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Doctor insights on: Intestinal Ischemia In Children

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What is the significance of intestinal ischemia?

What is the significance of intestinal ischemia?

Fatal: Ischemia anywhere in the body is usually very bad -- and ischemia involving a major internal organs such as bowel can be fatal if not intervened straightaway --. Read more

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Intestine (Definition)

The gastrointestinal tract starts at the mouth, travel down the tunnel (esophagus), which connects to the stomach, which then empties into the duodenum, jejunum, and ileum---the three parts of the small intestine (@25 feet). This empties into the colon or large intestine (about 5 feet), which then becomes the sigmoid colon, rectum and out the anus. So, every morsel eaten ...Read more


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Why do some people get intestinal ischemia and others don't?

Why do some people get intestinal ischemia and others don't?

Depends: Usually ischemia of the bowel is associated with low blood flow from dehydration, however most commonly occurs in the elderly who have peripheral vascular disease or narrowing of the vessels and when their blood pressure drops for numerous reasons, there is inadequate blood flow to the bowels. Acute weight loss or blood clots can also cause this. It is a serious condition and potentially life thre. Read more

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What is the definition or description of: intestinal ischemia?

What is the definition or description of: intestinal ischemia?

Lack of blood: Intestinal ischemia is loss of blood supply to a section of intestine. It is caused either by blood clotting in place or a blood clot from the heart breaking off and lodging in an artery to a section of intestine. Either cause can lead to gangrene (death) of a section of intestine. This can be an emergency leading to death if the dead section of intestine is not removed soon. Read more

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Give me a hint. What kind of hassle am I facing if doc suspects intestinal ischemia? What is required to diagnose?

Give me a hint. What kind of hassle am I facing if doc suspects intestinal ischemia? What is required to diagnose?

Could be serious: Intestinal ischemia can present in several ways. Acute intestinal ischemia is usually an emergency. You seem to be asking about chronic ischemia which can be an elusive diagnosis to clinch. Those with true intestinal ischemia have "fear of food" so extreme that they won't eat, and lose significant weight. Intestinal blood vessels must be imaged for diagnosis: ct, mri, and angiography may be used. Read more

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Are there any natural treatments (diatary supplements) that help with intestinal ischemia?

Are there any natural treatments (diatary supplements) that help with intestinal ischemia?

Not really...: Intestinal ischemia is caused by blockage of the arteries leading to the intestine, usually due to atherosclerosis. If it is you that you are asking about, atherosclerosis would be very unusual at your age, but fibro-muscular dysplasia (fmd) could be the cause. Angioplasty or stents can be inserted to treat this with a minimally invasive approach. Don't know of any natural suppl's that will help. Read more

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Calcified abd aorta and common iliac arteries, 60% ostial stenosis of coeliac trunk, bloating, abd pain, can't gain weight. Intestinal ischemia?

Calcified abd aorta and common iliac arteries, 60% ostial stenosis of coeliac trunk, bloating, abd pain, can't gain weight. Intestinal ischemia?

Yes: From the descriptions on the question I strongly believe you have intestinal ischemia and atherosclerotic vascular disease. Need to to be aggressive ib treatment for reversal of atherosclerosis. Check lipids get on a good regime of cholesterol lowering treatment. See a physician specializing in lipid manangement Read more

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How is bowel ischaemia treated?

How is bowel ischaemia treated?

Surgery: Depend what cause the ischemia and for how long the ischemia lasted
if caught early we might be able to restore the circulation to the bowels by embolectomy. Or by lysing the clot.
if not surgery will allow the removal of all dead guts, but if the problem is the entire small bowel most likely that will not be compatible with life unless the patient lives on TPN total venous nutrition, which is hard. Read more

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Is abdominal pain a usual symptom of intestinal ischemia?

Is abdominal pain a usual symptom of intestinal ischemia?

Intestinal Ischemia: Symptoms of acute intestinal ischemia: sudden abdominal pain that may range from mild to severe; an urgent need to have a bowel movement:
frequent, forceful bowel movements; tenderness or swelling in the abdomen;
blood in your stool;
nausea or vomiting or both ;
fever. Read more

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What can cause small bowel inflammation, pain, and perhaps bleeding in children?

