Celiac axis occlusive desice stomach pain - #11178
I am having celiac axis occlusive desice stomachache for longtime. I am using painkiller tablets everyday . I am not eligible for operation. Because I am 83 years old female. Kindly tell me how to get treatment for pain management and organ safety like kidney and liver extra
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Doctors’ responses
Hello sir It seems you are having celiac occlusive stomach disease due to arterial blockage See the medications will be accordingly to the symptoms like bloating, vomitting, diarrhoea or pain See iam prescribing some medications In case of no relief please consult your physician Tablet voveren xr 100 mg Tramadol ( if recommended by general physician) Tablet metrogyl twice a day for infection Also please get following tests done for confirmation Urine analysis Rft Lft Angiogram Colonoscopy Stomach ultrasound Please get fresh tests done and in case of no recovery Consult general physician Regards
The celiac artery supplies blood to stomach, liver, pancreas, and upper intestines and occlusion is causing you low blood supply causing your stomach pain
Avoid daily NSAIDs (ibuprofen, diclofenac) – they harm kidneys and cause ulcers.
Always take pain medicines after food to protect the stomach.
Proton pump inhibitor (PPI) (e.g., Pantoprazole, Omeprazole) daily – reduces risk of ulcers and bleeding.
Kidney/Liver monitoring: Get blood tests every 3–6 months (Creatinine, LFT).
I would suggest to visit a pain specialist who can inject medicine near ceilic plexus to help with pain
Celiac axis occlusive disease with daily painkiller use at your age increases the risk of kidney, liver, and stomach problems over time. Pain management with safer medicines, nerve blocks, or palliative care options can help reduce pain without harming other organs. Please consult a pain management specialist or gastroenterologist for proper evaluation and treatment.
At your age, organ protection is the priority. Stop regular painkillers (NSAIDs). Switch to paracetamol-based regimen, tramadol if required. Monitor kidney/liver regularly. Focus on small meals, hydration, and supportive care. Palliative pain specialist/geriatric physician consultation will help optimize quality of life.
For managing stomach pain related to celiac axis occlusion in the context of your age and ineligibility for surgery, it’s essential to focus on safe pain management and protection of other organs such as your kidneys and liver. A non-surgical approach typically involves the use of medications like antiplatelets or anticoagulants if they are deemed safe by your physician, as they may help improve blood flow and reduce symptoms. However, these need careful monitoring, especially considering potential interactions with other drugs you might be taking. In terms of pain management, it’s crucial to reassess the painkillers you’re currently using. Non-steroidal anti-inflammatory drugs (NSAIDs) can negatively affect kidney and possibly liver health, so alternative pain management should be evaluated. Paracetamol is generally safer for kidneys in small doses, but still requires careful monitoring. If pain is severe, discuss with your doctor about the possibility of using opioids under strict control. Other strategies that might help include lifestyle and dietary adjustments aimed at reducing strain on your gastrointestinal system. Small, frequent meals that are easier to digest can alleviate some discomfort. Also, ensure proper hydration but check with your healthcare team to tailor intake based on your kidney function. Since you are concerned about your kidneys and liver, regular blood tests are important to monitor their function over time, especially if you’re on medications that could impact these organs. If you notice any new symptoms or if there’s worsening pain, it’s necessary to contact your healthcare provider right away to reassess your current treatment strategy. A multidisciplinary approach taking input from various specialists, including a gastroenterologist and possibly a pain specialist, could offer the most comprehensive management plan. Remember, keeping a detailed log of your symptoms and any side effects from medications can provide valuable information to your medical team in fine-tuning your treatment regimen.
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