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What Does This X-ray Report Indicate?

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Posted on Wed, 9 Nov 2016
Question: I had an X-ray which revealed a calcified mass measuring 3x2.5 cm. Located in right lower pelvis.
I had a follow up cat scan where mass is unvisual stated be fecolith.
I have a host of digestive issues/abdominal spasms cramps. Have I found the problem? Can it be fixed and what does it mean?
doctor
Answered by Dr. T Chandrakant (59 minutes later)
Brief Answer:
Please give details and post actual reports.

Detailed Answer:
Hi.
Thanks for your query.
To recapitulate: Female/40 - host of digestive issues - abdominal spasms and cramps - X-ray showed calcified mass 3X2.5 cm - right lower pelvis - follow-up CT scan shows this to be a fecolith -
Wants to know:
Have I found the problem? > Probably yes, as fecoliths of this size can cause spasms and cramps, intestines tries to push the fecolith distally.

Can it be fixed? > Certainly yes, but depends whether this is in small intestine or colon. Colonic fecoliths can usually be cleared by saline and soap enema in a traditional way. Further treatment depends upon many factors,like whether the symptoms are attributable to fecolith alone or something else.

what does it mean? > Fecoliths+ liths means stones; when a well formed stool gets organized as an inseparable ball, it is called fecolith. but are not seen as calcified mass.
Hence the most important is the CT scan as it can show the relationship of the calcified mass far better than an X-ray.
The X-ray you have provided dose show the calcified mass, but it is not possible to say about the exact location.

Please give additional information:
Post the report and images of the CT scan.
Please specify the detailed history about the abdominal symptoms:
like since when are the problems?
What are the exact symptoms? Any bloating, nausea, vomiting, constipation, mucus or blood in stool and so on...


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. T Chandrakant (12 hours later)
My symptoms change from extreme crampimg and diarehhea to constipation, mucas, and bloating. Pain with bowel movements increases when i have many in a day.
doctor
Answered by Dr. T Chandrakant (2 hours later)
Brief Answer:
As discussed in details below.

Detailed Answer:
Thanks for the feedback. The CT scan shows that the fecolith is not present hence passed out.
Noted that your symptoms changed from extreme cramping and diarrhea to constipation, mucus and bloating.
This indicates that you still have changes of colitis and needs the following:
Tests of the stool.
Evacuation of large bowel by Saline/water and soap enema preferably if the facilities are available or fleet enema.
Laxative to clear bowel.
Changes in diet: Identify the foods and beverages that cause constipation and stop them altogether.
Course of an antibiotic, metronidazole if the investigations warrant for.
If still no relief, you need an opinion of a Gastroenterologist and colonoscopy for further clarification and plan of treatment accordingly.

I hope this answer helps you.


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. T Chandrakant (14 minutes later)
I just dont understand how i could pass something that large and calcified without awful pain. Or without realizing it.
doctor
Answered by Dr. T Chandrakant (22 minutes later)
Brief Answer:
Great thing to happen.

Detailed Answer:
The best part is that is has been passed out and to think positive is most important.
Note: For further inquiries on surgery procedure and its risks or complications book an appointment now

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. T Chandrakant

General Surgeon

Practicing since :1984

Answered : 19777 Questions

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What Does This X-ray Report Indicate?

Brief Answer: Please give details and post actual reports. Detailed Answer: Hi. Thanks for your query. To recapitulate: Female/40 - host of digestive issues - abdominal spasms and cramps - X-ray showed calcified mass 3X2.5 cm - right lower pelvis - follow-up CT scan shows this to be a fecolith - Wants to know: Have I found the problem? > Probably yes, as fecoliths of this size can cause spasms and cramps, intestines tries to push the fecolith distally. Can it be fixed? > Certainly yes, but depends whether this is in small intestine or colon. Colonic fecoliths can usually be cleared by saline and soap enema in a traditional way. Further treatment depends upon many factors,like whether the symptoms are attributable to fecolith alone or something else. what does it mean? > Fecoliths+ liths means stones; when a well formed stool gets organized as an inseparable ball, it is called fecolith. but are not seen as calcified mass. Hence the most important is the CT scan as it can show the relationship of the calcified mass far better than an X-ray. The X-ray you have provided dose show the calcified mass, but it is not possible to say about the exact location. Please give additional information: Post the report and images of the CT scan. Please specify the detailed history about the abdominal symptoms: like since when are the problems? What are the exact symptoms? Any bloating, nausea, vomiting, constipation, mucus or blood in stool and so on...