What can cause small bowel inflammation, pain, and perhaps bleeding in children?

Infectious & Inflamm: Both bacterial bowel infections, e.g., by shigella, salmonella, campylobacter, and yersinia
And Inflammatory bowel disease such as Crohn's disease can produce the symptoms described. Read more

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Can irritable bowel syndrome effect children?

Yes: Both irritable bowel syndrome as well as chrohn's disease can affect children. If you are suspicious, ask for a pediatric GI consult. Read more

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I'm 59 and have 4 children that are grown. I cannot hold my bowel movement. Can anything be done other than an operation to tightened things in my rectum

I'm 59 and have 4 children that are grown. I cannot hold my bowel movement. Can anything be done other than an operation to tightened things in my rectum

Physical therapy: One thing that may help is pelvic floor physical therapy. However, it is important to make sure there are not other reasons why you may have this problem such as a problem with your rectum itself or nerve damage. Read more

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What causes irregular bowel movements for to year old children?

Fruits: Toddlers are usually sensitive to fruits. A little fruit or juice can cause toddlers diarrhea. Try to see if he or she is sensitive to certain fruits or certain amounts of fruits or juices. Read more

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What is more common is young children divertiulitis or irritable bowel syndrome?

Irritable bowel: In 3 decades of caring for kids I have never seen or heard of a case of diverticulitis. It is a disease of elder adults. I do see ibs in kids ocassionally. Read more

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After a bowel cancer chemo, it has now been more than 48hrs is it still contagious? (1st chemo) as there a little children around. Thanks

No: There is no contagious componenet to chemotherapy for bowel cancer. You can interact safely with those around you including children. You, however should be careful to try and avoid being exposed to colds and other infections- some chemotherapy will result in lowering your immune system as white cell counts drop over the ensuing days. Read more

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If I had inferior ischemia... Stress test & echo would've showed something right?

If I had inferior ischemia... Stress test & echo would've showed something right?

Presumably.: A negative nuclear or chemical stress test should rule out ischemia with 95% confidence. Not 100% confidence, 95%. There's always the possibility for false negative results - if clinical suspicion is really high and the test is negative, more testing may still be in order to really be sure. Echo not reliable enough unless damage to the heart has already occurred. Read more

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If I am now 55 years old. The result of my ECG is diffuse ischemia v1 v6. Is this alarming.?

Yes, it is: That's actually very bad. You need a full cardiac workup. See a cardiologist. Read more

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I am 65 yrs old and my test show mild anterior apical ischemia EF 76% Stress test abnormal for mild ischemia.

I am 65 yrs old and my test show mild anterior apical ischemia EF 76% Stress test abnormal for mild ischemia.

Clinical correlation: Deciding best treatment option for you really depends on your symptoms...in other words, why did you have the stress test? Chest pain? Shortness of breath, etc? Second, treatment ought to be guided by risk/benefit analysis of intervention vs medical treatment. You need to have a candid discussion with a qualified cardiologist to ascertain best next step, and intervention, if any. Read more

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I had a stress test yesterday. The final impression is ' stress mildly positive for ischemia at adequate workload " pl explain?

I had a stress test yesterday. The final impression is ' stress mildly positive for ischemia at adequate workload " pl explain?

Positive: This means that they did see signs of ekg changes when you reached a certain level of exertion. This would warrant further evaluation with imaging stress test or angiography-depending on cardiologist's choice. Read more

Dr. Julie Abbott
22 Doctors shared insights

Intestinal Ischemia (Definition)

Intestinal ischemia is loss of blood supply to a section of intestine. It is caused either by blood clotting in place or a blood clot from the heart breaking off and lodging in an artery to a section of intestine. Either cause can lead to gangrene (death) of a section of intestine. This can be an emergency leading to death if the dead section of intestine ...Read more


Dr. Cynthia Thaik
1,920 Doctors shared insights

Ischemia (Definition)

Used to describe inadequate blood flow and oxygen delivery to an extremity, an organ, or brain which ...Read more