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Abnormal CT of the GI Tract

A CT scan of the gastrointestinal tract can reveal abnormalities—from bowel wall thickening and blockages to masses. Timely interpretation is vital. In Houston, Dr. Nghia Nguyen at GastroDoxs merges advanced imaging and personalized care to diagnose and treat digestive disorders.

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Texas Medical Board
Harris County Medical Society
American College of Gastroenterology
American Society for Gastrointestinal Endoscopy
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Houston Methodist leading Medicine
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Nghia Nguyen

About the Expert

Dr. Nghia Nguyen, DO, is a board-certified gastroenterologist providing advanced digestive care in the Greater Houston area. He earned his medical degree from the Texas College of Osteopathic Medicine and completed both his Internal Medicine residency and Gastroenterology fellowship at the University of Texas at Rio Grande Valley. Dr. Nguyen specializes in treating conditions such as acid reflux, irritable bowel syndrome (IBS), inflammatory bowel disease (IBD), and liver disorders.

Common Causes and Risk Factors

  • Crohn's disease or ulcerative colitis
  • Irritable bowel syndrome (IBS)
  • Gastrointestinal infections (bacterial, viral, parasitic)
  • Tumors or colon polyps
  • Bowel obstructions from scar tissue or hernias
  • Age over 50
  • Smoking
  • Low-fiber, high-fat diet
  • Family history of digestive disorders

Signs and Symptoms

  • Abdominal pain or cramping
  • Bloating and excess gas
  • Constipation or diarrhea
  • Blood in stool or dark, tarry stools
  • Unexplained weight loss
  • Nausea or vomiting

How Dr. Nghia Nguyen Diagnoses This Condition?

Dr. Nguyen uses a step-by-step approach:

Medical History and Physical Exam

He reviews your epigastric pain characteristics, prior GI issues, medications, diet, and family history.

CT Scan Review

He examines the scan for wall thickening, fluid collections, masses, strictures, or signs of obstruction.

Laboratory and Stool Tests

  • Blood work to assess for infection, inflammation (CRP/ESR), anemia or liver enzyme abnormalities.
  • Stool studies to detect occult blood, pathogens, or inflammatory markers.

Endoscopic Assessment (if indicated)

When imaging suggests mucosal disease, he performs an upper endoscopy or colonoscopy to visualize the lining, obtain biopsies, and rule out ulcers, polyps, or malignancy.

Integrative Diagnosis

He correlates imaging findings, lab results, endoscopic observations, and your symptoms to arrive at a precise diagnosis and tailor your treatment plan.

Nghia Nguyen
Treatment

Our Team offers a full range of care for abnormal GI tract CT findings.

1. Lifestyle and Diet Modifications

  • Personalized low-FODMAP or anti-inflammatory diet plans
  • Gradual fiber increase to ease constipation
  • Hydration guidance to support digestive health
  • Food journaling to identify and avoid trigger foods

2. Medications

  • Anti-inflammatory agents (mesalamine or steroids)
  • Acid reducers (proton-pump inhibitors or H2 blockers)
  • Antibiotics for treating bacterial infections
  • Biologic therapies for moderate to severe inflammatory bowel disease

3. Minimally Invasive or Advanced Procedures

  • Endoscopy for polyp removal or biopsy
  • Balloon dilation to open narrowed bowel segments
  • Laparoscopic surgery for complex blockages
  • CT-guided drainage for abscess management
Dr Nghia Nguyen

About the Author

Dr. Nghia Nguyen, DO, is a board-certified gastroenterologist providing advanced digestive care in the Greater Houston area. He earned his medical degree from the Texas College of Osteopathic Medicine and completed both his Internal Medicine residency and Gastroenterology fellowship at the University of Texas at Rio Grande Valley. Dr. Nguyen specializes in treating conditions such as acid reflux, irritable bowel syndrome (IBS), inflammatory bowel disease (IBD), and liver disorders.

Frequently Asked Questions

What does an abnormal CT scan mean?

It means something unusual was found on your digestive imaging—such as thickened bowel walls, fluid collections, or unexpected masses.

Is an abnormal CT always cancer?

No. Many non-cancerous conditions—like IBS, infections, or inflammatory bowel disease—can also cause abnormal findings.

Can IBS show up on a CT scan?

Yes. IBS may present as mild bowel wall thickening or changes in gas pattern, though it's often a diagnosis of exclusion.

Are CT scans safe?

Yes. Modern scanners use low doses of radiation, and CT imaging is only ordered when the benefits outweigh the risks.

How quickly are CT results available?

Most CT scan reports are ready within 24 hours, though urgent studies can be interpreted sooner if needed.

Will I need contrast dye for my CT?

Sometimes. Contrast helps highlight blood vessels and inflammation; your doctor will decide based on your symptoms and medical history.

When should I see a GI specialist?

If you have persistent belly pain, bleeding, unexplained weight loss, or abnormal scan findings, you should consult a gastrointestinal specialist promptly.

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