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Doctor insights on: Sigmoidoscopy Monitor Prevent Disease

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Is colonoscopy necessary to monitor inflammatory bowel disease ?

Is colonoscopy necessary to monitor inflammatory bowel disease ?

Can be: Depends on the type & severity of the colitis, and how long it has been present. Colonoscopy can look for disease resolution or recurrence on medical therapy, or how well the medication is working. Colonoscopy can look for changes to biopsy and watch for dysplasia or pre-cancerous changes too. ...Read more

Dr. John Lappas
549 doctors shared insights

Sigmoidoscopy (Definition)

Sigmoidoscopy is the use of a flexible fiberoptic camera or specially designed scope to examine the inside of the colon. Because the procedure only examines the left side of the colon (in an area called the sigmoid), it is termed sigmoidoscopy. This is to differentiate it from a colonoscopy, where the entire right and left side of the colon is examined. A sigmoidoscopy ...Read more


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Do you recommend daily baby aspirin for colon and/or preventive for skin cancer issues if I'm 66, no heart issues, recent benign colon polyp? Thanks!

Do you recommend daily baby aspirin for colon and/or preventive for skin cancer issues if I'm 66, no heart issues, recent benign colon polyp?  Thanks!

No need : This is unlikely to help, but probably won't hurt. Use your judgment, and dis is with your primary care provider that you have a relationship with. There could be other reasons to do this as well. Hope this helps! ...Read more

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Is there any imaging test to detect colon cancer that doesn't require bowel prep? I'm symptomatic but can't do bowel prep due to heart & electrolytes

Is there any imaging test to detect colon cancer that doesn't require bowel prep? I'm symptomatic but can't do bowel prep due to heart & electrolytes

Colin ca test: You state that you are 20 years young! Whoever suggested to you that you get a colonoscopy at your age? Unless you have an inherited polyposis syndrome or some other rare disorder you would not have that done so early. If U have blood in stool it is most likely due to hemorrhoid, not to cancer. ...Read more

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What can be done to?Increase awareness for kidney disease prevention?

What can be done to?Increase awareness for kidney disease prevention?

See below: There are many causes of kidney disease, but diabetes, high blood pressure, and obesity which also may lead to diabetes, are the most common causes. Exercise and eating healthy food and maintaining ideal body weight would help prevent developing kidney disease. ...Read more

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Can you monitor progressive kidney damage due to hypertension by periodic blood/urine tests. ?

Can you monitor progressive kidney  damage due to hypertension by periodic blood/urine tests. ?

Hypertension: Kidney function can be.Monitored by electrolytes especially BUN and creatinine. Urinalysis can check for protein blood cast. Renal ultrasound is helpful. Also checking creatinine clearance and gfr. ...Read more

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Is colonoscopy w/o biopsy reliable? Does routine colonoscopy w/o symptoms also check for anal cancer? Finally, can be cancer mistaken for hemroids.THX

Is colonoscopy w/o biopsy reliable? Does routine colonoscopy w/o symptoms also check for anal cancer? Finally, can be cancer mistaken for hemroids.THX

Here are some...: Your Q is well taken. However, even today all what medical professionals can do is to apply current available knowledge, skill, technology, medication, common sense, & wisdom at reasonable time in reasonable way for reasonable patient. More facts: Behind what we know always still hides a lot of what we do not know. Nonetheless, what you have had should be sufficient to assure your current health. ...Read more

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Are there any preventative measures for Crohn's disease & metabolic bone disease?

Are there any preventative measures for Crohn's disease & metabolic bone disease?

Likely not: Crohns disease is an autoimmune disease, the major component is likely genetic, no clear evidence of specific environmental triggers or behaviors that cause it. ...Read more

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Is aspirin&plavix enough blood thinners to prevent stroke if Chad score (2) ,if no then what is the safest NOAC to avoid S/E for paroxysmal Afib ?

Is aspirin&plavix enough blood thinners to prevent stroke if Chad score (2) ,if no then what is the safest NOAC to avoid S/E for paroxysmal Afib

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Anticoagulation : Anticoagulation is recommended for patients with atrial fibrillation and CHADS2 score of 2 or higher for stroke prevention. Aspirin and Plavix (clopidogrel) do not offer the same protection. NOACs have not been compared head to head to determine which one is the safest. Any one of them would be a good choice. ...Read more

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Terminal ileum absorptionmultiple super ficial ulcer, ileocaecal valve ulcer, colorectal mucosa up to caecum .What treatment i need to take ?

Terminal ileum absorptionmultiple super ficial ulcer, ileocaecal valve ulcer, colorectal mucosa up to caecum .What treatment i need to take ?

IBD: Two inflammatory disorders of unknown cause affecting intestinal tract are crohn disease and ulcerative colitis.They share many common features and are collectively known as 'inflammatory bowel disease' both are chronic, relapsing inflammatory disorders of obscure origin. Fat/vitamin malabsorption are common in crohn disease. Malignant potential are present in both.In crohn response to surgery good. ...Read more

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Celiac diagnosed with blood test & biopsy. Is 12-30 imodium (loperamide) 1-2x/wk too much to stop diarrhea?

