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Scanning abdomen
I have IBS and lot dizziness anxiety heart racing low bp legs hand shaking a lot cannot stand anywhere I have pain in right lower abdomen point pain which doesn't show in usg scan can I take CT scan will it show in it ? From 6 yrs I have pain is it intestinal swelling ? My stools not firmed sausage type it's mushy sometimes firmed when firmed I will b healthy when such stools pass mushy edges unformed I become thin weak lose weight dizziness shaking of body takes place .. I want to know ct scan is needed will dr tell me to take ct scan is it dangerous because of radiation.?
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A CT abdomen is not your first test here, and radiation is not the real issue - a normal CT will simply leave you where you are. Six years of alternating mushy and formed stools with right lower abdominal pain fits IBS, but weight loss and progressive weakness are not IBS features and must be sorted out first. Get CBC, ESR/CRP, ferritin, B12, thyroid, celiac serology and a stool calprotectin done. If calprotectin or CRP is high, colonoscopy is the correct next step, not a scan. Book a consult with me on Practo or at Synergy Multispeciality Hospital, Miraj with these reports and we will settle this properly.
Next Steps
Start with blood work rather than a scan: CBC, ESR/CRP, ferritin, B12, thyroid, celiac serology, and a stool test with faecal calprotectin. If calprotectin or CRP is high, you need a colonoscopy, not a CT. Meanwhile try a low-FODMAP style diet for six weeks, fixed meal times, 2-3 litres of fluid, extra salt if your BP runs low, and stand up slowly. Share these reports with me on a Practo consult and I will tell you clearly whether any scan is justified. Do not delay a hospital visit if there is blood in stool, ongoing weight loss, night fevers or pain that wakes you from sleep.
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Hi, IBS and anxiety more often than not go hand in hand. In your case, I think you might go ahead with a CECT Abdomen, just to rule out some organic causes. If it is truly IBS, CECT will likely not show anything abnormal. But it could also be IBD (Inflammatory Bowel Disease) which is a more serious condition than IBS.
Next Steps
I would suggest:
1. Blood Investigations: CBC, ESR, CRP, Anti-tTG IgA antibody, LFT, TFT, Vitamin B12, Vitamin D
2. Stool examination: Stool Routine Microscopic Examination, Fecal Calprotectin, Stool Occult blood
3. A colonoscopy subsequently
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But even more than all these, I would suggest visiting a Gastroenterologist in person rather than online consultations. As nothing can compete with a first hand clinical examination.
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A CT abdomen can detect conditions that may not be visible on ultrasound, but IBS itself usually does not require CT.
Since you mention persistent right-lower abdominal pain along with weight loss and weakness, these are reasons for an in-person evaluation rather than assuming it is IBS.
Your doctor may decide on blood tests and further imaging based on examination and symptoms. CT involves radiation, but when medically indicated, its benefits generally outweigh the small radiation risk.
You may consult me on Practo to assess your symptoms and decide whether CT or other investigations are actually required.
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I need a little more information about your symptoms to guide you properly. You can connect with me on Practo for a detailed consultation, and we can discuss your case properly
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Your symptoms may be related to IBS, but persistent right-lower abdominal pain with weight loss and weakness should not be attributed to IBS alone. You need a proper clinical examination and basic investigations to rule out other causes.
Next Steps
Please consult a physician/gastroenterologist. CBC, CRP/ESR, LFT, renal function, stool examination and other tests can be planned based on examination. CT abdomen/pelvis may be advised if clinically indicated; it can detect causes that ultrasound may miss
Health Tips
CT does involve radiation, so it should not be done unnecessarily, but when medically indicated its benefit generally outweighs the risk. If pain becomes severe, or there is fever, vomiting, blood in stool, abdominal swelling or further unexplained weight loss, seek medical attention promptly
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Please take consultation detailed history , examination is required to diagnose IBS .
And after full evaluation the doctor will decide what test to conduct, CT abdomen, colonoscopy or other blood test .
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Please book an appointment and take consultation on Practo
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