If symptoms were okay, growth outstanding, vit. d "remarkable" then would you worry about an increasing SED and c-rp?
Just curious
Just curious
SED and c-rp?
- Thread starter Charleigh
- Start date
Help Support Crohn's Disease Forum:
- Joined
- Apr 15, 2012
- Messages
- 14,730
Yes
There is a reason they watch those numbers since Ibd can be silent while causing damage
Increasing trends in those numbers tends to mean there is on going damage which is typically verified with biopsies.
Once set if off numbers is one thing but increasing values means there is a fire smoldering and needs to be put out before it gets out of control .
There is a reason they watch those numbers since Ibd can be silent while causing damage
Increasing trends in those numbers tends to mean there is on going damage which is typically verified with biopsies.
Once set if off numbers is one thing but increasing values means there is a fire smoldering and needs to be put out before it gets out of control .
- Joined
- Apr 26, 2012
- Messages
- 6,338
A rising CRP or SED would concern me since it is an indicator of inflammation. But it is an indicator for inflammation anywhere in the body. So if there was a rising SED or Crp rate then I would opt for a Fecal Calprotectin Stool test to get a level of inflammation in the GI tract since chronic inflammation leads to permanent damage with or with out inward/outward symptoms.
Thanks ya'll. E's GI has never done a fecal calprotectin stool test (as far as I know)? What does that entail?
When symptoms were at their worst, E's SED was 35 and his C-rp was 34.6. He was diagnosed, we began SCD and he was doing great with a downward trend in both SED and crp, but his most recent levels were back up with his SED at 38 and his C-rp at 37.8??? The lab forgot to pull the CBC the doctor ordered so we don't have the results for that. Should I ask for a fecal calprotectin? Is this performed at a lab or in the office?
As always, thanks.
When symptoms were at their worst, E's SED was 35 and his C-rp was 34.6. He was diagnosed, we began SCD and he was doing great with a downward trend in both SED and crp, but his most recent levels were back up with his SED at 38 and his C-rp at 37.8??? The lab forgot to pull the CBC the doctor ordered so we don't have the results for that. Should I ask for a fecal calprotectin? Is this performed at a lab or in the office?
As always, thanks.
crohnsinct
Well-known member
- Joined
- Mar 10, 2012
- Messages
- 6,348
What Clash said. It wouldn't have me moving to code red but perhaps yellow and ordering a fecal calprotectin test. Has he been sick recently? Psoriasis? Injuries? I would see what the GI says about the increasing rates and talk to him/her about the fc test.
- Joined
- Apr 26, 2012
- Messages
- 6,338
Fecal Calprotectin is a stool test. You collect the stool and turn it in to the lab. It has to be sent off from there and it can take a week or two weeks to come back.
All studies done so far have shown that it is an accurate indicator for inflammation and it is only showing inflammation in the GI tract.
You have to consider that most GIs now consider full mucosal healing as the therapeutic goal since this would be deep, stable remission and wouldn't allow of low level inflammation causing permanent damage. In the past, the therapeutic goal was to alleviate symptoms.
All studies done so far have shown that it is an accurate indicator for inflammation and it is only showing inflammation in the GI tract.
You have to consider that most GIs now consider full mucosal healing as the therapeutic goal since this would be deep, stable remission and wouldn't allow of low level inflammation causing permanent damage. In the past, the therapeutic goal was to alleviate symptoms.
CarolinAlaska
Holding It Together
- Joined
- Jan 24, 2013
- Messages
- 2,525
If symptoms were okay, growth outstanding, vit. d "remarkable" then would you worry about an increasing SED and c-rp?
Just curious
Absolutely.
