MY TURN To Ask A "Stupid" Question !!!

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CrohnieToo
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   Posted 6/3/2010 9:01 PM (GMT -7)   
Family doctor and gastro both out of the office on Fridays. (Naturally, its always weekends, holidays and doctor's day out when things happen, right?)
 
If one has a known long time high grade partial obstruction that has NOT been causing any symptoms can a regular xray reveal if somewhat gradual onset of nausea and bloating (no pain) and audible borborygmi is due to the start of some actual obstruction or "just" bacterial overgrowth??
 
We won't have a MedExpress open until after 5 PM tomorrow and I really don't care to go to ER if I can avoid it. Yet w/o a script for it I also can't just walk into the local imaging facility and request an abdominal xray either.
 
 
My computer says I need to upgrade my brain to be compatible with its new software.


Ides
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   Posted 6/3/2010 9:11 PM (GMT -7)   
I doubt a regular xray would be able to pick up a small obstruction. Bowels are usually only visualized on xray when they have formed/hard stool in them. I would think it would take a CT with contrast to properly visualize the problem.

C2, sorry you aren't feeling well! Why do these things always happen on weekends?

I am not an xray tech so am just winging it. If I am wrong, please feel free to correct me.
Moderator Crohn's Disease, IBS, and Osteoarthritis Forums
CD, Ankylosing Spondylitis, lupus, small fiber peripheral neuropathy, avascular necrosis, peripheral artery disease, pulmonary hypertension, degenerative disc disease, asthma, severe allergy and a host of other medical problems.
 


randynoguts
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   Posted 6/4/2010 12:40 AM (GMT -7)   
C2 the only stupid question is the one not asked, or so said my teacher in high school. ides, i will differ slightly on what you said.. when i have been extremely bloated and in pain from strictures etc.. regular abdominal Xrays have shown enlarged intestines up stream from the stricture. it was very plain to see. it would be dialated and have air in it that couldnt go anywhere. thus the bloat and the pain. i will give the caveat of my dwindleing intestinal length may have been a factor in this being seen, but i still had most when we did view this years ago.
randynoguts 



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Nanners
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   Posted 6/4/2010 6:17 AM (GMT -7)   
I have had regular Xrays show a stricture in the past, they usually would follow it up with a CT scan to confirm. Hugs and good luck!
Gail*Nanners* Co-Moderator for Crohns Disease 
Crohn's Disease for over 34 years. Currently on Asacol, Prilosec, Estrace, Prinivil, Diltiazem, Percoset prn for pain, Zofran, Phenergan, Probiotics, Calcium, Vit D, and Xanax prn. Resections in 2002 & 2005. Also diagnosed w/ Fibromyalgia, Osteoarthritis, & Anxiety. Currently my Crohns is in remission, but my joints are going crazy!
*Every tomorrow has two handles.  We can take hold of it by the handle of anxiety, or by the handle of faith"*

CrohnieToo
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Date Joined May 2003
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   Posted 6/4/2010 10:54 AM (GMT -7)   
Ahhh! God looks after fools! Evidently it was "just" aerophagia from the darn bi-level PAP. I've been using it in auto mode and the symptoms have been building up gradually. Wednesday the sleep doc switched me to straight bi-level mode and a higher IPAP and EPAP setting than I'd been hitting most of the night. So Wednesday MUST have just been the clincher, the straw that broke the camel's back. I didn't use PAP at all last night, just 2L of 02 and just mild queasies this morning plus a loose BM and feeling okay. HALLELUJAH!

I'll try the same pressure settings tonight and if I run into the bloating, nausea and burping tomorrow I'll know for sure and lower the IPAP and EPAP settings myself. Doggone weekends!

