Mild Crohn’s disease may not be effectively detected and diagnosed by colonoscopy alone; it can be determined by a combination of history and physical findings, as well as other intestinal imaging findings.
Crohn’s disease can involve skin, mucous membranes, joints, gastrointestinal tract and other tissues, and early gastroscopy may not be able to detect the typical cobblestone-like lesions, so the diagnosis of early mild pathology of the disease needs to be combined with a number of tests and medical history and symptoms.
In the early stage of the disease, there may be diarrhea, abdominal pain, and a feeling of heaviness, which may be accompanied by oral ulcers and erythema nodosum of the skin.
In addition, a barium meal, CT small bowel imaging, magnetic resonance small bowel imaging, capsule endoscopy, and abdominal ultrasound for intestinal imaging can be used as a supplement to colonoscopy when it is difficult, and can improve the detection rate of the disease. After the above imaging tests, it may be found as erythema of the intestinal mucosa, congestion, loss of vascular texture, and narrowing of the intestinal lumen.
If Crohn’s disease is suspected, prompt hospitalization is recommended.