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What Does This Transabdominal Ultrasound Scan Report Indicate?
Question: Health issue: bloating (my tummy is big as if I am 4-month pregnant)
Extract from report from transabdominal ultrasound:
The liver (7.6cm) shows normal size, smooth contour and normal echotexture. There is no increase in echogenicity to suggest fatty infiltration. No focal lesion is seen.
The intrahepatic ducts and common bile duct (0.43cm) are not dilated.
There are few tiny gallbladder polyps, measuring up to 0.2cm. The gallbladder contains no calculi.
There is no abnormal gallblader wall thickening. No pericholecycstic fluid is present.
Portal vein is patent with nornal flow direction.
The head and the body of the pancreas appear unremarkable. The ail is obscured by the overlying bowel gas. Spleen (7.3cm) is unremarkable.
Both kidneys show normal size (R=10.3cm, L=11.2cm). There is preserved cortico-medullary differentiation.
There is no hydronephrosis, mass lesion or obrious calculi.
The bladder also appears unremarkable with no obvious stone or mass lesion. No abnormal wall thickening is observed.
Please advise any problem with me and what tests are required for further checking?
Extract from report from transabdominal ultrasound:
The liver (7.6cm) shows normal size, smooth contour and normal echotexture. There is no increase in echogenicity to suggest fatty infiltration. No focal lesion is seen.
The intrahepatic ducts and common bile duct (0.43cm) are not dilated.
There are few tiny gallbladder polyps, measuring up to 0.2cm. The gallbladder contains no calculi.
There is no abnormal gallblader wall thickening. No pericholecycstic fluid is present.
Portal vein is patent with nornal flow direction.
The head and the body of the pancreas appear unremarkable. The ail is obscured by the overlying bowel gas. Spleen (7.3cm) is unremarkable.
Both kidneys show normal size (R=10.3cm, L=11.2cm). There is preserved cortico-medullary differentiation.
There is no hydronephrosis, mass lesion or obrious calculi.
The bladder also appears unremarkable with no obvious stone or mass lesion. No abnormal wall thickening is observed.
Please advise any problem with me and what tests are required for further checking?
Brief Answer:
Stomach bloating / Under Evaluation
Detailed Answer:
Brief Ans- /Under Evaluation
Hi,Dear !! Thanks for your updates of the text reports to HCM.
Read and reviewed query facts in context to your health concerns.
Dear I also reviewed query facts in context to your USG abdominal report.
Brief up of My Impression and Comments-
Based on the query facts,upon reviewing the USG reports,your stomach bloating could not be correlated with any of the USG details,except few gall bladder polyps.
The correlation of stomach bloating with Gall bladder polyps, needs to be investigated,which will be done after getting more details from you,as asked below.
In the given situation-only cause for your stomach bloating could be gall bladder polyps, but it needs more information, to give more specific reply in next few session.
More Information is needed-
As your USG abdomen is inconclusive except few gall bladder polyps,I will need more details to assess the Stomach bloating, which is your main health issue.
To assess and evaluate the stomach bloating,which is your main health issue, I would suggest you to update more details as follows-
How long You have Stomach bloating?
How it started to begin with?
Whether you have any ano-rectal or perianal piles / fissure like problems?
Do you have any accompanied IBS(irritable bowel syndrome)
-with Constipation ?
What is your diet style -vegan / or non-veg,spicy,fried?
What are other complaints with stomach bloating?
Update Any other reports / test like-stool-ova/cyst, blood tests,LFT etc?
Give more details as to what is your health problems,and brief in short how it developed, what is its current status, what are the current complaints?
Do you have any colicky pains lately?
Reply to your specific question-
Q-1-Please advise any problem with me and what tests are required for further checking?
Ans-In the given situation,where your USG abdomen shows only few gall bladder polyps,more details are needed from you as asked above, so as to evaluate these USG findings,in relation with Stomach bloating.
