Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

189 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

What does the following abdominal and pelvic ultrasound report indicate?

Answered by
Dr.
Dr. Ramesh Kumar

Gastroenterologist

Practicing since :1986

Answered : 2183 Questions

default
Posted on Fri, 28 Apr 2017 in Digestion and Bowels
Question: Hi. I am a 59 year old women. Never had a colonoscopy. Scared. But I have had a few CT with contrast. Abdominal/pelvic. They said I have some Diverticulitis but no polyps or tumors from colon. Can I feel comfortable with that for now? I check for blood in my stool all the time. Negative every time. I can't do the prep. My gag reflex is terrible. Someone told me their is pills. What can you tell me? I do have hemorrhoids. Sometimes the stool is normal and at the very end can get a bit narrow. I think that's the Hemorroids.
doctor
Answered by Dr. Ramesh Kumar 3 hours later
Brief Answer:
CT scan is highly sensitive.

Detailed Answer:
Hi,
Thanks for choosing HealthcareMagic for your query.

As per your query answers are-

CT scan with contrast is a gold standard test to rule out possibilities of diverticulitis. It indicates inflamed or infected pouches and confirms the diagnosis of diverticulitis. CT can also indicate the severity of diverticulitis and guide treatment.

Any polyp, benign or malignant growth will also be apparent in CT scan. So I don't feel there is any need to do a colonoscopy as CT is also a very sensitive test.

Your gag reflex can be due to reflux esophagitis in which contents of stomach regurgitates back into the esophagus causing inflammation of esophageal mucosa.

I would suggest you to start using Nexium(Esomeprazole) 40 mg twice daily which can be increased to 80 mg twice daily dosage. However, if not relieved it can be combined with a prokinetic drug like Levosulpiride.

In trials combination of Esomeprazole with Levosulpiride has proved to be very effective in controlling Reflux esophagitis.

Latest trials have shown the effectiveness of Acotiamide 30 mg taken thrice daily for 3 months in treatment of functional dyspepsia.

You can discuss all options with your Gastroenterologist.

In case you are suspecting Hemorrhoids, I would suggest you go for digital rectal examination by your physician. proctoscopy and Digital rectal examination are the best way to rule out possibility of hemorrhoids.

Hope I answered your query.
In case you need any other professional advice, I would be glad to help.

Regards.


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
default
Follow up: Dr. Ramesh Kumar 23 minutes later
Your right I have acid reflux. I could not swallow that salt water. If I ever have one, do they have pills for prep? I'm glad that you said the CT scan sees a lot. Especially after the amount of contrast I drank. I do have Diverticulitis. Sugar free things are bad for me. What's your opinion on the new COLOGUARD for screening with your DNA?
I have had the rectal exam. I have 2 degree hemorrhoids. I'm on hydrocortisone rectal cream.
doctor
Answered by Dr. Ramesh Kumar 11 minutes later
Brief Answer:
Follow up answer.

Detailed Answer:
Hi again,

Cologuard is a screening test and not a diagnostic test while colonoscopy and CT scans are diagnostic tests but yes it is an easy and non-invasive method to screen colon malignancies.

A positive result means the test detected altered DNA that could be caused by cancer or precancer in the colon or rectum. Any positive result should be followed by a diagnostic colonoscopy.

No, for the preparation of colonoscopy you have to drink polyethylene glycol electrolyte solution only. Pills are not available.

In case you need any other advice please feel free to ask.

Thanks.


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,  
Drug/Medication ,   ,  
Medical Procedures ,  
Lab Tests

Recent questions on  Reflux esophagitis

doctor1 MD

Hi I have frequent urination including through the night 3-4 times a night I have bloated stomach look 5months pregnant, nausea , heartburn with acid reflux at night making me gasp for breath and generally feeling awful I have seen a dr and so far have had full blood tests and triple swabs and all have come back normal and I had a abdominal and pelvic ultrasound sound scan which I am awaiting results from the radiography made a point of saying my ovarys are fine no cysts etc but wouldn t comment on the abdominal scan and I noticed he spent ages 5mins above scanning my right side over my rib area but much quicker everywhere else do you think he saw something also I noticed one of the scan pictures had lots of red and blue on it but just on one picture

doctor1 MD

about 2 weeks ago, I fell down, lost concoiusness (so I m told) for 30 or so seconds. Was taken to ER and 3 stitches later came home. Have never been one to have headaches , but have been getting them quite frequently as of late. Last evening I started getting massive cold sweats, nausea , dizziness , and quite irritable. This morning I threw up about 1/2 cup or so. of some really thick, very gross stuff. I also have noticed today shortness of breath and that the pain I m in chest I m also feeling in my back........Now the twist is, I get a lot of intergestion . I have severe GERD . The 5 swallows of muscles in throat don t work......on the scale of 0 to 100 %......My 1st is at 30% the other 4 alll work at 0%, great........I take 2 Nexiums and a ratadine at night. Plus the head of my bed is raised 6 inches. I also chew Rolaids somtimes for quick relief. Acidity in stomach and throat was either 57 or 67% both in a laying positions during the night and standing during day.

doctor1 MD

I woke up this morning with a black coating on my tongue . I had diarrhea the night before and took pepto bismol to help relieve the diarrhea. I have acid reflux and at one time I had ulcers on the back of my tongue which caused a small amount of brown when scraping my tongue, but nothing like this dark coating that covers my entire tongue that I am scraping dark substance from the back of my tongue.

doctor1 MD

Ive had my symptoms for more than 24 hours. It feels like I have a large piece of food stuck in my esophegous and over last few hours this had became increasingly painful to the extent of unbearable. It s like indigestion but much much worse. I m on medication for heartburn which I take every day, ranitidine , for acid reflux , (it is NOT rhe same symptoms) I have taken several doses of this medication over 24 hours but it s not helped at all. I m convinced something is stuck. My stomach is bloated so much to extent it feels like its going to burst. Please help!!!! Should I go to ER?

doctor1 MD

I have had trouble swallowing food. My doctor put me on Prilosec and it was better for a month. I am still taking the medication but by the end of the day I have problems swallowing food or drink. throat is irritated.

doctor1 MD

Horrific as this is I need to ask a question. My son was sexually abused very young by his father, He was forced to swallow my x-huband's semen many times until he was 5 when I was made aware of this. I don't know the full details except what's in...