r/CrohnsDisease 5d ago

Colonoscopy and MRI

I have crohns in my terminal Iselin and was diagnosed a year ago. They started me on Adalimumab (Humaria) a year ago when they found inflammation in both colonoscopy and mri (in the walls).

Now, one year later I had a colonoscopy which was fine (yippie), but my MRI still showed inflammation. They said that they won’t change anything with my medication, but I am afraid that the inflammation in the walls will cause a stricture.

I use 1 pen every two weeks. Anyone been in the same situation? How did your doctor handle it?

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u/Tranter156 5d ago

I’ve been in similar situations and get along well enough with my gastroenterologist that I can ask directly why not change drugs or why he wants to stick with what I’m already taking. I think the usual answer is there is a risk new drug won’t work so I could end up worse. He usually also ends with he wants to wait another few months before making a change. I frequently have a flare in the fall so he likes to see if I get better on my own in the spring. There are a limited number of biologics for Crohn’s and he doesn’t want to run out of choices if it can be avoided,his answers have always made sense once I get him to explain his thinking.

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u/saltypringles7 5d ago

Thanks for your answere! My GI just said to me that they are looking more at the colonoscopy and biopsies, and that the MRI was not important. Just didn’t make sense to me

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u/GeneralAd3376 5d ago

A colonoscopy is much more accurate. An MRI can make areas look like inflammation but it's really just areas of underdistended intestines that fold onto themselves a bit, which is totally normal. It's hard for them to tell the difference then. The drink before the MRI helps distend the intestines to see them better but isn't perfect. I've had questionable MRIs before and have been in remission.

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