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Gastroenterology  (Expert Forum)
 | 
abdominal tearing sensations etc.
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
This forum is for questions regarding Gastroenterology issues such as Acid Reflux (GERD), Barretts Esophagus, Colitis, Colon/Bowel Disorders, Crohn's Disease, Diverticulitis/Diverticulosis, Digestive Disorders, IBS, Stomach Pain.

abdominal tearing sensations etc.

by TJV, Jul 24, 2005 12:00AM

  Hi I have a couple of questions

( 1 )  When i had a ct scan,  and  when they injected  the IV contrast  , i felt a squiggle in my stomach and then right at that second,   i totally lost my eyesight for what seemed  like a couple of minutes, which was really scary.  The technician played it off  as an allergic reaction  and stopped the test , but this doesn't sound logical to me.  Have you ever heard of this happening?

( 2)  What are some causes of abdominal pressure so strong , that one can only stand for short periods of time, and there is even tremendous pressure sitting up.   Does it sound muscular  ?  I only had this  really extreme for one day and the pressure was so strong when i tried to stand up for a second,   i felt abdominal tearing sensations.  This releived the pressure somewhat ,  but now pain has replaced the pressure. Sound muscular ?   Can you give me any info on abdominal  tearing sensations ?

( 3)  Finally what is the best test to evaluate a soft tissue abdominal mass with translucent discolouration ? An MRI ?  Thanks

by Kevin Pho, MD, Jul 24, 2005 12:00AM
To answer your questions:
1) I have not heard of this side effect, but an allergic reaction is possible.

2) Difficult to say without examination.  The possible causes would depend on where in the abdomen the pressure was.  If it was in the right upper quadrant, gallbladder or liver disease is possible; left upper quadrant, pancreatitis; right lower quadrant, appendicitis; left lower quadrant, diverticulitis.  

As you mentioned, muscle discomfort or pain can also lead to the tearing sensations.

3) The CT scan is pretty good for evaluating such a mass.  If more detail is needed, the MRI can be considered.

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
http://www.straightfromthedoc.com
Member Comments (1)

by Sarah Connors, Jul 24, 2005 12:00AM
In my personal opinion following are the answers to your 3 questions:

1. Yes was an allergic reaction to the contrast agent.
2. Tearing pain could be due to hypokalemia.
3. MRI.
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