Abdominal X-rays: What Your Results Really Mean - Gastroenterology and Hepatology

Abdominal X-ray. Abdominal issues?

Hello doctor, I previously had an abdominal X-ray done at a clinic.
After the examination, the doctor said everything looked normal, but I felt a bit uneasy because I found out that the doctor graduated from Poland, and there are many controversies surrounding Polish doctors.
He mentioned that the air in my intestines was not excessive, which he considered normal, but I didn't quite understand.
I'm wondering if I can feel reassured about that.
Recently, my bowel habits have changed to once a day, and I have been taking traditional Chinese medicine.
Sometimes my abdomen makes gurgling noises, and I experience pain when pressing on the muscles around my navel.
I'm not sure what these symptoms indicate.
It's been a long time, about three years.

Niming, 20~29 year old female. Ask Date: 2023/10/14

Dr. Chen Shidian reply Gastroenterology and Hepatology

There is only mild abnormality in peristalsis.
If discomfort persists, please visit a gastroenterology outpatient clinic.

Reply Date: 2023/10/14

More Info

When it comes to understanding abdominal X-rays and interpreting the results, it's essential to consider both the technical aspects of the imaging and the clinical context in which the X-ray was performed. Abdominal X-rays are commonly used to evaluate various conditions, including bowel obstructions, perforations, and other gastrointestinal issues. They can provide valuable information about the presence of air, fluid, or masses in the abdominal cavity.

In your case, the doctor indicated that your abdominal X-ray appeared normal, specifically noting that the amount of air in your intestines was within a normal range. This is a positive sign, as excessive air could indicate conditions such as bowel obstruction or other gastrointestinal disorders. However, it's understandable to feel uneasy about the qualifications of the physician interpreting your results, especially if you have concerns about their background. It's always a good practice to seek a second opinion if you feel uncertain about a diagnosis or interpretation of medical results.

Regarding your recent changes in bowel habits, such as having a bowel movement once a day and experiencing abdominal sounds (borborygmi), these can be influenced by various factors, including dietary changes, stress, and the use of herbal medicine. The presence of gurgling sounds in the abdomen is typically normal and can indicate the movement of gas and fluid through the intestines. However, if these sounds are accompanied by pain, especially when pressing on the area around your belly button, it could suggest underlying issues that warrant further investigation.

The pain you describe, particularly in the area around your navel, could be related to several conditions. Some possibilities include:
1. Irritable Bowel Syndrome (IBS): This common gastrointestinal disorder can cause symptoms such as abdominal pain, bloating, and changes in bowel habits. Stress and dietary factors often exacerbate IBS symptoms.

2. Abdominal Muscle Strain: If you've engaged in activities that strain your abdominal muscles, this could lead to localized pain, especially when pressing on the area.

3. Hernia: A hernia occurs when an internal organ pushes through a weak spot in the muscle or tissue. If you have a hernia, it may cause pain, especially when straining or pressing on the area.

4. Gastrointestinal Conditions: Conditions such as appendicitis, diverticulitis, or even infections can cause localized pain and changes in bowel habits.

Given that you've experienced these symptoms for three years, it would be advisable to consult with a healthcare professional who can perform a thorough evaluation. This may include a physical examination, a review of your medical history, and possibly additional imaging studies or laboratory tests to rule out any significant underlying conditions.

In summary, while your abdominal X-ray results may appear normal, your ongoing symptoms and changes in bowel habits should not be overlooked. It’s essential to communicate openly with your healthcare provider about your concerns and symptoms. If you feel uncertain about the care you are receiving, seeking a second opinion can provide peace of mind and ensure that you receive the appropriate evaluation and treatment. Remember, your health is paramount, and addressing these concerns proactively is crucial for your well-being.

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