Q: What Should I Do To Be Prepared For An Obstetrical Ultrasound
Scan?
A: If you are schedules for an obstetrical ultrasound scan, please drink 32
ounces of water or any liquids 45 minutes prior to your appointment and DO
NOT EMPTY YOUR BLADDER until instructed to do so. If you are pregnant and
in the first, second, or third trimester of pregnancy, the initial portion
of the scan is usually done with a full bladder. After this you are allowed
to go to the restroom, and the rest of the examination is performed when you
are more comfortable with an empty bladder. This is subject to fetal position
and the information required by the referring obstetrician. Examination of
the pregnancy by a vaginal scan does not require a full bladder.
Q: What Should I Do To Be Prepared For A Pelvic Or Gynecologic Scan?
A: Please drink 32 ounces of water or any liquids 45 minutes prior to your appointment
and DO NOT EMPTY YOUR BLADDER until instructed to do so. The vaginal scan does
not require a full bladder. If you are a patient with renal failure, please
check with your physician.
Q: Why Should I Drink All That Water?
A: The pelvic organs, certain lower abdominal organs and the lower part of the
pregnant uterus can be seen better when you have a full urinary bladder. If
your doctor has requested such an examination, the technologist will ask you
to drink 32 ounces of water 45 minutes before the examination and not to void
until the examination is completed.
Q: What Do I Do If My Bladder Gets Too Full Before The Ultrasound
Exam?
A: Please empty one half cup of water from your bladder to relieve the discomfort.
But please keep your bladder full until the exam is completed.
Q: What Is Ultrasound And How Does It Work?
A: Ultrasound works on the same principle as sonar. That is, it uses echoes
produced from sound waves to locate distant objects. During World War II, sonar
was used to identify submarines. Today, by modifying this technique, high frequency
sound waves of the order of three to ten megahertz can be directed into your
body through an ultrasound "transducer" in order to identify the major organs.
Once the sound wave contacts the organs, they bounce back as echoes; and the
time taken to bounce the echoes back is used to produce a picture of the organs
on the screen of the ultrasound machine. The sound frequency used is hundreds
of times higher than that audible to the human ear.
Q: How Is The Ultrasound Test Done?
A: The ultrasound technologist /Physician scans your pelvis, abdomen, neck or
the area of interest by moving the hand-held transducer back and forth across
the skin surface. If your doctor has requested an examination of the abdomen,
female organs, the pregnant uterus, thyroid, parathyroid, breast or testes,
most of the examination will be performed while you are lying on your back.
Gel will be applied to you abdomen or the area of interest to provide better
contact between the ultrasound transducer and your skin surface. If your kidneys
are being examined, you will be asked to lie on your side and rarely on your
stomach and the gel will be applied to your body. After completion of the examination,
the gel wipes off easily.
The actual scan time is usually between 5 minutes and 30 minutes, although
it may take as long as an hour depending on the complexity of the examination.
You should also allow time to fill out information sheets, changing clothes,
etc.
The films from your examination will be interpreted by the Radiologist,
Dr. Malini, who specializes in reading these examinations. Results of the
test will be given or sent to your doctor as soon as the reading is complete.
This may take 1 to 3 days to be ready, depending on the case. Your doctor
will then give the results to you.
Occasionally, during the interpretation, Dr. Malini decides additional pictures
are needed. In this case, you will be contacted and requested to return to
the ultrasound lab for any views, which the doctor feels, are necessary.
Q: What Should I Do To Be Prepared For A Gallbladder Or
Abdominal Scan?
A: If your doctor has requested an examination of the gallbladder or abdomen,
please do not eat or drink anything for 8 hours prior to the test, except 32
ounces of water 1 hour before the test. Do not void after drinking the water.
Do not drink carbonated beverages for 8 hours prior to the test. If the test
is scheduled in the morning, please do not eat or drink anything from midnight
the night before and do not eat breakfast. If you are scheduled for an afternoon
test of the abdomen, you may have a liquid breakfast without carbonated beverages
and do not eat lunch. If you are a diabetic patient, or in renal failure, or
have other medical problems, please check with your referring doctor for information.
Q: Can I Eat Before The Ultrasound Test?
A: If you are scheduled for an obstetrical, pelvic,
neck or breast scan in this lab, you can eat.
If you are scheduled for an ultrasound scan of
the gallbladder or abdomen, you cannot eat for
8 hours prior to the exam.
Q: Why Is This Preparation Necessary For
An Abdominal Scan?
A: Ultrasound does not penetrate through
air, gas or bone. Because of this limitation,
some areas are hard to see. If you have
much gas in your intestines, the sound waves
will be unable to pass through to study the organs
behind the gas. Usually the only alternative to this
problem is rescanning at a later date or use another type
of medical testing. You should avoid carbonated beverages
on the day of your study if your doctor has requested
an examination of the upper abdomen.
Q: Whay Should I Do To Be Prepared For Ultrasound Testing
Of The Thyroid, Parathyroid, Breast, Shoulder Or
Testes?
A: No special preparation is required for ultrasound testing of
the thyroid, parathyroid, breast, shoulder or testes.
Q: My Doctor Has Recommended An Ultrasound Test For Me.
What Can I Expect; Will It Hurt Me Or My Baby?
A: There is no pain or discomfort during the examination. No
x-rays are used for an ultrasound test.
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Ultrasound is a safe procedure. Thirty years of research
and clinical application of diagnostic ultrasound has demonstrated no
adverse effects to the human fetus or the human body in the medical diagnostic
range.
