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Doctor insights on: Barium Enema Changes At The L4 L5 Level

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Neuro dxme with 2 herniated/collapsed disc, L4 & l5, says need 2 level fusion. Back, nerve pain & numbness change b/w mod 2 severe. Chance of perm dam?

Neuro dxme with 2 herniated/collapsed disc, L4 & l5, says need 2 level fusion. Back, nerve pain & numbness change b/w mod 2 severe. Chance of perm dam?

Yes: There certainly is a possibility of failure of relieve the pain and numbness if you leave the problems untreated. Have you tried anything other than talking to a surgeon. Before I have a 3 level fusion i would try physical therapy and injections from a pain specialist. ...Read more

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Barium (Definition)

Barium is a chemical element with symbol ba and atomic number 56. It is the fifth element in group 2, a soft silvery metallic alkaline earth metal. Because of its high chemical reactivity barium is never found in nature as a free element. Its hydroxide was known in pre-modern history as baryta; this substance does not occur as a mineral, but can be prepared ...Read more


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Lumbar lordotic curvature is reduced. Loss of T2WI hyperintensity is seen at L4-5 & L5-S1 disc levels suggestive of desiccative disc change. ?

Lumbar lordotic curvature is reduced. Loss of T2WI hyperintensity is seen at L4-5 & L5-S1 disc levels suggestive of desiccative disc change. ?

Degenerative disc: As we age we do develop gradual degenerative disc disease, a "wear and tear", and not unique to see desiccation or drying out of disc structure, which can shrink. This is NOT an indication for either surgery or injections, and best handled by good nutrition, sleep, and exercise. If you have low back pain, a physical therapy program can benefit. ...Read more

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Impressions: 1) broad based central disc protusion at l4-l5 level. 2) mild degeneration changes in cervical and lower lumbar spine.

Impressions: 1) broad based central disc protusion at l4-l5 level.  2) mild degeneration changes in cervical and lower lumbar spine.

Not unusual: What you have listed under the impressions seems to be a report from an MRI scan or ct scan of the spine. In a 26 year old, these are not unusual findings. The disc bulge refers to an outpouching of the l4-5 disc. It is not frankly ruptured or herniated. This goes along with the degenerative changes you mention, which are often referred to also as arthritic changes of the spine. ...Read more

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X-ray revealed facet athropathy L3 l4, L5 s1, thoracic ddd changes at multiple levels. I feel electric shocks all day. Whats next steps I should take?

X-ray revealed facet athropathy L3 l4, L5 s1, thoracic ddd changes at multiple levels. I feel electric shocks all day. Whats next steps I should take?

Spinal stenosis: Having thoracic ddd, is normal when you're older than 30. The severity can very. Spinal stenosis can give you a sense of electric shocks, but sometimes the cervical spine can be responsible for this. Please have yourself evaluated by a good orthopedic spine surgeon, and get a good diagnosis. Lower extremity radiating pain can be due to the imaging studies you described. Good luck! ...Read more

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Had lumbar MRI for acute butt pain. Says " loss of disc height seen at the l4/5 and l5/s1 levels. Degenerative changes of the sacroiliac joints.

Had lumbar MRI for acute butt pain. Says " loss of disc height seen at the l4/5 and l5/s1 levels.  Degenerative changes of the sacroiliac joints.

Coccydinia: Degenerating discs in the lumbar spine lose elasticity and cushioning which can lead to tail bone pain. Cortisone injections (caudal block) along with physical therapy and bracing can help reduce the pain. See a neurosurgeon to identify the source of the pain. ...Read more

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How long does barium enema take?

How long does barium enema take?

Check out: Radiologyinfo.Org for discussion about barium enema. May still need other tests such as endoscopy or ct scan of abdomen / pelvis depending on your symptoms. ...Read more

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How much do barium enema testing cost?

How much do barium enema testing cost?

Cost varies : There are usually 2 charges for any x-ray test a technical charge and a physician charge. Make sure you ask for the physician fee information as well as the hospital or x-ray center charge when you check costs. Costs vary greatly at different hospitals so you may want to comparison shop if you have no insurance. Also adk if there is a cash discount and/or assistance based on income. ...Read more

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I had a barium enema last week. What does this mean?

I had a barium enema last week. What does this mean?

A barium enema: Is a procedure performed in radiology under fluoroscopy. The radiologist fills the colon with barium and sometimes with air to look for polyps, masses, diverticular disease, and areas of narrowing. ...Read more

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What will I feel or experience during the barium enema procedure?

