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Lower Abdominal And Upper Abdominal Pain After Mesenteric Stent Placement
Question: lower abdominal and upper abdominal pain after mesenteric stent placement . CT scan shows nothing blood work is all good vitals good liver, kidney, spleen, and appendix all unremarkable. Patient is 84 yo female, copd and on meds for elevated BP. loss of appitite and weight loss is concerning
Brief Answer:
When does she experience pain?
Detailed Answer:
Hi XXXXXXX
I will need to know more: When did the pain start in relation to the stent placement? When does she experience the pain? Any relieving/provoking factors?
Best wishes.
When does she experience pain?
Detailed Answer:
Hi XXXXXXX
I will need to know more: When did the pain start in relation to the stent placement? When does she experience the pain? Any relieving/provoking factors?
Best wishes.
Above answer was peer-reviewed by :
Dr. Prasad
she was experiencing pain before in her stomach when she would eat and in the morning upon waking up after the stent placement on Sept 5th she had about 4 really good days and has steadily gotten worse. we don't know if the pain is in relation to the placement of the stents and will get better or if something else is gong on. Now she describes the pain as a "gas like pain" in her intestine. She has had a subsequent CT scan to make sure that the stents are still in place and they are. She is on Plavix. she has taken gas-x for the pain thinking it was indeed gas but that did nothing to help. thank you for replying
I am sorry my previous answer was quite jumbled. She was experiencing pain before surgery in her stomach when she would eat and in the morning upon waking up. After the stent placement on Sept 5th she had about 4 really good days and has steadily gotten worse. we don't know if the pain is in relation to the placement of the stents and will get better or if something else is gong on. Now she describes the pain as a "gas like pain" in her intestine. She has had a subsequent CT scan to make sure that the stents are still in place and they are. She is on Plavix. she has taken gas-x for the pain thinking it was indeed gas but that did nothing to help. thank you for replying
Brief Answer:
Has she had a colonoscopy?
Detailed Answer:
Hi again and thank you for the elaboration.
t is difficult to say what causes these symptoms, but I find it reasonable to assess the vitality of the intestines after stent placement by endoscopy, i.e. a colonoscopy to begin with. She can also try taking a sublingual nitro spray when she is in pain; if it helps, it may be abdominal angina and therefore still related to some degree of arterial stenosis.
Hope this helps. Best wishes.
Has she had a colonoscopy?
Detailed Answer:
Hi again and thank you for the elaboration.
t is difficult to say what causes these symptoms, but I find it reasonable to assess the vitality of the intestines after stent placement by endoscopy, i.e. a colonoscopy to begin with. She can also try taking a sublingual nitro spray when she is in pain; if it helps, it may be abdominal angina and therefore still related to some degree of arterial stenosis.
Hope this helps. Best wishes.
Above answer was peer-reviewed by :
Dr. Prasad
Yes she had a colonoscopy earlier this year, they found a small amount of diverticulosis but said that it was really not enough to cause these kind of issues. She had a calcium scan several years back and her score was very high every time she goes to the ER for pain they check her heart and lungs It took two years for them to find the stenosis in her mesenteric artery. so you are saying that she could maybe have more arterial stenosis around her intestines? I really appreciate this we really are not trying to diagnose the issue just trying to get some additional thoughts on it. Because as you know nobody knows everything but everybody knows something.
Brief Answer:
Try nitro
Detailed Answer:
Hi again,
It is very difficult to say if she has further stenosis. Usually, a mesenteric stenosis in addition to coronary calcifications suggests general atherosclerosis, so she certainly may have other, smaller stenoses. Anti-thrombotic medicine and nitroglyrines may be helpful to prevent further development and relief pain.
Hope this helps.
Try nitro
Detailed Answer:
Hi again,
It is very difficult to say if she has further stenosis. Usually, a mesenteric stenosis in addition to coronary calcifications suggests general atherosclerosis, so she certainly may have other, smaller stenoses. Anti-thrombotic medicine and nitroglyrines may be helpful to prevent further development and relief pain.
Hope this helps.
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Above answer was peer-reviewed by :
Dr. Nagamani Ng
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