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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Blood Supply Partially Cut Off To Spleen, On Coumadin. Still Shooting Pain, Tremors. How To Stop The Pain ?

My brother had the blood supply partially cut off to his spleen because of bad varices in his stomach and esophagus. He also has blood clots in the hepatic portal vein area and threw a pulmonary embolism after the spleen surgery. He is on coumadin now and breathing fine without oxygen but he still has a shooting pain from his spleen up to his clavical and has started to have tremors. Is this normal after the spleen surgery and will the nerve (that is what the hospital said the pain was from) ever die or stop causing his so much pain or do you have any suggestions on what can stop the pain. Thanks so much.
Mon, 29 Apr 2013
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General Surgeon,  's  Response
Hi and welcome to HCM.
This is reffered pain caused by phrenic nerve irritation due to enlarged spleen and raises intraabdominal pressure. It wont stop until spleed is enlarged. Spllen can be removed,but it may be risky in such atients. There some potent painkillers wich might help based on opiats. He should consult with his doctor about it. It is had to expect that nerve will die or stop pain producing unfortunately.Tratmen of cause will make all symptoms easier.
WIsh you good health.
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Blood Supply Partially Cut Off To Spleen, On Coumadin. Still Shooting Pain, Tremors. How To Stop The Pain ?

Hi and welcome to HCM. This is reffered pain caused by phrenic nerve irritation due to enlarged spleen and raises intraabdominal pressure. It wont stop until spleed is enlarged. Spllen can be removed,but it may be risky in such atients. There some potent painkillers wich might help based on opiats. He should consult with his doctor about it. It is had to expect that nerve will die or stop pain producing unfortunately.Tratmen of cause will make all symptoms easier. WIsh you good health.