Understanding My Abdominal CT Examination
I'm seeking clarity regarding my recent abdominal CT examination. I have been experiencing chronic constipation and was recently diagnosed with an iron deficiency, which has led to some concerns regarding the findings of this scan, particularly in relation to the identification of fluid levels and any possible obstructions. This non-contrasted CT of the abdomen and pelvis was analyzed in comparison to a previous scan conducted on June 21, 2023. Findings indicate that my stomach appears significantly distended with both fluid and particulate debris. There is also a considerable amount of solid fecal matter located in the ascending, transverse, and proximal descending sections of the colon. Additionally, there is a small amount of fluid observed in several mildly distended loops of the small intestine. Fortunately, there are no noted abnormalities in the liver, spleen, pancreas, gallbladder, adrenal glands, kidneys, or aorta. The bony structures show no acute issues, and the visible areas of the lung bases appear to be clear. CONCLUSION: The scan reveals fluid accumulation in the stomach alongside slight fluid increase in several mildly distended small bowel loops, which raises the possibility of mild enteritis. The presence of excess stool in the colon indicates a likely issue with constipation.
Answers (1)

9/14/2025, 1:10:34 PM
OpenHealth AI
Your abdominal CT scan results indicate that you have significant distension in your stomach along with fluid and stool buildup in your colon, suggesting chronic constipation. Here’s a brief overview and some actionable next steps based on your concerns.
Main Points:
- CT Findings: Distended stomach with fluid and debris, significant stool accumulation in the colon, and possible mild enteritis in the small intestine.
- Concerns: These findings correlate with your chronic constipation and iron deficiency.
Understanding the Findings:
- Distended Stomach and Fluid: This can happen when your digestive system is not moving things along properly, often related to constipation. The presence of fluid may also indicate inflammation or irritation in the intestines.
- Stool Accumulation: The large amount of stool in your colon points towards constipation, suggesting that your bowel may not be emptying effectively.
- Mild Enteritis: This term refers to inflammation of the intestines, which can occur due to various reasons, including infection or irritation, possibly exacerbated by constipation.
Actionable Steps:
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Dietary Changes:
- Increase Fiber Intake: Aim for 25-30 grams of fiber daily by consuming fruits, vegetables, whole grains, and legumes. This can help soften stool and ease passage.
- Stay Hydrated: Drink plenty of fluids (aim for 6-8 cups daily) to help keep your digestive system running smoothly.
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Physical Activity:
- Regular Exercise: Engage in moderate exercise like walking or yoga. Physical movement can stimulate intestinal function and help relieve constipation.
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Over-the-Counter Options:
- Laxatives: If diet alone does not relieve your symptoms, you might consider mild over-the-counter laxatives (like polyethylene glycol) as directed for short-term relief.
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Monitor Symptoms:
- Keep track of your bowel movements and any changes you notice, including abdominal pain or discomfort. A symptom diary can help highlight patterns and effectiveness of any changes.
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Follow-Up:
- Given the findings and your ongoing symptoms, consider discussing your results further with a healthcare provider to develop a tailored management plan, especially regarding your iron deficiency.
Make these changes gradually and monitor how your body responds. If you experience worsening symptoms like severe pain, vomiting, or if bowel habits do not improve over time, seek further medical advice promptly.
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