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What Does My CT Scan Report Indicate?

Posted on Mon, 16 Feb 2015

Question: I feel my stomach is full,after I have some food. I did a ct scan with contrast and the report was normal, but it showed thickening of the small and large intestinal mucosa, is it significant. Otherwise no abnormal findings.kindly give your expert opinion.

Answered by Dr. Nishad BN (52 minutes later)

Brief Answer:
Need more information.

Detailed Answer:
Hi

Thank you for asking Health care magic forum.

I have gone through your query. I need more information. Whether the thickening is focal or segmental or diffuse? What is the depth of thickening?. Also whether it symmetrical? If you send your whole CT report then it will be more helpful in analysing.

Also i need information about your present and past conditions. Do you had any history bowel disorders like inflammatory bowel disease or crohns disease. Are you having any weight loss? Or other bowel symptoms like diarrhoea or vomiting other than fullness? Any history of bowel disease in your family? Are you having any chronic disease like diabetes? Any extra intestinal symptoms like intermittent fever , arthritis or lymphadenopathy (lymph node enlargement) ?

Please send all these information so that i can analyse properly.
I am happy to help you.
Thanks.

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Nishad BN (1 hour later)

Dear sir, thank you for your reply. I'm 32 yrs old,male. The mucosal thickening was generalized in small and large intestine. I don't have any history of IBD in my family. The stool is soft,some times greasy, at times it has dark brown patches. It was not how it use to be 5 years back(hard).when I strain during defecation I get cramp in the right iliac region. I underwent appendicectomy in 1997.operative finding :inflammed appendix. I'm consuming alcohol for 10 years. I have burning sensation in the abdomen occasionaly. I have gained lot of weight. Now I have to travel reduce my weight also. I m also having gas trouble. Kindly give your valuable opinion.

Answered by Dr. Nishad BN (58 minutes later)

Brief Answer:
Most likely mucosal edema which can be due to Liver problems or IBD.

Detailed Answer:
Hi

Thank you for your follow up query.

As you having a regular mucosal thickening of small and bowel it can be from benign condition mostly. Most likely it is mucosal edema which can be due to Liver problems like alcoholic fatty liver or Inflammatory bowel disease (IBD).

As you having a 10 year history of alcohol intake , you should go for a liver function test and ultrasound examination of liver which will help to rule out liver problems.

If that is clear then inflammatory bowel disease or infectious conditions should be ruled out. A colonoscopy and biopsy might be required in such case.

A complete blood count should be done to rule out any haematological disorders also which can give such presentation rarely.

A consultation with a gasteroenterologist and regular follow is well appreciated.

Hope this may help you. Let me know if anything not clear.
Thanks.

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Nishad BN (39 minutes later)

Incase my investigationso,are normal. What should I do further.

Answered by Dr. Nishad BN (21 minutes later)

Brief Answer:
If investigations are fine then symptomatic therapy will benefit you.

Detailed Answer:
Hi

Thank you for your follow up query.

If all investigations are normal then symptomatic therapy will benefit you. In such case if you were my patient i would recommend prokinetics like itopride and proton pump inhibitors like rabeperazole.

Wishing you to get better soon.Let me know if anything not clear.
Thanks.

Above answer was peer-reviewed by : Dr. Raju A.T