Thanks so much for the replies!!! Man, but I was miserable!!! I haven't been that miserable since just prior to my resection in early '78!!! I knew I wasn't in as much trouble as then since I wasn't having actual PAIN and gut spasms just the feeling I was going to burst. But I also knew if it was an obstruction the spasms and pain wouldn't be long in arriving and I've been warned repeatedly NOT to push my luck as I did back then. The area above the partial obstruction dilates to as large as my stomach during a CTE.


My computer says I need to upgrade my brain to be compatible with its new software.

Post Edited (CrohnieToo) : 6/4/2010 12:00:46 PM (GMT-6)


Becky77
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Date Joined Dec 2005
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   Posted 6/4/2010 1:55 PM (GMT -7)   
Coming from an xray tech...NO! A regular xray cannot show if a partial obstruction is changing. It can show if you have air in your intestines, which MAY indicate an obstruction, but it really doesn't tell much. Really the only thing they do abdomen xrays for is to see if you have free air in your abdomen, which would be indicitive of a complete obstruction.
Becky

32 yr old female-dx with Crohn's in '97 after emergency resection and appendectomy, 2nd resection '05, Bilateral pulmonary emboli 10/09
Currently on Humira, Omeprazole, Effexor, Seroquel, Calcium, Vit D
Coumadin stopped 3/15/10!!!!


CrohnieToo
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Date Joined May 2003
Total Posts : 9448
   Posted 6/4/2010 4:11 PM (GMT -7)   
Thanks, Monkiray. THAT is what I would have been looking for. I had the bloating. I know the area above the partial obstruction at the old anastomosis can dilate to the size of my stomach. I was also extremely nauseous altho hadn't progressed to the point of vomiting but I was to the point that I was wishing I could. I was past the point of the big violent burps, needed more of them but could barely get a few smal burps up and out. I hadn't been eating for several days except for small amounts now and then.
My computer says I need to upgrade my brain to be compatible with its new software.


Becky77
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Date Joined Dec 2005
Total Posts : 1768
   Posted 6/4/2010 7:26 PM (GMT -7)   
If the loops of bowel are dilated and filled with air, it would show, but usually when something like that shows, the radiologist would recommend doing a CT or SBFT to see exactly what's going on.

Usually abdomen xrays are used for foreign bodies (kids swallowing stuff) or for kidney stones.

Glad I could help you!
Becky

32 yr old female-dx with Crohn's in '97 after emergency resection and appendectomy, 2nd resection '05, Bilateral pulmonary emboli 10/09
Currently on Humira, Omeprazole, Effexor, Seroquel, Calcium, Vit D
Coumadin stopped 3/15/10!!!!


Becky77
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Date Joined Dec 2005
Total Posts : 1768
   Posted 6/4/2010 7:28 PM (GMT -7)   
Oh, and if they are looking for free air, the xray would have to be done with you standing up.
Becky

32 yr old female-dx with Crohn's in '97 after emergency resection and appendectomy, 2nd resection '05, Bilateral pulmonary emboli 10/09
Currently on Humira, Omeprazole, Effexor, Seroquel, Calcium, Vit D
Coumadin stopped 3/15/10!!!!


CrohnieToo
Veteran Member


Date Joined May 2003
Total Posts : 9448
   Posted 6/4/2010 7:37 PM (GMT -7)   
What I was hoping for was an abdominal xray to reveal if it was air/gas as I strongly suspect it is swallowed air from the bi-level PAP, aerophagia, rather than active disease or obstruction. I didn't use the PAP last night, just 2L of 02 and will not use PAP again until Sunday night when I know my doctors are all available on Monday. And for Sunday night I will drop the IPAP and EPAP pressures by 2. Just one BM today and not formed.
My computer says I need to upgrade my brain to be compatible with its new software.


Sniper
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Date Joined Feb 2004
Total Posts : 6518
   Posted 6/4/2010 7:56 PM (GMT -7)   
I have no answer , just glad you feel better. I hate to visit the ER.
If we would read the secret history of our enemies,we would find in each mans life sorrow and suffering enough to disarm all hostility.

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