It would be important to rule out, if any other causes exist which have caused Stomach Bloating.
Do's Suggested-
In the given scenario, I would need more details as asked above.
Await more specific queries , for more replies on various aspects, if need be, so as to fix this problem.
Welcome for any further query in this regard.
If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link-http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229
Keep Me updated,if you want to update more details and ask more update queries ,
You are most Welcome herewith !!
Good Day!!
Wishing Good Healthy Life in time to come!!
Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS
Stomach bloating / Under Evaluation
Detailed Answer:
Brief Ans- /Under Evaluation
Hi,Dear !! Thanks for your updates of the text reports to HCM.
Read and reviewed query facts in context to your health concerns.
Dear I also reviewed query facts in context to your USG abdominal report.
Brief up of My Impression and Comments-
Based on the query facts,upon reviewing the USG reports,your stomach bloating could not be correlated with any of the USG details,except few gall bladder polyps.
The correlation of stomach bloating with Gall bladder polyps, needs to be investigated,which will be done after getting more details from you,as asked below.
In the given situation-only cause for your stomach bloating could be gall bladder polyps, but it needs more information, to give more specific reply in next few session.
More Information is needed-
As your USG abdomen is inconclusive except few gall bladder polyps,I will need more details to assess the Stomach bloating, which is your main health issue.
To assess and evaluate the stomach bloating,which is your main health issue, I would suggest you to update more details as follows-
How long You have Stomach bloating?
How it started to begin with?
Whether you have any ano-rectal or perianal piles / fissure like problems?
Do you have any accompanied IBS(irritable bowel syndrome)
-with Constipation ?
What is your diet style -vegan / or non-veg,spicy,fried?
What are other complaints with stomach bloating?
Update Any other reports / test like-stool-ova/cyst, blood tests,LFT etc?
Give more details as to what is your health problems,and brief in short how it developed, what is its current status, what are the current complaints?
Do you have any colicky pains lately?
Reply to your specific question-
Q-1-Please advise any problem with me and what tests are required for further checking?
Ans-In the given situation,where your USG abdomen shows only few gall bladder polyps,more details are needed from you as asked above, so as to evaluate these USG findings,in relation with Stomach bloating.
It would be important to rule out, if any other causes exist which have caused Stomach Bloating.
Do's Suggested-
In the given scenario, I would need more details as asked above.
Await more specific queries , for more replies on various aspects, if need be, so as to fix this problem.
Welcome for any further query in this regard.
If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link-http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229
Keep Me updated,if you want to update more details and ask more update queries ,
You are most Welcome herewith !!
Good Day!!
Wishing Good Healthy Life in time to come!!
Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS
Above answer was peer-reviewed by :
Dr. Raju A.T
*How long you have Stomach bloating?
Ans: More than a year
*Whether you have any ano-rectal or perianal piles/ fissure like problems?
Ans: No
*Do you have any accompanied IBS with Constipation?
Ans: Constipation, have a poo every 3-4 days with Type 1 or Type 2 (according to Bristol Stool Chart)
*What's your diet style vegan/ or non-veg, spicy, fried?
Ans: Only 3 meals each day. For breakfast, mainly coffee/tea with bread rolls from Pret A Manger. Eat rice during lunch and dinner, mostly Asian meals, mainly steam pork, chicken, sometimes fish. Can't eat spicy food. Sometimes eat slightly fried food.
What are other complaints with stomach bloating?
Ans: Easily feel full after meal, but actually start to feel a bit hungry few hours later; and before the time for the next meal.
*Update any other reports/test like stool/ova/cyst, blood tests, LFT, etc?
Ans: No other reports and test.
