Doctor insights on:
Sigmoid Colon Disease
Colonoscopy shows 10cm ulcerative tumor in sigmoid colon but disease also in liver section 4&5, pelvic area, peritoneal and splenic bed what options?
I have been diagnosed with a tight stricture of the distal sigmoid colon, due to Chron's disease — biopsy showed severe inflammation. What next?
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
Colonoscopy showed an area of mild congested mucosa in recto-sigmoid colon. Does it sound like ulcerative colitis or Crohn's disease?
Unclear: May indicate inflammatory bowel disease-talk to gastroenterologist. ...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
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
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
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
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?
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
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
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
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
My grandmother she's 72 and had a biopsy proven adenocarcinoma of the sigmoid colon at 20cm. She had bleeding intermittently for 8 months ?
Adenocarcinoma: I am sorry to hear about this. I am not sure what your question is. Please consider resubmitting with a clear question. Thanx ...Read more