Can crohns be diagnosed without a colonoscopy?

hi there, was wondering if it's possible to be diagnosed with crohns without a colonoscopy?

over the last 6 years I've had random episodes of diarrhoea with no apparent reason. sometimes it's one episode in a day then I'm fine. other times it goes on for a few days then goes away. However once or twice a year it gets really bad and I will continually have diarrhoea for at least a month. in my worst episode 4 years ago I had diarrhoea for 4 months. currently I am in a bad episode that has lasted almost 2 months and has got progressively worse over the last 3 weeks. the pain is excruciating at times, the only pain relief that helps is cocodamol. I'm taking buscopan at max dose and 20mg amytryptaline a day (which is doing nothing).

I was referred for a colonoscopy back in 2016 but they couldn't do it as my splenic flexure was too tight for the camera to go round. after the procedure my digestive system shut down, I couldn't keep anything in and I ended up in a&e as they thought my intestine might be perforated. so naturally I'm not that keen for another one, especially as they probably won't be able to get the camera round this time either.

sometimes my calprotectin level comes back high, other times ok. I'm at the end of my tether and don't know what to do.

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