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What Causes Left Side Abdominal Pain And Tongue Twitching?

Posted on Sat, 27 Sep 2014

Question: tongue drawing back into throat x 1 week. left side abd pain severe rate at 10. BM small this am otherwise normal everyday. pain started 12 hrs ago. ate can tamales pain started 1 hour later yes I feel that it is related....
DDimer elevated...admitted for overnight obs had 1 lovenox shot swelling went down a lot. US showed "plaque" formation..I told dr I thought it was medicine sitting in vein..because good blood flow showed on US they discharged me..

Answered by Dr. Suresh Heijebu (1 hour later)

Brief Answer:
Mesentric ischemia

Detailed Answer:
HI, Madam,

I have carefully read your query and understand your concern.

The symptoms in your case point to Mesentric ischemia.

This occurs due to atherosclerotic obstruction to blood vessels in the gut vasculature.

It can present with post prandial pain and occasionally bloody stools.

Lovonex can cause prompt relief by dissoluting the formed blood clot.

D dimer can be elevated in such conditions.Post therapy this d dimer can return to its baseline values.

Definitive diagnostic procedure for this would be an abdominal angiography.

Selective cases are dealt with insitu stent placement.

Drugs like Clopilet and Ecosprin when taken on daily basis in low doses can prevent such vascular thrombotic episodes on long term.

These drugs should be taken only under strict medical supervision.

I hope this info is helpful to you.
Thank you

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Suresh Heijebu (9 hours later)

I'm very sorry for the confusion...that was two separate set of symptoms for two separate patients. The scenario of Ddimer elevated and plaque formation shown on us of LAC vien was post IV injection of crushed ambien. Admitted to hospital for observation given one shot of lovenox for +DDimer the swelling in the LAC went away prior to DC however pt laid with arm above head for several hours. Since DC from hospital the pt has returned to nml ADLs and the pain and swelling have returned and the knot is significantly larger. Is it possible that what the pt knows to be undisloved Meds sitting in the vien ....will the med dissolve eventually ??? The hospital knew that Meds had been injected but they referred to the spot as "plaque" and gave the patient no indication or instructions on how to treat the problem

Answered by Dr. Suresh Heijebu (1 hour later)

Brief Answer:
Heparin can prevent such clots

Detailed Answer:
Hi,
Yes the medicine will dissolve spontaneously in the vein.

Keep a note on the pulse and colour of the arm.

In case of feeble pulse or pallor,report to ER to consult your Doctor.

Drugs particularly low molecular weight heparin and ecosprin can prevent the clot formation.

I hope this info is helpful to you.
Thank you

Above answer was peer-reviewed by : Dr. Prasad