic imaging, and machine learning-based image analysis procedures17 have provided numerous opportunities to improve image contrast in MRI.18 MRI sequences and post-processing techniques may be developed to replace or decrease the use of contrast agents (for example 4D MRI instead of MRA and CEST imaging) or hybrid technologies such as PET/MR may rely on radiotracers in lieu of MR contrast agents.19

https://appliedradiology.com/articles/the-future-of-magnetic-resonance-imaging-contrast-agents
 
He is allergic to it all
Gallulidium,iodine ,barium etc… in MRE and CTE
So only plain Jane ultrasounds for him since without any of the above MRE is just a regular mri and not useful

he is also allergic to lots of other things so they don’t try new stuff
 
If he ever gets a stricture in his intestines, for example, colonoscopy or capsule endoscopy can become very much useless.
 

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