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capsule cam endoscopy preliminary screening alternatives ?

Messages
28
I need to have the capsule cam, endoscopy done but the GI specialist
keeps wanting me to ingest things i'm allergic to or are toxic to me.
The first was CT w/ barium contrast after telling him i can't ingest barium he then wanted me to take a Patency capsule that dissolves. Luckily i've learned to investigate everything as it not only releases barium but also lactose! He was told I was borne intolerant. Now he wants me to take OMNIPAQUE 300
which is another thing I can not take after reading their warnings.

Is there a nontoxic screening I can do for the preliminary because they won't do the capsule cam unless i get screened for impingements first and for good reason.
 

valentinelynx

Senior Member
Messages
1,310
Location
Tucson
While there is no generally accepted oral contrast alternatives to barium or iodine-based contrasts, I found this intriguing article in which the researchers found a good results using milk as an oral contrast agent. Now, I note that you are lactose intolerant. I wonder if you your GI doc would be willing to try something new (note the publication is from 1999!) and try using lactose-free whole milk?

Here's the article (from June, 1999, Radiology, Vol. 211, issue 3):
Abdominal Helical CT: Milk as a Low-Attenuation Oral Contrast Agent

I had the pill-cam study done — found I had NSAID enteropathy. My small bowel was full of ulcers and partial strictures. I did not have the contrast study with small bowel follow-through before the study. Fortunately, none of my strictures were small enough to impede passage of the pill-cam (it's pretty small - small enough to swallow).

Good luck!