Dr. Vivek Chail
General Practitioner
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Patient's Query
Hello doctor,
My uncle is suffering from bleeding through stool and has undergone colonoscopy and endoscopy. But the bleeding location has not been detected. We have been asked to do capsule endoscopy. Should we go for CT abdomen with CT angiography first for diagnosis? The patient has polycythemia vera. Also if at all the capsule endoscopy is required, where we can get it at a cheaper rate?
Hi,
Welcome to icliniq.com. I have read through your query in detail. Bleeding through stool is a serious concern and must be evaluated in detail and treated early. Endoscopy reports (upper and lower GI) show no significant active bleeding in the areas visualized (attachment removed to protect patient identity). Keeping the above in mind, I would recommend an abdomen and pelvis plain and contrast CT scan with CT angiography study. The endoscopy done shows us that there is no bleeding point in the visualized portion of the esophagus, stomach, duodenum, and colon. We are unable to evaluate the extra luminal portion of the bowel and if there is any abnormality. The capsule endoscopy can be done later depending on the findings of CT angiography and CT scan contrast of the abdomen.
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General Practitioner
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