Conversation: The conversation between human and AI assistant.
[|Human|] I have been having slight, intermittent abdominal pain for about 3 months now. I m a 36 year old female. I had a clear pelvic ultrasound, normal blood work and a ct of my abdomen and pelvis.The report says: An approx. 4cm longs segment of mid sigmoid colon demonstrates presence of a few diverticula and a mild degree of liminal narrowing and fold thickening. It is not certain whether the findings demonstrate chronic diverticular changes and spasm or possibly a more fixed stricture of the colon. No surrounding inflammatory changes or abnormal fluid noted. How concerned do I need to be about colon cancer? I ve had a short episode of bright red bleeding yesterday and I m very scared. Could you explain the report?
[|AI|]  Hi. Thanks for your query and an elucidated history and CT scan report. Yes, you should be concerned as per the report. The CT scan report is just additional information and should be correlated with your:clinical history, physical examination by a General Surgeon, and most important is the colonoscopy findings and biopsy report. Yes, the chances of cancer are there as there is a stricture and the diverticula can be secondary to the obstruction. The histology report will be the deciding factor. Anyway the treatment is excision of the diseased segment after a careful preparation with oral antibiotic, metronidazole. A good part of the CT scan is there are no lymph nodes, no fluid, no inflammatory reaction around the diseased part. Gt ready and get operated for two reasons:1. To get rid of the disease2. To get histopathology report.