Talk to Gastroenterologist on Ct Enterography Vs Ct Colonography (gastroenterologist)
Asking For Someone else, Sister, Female, 26 Years old, Islamabad
Aoa dr I have gerd , gas , abdominal pain weight loss symptoms my fobt came positive I want to do any ct with colonoscopy which ct is good for large intestine? Ct scan? Ct enterography? Or ct colonography along with colonoscopy
Dr. Ajeet Kumar Lohana - Gastroenterologist
MBBS, MRCP, FCPS (Gastroenterology) | Karachi
163 Positive Reviews
. Well it would have be easier to understand the underlying cause for her fobt positivity. findings fobt positive without gross bleeding in the stools with such young age is an unusual thing. It may be possible that she may not need any of above tests that you mentioned. A simple flexible sigmoidoscopy however; can give the answer instead.
I suggest you to discuss further patients details like her symptoms , duration of symptoms onset; before I can recommend you any further testing.
Agree with Dr Lohana
However if scan is to be done to avoid endoscopy then it would be more appropriate to do CT colonography which will look at large intestine which is most common site of pathology e.g IBD plus sigmoidoscopy ideally.
Patient
Post Owner
Dr I done stool calprotectin it’s normal and h pylori also negative what the cause of internet bleeding? What test do you recommend now?
5 years ago
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Patient
Post Owner
Dr symptoms started since I.5 year chronic gerd , excessive gas and weight loss thn new symptoms starts severe abdominal pain motion dark coloured also persistent bowel infections now only eats home food without oil and spice mostly take rice , if spicy food eats it cause dark stools means occult bloody
5 years ago
MBBS, MRCP, FCPS (Gastroenterology) | Karachi | Book Appointment
Well you have predominantly has gaseous symptoms. Occult blood does not change the color of stools. and It is not uncommon to have change in color of stool with certain diets containing coloring agents. Do not worry about that.
5 years ago
Patient
Post Owner
Dr what do you recommend next ? What do you think what cause of bleeding? Even h pylori and fecal calprotectin normal? Can I do ct colonography instead of colonoscopy? Or ct enterography is more good quality option because it can see small bowel too?
5 years ago
MBBS, MRCP, FCPS (Gastroenterology) | Karachi | Book Appointment
did your dr suggested you colonoscopy?
5 years ago
Patient
Post Owner
Dr I done online appointment with nearby doctors due to lockdown , 1 doctor said for ct enterography and 2nd dr said colonoscopy and endoscopy , they made me confused I don’t want to regular colonoscopy that’s why asked fo ct colonoscopy
5 years ago
MBBS, MRCP, FCPS (Gastroenterology) | Karachi | Book Appointment
Well the tests you mention are almost same to a radiologist.
You should get a ct enterography then. The other test you tryiny to say is ct enterocolysis which is cumbersome and requires a tube placement in your stomach and day long preparation.
You better go with ct enterography. But do ask the if radioloist is able to interpret the every radiologist is expert in it
5 years ago
Patient
Post Owner
Ok dr thanks for suggestion, is ct enterography showed every colon and small intestine diseases after that no need for colonoscopy and endoscopy?
5 years ago
MBBS, MRCP, FCPS (Gastroenterology) | Karachi | Book Appointment
plz remember that ct scan is not a substitute for a colonoscopy.
5 years ago
Patient
Post Owner
Dr thn what is replacement test for colonoscopy? For avoid colonoscopy Is ct colonography or its also not?
5 years ago
MBBS, MRCP, FCPS (Gastroenterology) | Karachi | Book Appointment
I suggest you to consider seeking another opinion before going any tests. If you want I can discuss you in details while provoking pertinent details. since you were concerned about which test to get done that why responded you in that way. You did not ask whether it is required or not
5 years ago