X-rays often are used to evaluate digestive problems. Standard x-rays (plain x-rays) do not require any special preparation ( see Plain X-Rays Plain X-Rays X-rays are high-energy radiation waves that can penetrate most substances (to varying degrees). In very low doses, x-rays are used to produce images that help doctors diagnose disease. In high... read more ). These x-rays usually can show a blockage or paralysis of the digestive tract, or abnormal air patterns in the abdominal cavity. Standard x-rays can also show enlargement of the liver, kidneys, and spleen.
Barium x-ray studies of the digestive tract
X-ray studies using barium often provide more information than standard x-rays. X-rays are taken after a person swallows barium in a flavored liquid mixture or as barium-coated food. The barium looks white on x-rays and outlines the digestive tract, showing the contours and lining of the esophagus (the hollow tube that leads from the throat to the stomach), stomach, and small intestine. Barium may collect in abnormal areas, showing ulcers, tumors, blockages, and erosions and enlarged, dilated esophageal veins.
X-rays may be taken at intervals to determine where the barium is. In a continuous x-ray technique called fluoroscopy, the barium is observed as it moves through the digestive tract. With this technique, doctors can see how the esophagus and stomach function, determine whether their contractions are normal, and tell whether food is getting blocked.
Fluoroscopy (a continuous x-ray technique) is used to view the esophagus after a person swallows liquid barium. The esophagus can be seen contracting as barium passes through it and into the stomach and small intestine.
Courtesy of Howard Lee, MD.
Barium also can be given in an enema to outline the lower part of the large intestine. Barium also can be given through a thin tube that is passed through the nose, down into the stomach, and then into the small intestine (enteroclysis). With a barium enema or enteroclysis, x-rays can show polyps, tumors, or other structural abnormalities. This procedure may cause crampy pain or slight to moderate discomfort.
Barium taken by mouth or as an enema is eventually passed in the stool, making the stool chalky white. Because barium can cause significant constipation, the doctor may give a gentle laxative to speed up the elimination of barium.
Although barium studies are still sometimes done to evaluate digestive problems, endoscopy Endoscopy Endoscopy is an examination of internal structures using a flexible viewing tube (endoscope). Endoscopy can also be used to treat many disorders because doctors are able to pass instruments... read more and alternative imaging tests such as CT or MRI of the digestive tract Computed Tomography and Magnetic Resonance Imaging of the Digestive Tract Computed tomography (CT— see also Computed Tomography (CT)) and magnetic resonance imaging (MRI— see also Magnetic Resonance Imaging (MRI)) scans are good tools for assessing the size and location... read more have largely replaced certain barium studies because of their superior image quality.