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  Flux, I'm Looking For Info on Perforated SMALL Intestine

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Author Topic:   Flux, I'm Looking For Info on Perforated SMALL Intestine
LindaB
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Posts: 658
Registered: Jan 99

posted 05-24-1999 10:52 PM     Click Here to See the Profile for LindaB     Edit/Delete Message   Reply w/Quote
I will be going with my husband to see his primary care doc this Friday on a follow-up after his recent 5 day hospital stay for a perforated small bowel. At least that's what they said the CT scan showed. They came within a hair of doing surgery, but then cancelled it after a small bowel follow-up barium study showed that the antibiotics had caused it to heal. I've never heard of a perforation in the small intestine and didn't find anything in my web search. I'm looking for info on what things can cause that so I will have a better idea of questions for the doctor on Friday. Can meds do it? My husband has already had a double bypass, stents at the bottom of his aorta for vascular insufficiency in his legs, and still has some blockage in his abdominal aorta, plus assorted other problems (including removal of a gangrenous gallbladder). For a long time, he has been on Plendil, Atenolol, Nitro SR, Hytrin, Trental, Zocor, and 81 mg aspirin every day. A veritable walking pharmacy! Could these meds have messed up his small intestine, or could it be from aschemic bowel? Any info would be most appreciated as always.

flux
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posted 05-25-1999 12:27 AM     Click Here to See the Profile for flux   Click Here to Email flux     Edit/Delete Message   Reply w/Quote
If the bowel were ischemic (due to something going on in the aorta, either a thrombus (clot) or just insufficient blood flow) and some part of the intestine became necrotic (died) that could bring on an obstruction and then could cause it to perforate, but I would think there would be evidence of some obstruction on the X-rays. And there would be symptoms, like really bad pain and vomiting.

A number of those drugs lower the blood pressure. It seems like a lot. Does he see a cardiologist?

LindaB
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Posts: 658
Registered: Jan 99

posted 05-25-1999 11:57 AM     Click Here to See the Profile for LindaB     Edit/Delete Message   Reply w/Quote
Thanks, Flux. He has not seen a cardiologist in several years, and I doubt that he would go, but I'll try again. He hates going to doctors, but does like and have confidence in this primary. I plan to pursue the meds question again on Friday.

He did have really bad pain, but not vomiting. The pain is what sent us to Urgent Care and then via ambulance to the ER. And they did mention possible blockage and "an air flow problem" after looking at the xrays and CT scan.

All times are ET (US)

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IBS & the Mind-Body/Brain-Gut Connection, by William B. Salt II, MD