Celiac diagnosed with blood test & biopsy. Is 12-30 imodium (loperamide) 1-2x/wk too much to stop diarrhea?

Depends: Ok for short term, but not for long term. Must stop gluten and even casein immediately. Can take at least 6 months for gut to heal. You are likely also deficient in zinc, iron, b12, vit d and magnesium. Consider getting tested. Make sure to test rbc magnesium, not serum magnesium. ...Read more

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Does The Holter monitor record any ischemic rythm st- depression st-elevation ?

Does The Holter monitor record any ischemic rythm st- depression st-elevation ?

It can: A hoter monitor is one lead of an ekg which is 12 leads. If the ischemia is in the area where the lead is "looking" at the heart it can pick up ischemia. ...Read more

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Gi suggested colonoscopy to check colon condition before switching from remicade (infliximab) to humira. Treated for uc. Had colonoscopy 2 yrs ago. Is this needed?

Gi suggested colonoscopy to check colon condition before switching from remicade (infliximab) to humira. Treated for uc. Had colonoscopy 2 yrs ago. Is this needed?

See details: Why the switch from Remicade (infliximab) to humira? Are you having any symptoms at present? The answers to these questions determine if colonoscopy is really needed at this time. ...Read more

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Fluoroscopy made to (10 month) son to diagnose esophageal disorders after loss consciousness,bend of back,stiffness.Will he be at cancer (x-ray) risk ?

Fluoroscopy made to (10 month) son to diagnose esophageal disorders after loss consciousness,bend of back,stiffness.Will he be at cancer (x-ray) risk ?

Reflux R/O: this is being done to check for reflux being the cause of apnea conventional radiology and fluoroscopy will expose him to radiation 5% as compared to radiation exposure from radon and terrestial radiation which is 50% the test is important so the problem is corrected and fear of radiation should not prevent the use of the test ...Read more

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How does increase fiber intake to prevent coronary heart disease?

How does increase fiber intake to prevent coronary heart disease?

Fiber intake: High fiber intake can help control blood glucose and cholesterol. This can help with decreasing the likelihood of cad. ...Read more

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What testing is required to determine if a teen has structural heart disease? 2 runs of Non-Sustained V-Tach on 24 hr. holter monitor & 50 ectopics.

What testing is required to determine if a teen has structural heart disease? 2 runs of Non-Sustained V-Tach on 24 hr. holter monitor & 50 ectopics.

EKG and ECHO: Start with an EKG and an Echocardiogram. This will exclude structural heart disease and worrisome potential arrhythmia substrates. If there is any evidence for abnormality on these then a cardiac MRI would be indicated. In a structurally normal heart the frequency of your ectopics and 2 (assuming short) runs of NSVT are not worrisome or predictive of bad outcomes. ...Read more

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Normal angiogram, echo showed hypertensive heart disease. Managing aggressively now. Should I also take aspirin?

Normal angiogram, echo showed hypertensive heart disease. Managing aggressively now. Should I also take aspirin?

ASA & MI prevention: Different groups have different thoughts re use of aspirin for prevention of first heart attack(MI)in people w/o cardiovascular disease(or equivalent).No doubt aspirin can prevent MI, but at increased risk of major bleeding events. USPSTF advises no aspirin for men younger than 45. ASA advised when MI risk for men 45-79 or stroke risk for women55-79 >GI bleed risk(3%-12% depending on age/gender. ...Read more

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Any risk of paraguard IUD for people with autoimmune disease? Increase for blood clots? Greater risk for perforation? Copper make SVT worse?

Any risk of paraguard IUD for people with autoimmune disease? Increase for blood clots? Greater risk for perforation? Copper make SVT worse?

Depends: Women with Autoimmune diseases can get the paraguard IUD in most circumstances. If the autoimune disease causes you to get frequent infections, an IUD might not be the best choice. But this isn't usually the case. Best wishes! www.healthtap.com/drcharleswhiting ...Read more

Dr. James Lin Dr. Lin
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How safe if bowel prep for colonoscopy in patients with heart disease and severe electrolyte abnormalities? Are any of them safe?

Dr. James Lin Dr. Lin
4 doctors agreed:
How safe if bowel prep for colonoscopy in patients with heart disease and severe electrolyte abnormalities? Are any of them safe?

Here are some...: Colonoscopy can usually & safely be done under brief IV sedation, but can be deferred until severe electrolyte imbalance+heart disease are optimally corrected because colonoscopy oftentimes is non-urgent and even optional esp. at the time with serious ongoing medical issues. So, ask the treating doc so to understand the balance between medical necessity & professional possibility before proceeding ...Read more

Dr. Kristi Moffat
133 doctors shared insights

Proctosigmoidoscopy (Definition)

Proctosigmoidoscopy is an examination of the rectum and sigmoid colon (just above the rectum) using a narrow, rigid scope with a built-in light. A small amount of air is usually introduced to distend the bowel, allowing for a better view. Generally, a limited prep is helpful, but not always necessary. ...Read more