Pain, bloating: For braium enemas, expect to feel some abd cramping or discomfort . Bloating may also occur. A lot depends on the extent of evaluation. ...Read more

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Are you required to make any special preparations before barium enema?

Are you required to make any special preparations before barium enema?

Be: You need to have a clean colon. Usually have GoLytely (polyethylene glycol) the evening before tomake sure there is no stool that can mask any abnormalities on the colon wall. ...Read more

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What is the difference between a barium enema and a barium meal?

Route: A barium meal is for coating the esophagus, stomach, and small bowel and taken orally. A barium enema is for coating the colon and instilled rectally. ...Read more

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What is the difference between a barium enema and a sigmoidoscopy?

Imaging vs looking: A Barium Enema is performed by a radiologist by flowing contrast solution into the colon and then taking x-rays of the abdomen after the lining of the intestine has been coated. Sigmoidoscopy is performed by a gastroenterologist who uses a flexible scope and camera to look directly into the colon at the intestinal lining. ...Read more

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What is the difference between a colonoscopy and a barium enema X-ray?

What is the difference between a colonoscopy and a barium enema X-ray?

Imaging vs looking: A Barium Enema is performed by a radiologist by flowing contrast solution into the colon and then taking x-rays of the abdomen after the lining of the intestine has been coated. Sigmoidoscopy or colonoscopy is performed by a gastroenterologist who uses a flexible scope and camera to look directly into the colon at the intestinal lining. ...Read more

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What is the difference between a barium enema and a virtual colonoscopy?

What is the difference between a barium enema and a virtual colonoscopy?

CT colonoscopy: is a CT scan with specific technical parameters. There is a bowel prep to clear out the colon, and a tube is placed into the rectum to fill the colon with air. A barium enema uses x-ray/fluoroscopy instead of CT. With a rectal tube, the colon is filled with barium and air, and the patient placed in different positions for viewing. Barium enema has been largely replaced by colonoscopy. ...Read more

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What is the difference between a virtual colonoscopy and a barium enema?

What is the difference between a virtual colonoscopy and a barium enema?

CT colonoscopy: is a CT scan with specific technical parameters. There is a bowel prep to clear out the colon, and a tube is placed into the rectum to fill the colon with air. A barium enema uses x-ray/fluoroscopy instead of CT. With a rectal tube, the colon is filled with barium and air, and the patient placed in different positions for viewing. Barium enema has been largely replaced by colonoscopy. ...Read more

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I am having a barium enema done and they told me to use a water enema. I have saline. Is this ok to use?

I am having a barium enema done and they told me to use a water enema. I have  saline. Is this ok to use?

Saline is good...: Not too many people stock saline at home, but if you have it at home, it is ok to use with your enema. Saline is basically water +salt+chloride in concentration slightly higher than your plasma (blood fluid without the red/white cells). It is probably a safer enema to use then water, but the difference is likely not significant. Good luck with your procedure. ...Read more

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What does "distal decending colon remaining on barium enema" mean in regards to the results from a barium enema test?

Non Sequitur: Isolated phrase taken out of context is uninterpretable. They may be addressing residual Barium contrast remaining in descending colon on post evacuation film, which is of no clinical significance ...Read more

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My last barium enema test was somewhat tramautic, painful. Can I insist on a colonoskpy at this county hosp. Instead?

My last barium enema test was somewhat tramautic, painful.  Can I insist on a colonoskpy at this county hosp. Instead?

Colon screening: Many health insurance plans include a benefit for screening colonoscopy; check with your insurer. Colonoscopy has advantages over barium enema, mainly in your case, that you are sedated and able to sleep through the test without significant discomfort. Colonoscopy can also allow the removal of precancerous lesions and identify flat or depressed spots that may be problem. ...Read more

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When you get a barium enema, how long or round is piece that is inserted into rectum? I am nervous about the whole procedure!

When you get a barium enema, how long or round  is piece that is inserted into rectum? I am nervous about the whole procedure!

Not Big: I've been the inserter and the insertee. The tip is about as thick as an index finger with a mild area of widening about an inch from the end of the tip. A small balloon may be inflated after the tip is inserted (with lots of lubricant). The balloon helps you keep the enema from leaking out. Only a few inches of the tip will get inserted. Try not to get too worked up. The prep is a bigger deal. ...Read more

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Enema (Definition)

An enema is the introduction of liquid into the rectum to evacuate the bowels[ principly the colon/ large ...Read more


Dr. Brad Goldenberg
95 doctors shared insights

Barium Enema (Definition)

Barium enema is a special x-ray of the large intestine, which includes the colon and rectum. Feel ...Read more