The Patient Experience: Tips and Tricks for your next MRE with IBD

Everybody copes and has their own unique tips and tricks for undergoing an MRE. I received more than 100 messages with recommendations, there was some overlap and similar advice—but I know our community could benefit from this information and find comfort in it. One of the most challenging aspects of undergoing medical scans and procedures is the mental health aspect—the wait, the wondering. Oftentimes these results do not go in our way and may indicate we are in a serious flare or need surgery. So, while the actual process of drinking contrast and dealing with claustrophobia can be intense, the challenges are often amplified by the dread of finding out the story behind our symptoms. Understand you are not alone in that. I try and just prepare myself for the worst, while hoping for the best. Nobody wants “bad” news, but once you go through the scan and have a better idea of what is going on and then you can go after the flare and get to feeling better.

Here’s the link to Part 1 of “Everything You Need to Know Before an MRE with IBD” in case you missed it.

Advice from the community to ease the MRE experience

“Whether it’s laying there saying prayers (like the Rosary) or focusing on doing something (like walking through Sun salutations or walking through doing something you love to do) that has helped me.”

 “As a pediatric patient, my mom was allowed into the MRE room, and she held my foot (the only thing she could reach). Just feeling she was physically there helps my anxiety a lot. Ask for goggles that let you watch a movie are gamechangers because you can’t see anything but the movie, even if you tried!”

 “I close my eyes and pretend that I’m lying on a beach and listening to country music. I feel comfortable knowing I can see my feet at the other end, and they can communicate with me. Honestly, I close my eyes and sing my heart out!”

 “I listen to the loud banging noises and try to find melodies or patterns. Then, I repeat them back in my head and by the time I’ve done it a few times I’m in a meditative state or the test is over.”

 “I try to look up/behind me if I start to feel claustrophobic and you can see outside! I also find it almost relaxing to count the loud clips and beeps. It gets your mind distracted.”

“Picture yourself someone you like; use deep breathing to help soothe your vagus nerve.”

“I know it’s not ideal, but if you are extremely overwhelmed you can always get the test under general anesthesia.”

“I focus on my breathing and imagine I’m in my favorite place.”

“Eye mask with no metal clasps and ear plugs (or music) helps to reduce the sensory overload for me.”

“Before you get in the tube, ask for a towel. Put it over your eyes and do not take it off until they let you out.”

“Deep breaths. Visualize you’re in your favorite place and ask for music. Ask your GI if moving forward Intestinal Ultrasound can replace getting an MRE.”

“I’m normally able to tilt my head up to see out the end of the tube. It helps me so much!”

“Breathing exercises can help.”

“Ask if there is a bariatric imaging machine so you have more room.”

“Slow deep breathing helps me prepare for it and calm down.”

“I close my eyes and envision being on a bench or somewhere hard but with open space for me.”

“Gadolinium has a high allergic reaction. Even if you have not had it before. Communicate with your care team and ask about taking Benadryl.”

“Meditation and Guided Imagery.”

“I take deep breaths and remind myself I am going to be ok. It was quicker than I had expected.”

“Take extra Xanax! I take it for flying and always need more than I think.”

“If they let you pick the music, pick it! Having my music really helps me.”

“See if an Open MRI is available. Otherwise, a big dose of benzos.”

“I’ve been Twilight sedated before, it’s the only way to go!”

“I took Zofran. I also wear MRI safe clothes, so I don’t have to change. I make sure there’s no metal in my bra.”

“Focus on breathing. Close your eyes before being rolled in. Think of something like planning a party or a holiday.”

“I hate it. Hate it. Hate it. Someone told me just don’t open your eyes and it worked.”

“I take Ativan and do breathing exercises.”

“Always ask for a towel or wash cloth to cover your eyes.”

“Keep your eyes closed the whole time. Do not peek. And ask for your favorite music to play.”

“I keep my mind focused on other topics and talk to God.”

“Take anxiety meds! If I have to do this again, I will take something.”

“Let your care team know before you enter the room that you’re claustrophobic.”

“Say Affirmations or imagine being on a vacation on a sunny beach. Anything to divert your mind.”

“Last time my nurse gave me an orange smelling strip that helped so much.”

“I close my eyes and pray or sing songs I like the most in my mind.”

“Slow breathing and counting (in for 4 seconds and out for 4 seconds) or listening to music while in the tube.”

“I always have a Life Saver candy between the contrast drinks.”

“I asked them to bring me back far enough so I could tip my head back and see the ceiling.”

“My sister needs to take 3 anxiety pills for the MRE.”

“Try to find your happy place and go to that in the tube.”

“Have all the good and happy plans run through your mind and ponder them. Daydreams! Mantras!”

“I write stories in my head—like manifestations.”

“Think of a beach on a sunny day.”

“Make lists in your head.”

“Definitely have anxiety meds on hand.”

“Bring a personal blanket. This always helps me.”

“Bring ear plugs in case they don’t have some for you.”

“Use a wedge pillow for your legs (ask for it).”

“Visualize the best vacation, start to finish. Try to remember every detail. Distract your mind!”

“Ask for a heated blanket, it can be chilly in there.”

“When your mind wanders, count. Count breaths in (5) and out (5) and focus on the numbers.”

“Some MRI machines offer a mirror, almost like a periscope. It shows you the outside!”

“Fast paced work out music helps me.”

“I ask before we start that they give me a time update every 15 minutes.”

“It makes me less anxious when I hear the weird and terrible sounds the machine makes if I have NSYNC playing. Have them play music you like that’s also light and funny. (As in 90’s boy bands!)

“My office gives lavender stickers to help calm you to place on the robe. It helped me!”

“I’m SO claustrophobic but I always self-talk “I’m a mother and set the example for my kids.”

“Tell the tech you are nervous. Ask them to check in with you more than they usually would.”

“Remember you can squirm out of the bottom if you need to. Knowing that makes me feel less trapped.”

“Lavender essential oil.”

“I took half a Xanax and enjoyed every second…haha.”

“Take the meds and extra, if possible. I’ve taken up to 4-5 mg of Ativan!”

“They let you choose your radio station or podcast, which can help.”

“I’ve listened to the Hamilton soundtrack. I struggle more with getting the contrast down.”

“Meditation! I always do it before, during, and after.”

“Prepare a playlist or an audiobook and ask if the tech can play it over the speaker.”

“I pray the entire time, so I don’t panic.”

“Try not to investigate too much about the details, it may worry you too much.”

“It’s easier to go in feet first, I don’t know why…but it is.”

“Use the help/panic button and take a break midway through if needed.”

“Be prepared to hold your breath a lot—the tech will guide you.”

“Request a helmet with a mirror. It’ll help you see out of the tube.”

“Try and see how many song lyrics you can remember.”

“Tell them you are nervous. They are more understanding and will talk you through it more.”

“Make sure you give the anxiety meds at least 30 minutes to work their magic.”

“The pills help tremendously, but I also bring an eye mask.”

“Thank you for doing this article, I’ve canceled my MRE twice now out of fear.”

Additional MRE resources

MRE Test for Crohn’s: Purpose, Procedure, and Risks (healthline.com)

The Role of Magnetic Resonance Enterography in Crohn’s Disease: A Review of Recent Literature – PMC (nih.gov)

How is IBD Diagnosed? | Crohn’s & Colitis Foundation (crohnscolitisfoundation.org)

MRE (MR Enterography) Imaging for Crohn’s Disease (healthcentral.com)MR Enterography in Ulcerative Colitis: Beyond Endoscopy | RadioGraphics (rsna.org)

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