How to Diagnose Chronic Gastroenteritis

Chronic gastroenteritis often causes persistent discomfort in the abdominal and lower abdominal areas. To accurately diagnose this condition, several key medical evaluations are typically recommended.

1. Stool Analysis – A standard stool test is usually the first step. This helps detect the presence of red blood cells, white blood cells, or occult (hidden) blood. In some cases, doctors may also suggest a stool culture or smear test to identify any bacterial infections or abnormal microorganisms in the digestive tract.

2. Colonoscopy for Detailed Examination – One of the most effective ways to assess the health of the intestinal lining is through a colonoscopy. This procedure allows doctors to visually inspect the inside of the bowel for signs of inflammation, ulcers, or other abnormalities. It also enables them to take biopsies if necessary, which can be crucial for confirming chronic inflammation or ruling out other conditions like inflammatory bowel disease (IBD).

3. Imaging Tests for Comprehensive Evaluation – If there's suspicion of structural issues within or outside the intestinal wall, imaging studies such as a CT scan of the lower abdomen or pelvis may be ordered. These scans help visualize organs surrounding the gastrointestinal tract and can detect complications like abscesses, tumors, or thickening of the intestinal walls. Additionally, depending on individual symptoms such as poor digestion or malabsorption, further specialized tests might be needed.

In summary, the basic diagnostic approach for chronic gastroenteritis should start with a stool examination. For a more in-depth assessment, a colonoscopy is highly recommended. Combining these tests provides a comprehensive view of the patient's gastrointestinal health and supports accurate diagnosis and treatment planning.