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Doctor insights on: Colonoscopy Or Sigmoid And Barium

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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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Is it possible to miss diverticulosis on ct and colonoscopy?Post scope ct shows Diverticulosis.Ct and scope prior no Diverticulosis.Pain since scope.

Is it possible to miss diverticulosis on ct and colonoscopy?Post scope ct shows Diverticulosis.Ct and scope prior no Diverticulosis.Pain since scope.

YES: Some diverticula(e) are VERY small and when these little "bubbles" are filled with normal bowel mucous can be missed by both tests...SIGNIFICANT or INFLAMMED diverticulae will NOT be missed by either test... Hope this is helpful Dr Z ...Read more

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Can CT with rectal and IV contrast rule out small polyps or lessions in the colon?proctoscope and rectal exam are clean.no blood in stool.

Can CT with rectal and IV contrast rule out small polyps or lessions in the colon?proctoscope and rectal exam are clean.no blood in stool.

Small polyps: would be very difficult to diagnose on such an exam. A tailored "CT Colonography" would be better. Standard colonoscopy would be best. ...Read more

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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?

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

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Can a liquid barium drink for CT scan prep irritate the colon after a recent case of diverticulitis?

Barium is a laxative: What do you mean by "irritation"? Abdominal pain? Increased output? Blood? Barium, for all its use in imaging, is also a laxative & often used as an enema. It will force the stool out of the intestines & colon as it makes its way out. Therefore, "irritation" of the colon (depending on how you define it) isn't uncommon after a barium-contrast CT. It shouldn't cause bleeding nor pain, however. TTYD ...Read more

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Have ulcerative colitis in sigmoid and ascending colon/cecum (just confirmed by colonoscopy). Will enema treat this (allergic to NSAIDs)?

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

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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

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Comparison of diagnosis colorectal cancer between ctscan and barium enema?

Depends on size: Can see the blood supply of tumour mass on a cat scan.. But small polyps do not show... Be does not see polyps, but does see tumour.. Colonoscopy with a perfect prep is the gold standard for large and small. ...Read more

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Would an abdominal + pelvic CT scan with contrast see impacted stool in the colon?

Would an abdominal + pelvic CT scan with contrast see impacted stool in the colon?

Yes: The CT of the abdomen and pelvis will be very good for looking for fecal impaction. Sometimes digital examination can detect it. On occasion the impaction may be beyond the reach of the finger ...Read more

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Diagnosed with a "tortuous colon" via oral barium CT scan & colonoscopy; have very distended abbdomen, pain, etc. What to do?

Diagnosed with a "tortuous colon" via oral barium CT scan & colonoscopy; have very distended abbdomen, pain, etc. What to do?

High fiber diet: The elongated colon may need help from a high fiber diet. Avoiding foods and medications that cause constipation is also important. Ask your doctor if there are other issues that may need to be addressed, as the tortuous colon may not be the explanation for your current complaints. ...Read more

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Would a colonoscopy note moderate diverticulosis in the sigmoid colon?And could this diverticular be causing obscure GI bleeding?

Would a colonoscopy note moderate diverticulosis in the sigmoid colon?And could this diverticular be causing obscure GI bleeding?

Yes & no: A colonoscopy could certainly detect moderate diverticulosis in the sigmoid colon however diverticulosis almost never a cause of obscure GI bleeding. It is usually overt & very obvious especially when coming from the sigmoid colon. ...Read more

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Would colon cancer or rectal cancer show up on an abdominal CAT scan?

Would colon cancer or rectal cancer show up on an abdominal CAT scan?

Potentially: it could show up on CT if large enough, but small tumors may not be visualized. ...Read more

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Can bowel cancer be diagnosed through a barium enema and a colonoscopy? Help please?

Yes: Either or colonoscopy is the best tool accuracy more than 95% barium enema use to be the tool but the accuracy and false positive and negative are not enough to depend on colonoscopy can discover polyps too small to be seen by barium enema and can have it removed at the same time. ...Read more

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Ct scan shows diverticulitis Gi advised sigmoidoscopy to check narrowing of colon could it be cancer as been told only scoping can confirm difference?

Ct scan shows diverticulitis Gi advised sigmoidoscopy to check narrowing of colon could it be cancer as been told only scoping can confirm difference?

Unfortunately those: two conditions can look similar on the CT scan. Another option is to treat for diverticulitis, then repeat the CT scan to see if the abnormality has resolved. If you don't have symptoms of diverticulitis, you should have the sigmoidoscopy. ...Read more

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Dr. Charles Cattano
2,044 doctors shared insights

Colonoscopy (Definition)

Colonoscopy is the procedure of using a long flexible camera to visualize the entire colon from the inside with the option to take pictures, video, perform biopsies, remove polyps, etc. Generally people are sedated and do ...Read more