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Continuous bleeding from ruptured spleen - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Abdominal Pain
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1777 Questions
Doctor :   hi
Doctor :  
how can i help you
User :   If you have a ruptured spleen and are in ICU are they supposed to monitor you for a few days before releasing you if your bleeding?
User :   and hi how are you
Doctor :  
rupture of spleen is an extremely emergency
Doctor :  
ant it requires surgery
User :   I understand.... What if they do not do surgery and release you then a few days later you have chest pain and come back with a distended stomach with 5 units of blood?
User :   In the stomach area
Doctor :  
it is extermely fatal
Doctor :  
the patient may die dur to peritonitis
User :   yes I know my father died from it last year
User :   I was looking for some sort of opinion
Doctor :   ok

User :   The doctor told me my fathered died because he was an alcoholic and that is why his spleen kept bleeding
User :   is that true?
Doctor :  
speen usually ruptures due to accidents
User :   yes he was in an accident
User :   it is still an ongoing homicide investigation hit and run
Doctor :  
what type of accident he met with
User :   he hit a concrete barrier on the side of the road and ruptured his spleen
Doctor :   ok

User :   when he went to the ER they put him in ICU and told him his spleen was ruptured after ultrasound and exrays said he was to stay for observation
Doctor :  
the ruptured spleen should be delt immediately
User :   they released him the same night
Doctor :  
and it needs removal of spleen
User :   he went home over the weekend came back on that monday and was dead tuesday morning
User :   He had come back to the ER on Monday because of chest pain and a distended stomach they removed 5 units of blood
Doctor :  
User :   the doctor said it was because he was an alcoholic is why his spleen kept bleeding?
User :   because his liver was faulty
User :   I do not understand that?
Doctor :  
Doctor :  
it can be due to cirrhosis of liver
User :   true but they shouldn't have released him from the hospital with a ruptured spleen?
Doctor :  
User :   Do you do medical consults of deceased patients?
Doctor :  
Doctor :  
we do only on line consultation
User :   oh
User :   would you know how I could go about that?
Doctor :  
was the rupture of spleen diagnosed by scan
User :   yes why he was in ICU for observation
Doctor :   or only on examaintion

User :   he was supposed to stay for a few days to be watched over
Doctor :  
was the bleeding more
Doctor :  
User :   but they released him and said they needed his bed for another patient
Doctor :  
Doctor :  
this is quiet uncommon
User :   yes I know
Doctor :  
the person with rupture os splllen needs immeditate treatment
Doctor :  
you did not took him to anothere hospital
User :   they didn't treat him just had him in ICU for observation sent him home the same night he came back 2 days later with chest pain and a distended stomach
User :   then they had to operate and by then it was to late
Doctor :  
User :   his blood pressure dropped to 30/10 and he was dead
Doctor :  
that is their negiligence
User :   they said soomething about a heart attack from lack of blood pressure?
Doctor :  
since he is bleeding inside so much definetly his BP will fall
User :   yes he was they took out 5 units of blood
User :   and while they were taking that out he was still bleeding
Doctor :  
Doctor :  
as i told you it is extremely fatal
User :   then after surgery they sent him back to icu for recovery
User :   then he started bleeding again so they forced pumped him with donated blood
User :   yes I understand that now
User :   ty for your help
User :   it now tells me where I need to go with my father's case
Doctor :  
immeditate surgery should have been done
User :   that is what I have been saying
User :   but they keep denying it
User :   and I am not a doctor lol
Doctor :   ok
User :   Well tyvm for your help
User :   I can proceed now with what needs to be done
User :   Have a good night Doctor and don't drink to much coffee
User :   :)
Doctor :  
Doctor :  
are you there
User :   yes I am
Doctor :   Please fill the feedback form say done.

Doctor :   Have you filled the feedback form?
User :   I did 2 times lol
User :   did you get it?
Doctor :   ok
Doctor :   Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.

User :   I will
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