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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Prognosis For Blockage In The Main Artery?

my friend has blockage in the main artery in his groin . He is having severe pain in his legs and hips and severe ed poblems . How extensive is the surgery . What is the normal recovery time . The vascular surgeon told him he would looking at a down time of 3 to 6 months down time . Like he would be in bed . I find that hard tp believe . What is the best outcome of surgery and he doesn't have it he looking at more serious problems like amputation or stroke from a piece of blockage breaking off . I a
cant convince him he has to have this done . Thanks
Tue, 7 Nov 2017
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Ayurveda Specialist 's  Response
**
Thanks for contacting with your health problem.

1. As he is under vascular surgeon supervision thus he must be knowing all the details of the pathology concerned and how it can be managed, so remain under his constant observation and have full faith him in.

2. going by the blockage and the symptoms, DVT [deep vein thrombosis] is there [PAD-periperal Artery Disease] which require urgent surgical intervention and since time period of 3-6 months is suggested [as anticoagulation which is done has to be given for a minimum of 3 months] thus this is a period of inactivity where he is prone to formation of blood clots which can result in Embolism [watch closely for any new chest pain with difficulty breathing, and rapid heart rate with feeling of passing out.] thus person is strongly encouraged to get up and walk around.

PS. For how long will he receive the treatment will be best judged by your vascular surgeon who will reassess it on regular basis.

3. As long as he is on an anticoagulant, monitor his INR [international normalized ratio] since higher values carry the risk of bleeding and subnormal values carry an increased risk for repeated thrombosis.

4. certain preventive measures which one can adopt are to minimise bleeding are:

. use an electric razor rather than a blade.
. avoid harmful physical sports.
. do not take any painkillers [acetaminophen is safe]
. use a soft bristle toothbrush.
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What Is The Prognosis For Blockage In The Main Artery?

** Thanks for contacting with your health problem. 1. As he is under vascular surgeon supervision thus he must be knowing all the details of the pathology concerned and how it can be managed, so remain under his constant observation and have full faith him in. 2. going by the blockage and the symptoms, DVT [deep vein thrombosis] is there [PAD-periperal Artery Disease] which require urgent surgical intervention and since time period of 3-6 months is suggested [as anticoagulation which is done has to be given for a minimum of 3 months] thus this is a period of inactivity where he is prone to formation of blood clots which can result in Embolism [watch closely for any new chest pain with difficulty breathing, and rapid heart rate with feeling of passing out.] thus person is strongly encouraged to get up and walk around. PS. For how long will he receive the treatment will be best judged by your vascular surgeon who will reassess it on regular basis. 3. As long as he is on an anticoagulant, monitor his INR [international normalized ratio] since higher values carry the risk of bleeding and subnormal values carry an increased risk for repeated thrombosis. 4. certain preventive measures which one can adopt are to minimise bleeding are: . use an electric razor rather than a blade. . avoid harmful physical sports. . do not take any painkillers [acetaminophen is safe] . use a soft bristle toothbrush.