Symptoms do not correlate with
the severity of Crohn's disease
A relatively symptom-free patient, who had hoped to be prescribed a lower dosage of medication, was found through capsule endoscopic evaluation of his small bowel to actually require a much stronger medication due to the severity of his disease.
When a 26-year-old male went to the doctor for diarrhea and abdominal cramps, he had no significant past medical history. He was referred for a colonoscopy, which helped diagnose him with Crohn's disease and he went home with a prescription for mesalamine.
One year later, he was referred to his gastroenterologist for continued treatment. When he arrived, he was symptom-free other than some mild fatigue. Because he had no apparent symptoms, he thought it would be a good idea to decrease his dosage of mesalamine.
Before decreasing his dose, his doctor decided to perform a small bowel capsule endoscopy. The small bowel camera showed moderately severe ulceration, edema, and other abnormalities. He decided with his doctors to switch to a much stronger medication.