Q: What Can An Ultrasound Test Show In A Pregnant Woman?
A: Ultrasound can detect pregnancy from about the fifth or sixth week
as calculated from the last menstrual period. The growth and development
of the fetus can be observed. The age of the fetus can be determined by
measuring the length of the embryo before the third month. The age of
the baby after the third month is determined by measuring the baby's head,
body and some bones. This determination of the age of the baby is important
when the exact duration of the pregnancy is not known and an approximate
date of delivery is to be determined or a repeat cesarean section is to
be performed. Ultrasound is useful for the evaluation of babies of high-risk
pregnant mothers such as those with diabetes, high blood pressure or other
medical problems.
Twin and multiple births can be shown fairly early in pregnancy.
The growth of twins can be monitored.
This test is also useful to determine the location and
size of the placenta and in pregnant patients with vaginal bleeding. Many
placental abnormalities can be diagnosed, such as Placenta Previa, in
which the placenta obstructs the birth canal.
Other problems where ultrasound is used in the diagnosis
of fetal demise (fetal death), miscarriages, or ovarian cysts complicating
pregnancy.
Ultrasound is very useful in the detection of many congenital
abnormalities, including some of the malformations of the fetal brain,
heart, spine, kidneys, stomach and bladder.
In cases where the placenta is not able to transfer the
normal quantities of oxygen and nutrients to the fetus, causing the baby's
growth to slow down, ultrasound can detect this growth retardation when
repeated at intervals during the pregnancy.
Q: Can You See And Tell Color Of Baby's Hair, Or Color
Of Eyes?
A: No.
Q: Can You Determine The Sex Of The Baby?
A: Starting from the 14th week of pregnancy, we may be able to determine
the sex of the baby, provided the position of the baby permits us to do
so.
Q: What Is The Accuracy In The Determination Of Sex?
A: The majority of the time we are correct in our diagnosis of the sex.
However, we do not guarantee this diagnosis 100%. We can be wrong in the
prediction of fetal sex due to many reasons. Therefore, we do not recommend
that you paint the baby's room a certain color. If you wish to do so ,
you do it at your own risk.
Q: How Do You Tell The Sex Of The Baby? (Yes, my patients' husbands have
asked me this question many times)
A: We tell the sex of the baby by looking between the baby's legs for
external male or female genitalia.
Q: Is My Baby Normal?
A: A normal ultrasound is very reassuring that your child will be most
probably healthy; but a normal ultrasound never quarantees that you child
will be perfect. Due to certain limitations of ultrasound, many physical,
mental and developmental abnormalities cannot be detected. Some large
physical abnormalities can be missed due to the position of the baby or
stage of development.
Q: Does My Baby Have Arms And Legs?
A: We can usually demonstrate the presence of all four arms and legs and
the major long bones; but many times we may not be able to see an extremity
due to position or the stage of pregnancy or an obese patient. Hands and
feet are usually shown. All ten fingers and toes are usually not demonstrated.
This is due to the baby's position and the crowded condition in the uterus,
and limitations of ultrasound.
Q: What Types Of Gynecological Disorders Canbe Shown
By Ulrasound Scan?
A: Ultrasound can be used to detect fibroids (tumors arising from the
uterus), tumors from the ovaries, ovarian cysts, abscesses, and certain
other problems. An intrauterine contraceptive device can be located in
the uterus. Some reasons for pelvic pain can be diagnosed. This test may
be useful in patients with endometriosis.
Q: Is Ultrasound Useful In Infertility?
A: Yes. Ultrasound can be used to detect and monitor ovulation and maturation
of follicles. It is useful to see the shape and size of the uterus, and
to detect any gross problems in the pelvis that may be visualized by sonography.
Ultrasound is extremely important in IVF and assisted reproduction procedures.
Q: What is Sonohysterography?
A: Sonohysterography, also called Hysterosonography is the introduction
of saline into the uterus through a catheter and performing a vaginal
scan to visualize the uterine cavity. This is very useful for the evaluation
of uterine polyps, fibroids, endometrial cancer, undiagnosed vaginal bleeding
and in patients on Tamoxifen therapy.
Q: How Is Ultrasound Useful For Breast Evaluation?
A: Ultrasound can be very useful in the evaluation of breast problems
by the detection of cysts. Even though a mammogram (breast x-ray)
is the examination of choice for studying the breast, breast ultrasound
can be used to complement a mammogram, particularly in patients with
fibrocystic changes, pregnant patients and in nursing mothers.
Q: What Are The Other Uses Of Ultrasound Tests?
A: Ultrasound can be usefully employed for thediagnosis of gallstones,
some liver problems, pancreatic masses, cysts or tumors of the kidneys,
some thyroid or parathyroid conditions, or for the diagnosis of some
causes of abdominal pain. The abdominal aorta is easily imaged by
this test. It is also used for evaluation of the heart, eyes, vascular
system and testes.
Q. What Is An Ultrasound Guided Biopsy?
A: This is a procedure usually performed on the breast, thyroid or
other organs. The lump or abnormal area is sampled or aspirated by
a fine needle to obtain tissue or fluid to send to the pathologist
for diagnosis.
Q: What is 3-D Ultrasound?
A: This is the use
of digital computer technology to reconstruct
the ultrasound image in 3 planes. This type of imaging is has the potential for important applications
in Obstetrics, Gynecology, Abdominal, Neck
and Cardiac imaging.
Q: Where Is Dr. Malini's Office?
A: It is in Southwest Houston. The directions and map are at directions.html
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