CT scan of Ab - Help reading

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JD23
Regular Member


Date Joined Apr 2008
Total Posts : 131
   Posted 3/13/2009 9:33 AM (GMT -7)   
Hi everyone,
I was wondering if any of you knew what this meant, in regards to a CT scan and the terms etc..  My doc isn't around until next week, and I thought maybe you guys would have some experience or knowlege understanding my CT scan results of my ab/pelvis etc..
 
"Diffuse dilation of small and large bowel, increased dilation from last year"  " Finding suggest underlying ileus"  "bowel dilation has mildly increased"
 
can anyone tell me exactly what that means?  is it something not to worry about?
 
ok- thank you in advance!!

Becky77
Veteran Member


Date Joined Dec 2005
Total Posts : 1768
   Posted 3/13/2009 9:51 AM (GMT -7)   
"Diffuse dilation of small and large bowel, increased dilation from last year"-means that the bowel is enlarged throughout, not in a specific area, but it's more than last CT

"Finding suggest underlying ileus"-means that they suspect maybe causing these things is an obstruction

"bowel dilation has mildly increased"-means that compared to your last CT the enlargement of the bowel is more, but not by much

I imagine you've had problems with obstructions in the past? Sometimes you can have dilation, or enlargement of the bowel because of an obstruction. Things "back up" in the bowel and make the bowel irritated and larger in the area before where the food is actually getting stuck or slowing. It kinda indicates that there isn't a specific place that they saw causing the dilation, such as a stricture.

Of course, I am not a doctor, and the entire report is used to diagnose and treat you.

Combined with your symptoms, and your disease throughout time, your doctor should come up with a plan.

Don't freak out about anything at this time. Just hang in there and wait to talk to your doctor.

What has been going on with you? Is this just an annual CT, or are you having problems? What did your doctor say about your symptoms and what he thinks is going on with you?

Also, just to note...this is the reason typically patients don't actually see the reports from studies, because the wording can be confusing or can lead you to jump to conclusions that scare you.
Becky

31 yr old female-dx with Crohn's in '97 after emergency resection and appendectomy, 2nd resection '05
Currently on Humira, Prilosec, Effexor, Seroquel, Calcium, Vit D, sublingual B12; phenergan, ultram, clonazepam as needed


JD23
Regular Member


Date Joined Apr 2008
Total Posts : 131
   Posted 3/13/2009 9:55 AM (GMT -7)   
hi becky- thank you so much for your quick and knowlegeable reply!!
i have eosinophilic colitis and crohns disease, but i was having major feelings of STUCK pain after i'd eat, like something would get stuck in my stomache and wouldn't pass for over 6-8 hours at a time and it happens every single day. i don't know what an obstruction is so i dont know if i've had one before. i just dont know what dilation of bowels means and if thats bad or good/normal etc..
thank you so much again!

Becky77
Veteran Member


Date Joined Dec 2005
Total Posts : 1768
   Posted 3/13/2009 10:46 AM (GMT -7)   
Usually your bowels are a specific size, dilation means they are bigger. It's not usually a good thing. An obstuction is when things are stuck. They can be mild, and things are getting through but going slowly, or they can be bad, where nothing is getting through.

As you know from your symptoms, of course something is going on in there, right? Don't let these things scare you though, just eat carefully. You know stress won't help you at all. Maybe you should try soups, more mushy foods like potatos and things, and just be careful what you eat until you talk to your doctor.
Becky

31 yr old female-dx with Crohn's in '97 after emergency resection and appendectomy, 2nd resection '05
Currently on Humira, Prilosec, Effexor, Seroquel, Calcium, Vit D, sublingual B12; phenergan, ultram, clonazepam as needed


JD23
Regular Member


Date Joined Apr 2008
Total Posts : 131
   Posted 3/13/2009 11:19 AM (GMT -7)   
yes, my diet is pretty strict the way it is. i only eat 2 things due to my other colitis issues and its very soft, mush-like cauliflower and yogurt. thats pretty much it. everytime i eat its a feeling of things stuck all throughout my stomache. do you know if a surgery can correct something like Ileus? I was hospitalized for this last year and then got an pnemonia right after, but the Ileus seems to be a constant thing with me. would the doctor call their patient because of this right away, because my next apt. with him is not until the end of this month.
thank you again for your help!

Becky77
Veteran Member


Date Joined Dec 2005
Total Posts : 1768
   Posted 3/13/2009 11:29 AM (GMT -7)   
If it's an ongoing thing, maybe he's not on "alert" from the report. As for surgery, surgeons are supposed to look for reasons not to do surgery on Crohn's patients. It's very much the opposite of any other person. Normally on a person, if they can, they do surgery. With us, it's the opposite. If you are treatable in other ways, even if that's hospitalizing you and keeping you from eating, they would rather do that. We have to keep as much bowel as we can. If you are in extreme pain, you need to go to the ER, otherwise, if it is something you can deal with, I'd just try to hang in there and stick it out till your appointment. I know it isn't fun. And it definitely isn't easy. Hang in there!
Becky

31 yr old female-dx with Crohn's in '97 after emergency resection and appendectomy, 2nd resection '05
Currently on Humira, Prilosec, Effexor, Seroquel, Calcium, Vit D, sublingual B12; phenergan, ultram, clonazepam as needed


belleenstein
Veteran Member


Date Joined Feb 2007
Total Posts : 1010
   Posted 3/13/2009 12:03 PM (GMT -7)   
Ileus does not specifically mean a bowel obstruction. Ileus means that the bowel is not working efficiently to move material through. This can be due to a number of things, partial obstruction being only one. Sometimes the ileus is due to mechanical issues. Sometimes it is nerve related. Sometimes the bowel's peristalis (muscular contractions) just stops working or slows down, even though there isn't an obstruction -- sort of like what happens directly after surgery, when there's a period when the bowels just haven't woken up yet.
Belleenstein:

30+ years living with Crohn's.


JD23
Regular Member


Date Joined Apr 2008
Total Posts : 131
   Posted 3/13/2009 12:11 PM (GMT -7)   
but when the problem is happening ALL the time, where you can't basically eat because of it, how do you correct this problem? I have these painful feelings of things stuck in my system from morning till night and after every single small bit i have i have to constantly drink milk of magnesia and like 10 cups of hot tea just to get things moving.
is this something a doctor would call their patient about? last time i was in the
ER, my doc hospitalized me for this, thats why i ask.
thank you again!

Becky77
Veteran Member


Date Joined Dec 2005
Total Posts : 1768
   Posted 3/13/2009 12:41 PM (GMT -7)   
You know your body best. You know what you can and can't tolerate, and if it does feel so bad that you feel like you need to be in the ER, then go.

I can't tell you what you should do. I know what my tolerance is, and when I need to go to the ER, and I'm sure you know that for yourself also.

(((((hugs)))))
Becky

31 yr old female-dx with Crohn's in '97 after emergency resection and appendectomy, 2nd resection '05
Currently on Humira, Prilosec, Effexor, Seroquel, Calcium, Vit D, sublingual B12; phenergan, ultram, clonazepam as needed


gachrons
Veteran Member


Date Joined Mar 2007
Total Posts : 4527
   Posted 3/13/2009 7:36 PM (GMT -7)   
Hi If you are worried sometimes a trip to emerg. helps or call your Dr. feeling like something is stuck could be a partial obstruction .. hope you feel better soon. lol gail
Hallarious woman over 50 ,CD ,IBS 27 years--resection,fistula's,obstructions,hemmies,and still alive.lol gail

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