Colonic Obstruction

Question: I suffer from Chronic Constipation and lately is getting worst I need advice? I am a 27-year-old male with a history of Chronic Constipation doctors say is possible hirschprung versus colonic inertia and nonrelaxing puborectalis. I controlled for the past years with mineral oil, I usually take 2 ounces a week. For the past month I have notice changes in my bowl movement. I been constipated for more than a week, I went to the hospital on Friday, they did some x-ray but it did not show any obstruction. The doctor prescribed a fleet enema and colace. I did the enema and took the colace and nothing has improved. On Monday I went to my general Doctor, I explained my situation and she prescribed enulose syrup she told me to take 30ml every 6 hours and if did not help to go to the hospital. Tomorrow I have an appointment with a Gastroenterologyst and lets see what he says. I had some bowl movement today but it wasn’t enough. Please if someone has similar condition please help or if any other Doctors have other suggestion I will appreciate.

Answer: You poor guy... I know how bad constipation hurts. I'm pregnant and sometimes it makes me throw up when it's too hard to go. Are you taking fiber supplements? They have fiber pills and 'Benefiber' that you could take often to try to soften your stool. I wish I could help ya cause I'm sure you're at your wits end. Good luck at the Gastroenterologyst. If you're not taking fiber regularly give it a shot. Best wishes!

Question: What does my CT Scan results mean, I am very worried? It says: CT OF THE ABDOMEN AND PELVIS WITH CONTRAST HISTORY: Abdominal pain. FINDINGS: The lung bases are clear. There is diffuse fatty infiltration of the liver. A 4 mm hypodensity in the posterior cortex of the right kidney is likely a benign cyst. Remaining intraabdominal organs have a normal appearance. There is no free fluid or lymphadenopathy. There is a persistent 2.2 cm segment of decreased patency of the sigmoid colon. This is likely due to anatomical variation. There is no proximal dilatation of colonic lumen that would suggest true stricture. Inflammatory or neoplastic mucosal-based lesion is felt to, therefore, be unlikely. Further evaluation could be obtained with barium enema or colonoscopy, if felt to be clinically indicated. IMPRESSION: 1. No acute intraabdominal/pelvic pathology. 2. 2.2 cm segment of lack of normal luminal distention of sigmoid colon, likely representing developmental variant and/or spasm, rather than true persistent stricture. No dilatation of proximal bowel or other evidence to suggest bowel obstruction. I am 55 years old, overweight, T2 Diabetic, Don't smoke or drink. Thanks Liza. I am still wondering why I am still having some Abdominal discomfort mostly in my lower left side. Since the CT results don't sound real bad. I don't see the Dr. again until the 21st.

Answer: Basically, this scan is done as your doc was suspecting some part of your intestine is blocked. The lung bases are clear - means no sign of infection in your lungs. There is diffuse fatty infiltration of the liver - There are a lot of fats growing at your liver. Obviously, you better admit you are eating a lot of junk food, most likely KFC. A 4 mm hypodensity in the posterior cortex of the right kidney is likely a benign cyst - means, at the back of your right kidney, there is a small grow of 4mm. However, the growth contains fluid. So it's most likely to be a cyst and very unlikely to be cancer. Remaining intraabdominal organs have a normal appearance. There is no free fluid or lymphadenopathy - means - the rest of the organs inside the territory of tummy, are normal. No free fluid means no serious illness in the tummy eg cancer. No lymph nodes are found there also. That means you are unlikely to be having lymphoma, a type of cancer. There is a persistent 2.2 cm segment of decreased patency of the sigmoid colon. - at the large intestine (sigmoid colon), about 30cm from your anus, a part of the intestine of length 2.2cm is not flowing well, the flow is slightly slower as compared to the rest of other parts of the intestine. This is likely due to anatomical variation. means - this is likely to be normal due to the position of your body. There is no proximal dilatation of colonic lumen that would suggest true stricture. Means - (normally, after the section of blockage eg slow flow, the lower part of the intestine will be bigger.) the intestine after the block is not bigger, means it's not block. Just slower flow. Inflammatory or neoplastic mucosal-based lesion is felt to, therefore, be unlikely. means - based on the above findings on the scan, you are unlikely to be having cancer in your intestine. Your intestine is not inflammed also. Further evaluation could be obtained with barium enema or colonoscopy, if felt to be clinically indicated. means - if need to be 100% sure what is happening at the slow flow section, will need to be find out by a scope going into your intestine from your anus. Or do a barium enema, whereby a milky radio opague fluid is push into your intestine from anus. No acute intraabdominal/pelvic pathology. means - no serious abnormalities found in this region. I am 55 years old, overweight, T2 Diabetic, Don't smoke or drink - does not have any effects on the scan.