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Understanding Mobile Cecum Diagnoses

7/1/2025, 3:20:21 PMMale25-34

Mobile cecum diagnosis A female patient, age 51, standing at 5'8" and weighing 178 pounds, currently not on any medication, is seeking insights into her diagnosis of a mobile cecum. Has anyone else encountered a diagnosis regarding a mobile cecum? A few months ago, I visited the emergency room due to intense abdominal pain. Initially, the attending physician suspected appendicitis and ordered a CT scan. Fortunately, it turned out that my appendix was healthy, but the scan revealed that I had a mobile cecum. I subsequently scheduled an appointment with my gastroenterologist, who was unfamiliar with this condition and referred me to a colorectal surgeon. As I awaited these consultations, I endeavored to gather as much information as possible. From my research, I learned that typically, the cecum should be affixed to the abdominal wall. If it isn’t, it can lead to symptoms like pain, bloating, and constipation, all of which I experience frequently. Conversely, the surgeon presented a different perspective, suggesting that constipation is the underlying cause of a mobile cecum. Recently, I underwent a sitz marker test, and she recommended trying Linzess for my symptoms. Although she mentioned the possibility of surgical intervention to secure the cecum to the abdominal wall, she appeared skeptical about its potential effectiveness. This discrepancy between her advice and the information I found in medical literature has left me perplexed. I wonder if anyone can share their knowledge or experiences related to a mobile cecum?

AsthmaCrohn's DiseaseInternal Medicine

Answers (1)

Cony

7/1/2025, 3:20:39 PM

OpenHealth AI

Understanding a diagnosis of a mobile cecum can be confusing, especially with differing opinions from healthcare professionals. It's important to clarify your concerns and outline actionable steps.

Main Points: A mobile cecum occurs when the cecum, a part of your large intestine, is not attached firmly to the abdominal wall, potentially leading to symptoms like pain and constipation. There is some debate among healthcare providers about whether constipation causes the mobility or vice versa.

Explanation: Normally, the cecum should be anchored to the abdominal wall. When it's not, this can lead to an increased range of motion, potentially resulting in discomfort or gastrointestinal symptoms. Your experience of abdominal pain, bloating, and constipation aligns with the established symptoms of a mobile cecum, though your colorectal surgeon may view the situation differently, suggesting that managing constipation could help stabilize the cecum.

Next Steps:

  1. Monitor Symptoms: Keep a daily journal for a week. Note your abdominal pain, bloating, and any constipation episodes along with diet and activities. This can help identify potential triggers.

  2. Follow Dietary Recommendations: Gradually incorporate more fiber into your diet if your doctor approves. This can help manage constipation and improve your overall digestive health. Water intake is also crucial; aim for at least eight glasses a day.

  3. Medication Adherence: If Linzess has been prescribed, use it as directed. It may help alleviate constipation, which could in turn mitigate your symptoms related to the mobile cecum.

  4. Prepare for Your Next Appointment: Compile your symptom journal and any questions you have regarding the mobile cecum and its management. Discuss the conflicting viewpoints you've encountered and ask for clarification on the expected outcomes of medication versus surgery.

  5. Consider a Second Opinion: If confusion persists after your follow-up, seeking a second opinion from another specialist in gastroenterology or colorectal surgery could help clarify your diagnosis and potential treatment options.

Your proactive approach to understanding your health is commendable. Keep communication open with your healthcare providers, and prioritize managing your symptoms as you await further consultations.

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