Instructions for CT scan

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thubler
Posts: 59
Joined: Tue Sep 27, 2016 9:22 am

Instructions for CT scan

Postby thubler » Sun Jun 04, 2017 6:17 am

So I have a follow up CT scan with contrast tomorrow but cant find the instructions for fasting and drinking the two bottles of contrast. Does anyone remember their instructions? Thanks.
III b CC @ 35 yoa.
two primary tumors on ascending/transverse stage 1 and stage 3.
Lynch Positive
Resection 05/16
2/41 nodes +
FOLFOX 6/16-11/20/16
Clear Endoscopy and Colonoscopy 12/6/16, 02/13/18,01/24/19,02/27/20,02/18/21,05/24/22
CT 02/07/17 enlarged mesenteric node.
Clear PET 02/15/17
Stable CT 06/05/17,10/16/17,04/02/18, 01/08/19, 01/14/20, 01/05/21,03/07/22
Deported 11/03/17

Utwo
Posts: 285
Joined: Mon May 23, 2016 10:14 am
Location: T.O.

Re: Instructions for CT scan

Postby Utwo » Sun Jun 04, 2017 1:43 pm

As far as I remember:
1. Do not eat anything 4 hours prior to CT scan
2. Drink ... caps of water ... hours prior to CT scan.

They will provide oral or/and IV contrast.
58 yo male at diagnosis: T1bN0M0, 0/15 nodes, low grade/moderately differentiated adenocarcinoma
03/2016 colonoscopy: 2 small polyps removed in left colon; CEA = 1.3
04/2016 colonoscopy: caecum sessile 3.5 cm polyp piecemeal removed with kind of clear margins
05/2016 "prophylactic" laparoscopic right hemicolectomy - bleeding, leak, infection
06/2017 CT scan, colonoscopy OK; CEA = 1.6
A lot of funny stuff discovered by CT scans in liver, kidney, lungs, arteries, gallbladder, lymph node, pancreas

Lee
Posts: 6207
Joined: Sun Apr 16, 2006 4:09 pm

Re: Instructions for CT scan

Postby Lee » Sun Jun 04, 2017 3:26 pm

Ditto to what Utwo wrote.

Good luck with your up coming CT scan

Lee
rectal cancer - April 2004
46 yrs old at diagnoses
stage III C - 6/13 lymph positive
radiation - 6 weeks
surgery - August 2004/hernia repair 2014
permanent colostomy
chemo - FOLFOX
NED - 16 years and counting!

Steph20021
Posts: 553
Joined: Sat Dec 27, 2014 4:58 pm
Location: Ontario, Canada

Re: Instructions for CT scan

Postby Steph20021 » Mon Jun 05, 2017 8:28 pm

I wonder why here in Ontario, we have to drink two cups of salty broth before and after the scan to protect our kidneys from the dye, but you guys don't have to?
DX 1/31/14 @ 33- SPS-T4a(invades visceral peri), N2a(6/106 LN), M1a(ovary) (Stage 4a) MSS; BRAF V600E
2/1/14-subtotal col, lost R ovary, temp ileo
3/14-9/14- folfox; sepsis
11/14-CT/PET: L ovary met, pelvic met, (?)ghost liver met(?)
12/14-folfiri -13 rds kept me stable from 3/15-6/15
8/15-HIPEC, NED
09/15- cea 0.9
05/16- recurrence in abdo wall and lymph nodes
01/17- pulmonary embolism
02/17- 1 wk radiation to abdo wall
08/16- on folfiri
01/18-folfox
11/18- Beacon trial-encorafenib & cetuximab

MissMolly
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Joined: Wed Jun 03, 2015 4:33 pm
Location: Portland, Ore

Re: Instructions for CT scan

Postby MissMolly » Mon Jun 05, 2017 10:54 pm

Stephanie:'
The recommendation to drink a salty broth pre- and post- CY scan with oral contrast would have the benefit of facilitating the "flushing" of the contrast out of the body in a timely manner.

Individuals can and do have late effects to CT and MRI contrasts. The symptoms can be mild and annoying (headache, diarrhea) to more serious consequences (vascular leaking, aka subcutaneous capillar hemorrhage; moderate muscle and joint pain; flu-like sumptoms; body-wide rash).

