Doctor insights on:
Dilated Small Bowel Loops
What does "Bowel gas pattern is abnormal with dilated gas-filled small bowel, mostly in the left upper quadrant. Gas is present within the colon" mean?
Xray read: It means that there is a suggestion on plain film of the abdomen that there could be a small bowel obstruction/ partial obstruction or ilieus (temporary paralysis of the bowel). Depends on the clinical situation but that there is gas in the colon is somewhat assuring. Ask the doctor who ordered the film to go over the findings with you. ...Read more
The gastrointestinal tract starts at the mouth, travel down the tunnel (esophagus), which connects to the stomach, which then empties into the duodenum, jejunum, and ileum---the three parts of the small intestine (@25 feet). This empties into the colon or large intestine (about 5 feet), which then becomes the sigmoid colon, rectum and out the anus. So, every morsel eaten ...Read more
Folds of the bowels: Your body has about 20 feet of small intestine (small bowel) and 5 feet of large intestine (large bowel). The intestines are folded and form loops to fit into the abdomen. Large bowel loop refers to the folds of the large intestine and small bowel loops refers to the folds of small intestine. This reference is usually made during xray or CT imaging done. ...Read moreSee 1 more doctor answer
If I had a small bowel obstruction with a closed loop and herniation in to the omentum, what is the likelyhood it could happen again?
Does fluid and stool filled loops in small bowel w abnormal gas pattern w no inflammation or obstruction a sign of ileus?
Possibly: Ileus refers to disruption in normal propulsive activity of the GI tract. The bowel dilates with gas and stool and there is no evidence of bowel sounds when auscultating the abdomen. Present usage restricts the term to disruptions caused by the failure of peristalsis, rather than by mechanical obstruction usually induced by a parasympathetic response due to surgery, infection or medications ...Read more
Ctscan : ovoid water attenuation struture in luq located between small bowel loops and the splenic flexure. Any ideas? Worried, i see GI in 1 week
Plz See Surgeon: This sounds like a cyst within the mesentery of the intestine, yet, this is but one small piece of the puzzle: what size is it, is it causing compression of any adjacent organs, is it causing symptoms, etc. In general, we have 3 options: leave it alone, remove it, or stick a needle in it. This decision is best made with a surgeon rather than a GI doctor. ...Read moreSee 1 more doctor answer
MRI post liver resect w/abd incision swelling/pain showed 5.6cm anterior abd wall hernia w/protrusion of small bowel loops/mesenteric fat. Is surg req?
Can a ct showing fluid and stool filled loops in small bowel and colon but w no abstruction or inflammation still indicate ileus?
Cystic lesion 6.3x4.0cm abuts small bowel. Located between bowl loops and splenic flexture. Is this cancer. Had CT scan for slight pain. No obstruct.
Highly Unlikely: What you are describing sounds like a mesenteric cyst. Cancers can develop in these cysts, but the odds are probably "one in a million". Unfortunately, there's not much you can do with these other than excision, sometimes requiring removal of the adjacent intestine. Please see a surgeon with extensive laparoscopic experience--they can help you sort this out and decide if surgery is needed. ...Read more
I'm very nasuas, have midline pain just above belly button. Went to ER, Had CT Scan, it said Fluid filled loops of small bowel are present.Whats that?
Several: possibilities. Most worrisome would be a small bowel obstruction (they wouldn't have sent you home). More likely are either a viral intestinal infection or an ileus (temporary paralysis of the bowel muscles), either of which could cause your symptoms. Fortunately, both will go away on their own. Just stick to clear liquids until you feel better. If your symptoms worsen, return to the ER. ...Read more
Ct of abdomen showed fluid full loops of fluid And stool loops of small bowel. No bm in 7days. Doc said no inflammation or obstruction? What?
Ct-left lower abdomen hazy vague increased attenuation in mesentery lateral to loops of small bowel. Could this be adhesions from surgery year ago or what could it mean?
Yes: Minor complications 1 year post surgery are not uncommon. This is due to the development of adhesions in the small bowel mesentery following surgery. The adhesions causing intermittent slight twisting in small bowel depending on response to diet can and do cause symptoms that you are now experiencing. ...Read moreSee 1 more doctor answer
Possible: Small bowel lymphoma can present with symptoms such as obstruction, perforation, bleeding, pain, nausea, vomitting, etc. Which can serious complictions and potentially death. There are various types of bowel lymphoma and after detection treatment plans can be successfully implemented. ...Read more
A lot: See a medical oncologist first to get a complete staging with labs, pet scan, bone marrow biospy. Then decide on treatment with approriate chemotherapy and start your regimen. During treatment you will get interim scans and also upon completion so as to document remission status. Good luck. ...Read more
Small bowel obstruct: Ion is a medical emergency. It should be treated by confirming the diagnosis, bowel rest, possible decompression with a nasogastric tube on suction. If not resolving within 24 hours, surgical exploration is indicated to avoided ischemic or dead bowel. Do not delay if you think you are obstructed. This is not to be treated t home! ...Read more
Come to hospital: A small bowel obstruction usually occurs due to scar tissue from prior abdominal surgery, causing the bowel to kink like a garden hose. If severe, the bowel can die; however, the bowel can (and usually does) unkink itself after a day-or-two of "bowel rest": no food or liquid, IV fluids, and keeping the stomach empty with a ng tube. This requires close monitoring in the hospital. ...Read moreSee 1 more doctor answer