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The next step would likely be a capsule endoscopy, which is a pill that has a tiny camera in it. Your brother would swallow the camera, and it would work its way through his intestines taking hundreds of pictures. These would then be reviewed by his doctor. Capsule endoscopy is able to give us information about the small intestine, which is the portion of the intestines that cannot be directly examined by endoscopy (an instrument such as upper endoscope or colonoscope). Sometimes, a test called a bleeding scan may be ordered; this can give an idea of where an area of bleeding is occurring which can then guide further therapy.

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