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Doctor insights on: Cecal Avm

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Dr. Virginia Phipps
Board Certified, Hospital-based practice
16 years in practice
68K people helped
1

1
Pillcam report: multiple AVMs + erythema in small bowel. Lymphoid hyperplasia distal s/b. Cecum erythema/AVM as well. Can't get in to discuss this w/GI for weeks. Can someone help translate findings?

Dr. Virginia Phipps
Board Certified, Hospital-based practice
16 years in practice
68K people helped
Pillcam report: multiple AVMs + erythema in small bowel. Lymphoid hyperplasia distal s/b. Cecum erythema/AVM as well. Can't get in to discuss this w/GI for weeks. Can someone help translate findings?

Abnormal findings: Basically what you have are multiple tortuous veins/arteries in your colon They are abnormal because they are veins connected directly to arteries; usually separated by capillaries. These are called AVMs (arteriovenous malformations). They have increased risk of bleeding. As long as you are not having blood in your stools you should be okay. Also lymphoid hyperplasia is just reactive changes. ...Read more

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Dr. Vikram Patel
Board Certified
32 years in practice
853K people helped
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Dr. Vikram Patel
Board Certified
32 years in practice
853K people helped
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Dr. Myles Douglas
Board Certified, Vascular Surgery
44 years in practice
24K people helped
2

2
What is the difference between an avm and an aureysm?

Dr. Myles Douglas
Board Certified, Vascular Surgery
44 years in practice
24K people helped
What is the difference between an avm and an aureysm?

Anatomic: An avm or ateriovenous malformation occurs when there is a direct communication between an artery and vien. An aneurysm is a weakening in the wall of an artery which can cause it to enlarge. Avm's can be secondary to trauma, hereditary, and other causes. Aneurysms can be caused by trauma, athrosclerosis, infection, or hereditary. The anatomic location is important. ...Read more

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Dr. Vikram Patel
Board Certified
32 years in practice
853K people helped
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Dr. Vikram Patel
Board Certified
32 years in practice
853K people helped
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Dr. Jefferson Chen
Board Certified, Neurosurgery
29 years in practice
1M people helped
3

3
What are symptoms you have with an avm?

Dr. Jefferson Chen
Board Certified, Neurosurgery
29 years in practice
1M people helped
What are symptoms you have with an avm?

Depends on location: Avms can present with hemorrhage or seizure. If the avm is located close to the motor region, they can also present with focal weakness because of ischemia from the "steal" phenomenon associated with the avm. ...Read more

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Dr. Jefferson Chen
Board Certified, Neurosurgery
29 years in practice
1M people helped
4

4
What symptoms do you have with an avm?

Dr. Jefferson Chen
Board Certified, Neurosurgery
29 years in practice
1M people helped

Depends on location: Avms may present with a bleed, which may be manifest as a headache or alteration in level of consciousness. Patients may also present with a seizure. This is from the ischemia to the surrounding brain as most of the blood to the area is going to the avm rather than the brain. Focal motor deficits may occur if the avm causes adjacent brain (motor area) to suffer from a shunting of blood to the avm. ...Read more

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Dr. Vikram Patel
Board Certified
32 years in practice
853K people helped
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Dr. Creighton Wright
Board Certified, General Surgery
51 years in practice
17M people helped
5

5
How is an avm diagnosed?

Dr. Creighton Wright
Board Certified, General Surgery
51 years in practice
17M people helped
How is an avm diagnosed?

Visualize: Many arteriovenous malformations (avm) are on the surface and can be seen. Others can be deep, and/or large and may make noise(bruit) or affect limb size, create secondary symptoms-heart failure. The usual small ones of childhood may resorb or shrink over time. Others may need intervention or surgery. ...Read more

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Dr. Kenneth Liu
Board Certified, Neurosurgery
15 years in practice
198K people helped
6

6
What do you recommend if I had a avm removed and still have pain?

Dr. Kenneth Liu
Board Certified, Neurosurgery
15 years in practice
198K people helped
What do you recommend if I had a avm removed and still have pain?

Patience.: Unfortunately, removing AVMs only occasionally helps with pain. AVMs are removed to reduce your bleeding risk in the future, not necessarily to help with other symptoms such as pain. That being said, sometimes symptoms such as pain improve with time. If you have concerns, speak with your physician. ...Read more

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Dr. Jerry Light
Board Certified, Vascular Surgery
31 years in practice
161K people helped
7

7
What are activities to avoid if I have an avm?

Dr. Jerry Light
Board Certified, Vascular Surgery
31 years in practice
161K people helped

Depends on location: Where the avm is located will dictate any physical restrictions. If it is on your leg or arm, then no real restrictions except to avoid direct trauma to the area. If inside an internal organ, then there may be more restrictions. If it is intracranial, then avoid any contact sports that could injure it and cause bleeding. ...Read more

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Dr. Jeffrey Ramkaransingh
Board Certified, Interventional Radiology
15 years in practice
242K people helped
8

8
I had a avm removed and still have pain, what do you think is wrong?

Dr. Jeffrey Ramkaransingh
Board Certified, Interventional Radiology
15 years in practice
242K people helped
I had a avm removed and still have pain, what do you think is wrong?

See your doc: Many AVMs can recur if not completely removed. Your persistent pain may be related to this. ...Read more

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Dr. Larry Armstrong
Board Certified, Neurosurgery
22 years in practice
1M people helped
9

9
How do you locate an avm?

Dr. Larry Armstrong
Board Certified, Neurosurgery
22 years in practice
1M people helped
How do you locate an avm?

Radiology: Ct angiogram cerebral angiography mri mr angiography these are all used to locate avm's. ...Read more

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Dr. William Walsh
Board Certified, Pulmonology
12 years in practice
3M people helped
10

10
What to expect after radiosurgery for an avm?

Dr. William Walsh
Board Certified, Pulmonology
12 years in practice
3M people helped
What to expect after radiosurgery for an avm?

Depends: Where the avm was, how large it was, and what problems it was causing you. In the lung, avms can result in large amounts of blood being shunted through the lung without oxygen. Embolization or radio surgery can close these shunts which might improve exercise tolerance. ...Read more

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Dr. Vikram Patel
Board Certified,
32 years in practice
853K people helped
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