* Give more details as to what is your health problems, and brief in show how it developed, what is its current status, what are current complaints
Ans: Easily fart slightly daily; and feel dull pain or very slight pressure inside lower abnormen (sometimes at left, sometimes right or sometimes middle). Each time the dull pain lasts for around 1 or 2 seconds. If I don't pay attention to it, I may not even notice the dull pain/slight pressure. This occurs a few times each day. I'm 46 and BMI is within normal range. My weight increased from 52kg to 58 kg from year 2010 to XXXXXXX 2016 (ie. 5+ years ).
*Do you have any colicky pains lately
Ans: No.
Ans: More than a year
*Whether you have any ano-rectal or perianal piles/ fissure like problems?
Ans: No
*Do you have any accompanied IBS with Constipation?
Ans: Constipation, have a poo every 3-4 days with Type 1 or Type 2 (according to Bristol Stool Chart)
*What's your diet style vegan/ or non-veg, spicy, fried?
Ans: Only 3 meals each day. For breakfast, mainly coffee/tea with bread rolls from Pret A Manger. Eat rice during lunch and dinner, mostly Asian meals, mainly steam pork, chicken, sometimes fish. Can't eat spicy food. Sometimes eat slightly fried food.
What are other complaints with stomach bloating?
Ans: Easily feel full after meal, but actually start to feel a bit hungry few hours later; and before the time for the next meal.
*Update any other reports/test like stool/ova/cyst, blood tests, LFT, etc?
Ans: No other reports and test.
* Give more details as to what is your health problems, and brief in show how it developed, what is its current status, what are current complaints
Ans: Easily fart slightly daily; and feel dull pain or very slight pressure inside lower abnormen (sometimes at left, sometimes right or sometimes middle). Each time the dull pain lasts for around 1 or 2 seconds. If I don't pay attention to it, I may not even notice the dull pain/slight pressure. This occurs a few times each day. I'm 46 and BMI is within normal range. My weight increased from 52kg to 58 kg from year 2010 to XXXXXXX 2016 (ie. 5+ years ).
*Do you have any colicky pains lately
Ans: No.
Brief Answer:
Stomach bloating / Under Evaluation
Detailed Answer:
Stomach bloating / Under Evaluation
Detailed Answer:
Brief Ans- Stomach bloating / Under Evaluation
Mostly from IBS with C
Hi,Dear !! Thanks for your detailed updates to HCM.
Read and reviewed query facts and updates, in context to your health concerns.
Dear I also rethought on query facts in context to your USG abdominal report.
Brief up of My Impression and Comments-
Based on the query facts,upon reviewing the USG reports and updates,your stomach bloating is correlated with Irritable Bowel with Constipation(IBS-C)
The correlation of stomach bloating with Gall bladder polyps, needs to be investigated and kept in MIND,while treating your case.
In the given situation-only cause for your stomach bloating could be IBS with Constipation.
After the updates, gall bladder polyps seem to be causing any contribution to your Stomach bloating.
Reply to your specific question in view of the UPDATES -
Q-1-Please advise any problem with me and what tests are required for further checking?
Ans-In the given situation,where your USG abdomen shows only few gall bladder polyps-which seem to be harmless finding,You need to Consult GI Physician-
And get-following Do's executed-
Do's to treat Stomach Bloating-
Change dietary style.
Be on bland / liquid/ soft diet with Yoghurt helpings x 2 times x 2 weeks
Be on low food loads and reduce dietary stress
Control accompanied food induced Bowel infections with needed antibiotics and anti protozoals,as needed.
Probiotic-Cap Sporalc x 2 times x 2 weeks
Don't add solids veg/ or non-veg to intakes.
Tab Multivitamin-Like-Zincovit 1 x 2 weeks.
Lab tests-
Get Complete Blood test,Stool-Ova/Cyst / Anal examination from Surgeon-to assess for anal piles,fissure and treat them under guidance of Surgeon accordingly.
Evacuants for Constipation-
Movicol Sachet-for bowel evacuation if need be.
Tab Dulcolax 2 at night with plenty of fluid intake would be sufficient to take care of your chronic unattended Constipation, which would be corrected with in 1-2 weeks.
