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ToMuchElmo December 8th, 2013 12:41 PM

echogenic bowel
Had my 18 week us Friday. The tech was very quiet though it. Hard to know if she just wanted to get out of there or if something was wrong. I asked at the end if everything was ok, she mentioned a echogenic bowel and that that Dr. would have to call me.

Any experiences with this? Did it just go away for you? I had a MaterniT21 test and everything was fine. My biggest fear at the moment is my husband is a carrier for CF, and though I tested negative for it, they only test the top 100 mutations, and there are thousands.

Not sure what else this could mean for us.

rebeccabaltimore and more December 9th, 2013 07:27 PM

Re: echogenic bowel
Echogenic is just terminology for reflective/bright spot. Sometimes it's the machine. Ultrasounds are very good these days, but they aren't taking video of the baby, they a looking at the soundwaves that are bouncing off the baby and turning that into pictures. So there can be bright spots, most commonly in the heart and the bowel. Sometimes these bright spots are indicative of a defect. Sometimes they are just an error and mean nothing. I lost a child when I was 5 months pregnant. He had a bright spot on his heart. But . . .there was nothing wrong with his heart. They found a lot of things wrong during the autopsy, but none of them had shown up as echogenic.

Your sonographer can't tell you that. They can't tell you anything. That's why she was quiet. Only your doctor can talk to you about what the image means. Call your doctor and ask about the sonogram and the bright spot. Your doctor can interpret the sonogram for you.

Boos Moo December 10th, 2013 01:51 PM

Re: echogenic bowel
Hugs, let us know what the doctor says.

ToMuchElmo December 11th, 2013 09:26 PM

Re: echogenic bowel
They are going to have me in for another u/s. Apparently there were not any other markers. The only other concern is they said the baby was big. Looking online I can't see any correlation between to two, so I'm feeling better. Hopefully the next u/s will show nothing. Thanks!

ToMuchElmo January 17th, 2014 10:19 AM

Re: echogenic bowel
I had a follow up ultrasound January 2. The tech said it was still there but possibly not as bright as it was. That was the good news. Found out today at my appt. that the first image was a Grade 3 (the worst), and this one was about a Grade (2) maybe. The OB said I had genetic testing so that excludes DS, and that is all he is concerned about. No more follow ups. This came from the nurse. When I asked about infections, she said "that is all the Dr.said"...told me to make my next appt in Feb with him if I wanted to ask him questions. It's hard to know if I am over-reacting to this situation or if the OB is just brushing it off and doesn't want to deal with it? There is another OB I can switch to, but it's an hour drive, for every single appt, plus any future testing, non-stress tests, delivery. I had GD with the last 2 pregnancies, and expect it this one as well, which would mean weekly non-stress testing and appts...WAY to much driving and time, as I need to get my kids on and off buses, one of which is only 1/2 a day....but if my OB is just brushing this off when he should be more concerned....

Boos Moo January 17th, 2014 07:00 PM

Re: echogenic bowel
I'm glad it looked better. Can you make an appt. with your doctor sooner and go over the results then?

rebeccabaltimore and more January 25th, 2014 09:05 AM

Re: echogenic bowel
I think it is short sighted to only care about DS. I lost a baby to a different genetic disorder. There are handful to think about. But, the images are better. So it really doesn't matter if he should be looking at multiple things. He could be looking for the holy grail and it wouldn't matter, because things are looking better. Like I said above, echogenic areas don't always mean problems, sometimes they are just issues with the ultrasound. And there are no other markers. Genetic disorders leave markers. That's how my daughter was diagnosed - markers, not echogenic spots. So yay for a better u/s!

christyloo February 9th, 2014 11:41 AM

Re: echogenic bowel
We are in the same ddc, I'm due in early may. I also had my ultrasound show an echogenic bowel at our 20 wk anatomy scan. I have been going to a specialist every 3-4 weeks to monitor it.

The first time we went for an in-depth ultrasound with high tech equipment was just a couple of days after the anatomy scan. It showed a (approx.) grade 2 echogenic bowel but a month later it looked way better - the Dr. said if the bowels had looked like this at the anatomy scan they wouldn't have even noticed it. I'm still seeing the specialist every month to monitor growth along with my regular ob appts, but I feel much better about everything after my last appointment went so well.

Oh, but we did have to run lots of blood tests to try and rule out cf, other possible infections, ds, etc. I had already done MaterniT21 and tested neg for DS and other genetic issues, and we re-tested me for CF gene which was also neg.

All I know is that it was a stressful holiday season this year, lol (we had our anatomy scan a few weeks before Christmas.) So I can sympathize with you. But ultimately, I was told that the echogenic bowel ALMOST ALWAYS turns out to be nothing and it's only in rare cases that it signifies a real problem. Best of thoughts to you!!!


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