The oral contrast, plus enema contrast, plus IV contrast in your veins, will all lead to much better pictures than a CT scan without them.
It's possible that's why these things showed up this time but not last time. You probably had a little bit of it before but not enough to be evident without using the contrast to get better pictures.
The findings you describe sound pretty likely to be Crohn's - it's the most common
location for it to occur (at the junction of the small bowel and the large bowel, ie, the colon), and you have wall thickening (from active inflammation, scar tissue, or a combination of both), plus narrowing of the inside of the "pipe" at the end of your small intestine with the segment immediately behind that bulging a little. Those are all classic findings of Crohn's.
A scope is definitely in order when you get back to the states. Get copies of your CT scan and the report and present them to your GI or primary care doctor, and they should know that a scope is needed.
Kaiser has lots of GIs. Try to get to one that focuses on IBD (inflammatory bowel disease) like Crohn's and UC. I know some Kaiser GIs focus on that and others don't.
Soups are probably a good thing to eat. I'd avoid nuts, seeds, probably salads and raw veggies, as I mentioned above. Veggies cooked to be mushy/really soft might be ok. Applesauce, yogurt, soups, bananas, broiled or baked or grilled fish or chicken, potatoes, white rice, probably all ok. Fruits may or may not be ok. Avoid their skins and you might tolerate them. Nut butters are probably ok.
If you find yourself getting pretty sick (fever, vomiting, pain, blood in stools), you can ask a doctor for prednisone. It's cheap and readily available. It will help you feel better fast but isn't a long term solution due to side effects that accumulate over time.
Post Edited (beave) : 8/13/2019 11:28:19 PM (GMT-6)