Gastric Ultrasound Results: Do I Need a Follow-Up? - Gastroenterology and Hepatology

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Gastric ultrasound


During a hepatitis B ultrasound examination, the examining doctor noted the appearance of my stomach and asked if I had eaten or drunk anything.
They mentioned that a normal stomach ultrasound appears white, while mine appeared black, indicating that I had consumed something.
I replied that I had drunk water in the morning, but later realized that it had been over three hours since I drank water before the examination, so I should have been fasting.
I would like to ask the doctor if I need to return to the clinic to confirm the status of my stomach ultrasound.

Dazhi, 40~49 year old female. Ask Date: 2023/02/02

Dr. Chen Shidian reply Gastroenterology and Hepatology


It is generally unnecessary, as imaging of gastric fluids/solids often does not have a direct correlation with symptoms.

Reply Date: 2023/02/02

More Info


When it comes to understanding the results of a gastric ultrasound, it’s important to consider the context of the examination and the specific findings reported by the healthcare provider. In your case, the ultrasound was performed as part of a liver examination, and the radiologist noted that the appearance of your stomach was not typical. They mentioned that the stomach appeared "black," which indicates the presence of fluid or food, as opposed to the expected "white" appearance of an empty stomach.

The fact that you had consumed water prior to the ultrasound is significant. Generally, for abdominal ultrasounds, patients are advised to fast for several hours (typically 6-8 hours) to ensure that the stomach is empty, allowing for clearer imaging of the abdominal organs. However, drinking water a few hours before the exam may not significantly interfere with the ultrasound results, especially if it was a small amount. The presence of fluid in the stomach can sometimes obscure the view of surrounding structures, but it does not necessarily indicate a pathological condition.

Given that you had water approximately three hours before the ultrasound, it is likely that the findings were influenced by this intake. However, if the ultrasound did not reveal any abnormalities or concerns regarding the stomach or surrounding organs, and if you are not experiencing any symptoms such as pain, discomfort, or changes in appetite, there may not be an immediate need for a follow-up.

If you are feeling well and have no symptoms, it may not be necessary to return for another ultrasound solely based on the findings related to your stomach's appearance. However, if you have any ongoing concerns or if your healthcare provider recommended a follow-up based on other findings or your medical history, it would be prudent to discuss this with them. They can provide personalized advice based on your overall health status and any other tests or evaluations that may be relevant.

In summary, while the appearance of your stomach on the ultrasound may not have been typical due to recent fluid intake, it does not automatically necessitate a follow-up unless there are additional concerns or symptoms. Always feel free to reach out to your healthcare provider for clarification and to discuss any specific concerns you may have regarding your health and the results of your tests. They are best positioned to guide you based on your individual circumstances and medical history.

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