I am very sensitive to the Omnipaque used for CT scans. I break out with thousands of pin point red spots on my torso (capillary leaking) that looks like miniature Chicken Pox. I have to have MD orders for prednisone and Benadryl pre contrast.

Your MDs are being proactive in minimizing potential after effects of the contrast medium. Give your MDs credit for caring to prevent any undue after CT miseries.
- K -
Dear friend to Bella Piazza, former Colon Club member (NWGirl).
I have a permanent ileostomy and offer advice on living with an ostomy - in loving remembrance of Bella
I am on Palliative Care for broad endocrine failure + Addison's disease + osteonecrosis of both hips/jaw + immunosuppression. I live a simple life due to frail health.

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LeonW
Posts: 358
Joined: Sun May 03, 2015 4:59 pm
Location: Amsterdam, Netherlands

Re: Instructions for CT scan

Postby LeonW » Tue Jun 06, 2017 2:53 pm

My last two scans were *without* oral contrast! :o :D
When I asked, CT staff explained that technology has progressed to the stage where contrast is no longer required.
Only remaining requirement is empty bowels / no eating or other fluids other than water, prior to the scan.
Leon

Added in edit:
1) that my last scans were w/o oral contrast. While on the CT-table, IV contrast was applied, as usual)
2) interesting indeed, the differences noted by LPL, above . . .
Last edited by LeonW on Tue Jun 06, 2017 6:17 pm, edited 2 times in total.
Dec 2012 - CC 2 unresect liver mets, CEA 41.8 (MM 65yrs)
Jan 2013 - colectomy @ spleen 2/26 nodes IVa T3N1bM1a
Feb-Jul - 1x Xelox-7x Xelox/Avastin, shrinkage from #3
Aug - 2x PV embolization (both failed)
Sep 2013 - R liver resect, 25d hosp (liver failure/delirium, lung emboli, encephalopathy), no living cancer (pCR)
2014/15 - recovery, scopy: 2 polyps
2016 - new town/life
2018, scopy: 2 polyps
2018/20 low (1.0-1.4) CEAs/clean CTs: 4x2014, 6x2015-17, 3x2018-20
next June 2021!

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LPL
Posts: 651
Joined: Fri Apr 22, 2016 12:49 am
Location: Europe

Re: Instructions for CT scan

Postby LPL » Tue Jun 06, 2017 4:23 pm

Well.. It is Interesting how the instructions can differ.

I have felt, since reading here on Colon Club that maybe DH & I had not gotten correct info how to prepare for a CT?
No one has said to us "no food or drink x hours before"
Last time DH had a CT we had to leave our house very early (it is a 2hour drive) to get to the hospital for the CT Scan. So instead of having breakfast at home we brought a thermos with coffee and some sandwishes to eat in the waiting room when we had arrived.
Hubby had almost finished his breakfast (he was actually taking his last bite on the sandwich) when the nurse came and told him it was time.

Now I tried to find info if the instructions differ among countries? We live in France. I found this:
"Data from a multinational survey they conducted found that in the United States, most facilities require patients to fast 4 hours with regard to solids, and 2 to 4 hours for fluids. Interestingly, in Germany and France, there are no requirements for fasting for fluids or solids." http://www.medscape.com/viewarticle/772026

Isn't this odd ??
DH @ 65 DX 4/11/16 CC recto-sigmoid junction
Adenocarcenoma 35x15x9mm G3(biopsi) G1(surgical)
Mets 3 Liver resectable
T4aN1bM1a IVa 2/9 LN
MSS, KRAS-mut G13D
CEA & CA19-9: 5/18 2.5 78 8/17 1.4 48 2/14/17 1.8 29
4 Folfox 6/15-7/30 (b4 liver surgery) 8 after
CT: 8/8 no change 3/27/17 NED->Jan-19 mets to lung NED again Oct-19 :)
:!: Steroid induced hyperglycemia dx after 3chemo
Surgeries 2016: 3/18 Emergency colostomy
5/23 Primary+gallbl+stoma reversal+port 9/1 Liver mets
RFA 2019: Feb & Oct lung mets


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