HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

I Need These Results Explained To Me.

default
Posted on Mon, 4 Jan 2021
Question: I need these results explained to me.
default
Follow up: Dr. Zubayer Alam (1 minute later)
Here is results
FLUORO UPPER GI - SMALL BOWEL FOLLOW THRU - DetailsPrinter friendly page--New window will open
About this test

Details
Study Result
Impression
1. Scout image of the abdomen demonstrates fecal stasis/retention, consistent with the patient's history of constipation.

2. Gastroesophageal reflux to the level of the midesophagus. Mucosal thickening/prominence at the mid-distal esophagus likely sequela of reflux/esophagitis. Suggestion of a small hiatal hernia.

3. Colon visualized by 3 hours 45 minutes postingestion.

4. Paucity of small bowel loops at the right lower quadrant, which may be further assessed with CT scan. Otherwise jejunum/ileum demonstrates grossly normal caliber/contour/mucosal pattern.

Electronically Signed By: XXXXXXX Doumanian, MD on 12/11/2020 2:34 PM CST

Narrative
History: Severe constipation/bloating.

Technique: Fluoroscopic upper GI and small bowel follow-through study was performed. Approximately 55 seconds fluoroscopy time was utilized. Radiation dose was 67.60 mGy.

Comparison: None at this institution.

Findings:

Scout image of the abdomen demonstrates fecal stasis/retention, consistent with the patient's history of constipation. Levoconvex scoliosis of the lower thoracic/lumbar spine.

Following the ingestion of air/barium contrast multiple images were obtained.

There is transit of contrast through the esophagus. Esophagus demonstrates grossly normal contour. Gastroesophageal reflux to the level of the midesophagus. Mucosal thickening/prominence at the mid-distal esophagus likely sequela of reflux/esophagitis. Suggestion of a small hiatal hernia.

Stomach demonstrates grossly normal shape and contour. Gastric mucosal pattern grossly unremarkable. No gastric outlet obstruction.

Duodenum demonstrates grossly normal caliber/contour/mucosal pattern.

Colon visualized by 3 hours 45 minutes postingestion.

Paucity of small bowel loops at the right lower quadrant. Otherwise jejunum/ileum demonstrates grossly normal caliber/contour/mucosal pattern.
doctor
Answered by Dr. Zubayer Alam (1 hour later)
Brief Answer:
Acid reflux with hiatus hernia with may be small bowel obstruction

Detailed Answer:
Hi,

According to your investigation reports, you may be suffer from GERD with hiatus hernia with most probably small bowel obstruction.

Regards,
Dr. Zubayer Alam, General & Family Physician,
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
default
Follow up: Dr. Zubayer Alam (50 minutes later)
Is there a chance the obstruction could be cancer? Based on the results I presented
doctor
Answered by Dr. Zubayer Alam (1 hour later)
Brief Answer:
Without CT scan it is difficult to tell or predict.

Detailed Answer:
Hi,

According to your investigation reports, such type of radiological picture may be resulted from small bowel obstruction, bowel ischemia, congenital atresia, gastroenteritis, abdominal mass, ascites, pancreatitis, post surgery complications etc. Even, paucity of small bowel loops may be a normal finding in some adults.

So, it can be normal. Don't worry. You should undergo a CT Scan to exclude the causes. If you have no symptoms of fever, rapid weight loss, alternation of bowel habit or sweating, then it may be not cancer.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Zubayer Alam, General And Family Physician,
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
default
Follow up: Dr. Zubayer Alam (3 hours later)
I have been dealing with severe constipation for months now. This is why i got testing done. Since Oct 31 i have had 5 bowel movements with the help from lacatives. I feel so bloated and gassy but cannot pass any gas
default
Follow up: Dr. Zubayer Alam (1 minute later)
I have no fever but i always feel like im burning up
doctor
Answered by Dr. Zubayer Alam (7 hours later)
Brief Answer:
Dehydration, anxiety, stress or environment may cause feeling of burning up

Detailed Answer:
Hi,

You might feel burning up sensation but have no fever. Such type of sensation may result from environmental and lifestyle factors, medications, age, hormones, spicy foods, emotional factors like anxiety or stress, underlying physical conditions like dehydration, hyperthyroidism, anhidrosis, DM, pregnancy or menstrual cycle, menopause or perimenopause etc.

Drinking plenty of fluids, avoiding spicy foods and alcohol, adjusting of daily activities, staying in cool spaces, taking shower, proper sleep, wearing loose clothing, leading a stress and tension free life etc may help to cure your sensation of burning up.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Zubayer Alam, General And Family Physician,


Note: For further inquiries on surgery procedure and its risks or complications book an appointment now

Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
Answered by
Dr.
Dr. Zubayer Alam

General & Family Physician

Practicing since :2008

Answered : 1289 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
I Need These Results Explained To Me.

Here is results FLUORO UPPER GI - SMALL BOWEL FOLLOW THRU - DetailsPrinter friendly page--New window will open About this test Details Study Result Impression 1. Scout image of the abdomen demonstrates fecal stasis/retention, consistent with the patient's history of constipation. 2. Gastroesophageal reflux to the level of the midesophagus. Mucosal thickening/prominence at the mid-distal esophagus likely sequela of reflux/esophagitis. Suggestion of a small hiatal hernia. 3. Colon visualized by 3 hours 45 minutes postingestion. 4. Paucity of small bowel loops at the right lower quadrant, which may be further assessed with CT scan. Otherwise jejunum/ileum demonstrates grossly normal caliber/contour/mucosal pattern. Electronically Signed By: XXXXXXX Doumanian, MD on 12/11/2020 2:34 PM CST Narrative History: Severe constipation/bloating. Technique: Fluoroscopic upper GI and small bowel follow-through study was performed. Approximately 55 seconds fluoroscopy time was utilized. Radiation dose was 67.60 mGy. Comparison: None at this institution. Findings: Scout image of the abdomen demonstrates fecal stasis/retention, consistent with the patient's history of constipation. Levoconvex scoliosis of the lower thoracic/lumbar spine. Following the ingestion of air/barium contrast multiple images were obtained. There is transit of contrast through the esophagus. Esophagus demonstrates grossly normal contour. Gastroesophageal reflux to the level of the midesophagus. Mucosal thickening/prominence at the mid-distal esophagus likely sequela of reflux/esophagitis. Suggestion of a small hiatal hernia. Stomach demonstrates grossly normal shape and contour. Gastric mucosal pattern grossly unremarkable. No gastric outlet obstruction. Duodenum demonstrates grossly normal caliber/contour/mucosal pattern. Colon visualized by 3 hours 45 minutes postingestion. Paucity of small bowel loops at the right lower quadrant. Otherwise jejunum/ileum demonstrates grossly normal caliber/contour/mucosal pattern.