Doctor insights on:
Intestinal Ischemia In Children
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
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
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
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
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
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
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
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
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
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
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
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
Yes, it is: That's actually very bad. You need a full cardiac workup. See a cardiologist. ...Read more
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
I had a stress test yesterday. The final impression is ' stress mildly positive for ischemia at adequate workload " pl explain?
So I had stress test done it ame back ok but they said I had reversible ischemia what's that mean am I gonna die? And had 10% positives in the test
Coronary angiogram: Reversible ischemia means that when you exercise part of heart muscle is deprived of blood supply. You are not going to die, but should consult with a cardiologist to see if you need coronary angiogram. Your heart should be at resting stage. Avoid any exercise until you have the work up done. Stress test can be sometime wrong. At age 31 I don't expect you to have coronary artery disease. ...Read more
Choles good, triglyc good, bp120/80, stresstst:+ischemia at 8.5mets, ctangio: mixd plaque no stenosis, accdg to radio&cardio not significant. Shld I wory?
See vascular: A vascular surgeon will help determine this if they think not they will recommend seeing a neurologist. ...Read more
113/69 pulse rate 85 is that good? And they said I have reversal ischemia would it be this normal if I had that?
Good Bo: Congratulations on having a normal blood pressure. I assume you have had a cardiac stress test that shows reversible cardiac ischemia. While many people with coronary artery disease often also have high blood pressure, you can have normal blood pressure and still develop coronary artery disease. Smoking, diet and genetics as well as blood pressure play a role. Talk to your doctor about risk fac. ...Read more
I had a nuc stress test and dr. Told me it was negative, but I was recently declined for insurance due to mild ischemia. Is test neg? What should I do
Slough: When blood supply is hampered......tissue dies and slough out........ ...Read more
What's the best thing to do because I have an ischemia? I undergo also a stress test, doc. Told me its normal
Trust or 2nd opinion: Follow your doctors advice. If he feels there is no evidence of myocardial ischemia, and that no further testing is warranted, then either trust what he tells you or seek a second opinion. You have every right to get a second opinion if you wish, and if the 2nd opinion concurs with the first, you should not worry. ...Read more
Ekg showed possible septal ischemia this is change from normal EKG 3 months ago - can I still continue to exercise?
ECG: This question is best posed to the doc who knows you. Ecg is just one data bit in your whole clinical picture. ...Read more
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