Next appointment-
Update Me after 2 weeks for further assessment and planning of treatment in your case.
Dear Don't worry, things would be set right in 4-6 weeks time and if needed I would plan further investigations needed.
Don't jump on to any major investigations, till 2 weeks trial with medicines and
It would be important to rule out, if any other causes exist which have caused Stomach Bloating.
Await more specific queries , for more replies on various aspects, if need be, so as to fix this problem.
Welcome for any further query in this regard.
Hope this would help you to plan further of this complex illness of yours.
If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link-http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229
Dear, Do close this query with YOUR pleasing feedback comments to rate My reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services.
If you want to update more details and ask more update queries ,
You are most Welcome herewith !!
Good Day!!
Wishing Good Healthy Life in time to come!!
Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS
Stomach bloating / Under Evaluation
Detailed Answer:
Stomach bloating / Under Evaluation
Detailed Answer:
Brief Ans- Stomach bloating / Under Evaluation
Mostly from IBS with C
Hi,Dear !! Thanks for your detailed updates to HCM.
Read and reviewed query facts and updates, in context to your health concerns.
Dear I also rethought on query facts in context to your USG abdominal report.
Brief up of My Impression and Comments-
Based on the query facts,upon reviewing the USG reports and updates,your stomach bloating is correlated with Irritable Bowel with Constipation(IBS-C)
The correlation of stomach bloating with Gall bladder polyps, needs to be investigated and kept in MIND,while treating your case.
In the given situation-only cause for your stomach bloating could be IBS with Constipation.
After the updates, gall bladder polyps seem to be causing any contribution to your Stomach bloating.
Reply to your specific question in view of the UPDATES -
Q-1-Please advise any problem with me and what tests are required for further checking?
Ans-In the given situation,where your USG abdomen shows only few gall bladder polyps-which seem to be harmless finding,You need to Consult GI Physician-
And get-following Do's executed-
Do's to treat Stomach Bloating-
Change dietary style.
Be on bland / liquid/ soft diet with Yoghurt helpings x 2 times x 2 weeks
Be on low food loads and reduce dietary stress
Control accompanied food induced Bowel infections with needed antibiotics and anti protozoals,as needed.
Probiotic-Cap Sporalc x 2 times x 2 weeks
Don't add solids veg/ or non-veg to intakes.
Tab Multivitamin-Like-Zincovit 1 x 2 weeks.
Lab tests-
Get Complete Blood test,Stool-Ova/Cyst / Anal examination from Surgeon-to assess for anal piles,fissure and treat them under guidance of Surgeon accordingly.
Evacuants for Constipation-
Movicol Sachet-for bowel evacuation if need be.
Tab Dulcolax 2 at night with plenty of fluid intake would be sufficient to take care of your chronic unattended Constipation, which would be corrected with in 1-2 weeks.
Next appointment-
Update Me after 2 weeks for further assessment and planning of treatment in your case.
Dear Don't worry, things would be set right in 4-6 weeks time and if needed I would plan further investigations needed.
Don't jump on to any major investigations, till 2 weeks trial with medicines and
It would be important to rule out, if any other causes exist which have caused Stomach Bloating.
Await more specific queries , for more replies on various aspects, if need be, so as to fix this problem.
Welcome for any further query in this regard.
Hope this would help you to plan further of this complex illness of yours.
If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link-http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229
Dear, Do close this query with YOUR pleasing feedback comments to rate My reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services.
If you want to update more details and ask more update queries ,
You are most Welcome herewith !!
Good Day!!
Wishing Good Healthy Life in time to come!!
Dr.Savaskar M.N. XXXXXXX Surgical Specialist
M.S.Genl-CVTS
Note: Revert back with your health reports to get further guidance on your gastric problems. Click here.
Above answer was peer-reviewed by :
Dr. Sonia Raina
Answered by
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