Doctor insights on:
Cecal Mass Colonoscopy
Gastro recommended CT and colonscopy for mild abdominal pain/gas. 23 yrs old. If CT scan shows nothing, is colonoscopy necessary? No bloody stools
Options available: CT scan of the abdomen may be indicated but not for mild pain alone. If the symptoms are progressive and there is concern for Cancer (unlikely in your age group), then only I would consider doing a CT. Similarly Colonoscopy is not indicated because of pain alone. If there is bowel irregularity or blood in stool Colonoscopy is reasonable to do. In your case I would watch /monitor for 4-6 weeks, then ...Read more
Colonoscopy showed extrinsic compression in the cecum not visible on cat scan result said mass effect in cecum from feces?
If there: Was a mass next to the cecum causing extrinsic mass effect on the colonoscopy, the CT should be able to show it easily. If there was no mass identified on the CT, there is probably nothing to worry about, but make sure the radiologist knows about the colonoscopy findings so special attention can be paid to that area. It sounds like the mass effect may be due to feces in an adjacent bowel loop? ...Read more
Had colonoscopy two days ago with biopsy of mass protruding from appendix thru cecum. I have pain. Level 5 should I go to er?
Yes, yes: And tell them all of the above, best to go to the er where your colonoscopy and endoscopist are. Be sure to have them notify the gi/colorectal doctor if you already have not called them. Perforation of the cecum is a strong possibility. Also stay npo until evaluated. Do not eat or drink anything and do not take aspirin/nsaids. ...Read more
My mother just had a colonoscopy & diagnosed with a malignant cecal mass. Surgery scheduled in 1 week. How serious is this?
Does "lesion near cecum " found from colonscopy suggest appendix protruding mass? Having CT scan. GI doc says it's most likely benign.
R.O malignancy: A number of different lesions develop within the bowel including the region of the cecum in close proximity to the appendix. When lesion "non defined" seen both on colonoscopy and by CT scan, a histologic dx needed. Lesion may range from adenoma, to malignant polyp to adenocarcinoma to GIST to carcinoid and probably requires resection even if AP based, Bowel lesions rarely left untreated. ...Read more
It depends: If the lesion appears large and involved within deeper layers, it will likely need to be removed surgically. If it is more confined and polyp-like, it will probably be removed during colonoscopy. as we can't determine if it is cancerous until we remove it and have a pathologist look at it. ...Read more
If I had a normal colonoscopy 17 months ago but now have a mass, what are the chances that the mass is cancerous?
It really depends: If one does have a history of prior cancer, or inflammatory bowel disease or familial adenomatous polyposis or a strong family history of cancer - the mass has a higher chance of being cancerous. Always assume any new mass is cancerous and seek medical attention promptly. ...Read more
I had a routine colonoscopy done yesterday all the results said normal mucosa in all areas but it said I have an extrinsic compression at cecum what?
Ask your doctor to e: Your doctor should explain it to you. It implies that there may be a growth? Tumor in this area which is compressing the cecum. If you have any local symptoms like pain or swelling in the right lower abdomen, you may need a CT scan to look for any extrinsic mass in this area. ...Read more
I have marked thickening of 1side of cecum. Rad. Recommended colonoscopy to exclude malignancy, PC disagrees what should I do?
Get a GI opinion: See a gastroenterologist and make sure that you take the films with you. Gastroenterologist should be able to tell you whether it needs to be further pursued. I would not wait long to get this done. Put it on your to do soon list. Best wishes to you. ...Read more
What are the odds that after having a clear colonoscopy 17 months ago, a mass I have now is cancer?
What is the probability that after having a clear colonoscopy 17 months ago, a mass I have now is cancer?
8mm hyperplastic polyp in cecum. Why wasn't it removed during colonoscopy? 3mm polyp removed in another spot.
Can't answer: That but you endoscopist should be able to. Ask! ...Read more
Is Crohn's disease hard to diagnose? Colonoscopy EGD are norm beside minor inflamed cecum and ileum. Dr wants to do capsule test. So many tests!
Some times it can be: Most crohns affect the terminal ileum as well as the cecum. However as crohns can affect any part of the gi tract, a capsule endoscopy is helpful to find other lesions. My preference is to do a ct or MRI enterography, especially in an untreated crohns patient who I suspect may have tight areas (strictures). Hope this helps! ...Read more
Epigastric mass, pain, and spasms where fundus is located chronic nasea. Used suprep, and symptoms worse. Colonoscopy scheduled. Need opinion
I'm 36 and had a 5mm sessile adenoma removed from my cecum. How often should I get a colonoscopy now and is this adenoma of high risk for cancer?
It is some thing you should discuss with your GI doctor. In general getting a repeat colonoscopy in 5 years is safe. You may consult this site for more information on this topic:
http://www. Cancer. Org/cancer/colonandrectumcancer/moreinformation/colonandrectumcancerearlydetection/colorectal-cancer-early-detection-acs-recommendations ...Read more
I have lynch syndrome and have a colonoscopy every year, I am 47 y/o. I had 4 polyps removed today and 1 was 5mm. Is it possible that it could be cancerous, and I have a prominent fold in my cecum, what does that mean could it be cancer? It was biopsied as
Anatomy discreption: An anatomical description no it does not mean cancer, result of biposy is the answer, lynch syn is heriditory nonolyposis colorectal cancer (hnpcc) will not see true polyps vs familial adenomatous polyposis (fap) where you see true polyps. Good luck for biopsy report. ...Read more
Will a colonoscopy detect anal cancer/mass as well colon cancer? Is the digital exam done before the colonoscopy is performed?
