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Doctor insights on: Sigmoid Colon Disease

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Colonoscopy shows 10cm ulcerative tumor in sigmoid colon but disease also in liver section 4&5, pelvic area, peritoneal and splenic bed what options?

Colonoscopy shows 10cm ulcerative tumor in sigmoid colon but disease also in liver section 4&5, pelvic area, peritoneal and splenic bed what options?

Go see an Oncologist: It looks like you have advanced case of colon cancer. There is fairly good treatment for this type of cancer. But you need to find a medical oncologist and consult him/her for further treatment right away. ...Read more

Dr. Daniel Saurborn
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


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I have been diagnosed with a tight stricture of the distal sigmoid colon, due to Chron's disease — biopsy showed severe inflammation. What next?

I have been diagnosed with a tight stricture of the distal sigmoid colon, due to Chron's disease — biopsy showed severe inflammation.  What next?

Conservative: Care having "failed" surgery may be indicated... This is COMPLEX and requires evaluation far BEYOND what is available here on HEALTH TAP PRIME.

Good Luck

Dr Z ...Read more

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Is surgery the only treatment for an intestinal stricture of the sigmoid colon caused by Crohn's disease?

Is surgery the only treatment for an intestinal stricture of the sigmoid colon caused by Crohn's disease?

The best treatment: Your best bet for intestinal stricture due to ibd is surgical resection. In patients who've had multiple surgeries/resections for ibd, stricturoplasty, where the inflammatory stricture is opened but not resected, may be an option. Still, surgical intervention will be necessary. Good luck. ...Read more

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Colonoscopy showed an area of mild congested mucosa in recto-sigmoid colon. Does it sound like ulcerative colitis or Crohn's disease?

Colonoscopy showed an area of mild congested mucosa in recto-sigmoid colon. Does it sound like ulcerative colitis or Crohn's disease?

Unlikely: Usually this is self-limited and actually often from stress of bowel prep. If they saw anything worrisome, biopsy would give answers. ...Read more

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What does "sigmoid colon showed an ulcero-proliferative" mean?

What does "sigmoid colon showed an ulcero-proliferative" mean?

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

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What is the difference between recto-sigmoid colon vs recto-sigmoid junction?

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

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Can a very skinny person feel their sigmoid colon? & if so would it be hard/hard to move?

Can a very skinny person feel their sigmoid colon? & if so would it be hard/hard to move?

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

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How much of sigmoid colon is seen on a 35 CM scope?

How much of sigmoid colon is seen on a 35 CM scope?

All: The colon on average is about 40cm in length. The sigmoid colon takes up the latter 10cm. Unless there wa a stricture or mass the surgeon or gastroenterologist should have seen the whole sigmoid colon. ...Read more

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Flexible sig to 35 cm, would it show most of sigmoid colon?

Flexible sig to 35 cm, would it show most of sigmoid colon?

Get a colonscopy: Why was the sigmoidscopy reccomneed. Consider a full colonoscopy if you are concerned about colon cancer, such as having rectal bleeding, strong family history of colon cancer, etc. Although you are young for a screening colonscopy if you have any alarm features please do not stop at sigmoidscopy instead get a colonscopy. ...Read more

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Could anyone explain the reasons why my sigmoid colon is remarkably thickened?

Could anyone explain the reasons why my sigmoid colon is remarkably thickened?

How do you know?: What makes you think your colon is thickened? Did a doctor tell? If so, you should ask that doctor. It is quite likely that your colon symptoms are part of your anxiety disorder and not an organic issue. ...Read more

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What could be the probable diagnosis of a growth at sigmoid colon and rectm junction?

What could be the probable diagnosis of a growth at sigmoid colon and rectm junction?

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

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Would riding a bicycle cause my waste to reach the sigmoid colon any quicker than normal everyday activity would? Or would it have the same rate?

Would riding a bicycle cause my waste to reach the sigmoid colon any quicker than normal everyday activity would? Or would it have the same rate?

Probably: Intestinal motility generally seem in part, dependent on physical activity, although it may play a minor role. People who are not physically active develop problems with constipation. Many studies show increased bowel activity with exercise. ...Read more

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What does equivocal wall thickening of sigmoid colon and proximal rectum mean?

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

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What would cause the colon to have a grainy texture and nodularity and mucus in the sigmoid colon if biopsies are negative?

What would cause the colon to have a grainy texture and nodularity and mucus in the sigmoid colon if biopsies are negative?

Colon biopsy: 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

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If I pooped out all I could beforehand, how much of a faster rate would my waste reach sigmoid colon after I rode a bike? Or is there no difference?

Transit time...: Transit time through your intestines is determined by the composition of the food you eat (high protein, high fiber, high fat etc.) and how much water you drink. It is not determined by previous poops or bike rides. ...Read more

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Ulcerated and vascular-patterm-decreased mucosa in the. Sigmoid colon?

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

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I have been diagnosed with severe diverticulosis of the sigmoid colon. Is pain in area normal?

I have been diagnosed with severe diverticulosis of the sigmoid colon.  Is pain in area normal?

Maybe: Most people with diverticulosis don't hurt. When you have pain, fever, or change in your bowel habits, you are dealing with diverticulitis and you should check in with your doctor. ...Read more

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I recently had my appendix out & was told I have diverticula in my sigmoid colon. How dangerous is this?

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

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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

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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

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CECT whole abdomen with rectal contrast shows mild thickening of mucosal folds in sigmoid colon. Is this finding significant?

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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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?

May need surgery: Polyps can be pedunculated or sessile. The flat ones (sessile) are much more difficult to remove intact via colonoscopy. Depending on the biospy results, the lesion may have to be removed surgically. ...Read more

Dr. Chad Levitt
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