Old Timer – The Crohn’s Saga Part 21

Old Timer, The Crohn's Saga, Hoot Deconstructed, Crohn's Disease, Crohns, Small Bowel MRI

I was diagnosed with Crohn’s when I was 11, so I’ve been at this for a long time. I think a lot of people in my situation will relate to this. You sit in the waiting room and an older person comes in and talks to you like you’re a kid. Then, their mind is blown when they discover you have a ton more experience at this than they do. They usually don’t like that. It seems to happen every time I have a colonoscopy, small bowel MRI, or even blood work. It’s not my fault that what’s new for you is old hat for me.

Now, for the curious:

What is a Small Bowel MRI?

As I mention in my page About Crohn’s Disease, a small bowel MRI is a pretty standard test used to diagnose Crohn’s Disease and to measure the severity of a flare. Basically, you drink a contrast liquid (barium I think), get into an MRI machine, and then technicians take images of your digestion for an hour or so.

How do I prep for a Small Bowel MRI?

In terms of tests for Crohn’s, this one really isn’t too bad. You fast for 6-12 hours ahead of time, so try to schedule in the morning if you can. Once you arrive, you’ll be asked to disrobe, then drink 3 containers of the contrast. It tastes kind of like seawater. Unpleasant but manageable.

What happens in the test?

After you drink the prep, you’ll be guided to an MRI machine. This is basically a giant magnetized tube. They may insert an IV, then you’ll lie down and be moved into the tube. You have to try to be as still as possible. It is very loud and confined, so those with claustrophobia are sometimes drugged. You’ll lie there while the table moves back and forth, and you’ll occasionally need to hold you breath so they can get a good image. That’s pretty much it. Pro tip – try to find a hospital that will pipe in music.  Mine provides headphones and Pandora. It helps keep me calm and prevents me from getting too bored.