Top
20
Doctor insights on: Colonic Diseases Radiologists

Share
1

1
Can we diagnose ileocecal tuberculosis by colonoscopy?

Can we diagnose ileocecal tuberculosis by colonoscopy?

Depends: If the scope can be navigated to the cecum and a biopsy taken of the affected tissue and examined by a pathologist, TB can be diagnosed. Not finding TB on the biopsy will not exclude the disease if the affected tissue was not biopsied, e.g., if the lesion is in the ileum and not the cecum. ...Read more

Dr. Austina Cho
13 doctors shared insights

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


2

2
Disseminated peritoneal disease with long segment bowel wall thickening, multiple hepatic and renal nodules - are in favour of neoplastic etiology?

Disseminated peritoneal disease with long segment bowel wall thickening, multiple hepatic and renal nodules - are in favour of neoplastic etiology?

7 YO? Can't post yet: Have to be 17 to post. Seven years old is too young to post, and requires speaking to your pediatrician about your questions until you're old enough to post. Thanks! ...Read more

3

3
Do doctors consider flora when diagnosing colon disease/disorders?

Do doctors consider flora when diagnosing colon disease/disorders?

It depends: There are many bacteria found in the colon normally. Some don't belong and cause disease. C. Difficile for instance causes pseudomembranous colitis. Other pathogenic bacteria can cause symptom of disease as well. ...Read more

See 1 more doctor answer
4

4
Colon - cecum, ascending, hepatic flexure, transverse, splenic flexure, descending, sigmoid, rule out mcn, " are multiple tan, irregular to linear soft?

Colon - cecum, ascending, hepatic flexure, transverse, splenic flexure, descending, sigmoid, rule out mcn, " are multiple tan, irregular to linear soft?

What is the question: Please resubmit your question; as it is written it is currently not possible for me to answer. I look forward to your resubmission and being able to answer your question. ...Read more

5

5
What causes ceroid macrophages in colonic biopsy?

What causes ceroid macrophages in colonic biopsy?

Aging, wear and tear: Ceroid is a "junk" material that builds up over time, created from the oxidation of some fatty lipids. Ceroid accumulates in macrophages (a type of cell that collects "junk" substances as the years go by) of the heart, artery plaques, liver, intestinal tract, and brain in elderly folks, and is thus called a "wear and tear" substance. It is believed to have a role in age-related organ dysfunction. ...Read more

Dr. Craig Uhl Dr. Uhl
2 doctors agreed:
6

6
Result of CT scan states " findings are mediastinal lymphadenopathy and soft tissue nodules both lungs in all segments(extensive metastatic disease) "?

Dr. Craig Uhl Dr. Uhl
2 doctors agreed:
Result of CT scan states " findings are mediastinal lymphadenopathy and soft tissue nodules both lungs in all segments(extensive metastatic disease) "?

Very concerning...: These findings are extremely concerning and you need to discuss this with your healthcare team. You will likely undergo more tests and referrals to specialists who will provide you more detailed answers than what I am able to do. Do not delay. ...Read more

See 1 more doctor answer
8

8
Are colonic polyps genetic?

Are colonic polyps genetic?

Some: Most people with colon cancer do not have a strong family history, but some do. Anyone with a family history of colon cancer and/or colonic polyps should have a screening colonoscopy well before the age recommended for people with no family history (50). See your physician. Rarely families have mutations that cause hundreds of colonic polyps - these few patients may need removal of their colon. ...Read more

See 1 more doctor answer
9

9
10cm ulcerative sigmoid bowel tumor found, disease also in s.4&5 liver plus other areas - what options pse? Aflibercept?Massive surgery, stent?

10cm ulcerative sigmoid bowel tumor  found, disease also in s.4&5 liver plus other areas - what options pse? Aflibercept?Massive surgery, stent?

There is good chemot: There is good chemo available. It is often comined with targeted drugs like Avastin (bevacizumab) and erbitux(cetuximab)depnding on the kras mutation status of the tumor. The results of chemoa re quite good, so go for it. Aflibercept is not a particualry good drug...Certainly no better than avastin (bevacizumab). ...Read more

10

10
Liver biopsy: Section reveals liver parenchyma, shows 12 portal tracts. Scattered portal tracts areas are infiltrated by lymphocytic inflammatory?

Liver biopsy: Section reveals liver parenchyma, shows 12 portal tracts. Scattered portal tracts areas are infiltrated by lymphocytic inflammatory?

?what does Ur Doctor: The doctor who advised you to have a liver biopsy is expected to tell you about this report. What did he/she say about the lymphocytes in the portal tracts? To my mind, it implies some degree of hepatitis going on. But I do not have the results of your Liver function tests(LFT's). That would help us in the interpretation ...Read more

11

11
Are fecal transplants beneficial in treating ulcerative colitis?

Are fecal transplants beneficial in treating ulcerative colitis?

Possibly: They help reduce inflammation by repopulating the gut with healthy bacteria that are immune modulators. It's still in the research stage for UC, so most GIs don't offer it. Some kits with instructions are available on the internet. Try Probonix probiotic, vit D3 10k IU/day and autoimmune paleo diet until you can find more on fecal transplant. ...Read more

See 1 more doctor answer
12

12
Who usually performs colonoscopies, gastroenterologists or colon and rectal surgeons?

Who usually performs colonoscopies, gastroenterologists or colon and rectal surgeons?

