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What Does My CT Scan Report Indicate?

Posted on Tue, 18 Apr 2017

Question: Four months of dull gnawing pain in stomach that's also causing back pain. This pain is daily and gets better oddly with alcohol. Had a contrast CT scan now I need endoscopy. What is this could it be cancer

Answered by Dr. T Chandrakant (1 hour later)

Brief Answer:
IBS may be the cause

Detailed Answer:
Hi.
Thanks for your query, albeit short and odd.
To recapitulate: Female: 40 - full gnawing pain in stomach - also causing back pain - 4 months - Nexium and Zantac do not work - pain is daily - gets better with alcohol - Contrast CT - need Endoscopy - wants to know what is this and could it be cancer - history of *IBS ...

Please mention the findings of CT scan of abdomen.
Alcohol can ease pain in abdomen if this is due to IBS and you have history of IBS as mentioned by you.
Nexium and Zantac might have helped as they reduce acidity alone and has no effect on IBS.
Most of the investigations will be normal for one to say this to be due to IBS.
IBS has a definite relation with stress and/or anxiety and alcohol helps to relieve these.
Please get the stool, blood and urine test.
CT has already been done.
What remains is Upper GI Endoscopy and colonoscopy.
If all the tests are normal, possibility of IBS being the cause can be considered and hence not related to cancer. as per the present information.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. T Chandrakant (10 minutes later)

I'm hoping it's only IBS . Blood work is normal just a bit low on iron in the process of stool test . I'm not losing any weight . Burning gets worse with emotional thoughts . Could also be slow motility ?

Answered by Dr. T Chandrakant (12 minutes later)

Brief Answer:
If you have constipation

Detailed Answer:
Emotional thoughts changes make it towards IBS.
IBS can be in two forms, one can be diarrhea and the other constipation
Do you get hard stools or constipation? If not then no slowing down.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. T Chandrakant (8 minutes later)

So since I've been gluten free for two weeks I have been very regular!!!! Prior to that I was constipated . I thought the change in diet would have helped my burning stomach . I feel that when back pain is bad stomach is fine and vice versa

Answered by Dr. T Chandrakant (20 minutes later)

Brief Answer:
Possibly yes.

Detailed Answer:
Nice to know.
Possibly yes, gluten free helping you to be regular as also for burning pain.
Inverse relation of stomach pain and back pain indicate towards myalgia in the back and again can be related to the emotional changes.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. T Chandrakant (13 minutes later)

So this sounds more IBS and anxiety related Than cancer in your opinion ?

Answered by Dr. T Chandrakant (6 minutes later)

Brief Answer:
Yes, as per the available information

Detailed Answer:
Yes, as per the available information that you have provided.

Note: Revert back with your health reports to get further guidance on your gastric problems. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar