When is a good time to get a DEXA scan?

Polls relevant to Microscopic Colitis, and related issues, can be posted here, to allow for the collection of data that might help to shed some light on this disease, and it's treatment options.

Moderators: Rosie, Jean, CAMary, moremuscle, JFR, Dee, xet, Peggy, Matthew, Gabes-Apg, grannyh, Gloria, Mars, starfire, Polly, Joefnh

Have you ever had a DEXA scan?

Yes
18
58%
No
13
42%
 
Total votes: 31

desertrat
Gentoo Penguin
Gentoo Penguin
Posts: 323
Joined: Fri Nov 11, 2011 11:28 am
Location: Chandler, AZ

When is a good time to get a DEXA scan?

Post by desertrat »

How many here have had a DEXA scan? I haven't seen much talk about it, yet everyone seems to have MC joint/bone issues. Is there an age time to get one?

Mandy
User avatar
Gabes-Apg
Emperor Penguin
Emperor Penguin
Posts: 8332
Joined: Mon Dec 21, 2009 3:12 pm
Location: Hunter Valley NSW Australia

Post by Gabes-Apg »

Based on the discussion on this forum, i had a DEXA scan 4 mths post Dx.

Due to my age at the time (40) and the published 'accepted' guidelines for diagnosing MC (patients are over the age of 55 OR chronic symptoms for 3 years) the scan costs was not covered by government medical or private medical.
I was happy to invest in having the scan as a sort of baseline (it cost me about $140)
I had only had chronic symptoms for about 3 months before Dx, and mild symptoms coming and going for about 2 years before Dx so compromised nutritional function had not been too bad.
Gabes Ryan

"Anything that contradicts experience and logic should be abandoned"
Dalai Lama
User avatar
Gloria
King Penguin
King Penguin
Posts: 4767
Joined: Sat Jul 07, 2007 8:19 am
Location: Illinois

Post by Gloria »

The recommended age for a DEXA scan is 65. I had my first one when I was 53, and the scan showed that I had osteopenia in my lumber spine and my hip scan was normal. By age 66, both my lumbar spine and my hip are osteoporotic.

The BMD is compared to that of a young adult, so most in their 60's will have osteopenia or osteoporosis.

Further explanation of the DEXA scan can be found here: http://courses.washington.edu/bonephys/opbmd.html

Gloria
You never know what you can do until you have to do it.
Denise
Adélie Penguin
Adélie Penguin
Posts: 102
Joined: Sun Sep 18, 2011 3:13 pm
Location: Boston

Post by Denise »

Only because I insisted on the scan due to family history and LC. I am 49 and my mother and grandmother (grandmother broke her hip at 89 and passed at 91) both have osteoporosis and I now am diagnosed with osteopenia. As I posted I broke 5 ribs getting out of the shower and the ER said the perfect hit. I hit the top of the tub right underneath my breast when I slipped no bruising etc. When I was screaming my husband and son thought it was my stomach. I slept on a chair straight up for 3 weeks and the pain was unbearable for about 10 days but could not go to bed until 21 days.
Denise
Lucy
Rockhopper Penguin
Rockhopper Penguin
Posts: 1399
Joined: Wed May 25, 2005 9:31 pm

Post by Lucy »

I think anyone with autoimmune issues, particularly anything to do with the gut, should talk to their physician about getting a baseline or a recheck of their bone density right away.

Due to my osteoporosis, I am checked every year.

Same goes for checking levels of vitamins...especially B-12 and Vit D.
maestraz
Gentoo Penguin
Gentoo Penguin
Posts: 459
Joined: Sun Feb 27, 2011 4:08 pm
Location: CT

Post by maestraz »

I had my first bone density test around age 50 and what do you know? Osteopenia, -2.2. GYN put me right on Fosamax. How convenient that somebody had invented a device that will tell you, well, you don't have osteoporosis YET, but you MIGHT get it, so better take those drugs, and now the vast majority of women my age (I'm 60) that I know do that.

I had a dental hygienist give me a heads up that I might want to re-think it, as they were seeing jaw problems in people who took it. Months later, when I had the flare that led to my LC diagnosis, my right jaw virtually locked up. After diagnosis, I quit Fosamax, and the jaw problem quickly disappeared and has not re-occurred. I had a stable bone density test in the last year, and my docs are good with keeping me off it as long as my tests show stability. My PCP has suggested that if I edge closer to osteoporosis, I might want to consider one of the infusion drugs, which are different. I'm wary, and have pushed that issue way down on my list of things to think about.

Additionally, there was a post a few days ago about Fosamax and esophageal issues. You may want to read it.