Both: Both do however if a mass is there the colon and rectal surgeon can take care of it. In addition a colorectal surgeon would be more agressive at removing a polyp whereas a GI may be more apt to recommend surgery. This is based on personal experience. Fyi colonoscopy was pioneered by a general and cardiothoracic surgeon at beth israel in ny. Dr wolff and dr shinya invented polypectomy. ...Read more

See 2 more doctor answers
13

13
Is this UC? Colonoscopy report: PR normal. Granular mucosa in the rectum & sigmoid (reduced vascular pattern). Subtle rectal & sigmoid inflammation.

Is this UC? Colonoscopy report: PR normal. Granular mucosa in the rectum & sigmoid (reduced vascular pattern). Subtle rectal & sigmoid inflammation.

Biopsy will show: Diagnosis of Ulcerative colitis is complex and has to be verified by the biopsy findings (your dr most likely had taken multiple biopsies from different parts of the colon and sent them to the pathologist for examination) ...Read more

14

14
Breast cancer, lymphadema, ovarian cysts,fibroid, atrophic kidney, gallbladder polyps, diverticula, appendicitis, osteoprosis, ddd are they connected?

Breast cancer, lymphadema, ovarian cysts,fibroid, atrophic kidney, gallbladder polyps, diverticula, appendicitis, osteoprosis, ddd are they connected?

Muliple issues: I would suggest that you seek a comprehensive medical evalaution: some GI symptoms may be related; however breast cance, ovarian cysts, kidney diease are all separate issues. Get yourself in the hands of an expert or experts-ASAP. ...Read more

15

15
Can an abdominal/pelvic CT scan incidentally detect colon cancer or polyps?

Can an abdominal/pelvic CT scan incidentally detect colon cancer or polyps?

Incidental: An abdominal ct scan may incidentally demonstrate the suspicion of a fairly large colon cancer but not small lesions or polyps. A conclusive diagnosis of colon cancer requires a tissue diagnosis by biopsy. ...Read more

16

16
Why are breast tumors imaged with a scanner but colon or pancreatic cancer cannot?

Why are breast tumors imaged with a scanner but colon or pancreatic cancer cannot?

All diagnostic: Tests have limitations, depending on the size and anatomical location of the tumor. In the breast, it is relatively easy because it is an external organ. Pancreas is an organ located deep behind the abdomen in the retroperitoneum, so it is more difficult to image. Colon cancer can be imaged these days with ct virtual colonoscopy, but presence of stool can make it difficult to image. ...Read more

17

17
Have you done surgical resection of ascending colon in Crohn's colitis?

Have you done surgical resection of ascending colon in Crohn's colitis?

Not recommended: Whenever there is evidence of dysplasia or cancer in the setting of crohn's colitis, it is probably better to consider a total proctocolectomy as there is high risk of synchronous cancer or recurrence elsewhere in the colon. ...Read more

See 1 more doctor answer
18

18
What percentage of lynch syndrome patients develop colon polyps by age 60? Not cancer but just polyps

What percentage of lynch syndrome patients develop colon polyps by age 60? Not cancer but just polyps

Colon ca, not polyps: Lynch syndrome affects a minority of patients, as it is a rare condition that is often inherited (in about 30% of pts). Of these pts, about 70% will develop colon cancer - most of them by age 60. The risk is high. But the syndrome causes NON-polyp colon cancer, not polyps. It usually requires colon removal (colectomy) to reduce risk. Use HealthTap Prime or talk to your gastroenterologist about sym ...Read more

19

19
What are the differences between medical microbiologists, infectious disease specialists, immunologists, and rheumatologists?

What are the differences between medical microbiologists, infectious disease specialists, immunologists, and rheumatologists?

The medical team: The great thing about Medicine, is there are many interesting areas to focus on. Just like a team sport with a quarter back, running backs, receivers etc - within Medicine there are interesting roles that you can explore if you find particular interest in a certain area. I know docs who only work on HIV for example. I'm an ID doc and I think I have the best job in the world! Follow your interests. ...Read more

20

20
Can ibs, ibd or ulcerative colitis be diagnosed by contrast iv, oral contrast and rectal contrast ct scan?

Can ibs, ibd or ulcerative colitis be diagnosed by contrast iv, oral contrast and rectal contrast ct scan?

IBS vs IBD: IBS does not really have any diagnostic test, it is diagnosed clinically after ruling out the other causes. IBD like Crohn's and Ulcerative colitis may show some findings in the GI tract on imaging studies. ...Read more

See 1 more doctor answer
Dr. Frederick Shieh
450 doctors shared insights

Colonic Diseases (Definition)

Colonic diseases are diseases of the colon, which is one's large bowels or the part of bowel that is at the end of the gastrointestinal tract. Diseases that affect the colon include infections, inflammation, inadequate blood ...Read more


Dr. Linda Callaghan
12 doctors shared insights

Colonic (Definition)

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