Difference Between CT Scan and CT Angiogram of Abdomen

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Does the normal CT Scan Abdomen with contrast include the study of the veins and vessels and arteries like its in CT Angiography?

The reason I am asking this is because my doctor has suggested to do Abdominal CT Scan with contrast to find out the reason of my constant upper abdominal pain of 2 years that is aggravated by movements. My bowel movements are ok everything seems ok except this debilitating pain which is always there and aggravated by doing anything even standing for longer period. I have done many tests be it mrcp, ultrasound, endoscopy all clear.

Although this pain has ruined my life and is unbearable I dont think I have anything wrong with my organs rather I believe it is related to some vein, artery or nerve.

Now I am not sure whether a simple Contrast based Abdomen CT Scan covers these studies or I have to rather ask for CT Angiography of Abdomen instead??

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  • Posted

    This is a question for your doctor . They will be able to tell you the difference. Have the abdominal CT with contrast first as your doctor suggested and see if it comes up with anything, then see what your doctor recommends if nothing shows up. That's when to ask about a CT Angiography of your abdomen. Trust what you doctor is doing for you for now.

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    • Posted

      Its not easy to get in touch with doc at this moment. I want to know from people who already had done CT Scan or know what does a normal CT Abdomen contrast covers.

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    • Posted

      I can't find a lot on this. All I have been able to discover is that it shows organs, veins and bones within the abdominal cavity. I wonder if your pain could be neuralgia since it started after your h pylori treatment. Sometimes, certain drugs can cause neuropathy. It shouldn't be hard to get in touch with your doctor. Can't you not arrange an appointment with your family doctor, or contact the hospital and ask to speak to the specialist? That's what I would do. Your doctor would be the most reliable person to speak to

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    • Posted

      Thank you. The problem with nerve endings was mentioned by doctor but its not neuralgia as my symptoms do not suggest that. With neuralgia you get pain when pressing that area and usually carnetts sign is also present when tensing muscles. Although sometimes it does feel like musculoskeletal but pain is felt inside abdomen not outer muscles. The only outer muscle pain is felt in the back (MRI of spine showed back muscle spasm) .

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    • Posted

      With my neuralgia, I get inner and outer pain. I can actually feel the damage inside my arms and it does feel musculoskeletal too. The nerves in the abdomen and stomach are very sensitive and can be easily damaged. If nothing else shows up, consider a nerve problem. If you are getting the pain when moving about, that could be a sign of nerve disturbance. I don't have to touch the affected area on my arms to get the pain. My pain is omnipresent and is made worse by cold weather and improves with hot weather. Another sign of nerve pain is when conventional painkillers do little or nothing to ease the pain. Did your doctor rule out neuralgia/nerve problem? If it wasn't, then it is still a possibility.

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    • Posted

      Doc has not mentioned anything about neuralgia but yes nerve endings disturbance was mentioned by Gastroentrologist. Have you recovered from your neuralgia is there anyway to cure this apart from taking pain or nerve pain medicines?

      I did ask for a test to check nerves but I guess there isnt any test for intrabdominal nerves unless its a major nerve and is damaged or narrowed. I dont remember what he said exactly but I think he (neurologist) said its not required.

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    • Posted

      If nerves were disturbed, this is known as neuralgia or neuropathy for which there is no cure. All I can do is put up with my nerve pain without taking anything because nerve pain medications can cause many side effects, may only mask the pain or not work at all. My doctor tried to get me on them and fobbed off all my concerns. I wasn't impressed with this. Only hot weather stops the symptoms for me.

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    • Posted

      I fell on my right elbow when I was 24 and damaged the ulnar nerve. The initial pain went away after three days but came back six months later and never really cleared up. I am now 46. I have fallen on the same elbow twice more which won't have done it much good. The other arm got damaged by a botched blood test four years ago and it is still very painful and recently it has become tingly and numb. Massaging either arm radiates the pain right up the arm. With the elbow, it can feel like an electric shock sensation.

      Before the pain was constant, all day, every day. Now it comes and goes in flare ups and can feel worse at night or if I am holding anything in either hand for short periods of time. I often have to change hands to restore nerve conduction. I am a writer and I also do a lot of short filming and photography which involves editing the photos on my computer. Nerve conduction problems are not the best for the kind of work I do, especially when I am right handed!

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