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Posted

I need an abdominal MRI and report in english.

 

I had some surgery in Uk a few years back and the nhs are proving very reluctant to say if some retained metal fragments that showed up on my last scan are causing me some pain issues.

 

I also have some concerns of other damage that may have been caused or that I have further abdominal complication.

 

I am in Thailand in October with my daughter so hope to get some help at the same time with this 

Posted

The MRI/CT report will be in English, written by the chief radiologist (doctor). Most hospitals will give you the actual scan on a CD if you ask them. However, this is of limited use because each hospital in Thailand seems to use a different propriety software. Maybe there is an international standard you can ask for.

 

The average public hospital will have a 3 - 4 week waiting list for a MRI. Of course, if you go to a private hospital they will organise it within a few days, depending upon any fasting requirements for the mandatory blood tests prior to the scan.

 

A private hospital may want to work you up a bit. For example, they may set up an apointment with one of their gut doctors who will want a blood test and X-ray first. Depending on the abdominal complaint they may recommend a CT in preference to a MRI. Finally, the doctor will want to discuss the outcomes of the MRI/CT with you before handing over the written radiology report (normally one page).

  • Like 1
Posted
19 hours ago, Stevemercer said:

The MRI/CT report will be in English, written by the chief radiologist (doctor). Most hospitals will give you the actual scan on a CD if you ask them. However, this is of limited use because each hospital in Thailand seems to use a different propriety software. Maybe there is an international standard you can ask for.

 

The average public hospital will have a 3 - 4 week waiting list for a MRI. Of course, if you go to a private hospital they will organise it within a few days, depending upon any fasting requirements for the mandatory blood tests prior to the scan.

 

A private hospital may want to work you up a bit. For example, they may set up an apointment with one of their gut doctors who will want a blood test and X-ray first. Depending on the abdominal complaint they may recommend a CT in preference to a MRI. Finally, the doctor will want to discuss the outcomes of the MRI/CT with you before handing over the written radiology report (normally one page).

HE is correct... But the other option is a private company that only does MRI... This would be a better choice since you will not need to pay hospital and doctor fees to get the MRI appointment as well as the fees and waiting time for the MRI itself. The cost is about the same as the cost for an MRI at a government hospital. I have had many this way in the past years. 

Posted
1 hour ago, thesetat said:

HE is correct... But the other option is a private company that only does MRI... This would be a better choice since you will not need to pay hospital and doctor fees to get the MRI appointment as well as the fees and waiting time for the MRI itself. The cost is about the same as the cost for an MRI at a government hospital. I have had many this way in the past years. 

I do nto believe any Imaging Center would agree to perform an MRI upon hearing the patent has retained metal fragments in their abdomen. SInce the MRI could cause these to rip through the body organs.

 

In addition, even if a safe scan like Ct was done, at an imaging center  all one gets is the radiologists report. The OP appears to want an opinion as to whether these fragments could account for his/her pain, this needs a doctor's interpretation combining scan findings with the clinical picture.

  • Like 2
Posted (edited)

@JessieDog "retained metal fragments" ... are we talking surgical staples?

 

If so, used on internal or external part of organ.  If internal, maybe a colonoscopy or endoscopy could see it the suspected 'dislodged' staple is causing a problem, by not being where it's supposed to be.

 

I doubt if anyone would do a keyhole search looking for external staple????

 

Just in case the thought crossed your mind, don't omit the info that you have metal/surgical staples, if that's the case, when asking about MRI, as pointed out, could be quite dangerous.

 

Are surgical staples even made of a metal that would be a magnetic issue.  Seems kind of stupid if so. Would think they would be something like surgical SS, w/no iron in them.

 

EDIT; quick search & answered:

image.png.c57180101c10012b6b27a852347194f6.png

Edited by KhunLA
Posted
On 9/26/2023 at 12:54 PM, Sheryl said:

Are you sure you can safely get an MRI? Presence of internal metal fragments could make that  dangerous and would normally be a contraindication.  CT would udually be preferred in such a case. ??

