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Doctor insights on: Spastic Sigmoid Colon

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Dr. Ronald Krauser
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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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...: ...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

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What is erythematous and vascular-pattern-decreased mucosa in the sigmoid colon?

A description of the: Erythematous means red and decreased vascular pattern applies to the blood vessels that go through this area. Erythematous could be suggestine of inflammation. ...Read more

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What does it mean when there's an area of mild congested mucosa in recto-sigmoid colon?

Mucosal congestion: This means that there is some swelling and inflammation that is going on - kind of similar to what is going on in your sinuses when you're having a cold. I would not worry too much over that if it is the only thing found to be abnormal. The doc who discovered should be able to help you treating it if it is what is causing your symptoms. In most cases, it would be expected to be asymptomatic. ...Read more

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If someone had no waste in his sigmoid colon and then he went out to play a game baseball, would playing baseball cause waste to form in the sigmoid?

No: Waste comes from the food that you put in your mouth, goes to your stomach, then your small bowel, then your colon. If your sigmoid is empty now, it will be full in a few hours from what you had for breakfast, lunch or dinner. The journey from your mouth to your colon takes several hours. ...Read more

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Blood mixed with light coloured stool. String stuff and mucus. Does fresh blood come from higher than the sigmoid colon?

Blood mixed with light coloured stool. String stuff and mucus. Does fresh blood come from higher than the sigmoid colon?

Blood in stool: Must be evaluated with formal anoscopy and colonoscopy. Ehat you describe "sounds" like IBS or colitis- examination is necessary to diagnose. ...Read more

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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

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If I poop out all I could before I went on a bike ride. After I finished cycling, would there be any waste formed in sigmoid colon from riding?

Possibly: Partly depends on how much food you had eaten the night before and how fast your intestinal transit time is. Your body is constantly forming stool (liquid form on the right side of the colon and more solid by the time it reaches the sigmoid). So even with a good bm in the morning, there could be some stool in your sigmoid by the end of your bike ride. ...Read more

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My CT scan showed that my decending and sigmoid colon was collapsed what does that mean?

My CT scan showed that my decending and sigmoid colon was collapsed what does that mean?

ColonDidntFallInADay: Did they use that word? Or did they say "redundant"??
That's just a slightly longer colon that flops around or settles lower than normal and usually keeps out of trouble, except maybe for occasional constipation or cramps. Rarely, it will twist and cause a problem. As long as you are otherwise healthy, hydrated and eating fibre, you should do OK unless, of course it has collapsed, then you're SOL ...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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Does fresh blood mixed with stool come from higher than the sigmoid colon? From what I understand a sigmoidoscopy is a pointless test.?

Does fresh blood mixed with stool come from higher than the sigmoid colon? From what I understand a sigmoidoscopy is a pointless test.?

Usually lower.: Bright red blood mixed with an otherwise normal stool usually suggests a lower tract source - hemorrhoid, anal fissure, rectal polyp or cancer. These can be readily observed with just a physical examination and sigmoidoscopy. Not look at the whole colon, a colonoscopy is necessary, a point to which I think you're alluding. ...Read more

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I have a collapsed sigmoid colon. I've had severe back pain and right sided lower pelvic pain. And not feeling my best most of the time?

Complex case: Hard to know if your symptoms contain direct or referred pain or both.
1. See a GI doc to learn of colon is functioning or the collapsed piece needs removal.'2. X rays of the spine are needed to learn if what treatment will benefit. 3. General Med exam to, check blood labs and sleep to evaluate your general condition.
Only so much we can answer from afar ...Read more

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Glycerin suppository--does it just affect the rectum and lower sigmoid colon (stimulation and water)? Or does it affect the rest of the colon?

Glycerin suppository--does it just affect the rectum and lower sigmoid colon (stimulation and water)? Or does it affect the rest of the colon?

Just rectum: Glycerin is an irritant stimulant. It only affects the area it comes in contact with. However, by relieving a blockage in the rectum, you may be able to fully empty your colon, especially if you have used a stool softener by mouth. ...Read more

Dr. Hamid Sajjadi
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