Doctor insights on:
Is There A Relationship Between An Abdominal Aortic Aneurysm And Eating Disorders
No: No. Risk factors for aaa's are age greater than 65, a smoking history, being male as well as a family history. The cause of aaa's is not exactly known, although many believe that they are caused by an inflammatory process. ...Read more
"Aneurysm" has scary implications for many people. It just means an enlargement of an artery. The problem is that when arteries (including the aorta) get too large, their walls become weak and prone to tear (dissection) or rupture. If this happens in the aorta it can be a catastrophe. Management of aortic aneurysms depends on where it is, how big, whether it's growing, ...Read more
Likely No: Abdominal aortic aneurysms generally have no symptoms. Often called a silent killer. A very large aneurysm in a small person could push on the abdominal contents and cause early full symptoms. Atherosclerosis disease of the blood vessels going to the intestines can cause pain after eating. ...Read more
Not likely: Except with some huge aneurysms, early full feeling with meal --early satiety site term. ...Read more
Isit possible that I have an abdominal aortic aneurysm when I'm only 24 but have sharp pains and pulsing in lower leftabdomen and middle for 3-4 years?
My father passed away four months ago of a ruptured abdominal aortic aneurysm, I was traumatized, I'm 20, what are the chances of me developing this?
Most of these: Abdominal aortic aneurysms (aaa's) occur in older (over 65) patients with a history of smoking and/or hypertension. If a AAA occurs in someone younger or without typical risk factors then testing for various syndromes and genetic predispositions can be performed. Your doctor can help parse this out. ...Read more
Depends on size: Rupture rates from aaa's less than 4 cm are very small. Risk of rupture at 5-5.5 cm is about 5% per year. The risk goes up quickly from there. For example, 10-20% at 6-7 cm, and 20-40% for 7-8 cm. An intervention is often recommended if the aneurysm grows more than 1 cm per year or it is bigger than 5.5 cm. Data also supports consideration for a lower threshold in women (5 cm) - rupture earlier. ...Read more
Location location: An aortic aneurysm is a weakening of the wall of the aorta causing it to balloon out. In most cases this weakening is in the part of the aorta below the kidney arteries. Sometimes an aneurysm may involve the part of the aorta where the kidney arteries originate. These type of aneurysms are more challenging to treat especially if you are pursuing a minimally invasive option. ...Read more
Possibly: A lot of people at rest can feel there pulsation. If you feel something pulsatile in your abdomen u need to be checked by a physician who can order a screening ultrasound. ...Read more
Hard to say.: The abdominal aortic aneurysm may be managed surgically or with watchful waiting depending on size. Bladder tumors can be superficial and treated with scraping and chemotherapy in the bladder, or may be more advanced and treated with removal of the bladder or chemo and radiation therapy. It's important to know how deeply invasive the bladder tumor is. ...Read more
Recently diagnosed with bladder cancer and an abdominal aortic aneurysm. What advice do you have?
Bladder cancer/AAA: Determining if your AAA needs attention or if it can simply be watched still will be based on its size. Make sure your vascular surgeon and urologist are sharing notes meaning both are aware you have the two conditions. They will tailor a plan for you. ...Read more
I have a brain aneurysm. What are the chances that I have another one somewhere else in my body like an abdominal aortic aneurysm?
Is it safe to get in a tanning bed with a small abdominal aortic aneurysm? I have had it almost four years & it is smaller then a pea
Yes: Anything that doesn't incur increase in intra-abdominal pressure such as holding your breath with activity shouldn't cause any additional risk than getting in and out of a regular bed. ...Read more
Generally speaking, is a fusiform abdominal aortic aneurysm considered to be a potentially serious problem? If so, in what way? Can it cause severe pain even if it doesn't "burst"?
Potentially serious: An aneurysm's risk is related to leak or rupture. The chance of that happening is related to the size (diameter) of the largest cross section. The size is monitored and intervention is usually not suggested until it's >5cm. The other possible reason to intervene would be rapid growth of the aneurysm. In the WORST case, a free bleed from a rupture, you can bleed out all your blood into the abdomen. ...Read more
Yes: U/s is good for the initial diagnosis and follow-up studies ...Read more
None: Having an aneurysm will not necessarily give you any pain. Symptoms may or may not occur even with large aneurysms. On many patients, symptoms occur when expanding or when rupture occurs. Unfortunately about 17, 000 americans die from aneurysm rupture /yr. Sudden flank pain usually on the left, abdominal distention, low back pain, with or without passing out, hypotension, collapse. Must diagnose early. ...Read more
No: Trauma such as falling does not cause aaas. They typically form slowly over time due to inflammation in the wall of the aorta. Risk factors are age >65, smoking, male gender and a family history. Interestingly high speed motor vehicle accidents can cause a tear in the thoracic aorta. These are called dissections. ...Read more
Depends on rupture: Incidence and prevalence of abdominal aortic aneurysm (AAA)increases with age, making condition a significant issue as the population ages. Most common in elderly men and occurs in 5% to 7% of people over the age of 65 in US. Leading cause of death in men over the age of 55. Post-op mortality for ruptured AAA remains higher than 40%. AAA surgically repaired before rupture, postop mortality 1-6%. ...Read more
Rupture AAA: Best care is avoid rupture. Prior to rupture there are little to no symptoms. At time of AAA rupture, a life threatening emergency exists, the risk of death elevates. If you know you have a 10cm aaa, get it evaluated and repaired. If you have been evaluated (with a second opinion) and told a repair is not possible, then stay on your medical regimen. Make plan to avoid er if/when rupture occurs. ...Read more
Dilated aorta: Approx. 75% of aortic aneurysms are infrarenal. If the diameter of the aneurysm increases >= 0.5 cm/6mo. Period, early intervention advised. Once the aneurysm is 5cm or about twice the diameter of the non involved aorta, elective repair is advised. If 4cm dia and enlarging, repair advised to lower risk of death from exanguinating rupture. See your cardiovascular surgeon or vascular surgeon. ...Read more
Many: Approx. 15, 000 die every year of ruptured aortic aneurysms. Once an infrarenal aortic fusiform aneurysm doubles the native aortic diameter rupture risk approx. 20%/year. Early detection with cat scan/ultrasound/mri of the aorta and elective surgical repair advised. Risk of rupture for endovascular stent repair is about 3r%within 5 years and near0% for open surgical repair. Deathfromruptureorcadiac. ...Read more
With twists/bends: The term "tortuous" simply means: full of twists, turns and bends. In medicine we use this to describe the pathway of veins or arteries. When either veins or arteries "grow" to become varicose veins or aneurysms, not only do they grow in diameter, but also in length. As they grow longer, they start bending and twisting to accommodate and "fit" into the same body. ...Read more
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