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Doctor insights on: Painful Barium Enema Due To Edema Of Rectum

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I have chronic, severe constipation. Abdominal CT revealed "moderate amount of stool in rectum." Does this represent an impaction? How to relieve it?

I have chronic, severe constipation. Abdominal CT revealed "moderate amount of stool in rectum." Does this represent an impaction? How to relieve it?

Stool in rectum: The best way to find out what this represents is to discuss it with the medical provider who ordered the study. He or she will be able to take your history, physical examination into consideration when evaluating the abdominal CT findings. Take care. ...Read more

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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Ct scan showed mild apparent mid to distal colonic wall thinking likely due to under distention what can cause this ?

Ct scan showed mild apparent mid to distal colonic wall thinking likely due to under distention what can cause this ?

It sounds like: the radiologist thinks it is normal. If the colon is in a collapsed state(vs. distended) it may look like the wall is abnormally thickened on CT, when in fact it is normal. ...Read more

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Which is better test to Dx small tear in esophagus due to impact? CT, MRI, or barium swallow test?

Which is better test to Dx small tear in esophagus due to impact? CT, MRI, or barium swallow test?

I prefer barium swal: I was trained to use barium swallow for esophageal tears. However, it is bad to use if the tear penetrates through full thickness of the wall. For this we may use a water soluble contrast. CT is an excellent tool for this but uses a lot of radiation. I would use this if there are complications to worry about or the initial swallow is non diagnostic. MRI is not good. ...Read more

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Can internal rectal intussusception cause constipation, painful defecation, and flat & thin stools? What test is typically ordered to confirm a dx?

Can internal rectal intussusception cause constipation, painful defecation, and flat & thin stools? What test is typically ordered to confirm a dx?

Usually not: But regardless would be very unusually after a lar you mentioned in your previous note, other than exam the best test is a voiding proctogram. (defecography). ...Read more

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What does "distal decending colon remaining on barium enema" mean in regards to the results from a barium enema test?

What does "distal decending colon remaining on barium enema" mean in regards to the results from a barium enema test?

Non Sequitur: Isolated phrase taken out of context is uninterpretable. They may be addressing residual Barium contrast remaining in descending colon on post evacuation film, which is of no clinical significance ...Read more

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If CT shows perforated bowel , multiple air pockets, abscess's and large fluid collection in pelvic area, Can the CT be wrong ?

If CT shows perforated bowel , multiple air pockets, abscess's and large fluid collection in pelvic area,  Can the CT be wrong ?

Unlikely: Dangerous set of circumstances!, Get drained and diverted --- General surgery or possibly interventional radiology or both!left or right colon perforation, or appendiceal abscess if on right. ...Read more

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Inflammation and polyp/ulcer in upper rectum can cause tip of stool hard??

Inflammation and polyp/ulcer in upper rectum can cause tip of stool hard??

It would cause: pain and bleeding. As a result of pain you may develop also constipation as a result of not moving the stool from bowel loosing it's watery content. ...Read more

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If chronic gastritis can lead to metaplasia of the stomach into intestinal membrane, could it draw water and cause constip. undetect. by colonoscopy?

If chronic gastritis can lead to metaplasia of the stomach into intestinal membrane, could it draw water and cause constip. undetect. by colonoscopy?

No: The intestinal metaplasia is a trivial finding and won't have the slightest impact compared with the enormous amount of real intestine you already have. Further, water absorption in the gut is passive. Most diagnosed "chronic gastritis" non-biopsy-proved is functional and unassociated with metaplasia in the first place. Look for some other cause of your constipation; consider diet / drinking h2o ...Read more

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Can menstruation cause diverticula (not infected) in colon to cause some pain/pressure/discomfort in pelvis? Us of pelvis fine.

Can menstruation cause diverticula (not infected) in colon to cause some pain/pressure/discomfort in pelvis? Us of pelvis fine.

No: There is no association between menstruation and diverticula. You're very young even to have diverticula. Was this seen on a colonoscopy? You can have endometriosis within your pelvis (including on your colon) which can feel worse around the time of menstruation. Treatments for endometriosis include Depot-Lupron, surgery, continuous BCPs, daily Letrozole. Endometriosis is hard to see by sonogram ...Read more

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Doc could not complete colonoscopy due to severe angulation in sigmoid and thickened colon had anesthesia. Any future problem?What next?

Doc could not complete colonoscopy due to severe angulation in sigmoid and thickened colon  had anesthesia.  Any future problem?What next?

Sounds complicated: Given your history, it sounds very complicated! recovering from a perforated colon, a colonoscopy is good to help get answers. There are very advanced docs who do colonoscopies with special equipment. It might be worth getting a referral to someone with more specialized training and tools who can try to navigate. ...Read more

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Abdomen pain and heavyness very frequently. The recent scan report found that, subacute intestinal obstruction due to postoperative adhesions?

Be mindful: Surgical adhesions are not infrequent, and can lead to small bowel obstruction. Many cases resolve without surgical intervention, which is good! the more surgeries you undergo the more you develop new scar tissue. If you have severe abdominal pain, nausea, vomiting and suddenly are no longer passing gas or bms, to er. If not, small but more frequent meals, high fiber, lots of fluids. ...Read more

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Wat can be causes of constipation. X ray showed where large intestine (colon) starts. Stool very thick mushy. Messy on t/p clean up?

Wat can be causes of constipation. X ray showed where large intestine (colon) starts. Stool very thick mushy. Messy on t/p clean up?

Diet: Most causes of constipation are diet related. Getting enough fiber to make stools move through easily is not too difficult, but must be attended. Raw crunchy vegetables, whole grains, many fruits (peaches, plums, pears, pineapple, apricots, strawberries, etc) are helpful. Too much milk or dairy in relation to the remainder of the diet will constipate. ...Read more

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Can diverticula of the sigmoid colon cause pain when menstrual when pooping and can it cause painful spasms in the rectum?

Can diverticula of the sigmoid colon cause pain when menstrual when pooping and can it cause painful spasms in the rectum?

Diverticulosis: Diverticulosis does not involve the rectum or cause spasms. Diverticulosis is also uncommon in someone your age. Whoever has this should eat more fiber. ...Read more

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Adult, MR Enterography show Jejunum loop is dilated, mild Ileus possible,Had multiple transient intussusception in that area before what causes it ?

Adult, MR Enterography show Jejunum loop is dilated, mild  Ileus possible,Had multiple transient intussusception in that area before  what causes it ?

Surgical consult: I feel it's important for you to be evaluated by an abdominal surgeon for advice. It's likely that repeated intususceptions have somehow disturbed the motility of the duodenum. I don't think this is simply a localized Ileus. I'm concerned about the dilated loop which may become increasingly symptomatic or worsen. ...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

Dr. Chad Levitt
3 doctors shared insights

Edema (Definition)

Fluid in the tissues, either caused by something local to the swollen area like an injury or inflammation, or from the body's retention of water. Gravity brings the fluid to the feet & legs in that case. As a general rule, if one foot is swollen, something is wrong with the foot. If both feet are swollen, it's not the feet, but water ...Read more


Dr. David Schleimer
1,498 doctors shared insights

Swelling (Definition)

Swelling is the enlargement of organs, skin, or other body parts. It is caused by a buildup of fluid in the tissues. The extra fluid can lead to a rapid increase in weight over a short period of time (days to weeks). Swelling can occur all over the body (generalized) or only in one part ...Read more