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Doctor insights on: Colon Perforations

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Dr. Jan Lei Iwata
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Colon (Definition)

The colon is another term for the large intestine. This is the final portion of the digestive system, responsible for absorbing water and storing stool before evacuation. It is divided into sections described as cecum; ascending, transverse, descending and ...Read more


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Can CT scan clearly pin point the location of colon perforation and determine the size of the hole, using color contrast drink?

Can CT scan clearly pin point the location of colon perforation and determine the size of the hole, using color contrast drink?

Sometimes : If the perforation is large enough, and the oral contrast is in that loop of bowel, then yes. A very small hole may not be seen that way, but the ct will show air that has leaked out of the bowel, which can help the surgeons if an open repair is required. ...Read more

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Could a Colon Perforation be confused with a Anal Fissure? How can I tell the difference? Worried I might get Peritonitis if I have a perforation.

Could a Colon Perforation be confused with a Anal Fissure?  How can I tell the difference?  Worried I might get Peritonitis if I have a perforation.

No it shouldn't : anal fissure will usually give you pain in the anal area and mostly after bowel movement. Colon perforation is a life threatening emergency presenting with severe abdominal pain, nausea, fever and usually progressing to more severe symptoms of not addressed promptly. Recommend to see your general surgeon or gastroenterologist if you having rectal pain. ...Read more

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Does it matter if my colon perforation is from tumor or infection. I didn't have screening before surgery. T3nomo? No chemo.

Does it matter if my colon perforation is from tumor or infection. I didn't have screening before surgery. T3nomo?  No chemo.

Yes: Perforation from tumor increases the risk of recurrence locally- since this implies spillage of tumor in the region. Infection if controlled and treated should not. Tumor perforation usually considered t4. ...Read more

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How could someone know if they had Peritonitis? Are there always symptoms? Or should I go to the doctors to check? I experienced bleeding while in bathroom. Anal Fissure or Colon Perforation? Thanks.

How could someone know if they had Peritonitis? Are there always symptoms? Or should I go to the doctors to check? I experienced bleeding while in bathroom. Anal Fissure or Colon Perforation? Thanks.

Peritonitis Symtoms: Peritonitis will cause excruciating pain and usually associated with infection in the abdomen. Bleeding can be from hemorrhoids. Anal fissures tend to cause a lot of anal pain. Doubtful that you have colonic perforation. When you see a doctor, they should find a cause for blood per rectum by simple examination and perhaps colonoscopy. ...Read more

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Is golytely (polyethylene glycol) fatal to pts with partial obstruction with colon perforation? (Stage 4 CRC with mets to lung)

Is golytely (polyethylene glycol) fatal to pts with partial obstruction with colon perforation?  (Stage 4 CRC with mets to lung)

No: Golytely (polyethylene glycol) is a bowel diuretic drawing fluid into the colon. If there is a patient with partial obstruction and with possible colonic performation, why would a bowel diuretic be employed that could cause a greater leak of GI fluid into the periotoneal cavaity, especially in the face of lung mets.? Laparoscopic evaluation of a possible leak may be necessary if not proven by radiologic evaluation ...Read more

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What will be the cause for 29 years old girl diagnose for colon cancer? Colon abscess? Perforation? Diverticulitis? Stage 2a (t3nomo)

What will be the cause for 29 years old girl diagnose for colon cancer? Colon abscess?  Perforation? Diverticulitis? Stage 2a (t3nomo)

Hereditary: Abscesses, perforations, and diverticulitis are not known to cause colon cancer. Colon cancer in a young person may be due to an inherited cancer susceptibility problem like lynch (hnpcc) or gardner's (fap), especially if there is a family history. Genetic counseling and tests can be done to determine if there is a hereditary genetic predisposition. ...Read more

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Does colon tumor cause perforation?

Does colon tumor cause perforation?

It can: If a tumor enlarges it can lead to an obstruction. If the obstruction persists, than a perforation can occur. Also it not necessarily the size of the tumor, it is how far it penetrates through the bowel wall. Another important reason to have a colonoscopy when needed. Hope this helps. ...Read more

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Would someone feel pain when a colon is perforated or can it be a painless and unidentifiable injury?

Would someone feel pain when a colon is perforated or can it be a painless and unidentifiable injury?

Usually painful: Perforation is usually extremely sharp and painful as the colon tears. After perforation pain may subside for a few hours before becoming constant and progressively more severe as bowel contents and bad organisms infect the abdominal cavity. ...Read more

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Would you know if you perforated toddlers colon by taking rectal temp? Is it hard to do? I took his temp yesterday. He said "ow" and cried.

Would you know if you perforated toddlers colon by taking rectal temp? Is it hard to do? I took his temp yesterday. He said "ow" and cried.

Yes: Within hours the kid would be deathly ill as germs entered the area and an infection. It is exceedingly difficult to perforate the colon taking a temperature.I can't remember hearing or reading of a case ever in 3 decades. A little petroleum jelly on the thermometer helps it slide in easier. ...Read more

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Colonic (Definition)

This is a combining term referring to some condition, treatment or disease of the colon. Such as colonic enema, colonic ...Read more