I appreciate that people are concerned, and a case like Gloria's certainly indicates the need
for vigilance. But after my Fosamax experience, I would urge people to discuss options
thoroughly with their docs. But also, give some thought to the value of weight bearing
exercise, and changes to the calcium/vitamin D regimen.
Suze
User avatar
Gloria
King Penguin
King Penguin
Posts: 4767
Joined: Sat Jul 07, 2007 8:19 am
Location: Illinois

Post by Gloria »

I recently read that the recommendation for the baseline DEXA scan is age 50, not 65 as I posted above. Perhaps there isn't a consensus yet.

Gloria
You never know what you can do until you have to do it.
Sheila
Rockhopper Penguin
Rockhopper Penguin
Posts: 1150
Joined: Wed May 18, 2011 5:10 am
Location: Palm Beach Gardens, Fl

Post by Sheila »

I think I had my first scan when I was about 60. I'm small boned and apparently small boned women are more likely to get osteoporosis. Fortunately, there were no problems. I had one other scan before being diagnosed with CC and that one was also okay. It probably would be a good idea to have another one now. I believe there is a hereditary factor involved and I know my mother didn't have a significant loss of bone well into her 90's and she was diagnosed with CC when she was about 80. She did a fair bit of falling down and never broke anything but her nose and she was carrying a cocktail glass that time. :roll:

Sheila W
To get something you never had, you have to do something you never did.

A person who never made a mistake never tried something new. Einstein
User avatar
Lesley
King Penguin
King Penguin
Posts: 2920
Joined: Sat Sep 03, 2011 11:13 pm
Contact:

Post by Lesley »

I had my first scan in 2005 after I had been on prednisone for 6 solid months. I was dix'd with osteopenia. Never took anything for it, and I am glad.
I haven't had one for a while now. It's probably about time.
iceburg
Little Blue Penguin
Little Blue Penguin
Posts: 39
Joined: Wed Jun 08, 2011 12:59 pm

dexa

Post by iceburg »

I am 37, I knew something was wrong due to my teeth were becoming brittle and questioned the dentist and followed up with my doctor. Due to what they say was malnutrition, from being undiagnosed with cc and being on steroids for over a year, I was sent for a dexa scan, and I do have osteopenia in the lumbar area. They told me to take calcium with d and magnesium.
If you want to change the world, you must start at home.
User avatar
MaggieRedwings
King Penguin
King Penguin
Posts: 3865
Joined: Tue May 31, 2005 3:16 am
Location: SE Pennsylvania

Post by MaggieRedwings »

I had my first at 61 and it came up clean.

Maggie
Maggie Scarpone
___________________
Resident Birder - I live to bird and enjoy life!
User avatar
Christine.
Gentoo Penguin
Gentoo Penguin
Posts: 260
Joined: Mon Feb 20, 2012 1:15 pm

Post by Christine. »

I had one a year or so ago. I have the bones of a 30 year old. I'm not surprised since my mom had great bones into her 90s. I am small boned and fair complexioned
Christine
CNewman
Posts: 19
Joined: Thu Mar 08, 2012 3:53 pm

Post by CNewman »

Considering my recent CC diagnosis, my bad back and knees, and my dad,yes dad, having osteoperosis, I will not wait much longer. I am 32.
desertrat
Gentoo Penguin
Gentoo Penguin
Posts: 323
Joined: Fri Nov 11, 2011 11:28 am
Location: Chandler, AZ

Post by desertrat »

Well, I just got the results from my DEXA scan. The results came back normal. My BMD in my spine was 1.591g/cm2. Is this considered mediocre normal, good normal, or great normal?

Mandy
User avatar
Martha
Rockhopper Penguin
Rockhopper Penguin
Posts: 1109
Joined: Fri Oct 08, 2010 11:07 am
Location: Dallas, Texas

Post by Martha »

I had my first scan at age 50, just as a baseline. Imagine my consternation when they told me I already had osteoporosis! The doctor put me on Fosamax, which I obediently took for 5 years. By then I had read enough scientific-sounding things (not just stories of people who got a stomachache the first time they took it) to scare me off. I'm sorry that I took it so long. My second scan a year later showed some improvement, the next scan the next year was the same as the second.

I have all the conditions that predispose me to osteoporosis--I'm small-boned, of Scandinavian descent, and under 125 pounds.

Once I quit Fosamax in 2008, I upped my vitamin D and weight-bearing exercise. I haven't had another scan since then, mostly because I'm not going to take any medicine for it, so what's the point of knowing the numbers? Is there a point? Or something diet-wise that I should do to help?

Martha
Martha
Post Reply

Return to “Polls Related to Microscopic Colitis and Treatment Options”