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What Does The Following Study Report Indicate?

Posted on Sat, 3 Oct 2015

Question: What is distal limited findings of the small intestine mean & much of the lilem layes in the XXXXXXX pouch mean please

Answered by Dr. Vivek Chail (36 minutes later)

Brief Answer:
The study shows the position and incomplete evaluation of small intestine

Detailed Answer:
Hi XXXX,
Thanks for writing in to us.

I have read trough your query in detail.
Please find my observations below.

1. Limited assessment of the small intestine means that the small intestine is not completely assessed in this study.

2. The ileum is the small intestine and in females the pouch of XXXXXXX is the area behind the uterus and in front of the rectum. In the males it is the space between bladder and rectum. The small intestine is said to occupy the position in pouch of XXXXXXX and this is not a problem.

3. The non complete assessment and small intestine in pouch of XXXXXXX are not of much significance. However the gut dysfunction might not be visualized on these scans and a enteroclysis or small bowel enema might provide more accurate information. Colonscopy might also be suggested to study the large bowel.

Hope your query is answered
Please do write back if you have any doubts.

Regards,
Dr.Vivek

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Vivek Chail (14 hours later)

i am under a gastro specialist,he tells me from a brain scan i have brain stem medulla nerve damage,&was born like this is this true as i have never had headaches untill i fell of caravan varander four years ago,i have been seeing the specialists four allmost four years now havent got a clue whats wrong with me just using me as a dummy i will not have meds of him,as he un certen whats up,i have had lots of scans & the doctor who seen me first said i had a defect in my small intestines & bladder out of place allso did an examination on me then the specialist saying he is not telling me the truth & got a slow transit stomach doesnt open & reseve food to give me all the vitamins i need hope you can help i do have all files from my doctors

Answered by Dr. Vivek Chail (1 hour later)

Brief Answer:
Please discuss with old report

Detailed Answer:
Hi XXXX,
Thanks for writing back with an update.

1. The scans of your brain are to be discussed in detail. he brain stem medulla are delicate and inner parts which are usually not affected by a fall. However old reports are to be discussed in detail keeping in mind the nerve damage of probably congenital origin and the headaches you have after the fall.

2. Other than the nerve damage your headaches might be due to concussion injury and rarely it might stay for few years.

3. It is not clear regarding the abnormal small intestine and bladder being out of place. This also requires a complete discussion based on report.

4. The stomach having slow transit time might be naive or acquired. I hope this is confirmed by barium meal follow through.

5. Request you to please send in updates.

Hope your query is answered
Please do write back if you have any doubts.

Regards,
Dr.Vivek

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

Follow up: Dr. Vivek Chail (47 minutes later)

So can you be born with the medulla damage & my reports are on my files just sent them as for brain report my solicitor has them at moment

Answered by Dr. Vivek Chail (9 hours later)

Brief Answer:
Please find details below

Detailed Answer:
Hi XXXX,
Thanks for writing back with an update.

1. There are people who might have mild medulla abnormality from birth and lead a normal life. You might be in this group.

2. The colonoscopy report shows non specific chronic colitis. This is a mild inflammation of large bowel and treated symptomatically and with diet changes.

3. The uterus might be evaluated on ultrasound scan to know accurately about the uterus finding and this is likely benign.

Hope your query is answered
Please do write back if you have any doubts.

Regards,
Dr.Vivek

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

Follow up: Dr. Vivek Chail (20 hours later)

Hi there i all so fell out of a tree when i was seven bedn told all my life i have a very very small bowel not the size it should,i all so have a scar on the left sidd of my face from the tree since i have been two years old doctors have been putting sopsitrees up my bottom i all so think my bladder is out of place because when i go for wee i need to go back agsin with in five minites my wee is frothy all the time & i have all ways been a great health eater but now dont wont to eat feel line i am constent full of cold

Answered by Dr. Vivek Chail (2 hours later)

Brief Answer:
You might have weak bladder and bowel muscle control

Detailed Answer:
Hi XXXX,
Thanks for writing back with an update.

1. There are chances that you have a weak muscle control of the bowel and bladder which might have arisen due to your fall during childhood.

2. Doing pelvic floor muscle strengthening exercises will help you.

3. Please try to be relaxed when passing urine and stools.

Hope your query is answered
Please do write back if you have any doubts.

Regards,
Dr.Vivek

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

Follow up: Dr. Vivek Chail (19 hours later)

Thank you i have been told i have weak bladder for years but no one is helping just say diffrent things all the time the last time i went to the doctors i was asked to take this thing that you put up your bottom to help go for a stool i cant do things like that i said as it was so pain full when i had the camra put in so i asked what is wrong just said not know as the insides of your body is very weard so test after test i have had & still dont know one min they say my body is bracking down on me then say i have defetct & all the pain is on the left side of my body pins & kneedles,i was a very very fit women could run for 10,20,miles five days a week but now cant run as my spine the neck & head start to hurt my head feals like its going to bust & i cant breath i allso get pain in my left side just befor the hip as feals like something moveing about in my abdoan area & i cant run for longer than five mins now & i just dont under stand how after all these years its affecting me even my heart beating to fast when i di any tipe of work

Answered by Dr. Vivek Chail (17 hours later)

Brief Answer:
Please find details below

Detailed Answer:
Hi XXXX,
Thanks for writing back with an update.

1. I think it will benefit you if you keep your mind relaxed and try and do some physiotherapy for the pins and needles type of pain which is probably from a spine condition.

2. No active intervention is required for the bowel and bladder functions and your should get treated only if there are any specific symptoms for short duration.

3. For the tiredness it is suggested that you get your heart and thyroid function evaluated by your doctor.

Hope your query is answered
Please do write back if you have any doubts.

Regards,
Dr.Vivek

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

Follow up: Dr. Vivek Chail (4 hours later)

What is short duration,i have seen my doctor again to day at my own surgery,he told me cant do anything as this doctors has said i have complet gut disfuction,i have diverticulites in the sigmond,i am a female not a male,dont know if you know that all so he said that i have had a transit studio with the stuff you asked me before,it says my stomack doesnt open & reseve food fast enought to feed me,all so are you saying that i shoudnt use anything un my bottom to help as i couldnt do it if thats what you were meaning,i have said to my doctor to day i will just use lasitives,as i use every three to four days,i feal as thou i am crackjng up with all the stuff i have been told & my heart said gojng to give me a beater blocker but my doctor doesnt wont to do thst as we dont even know whats going on as no one as checked it i all so get neck stiff XXXXXXX on the left when i look in mirror my head doesnt look straight i all so have a swallon neck as if there is lumbps in there move up & down on the letf side

Answered by Dr. Vivek Chail (5 hours later)

Brief Answer:
Please have frequent small meals regularly through the day

Detailed Answer:
Hi XXXX,
Thanks for writing back with an update.

1. Diverticulitis is infection in the large bowel from out pouching. This is treated with medicines for short duration like a weeks.

2. You should have small regular meals every few hours and include fibers in your food.

3. Laxatives every few days is acceptable but try to avoid it too much.

4. Your heart will respond to treatment with medicines and anxiety will also get controlled.

5. For the neck I suggest a clinical examination and treatment after confirmation of diagnosis.

Hope your query is answered
Please do write back if you have any doubts.

Regards,
Dr.Vivek

Note: For further follow up on related General & Family Physician Click here.

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