Doctor insights on:
Pedunculated Polyp In Sigmoid Colon
Why could my doc not easily remove a 1/2 inch sessile polyp on the sigmoid colon? What type of doc can do it?
Sessile = flat: Sessile polyps are flat, which makes it very difficult (but not impossible) to remove. However, they can usually be biopsied to determine if (pre)cancerous or not. This is where the gastroenterologist comes in handy. Realistically, it comes down to experience as newly minted docs may not have skills of seasoned ones. But in general, gastroenterologist is specialist to go to for colonoscopy. ...Read more
Doc found one sessile polyp (half inch) on my sigmoid colon that he couldn't remove. Is the polyp precancerous or more dangerous than others?
I had small multiple polyps in my sigmoid colon, and erosion seen at rectum, decending colon. Is there a highrisk for cancer, please help?
Depends: Risk can depend family history of polyps, cancer, number, size, and cell type of polyps, presence or absence of inflammatory bowel disease. If present, more frequent colonoscopies indicated. Low fat, hi fiber diet, containing low or no fat dairy, lots of fruit, vegs, legumes, whole grains may help. Supplements preventiodon't help as much. Talk to md ifif Aspirin or NSAID prevention is indicated 4u. ...Read more
My doc said he couldn't remove a 1/2 inch sessile polyp on my sigmoid colon but said he'll try again at a hospital. Would I repeat the colon cleanse?
Yes: If he is going to repeat a colonoscopy to remove the polyp, you will need to repeat the cleanse. Freeing the colon of debris will help the physician be able to identify the polyp, and issues during removal, and will make for a safer procedure. Cleanse should be repeated and make sure to ask your physician for any necessary scripts related to the cleanse. Hope that helps! ...Read more
Just had colonoscopy. Sigmoid colon: a diminutive adenomatous looking polyp and a hyper plastic polyp. Transverse colon: adenomatous polyp. Bad? Thnx
35yo. F. W/ hyporthyroidism. Colonoscopy/endoscopy 11/20/14. Diminutive 3mm polyp of sigmoid colon. Random biopsies of ileum and colon done. Cancer?
Not likely: The biopsy results will clarify it.Get a more detailed answer ›
My husband had polyps in his rectum and sigmoid colon. They were taken out by using a snare and were biospied showing to be malignant. He then had another rectal exam and biopsy of the cell walls this showed that the it did not spread into the lymph nodes
Team approach: It would be a good idea to see a multidisciplinary team of doctors (surgeon, radiation oncologist and medical oncologist) before finalizing a treatment plan. ...Read more
I have just had a colonoscopy. They removed 2 polyp. 1 is normal. 2nd is Colon-sigmoid is Tubulovillous adenoma demonstrating mainly low grade dysplas?
I had a polyp removed from my sigmoid at age 20 and it was benign. No direct family history of colon cancer. What tests should be done ongoing?
Typically: It depends on type of polyp found/ removed and why scoped. Consider full colonoscopy if there was one, there could be more. Typically a colonoscopy every 5 yrs is indicated with a family history of colon cancer or a personal hx of polyp or cancer (at a minimum). Consult a GI specialist for further management. ...Read more
Maybe thickened: The wall of the bottom part of your colon might be a little thick but it isn't certain. What that means is there may be evidence of inflamed tissue when the wall of the colon is measured but a normal colon is sometimes the same thickness. Most likely further tests will be needed, such as a colonoscopy. That will be a decision made by you doctor based on the clinical situation. ...Read more
Is ultrasound able to show sigmoid colon to rule out diverticular pouches in a non emergency setting?
No, ultrasound: Is not very sensitive for detecting non-inflammed diverticula. ...Read more
What would cause the colon to have a grainy texture and nodularity and mucus in the sigmoid colon if biopsies are negative?
Biopsy does not show mucus.
They did not biopsy what they saw or it was not there when biopsied. Discuss with your GI Dr. ...Read more
Would riding a bike while standing cause waste to reach my sigmoid colon, even if I went to the loo and pooped out as much as I could beforehand?
No difference: None of these different activities would make a difference since there is only one way for waste to be eliminated... ...Read more
Growth=Polyp=Tumor: A growth in the colon, also called a polyp, is a tumor or growth of abnormal tissue. They can be benign (non-cancerous) or cancer. Benign polyps such as adenomas have potential to turn to cancer if they grow a long time. Other polyps, such as hyperplastic, usually don't turn to cancer. Some polyps may already have cancer in them. Colonoscopy with biopsy is usually needed to make a diagnosis. ...Read more
Unclear: May indicate inflammatory bowel disease-talk to gastroenterologist. ...Read more
Differet: These are different problems: polyps are little (although sometimes large) growths in the colon. Diverticulas are pockets that protrude outside the colon. ...Read more
Your doctor can expl: The doctor who gave you this report must explain it to you, if you ask. It basically means that there is an ulcer in this lesion in your colon, where the cell are very active (proliferating). This may be a benign polyp, yet you need to get it removed as anything which is proliferating can turn into a cancer if you leave it alone inside for too long. ...Read more
Terminology: The junction is the area where the colon and the rectum meet and the recto-sigmoid colon is basically that small part of the colon above it. ...Read more
Not likely.: It would not be likely to be able to feel the sigmoid colon, unless it were particularly distended with very hard stool, which would be rather unusual. If you are feeling something in the left lower portion of the abdomen, I would contact your doctor for a physical examination to see what is wrong. Good luck. ...Read more
Ulcerative Colitis: Ulcerative colitis is an inflammatory bowel disease that can have ulceration and decreased vascular patterns in the sigmoid colon. Common symptoms are weight loss, frequent diarrhea (usually bloody) & abdominal pain. Uc occurs when your immune system cannot control the inflammation. See your doctor immediately if you are having these symptoms. ...Read more
I recently had my appendix out & was told I have diverticula in my sigmoid colon. How dangerous is this?
Diverticula: Most americans have diverticula, little outpouchings in the colon wall. They rarely cause problems but can get infected, diverticulitis, or cause significant lower GI bleeding. However, most of us do not develop these. The best thing for you to do is eat a high fiber diet and try to prevent constipation. However, in reality we do not recommend avoiding any particular food to prevent problems. ...Read more
Mild diffuse thickening of rectum and sigmoid colon--suggestive of infective-inflammatory colitis, what to do?
CT scan finding: This sounds like a result from a ct scan. Okay to talk with your doc about this result. Depending on your symptoms, age, and history it may not have much meaning. However, it may need further evaluation, colonoscopy, lab tests, if you have lower colon symptoms, blood in stool, weight loss, change in bowels, fever, pain. Be well. ...Read more
CECT whole abdomen with rectal contrast shows mild thickening of mucosal folds in sigmoid colon. Is this finding significant?
Fold thickening: There are numerous causes of fold thickening, including inflammatory, infectious, vascular, and neoplastic. Sometimes the fold thickening seen on CT is not real, a false abnormality due to incomplete bowel dissension. Your doctor, in the context of your entire clinical picture, can best determine how significant it is. Colonoscopy may be useful if you have not had one. ...Read more
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