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Doctor insights on: Ulcer In Sigmoid Colon

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Ulceration (Definition)

Exact synonym so far as this pathologist is concerned. An ulcer is a lesion on a body surface (outer or inner) in which the epithelium and at least some of the underlying connective tissue has been lost specifically to necrosis (cell death) rather than just mechanical or chemical injury. All ulcer craters ...Read more


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Had ulcerative colitis for 15 yrs (confirmed by sigmoid and biopsies). Just had 1st colonoscopy, shows granular, loss of vascular pattern and minor ulcers in ascending colon, cecum, sigmoid and colon. Is this UC or chrons?

Had ulcerative colitis for 15 yrs (confirmed by sigmoid and biopsies). Just had 1st colonoscopy, shows granular, loss of vascular pattern and minor ulcers in ascending colon, cecum, sigmoid and colon. Is this UC or chrons?

Ulcerative colitis: All of the biopsies from colonoscopy showed inflammatory changes consistent with ulcerative colitis. The later is part of the spectrum of IBD but involves only the mucosal layer of the bowel. Chrons disease is a form of IBD that involves all layers of the bowel and can be recognized on scans of the bowel or deeper layers of bowel on bx. ...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?

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 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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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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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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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?

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

Dr. Scott Bolhack
2,095 Doctors shared insights

Ulcer (Definition)

An ulcer is a discontinuity or a break in a body membrane that impedes the normal functioning of the organ of which that membrane is a part. Ulcers are further classified by their location. Ulcers are usually caused by infections, excessive acid production, stress, ...Read more


Dr. Theodore Davantzis
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