 

 

 

 

Hi.

 

I have MRI scans here in Uk 

  • 3 weeks later...
Posted
On 9/27/2023 at 2:39 AM, thesetat said:

HE is correct... But the other option is a private company that only does MRI... This would be a better choice since you will not need to pay hospital and doctor fees to get the MRI appointment as well as the fees and waiting time for the MRI itself. The cost is about the same as the cost for an MRI at a government hospital. I have had many this way in the past years. 

Is there a recommended hospital for this ? 

Posted
7 hours ago, JessieDog said:

Is there a recommended hospital for this ? 

He was not referring to hospitsls but to imaging crnters. Like

www.mrithailand.com

 

But recommended only if it is MRI without contrast media. Risky (in Thailand especially)  to do scans with contrast outside of a hospital. 

Posted
On 9/28/2023 at 4:50 AM, JessieDog said:

Hi.

 

I have MRI scans here in Uk 

And did these show retained metal fragments? If so I don't see what a repeat MRI can achieve. If not then I don't see why a repeat MRI would.

 

As mentioned an MRI cannot say if specific symptoms are linked to an MRI finding. That needs to be determined by a physician taking a host of factors into account...and perhaps excluding other causes. 

 

You would probably do better to take existing MRI to an appropriate specialist. As I doubt you can get what you are looking for by having another MRI. 

 

What exactly are your symptoms?

  • 3 weeks later...
Posted
On 10/19/2023 at 7:52 AM, Sheryl said:

And did these show retained metal fragments? If so I don't see what a repeat MRI can achieve. If not then I don't see why a repeat MRI would.

 

As mentioned an MRI cannot say if specific symptoms are linked to an MRI finding. That needs to be determined by a physician taking a host of factors into account...and perhaps excluding other causes. 

 

You would probably do better to take existing MRI to an appropriate specialist. As I doubt you can get what you are looking for by having another MRI. 

 

What exactly are your symptoms?

Sorry for the delay. I get a chronic pain in my left abdominal area and across the to if abdomen just under ribs into right side.

 

Sore and burning feeling.

 

Met pain doctor in Uk who has refered me to a 3 week in live in pain management course in London or Bath

 

i guess I was hoping for a diagnostic reason 

Posted (edited)

Have you been checked for H. Pylori infection in stomach ?

 

Does the pain only occur as digested food / gas passes across  ?


Adhesions (scar tissue) can develop post surgery that might be involved in what you describe. Trying to remove them can easily result in more of the same. 
 

sounds like you need to talk with an internal medicine dr before just chasing the pain. 

Edited by degrub
Posted
10 hours ago, degrub said:

Have you been checked for H. Pylori infection in stomach ?

 

Does the pain only occur as digested food / gas passes across  ?


Adhesions (scar tissue) can develop post surgery that might be involved in what you describe. Trying to remove them can easily result in more of the same. 
 

sounds like you need to talk with an internal medicine dr before just chasing the pain. 

Yes I agree with that 

 

I think it’s an inside job 

Posted
10 hours ago, degrub said:

Have you been checked for H. Pylori infection in stomach ?

 

Does the pain only occur as digested food / gas passes across  ?


Adhesions (scar tissue) can develop post surgery that might be involved in what you describe. Trying to remove them can easily result in more of the same. 
 

sounds like you need to talk with an internal medicine dr before just chasing the pain. 

I have had lots of full blood and full still sampling and testing in the Uk 

Posted
46 minutes ago, JessieDog said:

I have had lots of full blood and full still sampling and testing in the Uk 

H. Pylori testing requires scoping the stomach lining and taking a snip of tissue from what i was told a few years ago

 

Posted
1 minute ago, degrub said:

H. Pylori testing requires scoping the stomach lining and taking a snip of tissue from what i was told a few years ago

 

 

Pretty sure there's an antibody blood test.

Posted
4 minutes ago, FruitPudding said:

 

Pretty sure there's an antibody blood test.

Well , that will make it easier. Good to know.

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