Doctor insights on:
What Is Ischemic Bowel Disease
I'll try to explain: Ischemic disease is from the build up of sludge or blockages in the arteries of the body over a lifetime. This happens in all of the arteries, the heart, the intestines, the legs etc. Too much blockage leads to too little blood flow and produces symptoms of pain etc. First step in therapy is hydration, but, there is a mechanical blockage that is not able to be reversed by anything we now know. ...Read moreSee 1 more doctor answer
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
For patient safety: Ischemic bowel means the blood flow to the bowel is decreased enough to cause symptoms; in this case, surgery was needed to remove affected bowel. Reconnecting the bowel was considered too risky by the surgeon, who placed a stoma for the patient's safety. The patient's recuperation and general medical status will affect whether the stoma can be closed or will be permanent. ...Read moreSee 1 more doctor answer
I would like to know the diff. Between melanosa coli (i have it) and ischemic bowel. I mean, did the pathologists even consider if have ischmic bowel -?
Easy to see: Melanosis coli is very easy to pick up under the microscope. One looks for big cells called histiocytes that are filled with pigment. Ischemic bowels looks very different, with slightly more subtle findings. If you have significant doubt about a pathology test, though, you should ask for a second opinion, especially for a cancer diagnosis. ...Read more
After 20cm colon resection:transmural infarction with foci of suppurative inflammation and acute serositis+ischemic bowel. What possible reason fr that?
Parse the words: Chronic = long-standing. Microvascular = small blood vessel. Ischemic = insufficient blood flow. Technically such a condition can affect any organ in the body but this condition gets most attention due to neurologic involvement. Certain genetic & environmental factors contribute to this condition--that is, there is more than one cause. ...Read more
Patchy insulation: Chronic means this process has been going on for years in the brain. White matter is the part of the brain where the "communication cables" are, and they are "white" because of myelin insulation. The ventricles are fluid-filled "shock absorber" spaces inside the brain. Ischemic means they have been deprived oxygen, microvascular means in tiny blood vessels. Mini-stroke strips off some insulation. ...Read more
My MRI report says I have chronic microvascular ischemic disease with scattered lacunar infarcts. Could you explain what this means, please?
Lack of blood deep:
In the brain. This condition is most commonly seen in individuals with one or all of the following:
3. Hyperlipidemia (high cholesterol)
4. Cigarette smoking
5. Family history of stroke
of course there are others but these are most important. Please meet with your neurologist to discuss why and what you can do to help your situation. Good luck and well wishes. ...Read more
Maybe, maybe not: I assume the scan was a mri. I also assume you have had no symptoms of a stroke. This is not uncommon. You should have the MRI abnormality investigated, but the causes may include migraine, hypertension, and demyelination from any number of causes. The abnormality is likely a warning sign of an underlying process that needs to be addressed. Have your physician refer you for evaluation. ...Read more
Can return: Ischemic microvascular of the brain is usually a radiologic description of certain findings on ct or mri. These findings are typically seen in pts. With poorly controlled hypertension and/or diabetes mellitus. Symptoms can return/worsen if the underlying risk factors are not addressed. Though the imaging abnormalites rarely return to normal, treatment can prevent progression. ...Read more
Not enough blood: Ischemic heart disease is when there is a partial blockage in the coronary arteries (which supply the heart muscle with blood). This blockage reduces the flow of blood to the point where the coronary arteries cannot meet the demand of the heart muscle with enough oxygen-rich blood. ...Read moreSee 1 more doctor answer
Revascularization: If appropriate and medications & close follow up with a cardiologist. ...Read more
Misnomer: Great question. Ther is no chronic sm vessel ishchemic disease. It is invented by radiologists. It does not have treatment. ...Read more
Isch heart disease: With a proper history, physical exam, and diagnostic testing that would likely include an ekg. Additional testing might include a stress test, non-invasive coronary artery imaging (like with ct scan or mri), or invasive coronary imaging (cardiac catheterization). A lipid panel would also play a role in assessing and reducing risk of ischemic heart disease. ...Read more
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