I was recently told that my doctor heard a bruit or "turbulent blood flow" a little below my sternum. He ordered an echo but results are not back yet. He was not concerned because I do not have symptoms except occasional abdominal pain that goes away. He said if the tests come back fine then I just have to live with "turbulent blood flow" and move on with my life. Could this be an AAA? If I have "turbulent blood flow" aren't my chances higher that it will eventually turn into an AAA?
AAA has to be ruled out with an ultrasound of the belly. However, sometimes by pressing on the belly with a sthetoscope one can create turbulent flow even when everything else is normal, especially in very thin people. Therefore, I would not worry about anything at this point and have an ultrasound to rule things out. AAA are usually casued by smoking, cholesterol and hypertension not by turbulent blood flow.
Thank you! I feel a lot better. I am actually a very thin female-age 26. I wonder why he didn't require an abdominal ultrasound. He did mention something about an MRA scan. Do you think he's waiting to see how the echo went before requesting an MRA?
Probably, although one has very little to do with the other. I would not do the MRA before the ultrasound is done. THe ultrasound is much cheaper and a great screening test. The MRA is much more expensive, requires the use of contrast and some find it very uncomfortable. A 26 year old female is not at risk for developing an aneurysm. Being that you are thin makes the ultrasound an excellent first test.
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