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Heart Disease (Expert Forum)
Bleeding in Relation to Aortic Valve Stenosis
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Bleeding in Relation to Aortic Valve Stenosis
by Mimi__0__0, Jun 24, 1998 12:00AM
Posted By CCF CARDIO MD - MTR on July 01, 1998 at 23:55:56:
In Reply to: Re: Re: Bleeding in Relation to Aortic Valve Stenosis posted by Mimi on June 30, 1998 at 19:12:47:
:
Please excluse my previous "follow up" post, I didn't realize how to post it and accidentally re-posted the entire original message and reply.
Thank you for your reply to my original question, it was very helpful. My father did stop the Coumadin prior to the colonoscopy and underwent the procedure on Monday. They only found a couple of small harmless polyps which they removed and cauterized. They do not believe they were the source of the occult blood in the stool. Now they have him scheduled for an upper GI procedure for next Tuesday to ascertain whether he has a peptic ulcer or other lesion that could be causing bleeding. He has no symptoms but I understand that isn't unusual.
I do have one question regarding the malformations of the blood vessels that you mentioned in your reply. Would those show up in a colonoscopy? If not, how would they be diagnosed?
If it turns out (as I suspect) that there is no cause of bleeding in the stomach, what is the next step? Is it always definite that there is a problem when there is occult blood in the stool? Is it possible it could have just been a temporary irritation?
Thanks for your help.
In Reply to: Re: Re: Bleeding in Relation to Aortic Valve Stenosis posted by Mimi on June 30, 1998 at 19:12:47:
:
Please excluse my previous "follow up" post, I didn't realize how to post it and accidentally re-posted the entire original message and reply.
Thank you for your reply to my original question, it was very helpful. My father did stop the Coumadin prior to the colonoscopy and underwent the procedure on Monday. They only found a couple of small harmless polyps which they removed and cauterized. They do not believe they were the source of the occult blood in the stool. Now they have him scheduled for an upper GI procedure for next Tuesday to ascertain whether he has a peptic ulcer or other lesion that could be causing bleeding. He has no symptoms but I understand that isn't unusual.
I do have one question regarding the malformations of the blood vessels that you mentioned in your reply. Would those show up in a colonoscopy? If not, how would they be diagnosed?
If it turns out (as I suspect) that there is no cause of bleeding in the stomach, what is the next step? Is it always definite that there is a problem when there is occult blood in the stool? Is it possible it could have just been a temporary irritation?
Thanks for your help.
Doctor's Answer
by CCF Cardio MD - MTR, Jun 24, 1998 12:00AM
_
Dear Mimi, thank you for the response. I'm glad to hear that the colonoscopy
went well for your father. The vascular malformations would have been seen
during the colonoscopy, so I presume there are none. If his upper GI doesn't
reveal the cause of the bleeding, then there's always the chance that he could
be bleeding from his small intestines between the stomach and the colon. It's
difficult to image this area of the intestines, but an Upper GI can be combined
with a Small Bowel Follow-Through to better look at the small intestines. Most
likely, he's had some gastritis (irritation of the stomach wall) and this
should be seen with the Upper GI. If the Upper GI is negative, though, he should
be able to proceed safely with valve replacement. But, see what his doctors say
because they'll be doing the tests. Good luck!