Had colonoscopy & pillcam - no view of cecum on either. No dx. Lots of mucus in stool (occasionally only mucus), pain, early satiety, etc. What now?
Mucus: You could try an old fashioned barium enema to view the Cecum if it wasn't adequately viewed on colonoscopy. Your symptoms suggest irritable bowel syndrome with mucus colitis. Have you been tested for gluten intolerance or sensitivity? Have you tried the fodmap diet? Discuss these with your gastroenterologist or get a second opinion. ...Read more
Sigmoid mass palpable every morning. The physician told me no need to make a colonoscopy cause I am young and this mass could be stool. Is that right?
How do: You know the mass is related to the sigmoid? There are other potential causes of intraabdominal masses....a sigmoid mass would have to be very large to be palpated. If further work up is warranted, a CT scan may be the next imaging step. Whatever your age, a palpable mass needs to be evaluated. ...Read more
Colonoscopy, normal mucosa. Localized granularity and petechiae were noted in the ileo-cecal valve and appendiceal orifice. Is this something serious?
May be start to Chrohn's disease.
Needs to be followed ...Read more
I had a colonoscopy and the results said I Have ileitis characterized by apthaous ulcers and mild inflammation and erythematosus mucosa in the cecum?
Ct shows large appendix. Blood tests negative for inflammation and infection. Can colonoscopy determine/see cause of pain in cecum/appendix area?
Sometimes large: Size is not the only criteria for appendicitis, Changes in mesentery and wall thickness. Another method of assessing appendix is ultrasound. If appendix localized inflammation in form of hyperemia is usually noted. Colonoscopy would not be method for assessment. Surgeons usually do not act with laparoscopy and surgery unless have some evidence clinically, blood tests, or imaging for appendiciitis ...Read more
I am having incomplete emptying of bowels, straining, thin dark stool, palpable mass in lrq how do I get a colonoscopy w/o pcp? For approx 1 year I have been having increasingly thin dark stools with a feeling of needing to defecate. More recently increas
Unless: Your insurance requires a referreal to a specialist you can call any gastroenteerologist or colorectal surgeon and get scheduled for a colonosocpy sooner rather than later. The change in your bowels and the mass are not good signs and need to be diagnosed very soon so as to give you the most options on management and the best prognosis. ...Read more
Colonoscopy showed a cecal ulcer. What is a cecal ulcer, and can it be caused by long term NSAID use (like a gastric ulcer)?
Yes: Cecal ulcer is ulcer in the cecum of your colon, where the small intestine and appendix attach. NSAIDs are the most common cause of isolated ulcer in this location, and agree ur meds naproxen, motrin and asa are likely culprits. It's not a local effect, so you can also form ulcers elsewhere including stomach while on these medications. Key is rehab/therapy for ur back. Happy to consult further. ...Read more
Had a colonoscopy done doctor found rectal mass 2to 3 CM from anal verge is it normal for him to request a CT scan for this?
Can neuroendocrine tumors occur outside of the colon in setting of CT & Octreotide scan showing in cecum but colonoscopy shows nothing in this area?
Tumors and HTN: 40 F asks: Can neuroendocrine tumors occur outside of the colon in setting of CT & Octreotide scan showing in cecum but colonoscopy shows nothing in this area? ANS: Yes but these diseases are very rare and variable recommend you see a team that specializes it in your area one of the best is in Houston at the big cancer center. ...Read more
Can the cecum be seen during a colonoscopy? Or is it through a sigmoidoscopy? Can cancer of the cecum be detected through radiology tests like ct/mri?
Yes-No-Maybe: Colonoscopy evaluates the entire large intestine, from cecum to rectum. Flexible sigmoidoscopy only goes as far as the left side of the colon, nowhere near the cecum. Routine ct scanning may identify a (large) cecal tumor but is much less sensitive than a colonoscopy; ct colonography is almost as sensitive as a colonoscopy, but is less desirable than colonoscopy since a biopsy cannot be done. ...Read more
Had ulcerative colitis for 15 yrs (confirmed by sigmoid and biopsies). Just had 1st colonoscopy, shows granular, loss of vascular pattern and minor ulcers in ascending colon, cecum, sigmoid and colon. Is this UC or chrons?
Ulcerative colitis: All of the biopsies from colonoscopy showed inflammatory changes consistent with ulcerative colitis. The later is part of the spectrum of IBD but involves only the mucosal layer of the bowel. Chrons disease is a form of IBD that involves all layers of the bowel and can be recognized on scans of the bowel or deeper layers of bowel on bx. ...Read more
Have ulcerative colitis in sigmoid and ascending colon/cecum (just confirmed by colonoscopy). Will enema treat this (allergic to NSAIDs)?
Consider allergy ref: Thanks for your question. Depending on the NSAID allergy, sometimes it can be desensitized through introduction of small amounts initially, then gradual increase in dose under supervision by an allergy specialist. However, would discuss the side effects/risks/benefits with a specialist. ...Read more
Compression of cecum found on colonoscopy, ultrasound w/ cyst L ovary, abdomen CT clear. Any other tests to take? Thoughts on cause of compression?
Not unless symptoms: If you aren't having symptoms from your "diagnosis" (compression of the cecum) then chances are that the finding is benign. It could have been from the ovarian cyst. (Once you reach menopause, ovarian cysts are rare & should be followed but at your age, understandable). It could have been from scarring. In any case, absent blood or constipation, it's not causing any harm and scans are neg. So relx ...Read more