Hi Dr Chail, How Are You Doing? I Have Still

Posted on Mon, 11 Nov 2019

Question: Hi Dr Chail,

How are you doing?

I have still been dealing with further complications of apparent intestinal perforations. So far, they have not been confirmed medically.

However:

I recently found that doing upright chest xrays may be beneficial for finding even trace amounts of free air under the diaphragm, which would be indicative of a tear.

I am sending two images as attachments via the attachments email service to you.

Are you able to see whether there is any sign of air under the lungs, and outside of the GI tract (ie, free air under the diaphragm or intraperitoneally?)

Thank you so much for your time.

Answered by Dr. Vivek Chail (7 hours later)

Brief Answer:
Not received any attachments.

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

I am doing well and hope you are good.

Not received any attachments.

Request you to please update me after sending the images.

Regards,

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

Follow up: Dr. Vivek Chail (27 hours later)

Hi Doctor,

Just sent the attachments once again via the attachments email service. Thank you

Answered by Dr. Vivek Chail (45 minutes later)

Brief Answer:
No free air under the diaphragm

Detailed Answer:
Hi,
Thanks for sending the images in email.

The chest xrays are very clear. There is no free air under the diaphragm. The stomach though, is showing some amount of air in the lumen.

Regards,

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

Follow up: Dr. Vivek Chail (12 minutes later)

Thank you. The xrays seemed to not show any at the time of being taken.

At other times, however, I may feel symptoms and signs consistent.

I may send additional xrays in the near future. If any of them show any signs of free air, it would be extremely beneficial to my case!

I have been living with undiagnosed intestinal tears for some time now. You may recall some of the earlier details.

Thank you so much for your time and feedback, Doctor!

Answered by Dr. Vivek Chail (1 hour later)

Brief Answer:
Please send xrays taken when there is abdominal discomfort

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

Please send me xrays taken when you have felt any particular discomfort in the upper abdomen area. It will help to investigate for free air in the abdomen.

Regards,

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

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