Question 1

Narrow stools, 4 ct over three years,  sigmoidoscopy normal, diverticulosis seen on ct  scan. chance of colon cancer?? currently pregnant

Accepted Answer

Narrow stools are not necessarily a sign of colon cancer and nay be seen with scarring of the colon from prior episodes of diverticulitis. A negative sigmoidoscopy is reassuring in making cancer unlikely but a gastroenterologist is best qualified to evaluate and advise you.

Question 2

A ct scan found that i have moderate diverticulosis in the sigmoid colon. what does this mean?

Accepted Answer

Most adults over 50, and definitely 60 in a developed country have diverticulosis. Basically this is when a small hole in the muscular layer of the large intestine allows the inner lining to protrude or herniate, forming a little sac with a narrow neck, similar in shape to a small balloon. Usually these are no problem, but may become inflamed or rupture. Stick with plenty of fluids and high fiber.

Question 3

One part of my ct scan report says "diverticulosis without ct evidence of acute intraabdominal or pelvic process".  is there any need for worry?

Accepted Answer

Is benign and represents small outpouchings of the colonic wall usually in the last part of the colon. When these sometimes get infected they produce diverticulitis. However, you may never have symptoms from diverticulosis or diverticulitis. The rest of the report sounds reassuring as well.

Question 4

Had a ct scan( no contrast) that showed mild diverticulosis. however, had colonoscopy and doctor said no divertocula seen at all! which is right?

Accepted Answer

Colonoscopy results are dependent on how clean your colon is and how good the doctor is.  Sometimes when the colon is not clean the request is to repeat the test. Your CT demonstrated the diverticulosis that was not seen during the time of the colonoscopy.

Question 5

Can diverticulosis and diverticulitis be seen on ct scan without ivcontrast( cannot tolerate any contrasts ). also can 3t mri detect diverticula/litis?

Accepted Answer

The newer CT scanners have the "resolution" to detect tiny abnormalities! You have to have that scan in such a facility!  The MRI  3T is more sensitive but costly. Discuss with your treating physician. BTW is there a reason that you cannot have a colonoscopy??THAT'S the "way to go!"

Hope this is helpful
Dr Z

Question 6

Could this be adhesions and what can be done to stop the pain? painful 2 year old incision after colectomy.  ct scan and upper and lower gi show no problems besides diverticulosis.

Accepted Answer

Open abdominal surgery often results in adhesions.  That is the body's way of healing is by creating scar.  The vast majority of patients do not have chronic abdominal pain despite having major abdominal surgery.  It remains unclear why a small group of patients have pain while others don't when virtually all patients develop adhesions.

Therefore, it is not commonly felt that adhesions themselves cause pain.  Adhesions may result in diseases such as bowel obstructions that can cause intermittent pain, bloating, distension, nausea, vomiting, and decreased stool production.

A large randomized trial has been performed looking at surgery to cut the adhesions and found that patients did not do any better than just watchful waiting.  The operation itself can risk bowel injury and other problems as well.  Also, once those adhesions are cut away, they can reform again, so it is unclear what the benefit is of doing so.

Some patients have found remedy in alternative treatments such as masage therapy or accupuncture, although we have no good scientific evidence this works.

The best thing is to consult your physicians and enlist their assistance to try to determine the etiology of your pain.

Question 7

Can diverticulosis ( not itis) be mistaken for colon cancer on ct scan? pcp says no. no referal for other tests.

Accepted Answer

Cancer will typically produce a growth which has obvious size and dimensions. Diverticulosis does not produce a mass or lump unless it is inflamed and infected in which case it would be called(as you said) diverticulitis.

Question 8

Had l.lower.q ache on/off for 2 weeks - us showed poss mass. now want ct scan.colonos 2 yrs ago w/diverticulosis.scared.cancer?divert?hernia?(female)

Accepted Answer

Its normal to be scared when an ultasound shows a possible mass and further imaging is needed. It is important to get the ct in order to help the doctor to  make a diagnosis. Often times the ct scan shows there is no finding  to support the ultrasound findings. But it is important to get the study. No sense in speculating the possibilities  get the studies and follow up with your doctor.

Question 9

I have diverticulosis in the sigmoid colon, and atranal gastritis , i also have severe constant right upper quadrant pain but ct scan showed nothing?

Accepted Answer

Your rt quadrant pain may be from antral gastritis and should respond to the treatment for gastritis.

Question 10

Colonoscopy for blood/mucus in stool showed diverticulosis.retroperitaneal lymph node 2.1 cm. peripancreatic l. node 1.3 cm on ct scan.from colo dx?

Accepted Answer

Lymph nodes are normally present throughout your body.  A colonoscopy would not cause a lymph node to simply appear.  Diverticulitis can stimulate lymph nodes in the region.

Diverticulosis ct scan

Narrow stools, 4 ct over three years, sigmoidoscopy normal, diverticulosis seen on ct scan. chance of colon cancer?? currently pregnant

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A ct scan found that i have moderate diverticulosis in the sigmoid colon. what does this mean?

One part of my ct scan report says "diverticulosis without ct evidence of acute intraabdominal or pelvic process". is there any need for worry?

Had a ct scan( no contrast) that showed mild diverticulosis. however, had colonoscopy and doctor said no divertocula seen at all! which is right?

Can diverticulosis and diverticulitis be seen on ct scan without ivcontrast( cannot tolerate any contrasts ). also can 3t mri detect diverticula/litis?

Could this be adhesions and what can be done to stop the pain? painful 2 year old incision after colectomy. ct scan and upper and lower gi show no problems besides diverticulosis.

Can diverticulosis ( not itis) be mistaken for colon cancer on ct scan? pcp says no. no referal for other tests.

Had l.lower.q ache on/off for 2 weeks - us showed poss mass. now want ct scan.colonos 2 yrs ago w/diverticulosis.scared.cancer?divert?hernia?(female)

I have diverticulosis in the sigmoid colon, and atranal gastritis , i also have severe constant right upper quadrant pain but ct scan showed nothing?

Colonoscopy for blood/mucus in stool showed diverticulosis.retroperitaneal lymph node 2.1 cm. peripancreatic l. node 1.3 cm on ct scan.from colo dx?

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