Introduction

An Abdomen X-ray (also called an abdominal radiograph or AXR) is a common diagnostic imaging procedure used to examine organs and structures within your abdominal region. This simple and quick procedure helps your doctors to detect a wide range of disease conditions that affect the abdomen.

Abdominal X-rays are often the first step in diagnosing sudden unexplained abdominal pains or discomfort and guiding further treatment. Here, we will discuss the common indications for an abdominal X-ray and provide a Q&A section to answer frequently asked questions about this procedure.

Common Indications for an Abdomen X-ray

Doctors may ask you to get an abdominal X-ray for various reasons which may include one or more of the following:

• Abdominal pain or tenderness
• Nausea and vomiting without a clear cause
• Unexplained bloating or swelling
• Constipation or a suspected intestinal obstruction
• Abnormal gas patterns in the abdomen
• Suspected kidney stones, gallstones, or bladder stones
• Monitoring the position of medical devices such as feeding tubes
• Detection of foreign objects swallowed or inserted into the body

Abdomen X-ray Frequently Asked Questions 

What does an abdomen X-ray show? 

An abdomen X-ray provides a clear view of your abdominal organs such as the stomach, intestines, liver, and kidneys. It helps us to detect problems like blockages, abnormal gas patterns, fluid buildup, and the presence of foreign objects. It may be able to identify conditions like kidney stones, gallstones, and masses.

Do I need to prepare for an abdomen X-ray?

Yes, you do. Preparation is however minimal for an abdomen X-ray.  When it is time to have your test done, you may need to remove your jewelry and wear a hospital gown so they don’t interfere with the imaging. Also, let your doctor know if you are pregnant, as X-rays are generally avoided during pregnancy.

If you’ve had a recent X-ray that involved barium contrast or taken medications with bismuth, like Pepto-Bismol, this could affect the clarity and quality of the X-ray images, so your doctor and other healthcare providers involved should be informed as you may need to be rescheduled.

Can I eat and drink before my Abdomen X-ray?

Most likely, Yes. It is very uncommon and unlikely that you will be given dietary instructions or be required to fast from water or food before your abdomen X-ray. 

Do I need to keep my bladder full before my Abdomen X-ray?

No, you don’t. Most radiographers actually prefer their patients to empty their bladder before their Abdominal X-ray to avoid uneasiness during the procedure itself. 

Will the X-ray procedure be painful?

No, the X-ray itself is painless. The only discomfort you may experience is lying still on the table in different positions. The entire procedure is quick and non-invasive, making it convenient for most patients.

How is an abdomen X-ray performed?

During the procedure, you will be required to lie on an X-ray table, usually on your back. You may be asked to change positions, such as lying on your side or standing, to capture images from different angles. It is important to remain still in the set position and hold your breath for a few moments while the X-ray is being taken to avoid blurry images. The process typically lasts just a few minutes.

What conditions can an abdomen X-ray help diagnose?

An abdomen X-ray can reveal:

• Intestinal blockages or bowel obstructions
• Kidney stones, gallstones, or bladder stones
• Presence of foreign objects in the digestive tract
• Masses or growths in the abdomen
• Signs of fluid buildup or ascites in the abdomen
• Injuries to abdominal organs
• Perforations or holes in the stomach or intestines.

These images may also show what is Radiologically described as abnormal gas patterns or displacement of organs, which can help diagnose underlying medical conditions.

 Are there risks associated with an abdomen X-ray?

The risks associated with an abdominal X-ray are minimal. The procedure involves low-level radiation exposure, but the benefits typically outweigh any risks. However, as a precaution, doctors may avoid performing X-rays on pregnant women and children unless absolutely necessary (read more on Radiation Safety here).

How long does it take to get results from an abdomen X-ray?

The results are usually available within a few hours to a day or more, depending on the facility. Typically, a Radiologist will review the images, and create a report detailing their findings which your doctor can review to decide the next steps with you, which may involve further testing or treatment. 

Can an abdomen X-ray detect all types of abdominal issues?

While abdomen X-rays are highly effective for diagnosing certain conditions, they cannot detect everything. This is partially because every imaging modality has its strengths and weaknesses.

Soft tissue abnormalities, for example, may not be visible on X-rays. Also, being two-dimensional, X-rays are sometimes limited in the amount of detail you can get. In such cases, additional imaging tests such as CT scans or ultrasounds or MRI may be required for a more detailed evaluation.

What happens after an Abdomen X-ray?

After your Abdomen X-ray, you can usually resume your normal activities right away. Your doctor will inform you if further testing or follow-up is necessary based on the X-ray findings. 

Final Thoughts

An abdomen X-ray is a vital investigation for diagnosing a variety of conditions affecting the abdomen and abdominal organs. It is a safe, fast, and relatively simple procedure that provides valuable information to help guide treatment. Understanding the purpose of the investigation and what to expect can make the process smoother and less stressful for you

If you have any concerns or need more information about the procedure, don’t hesitate to ask your doctor or healthcare provider.

Do you need an Abdomen X-ray? Let’s help you find the right diagnostic centre in 3 quick steps. Click here to begin.