Post aortic dissection treatment pain?
My GF’s mom was diagnosed last week with aortic dissection type B. She was sebt to ER followed by admittance to hosital for 4 days. They just gave her blood pressure treatment and pain killers. They told her to go home two days ago but then she is still in pain. The pain comes every 4 hours right befroe she has to take her meds. It goes away after 4 hours then comes back again. Her BP rises and drops throughout the day with highest levels at when the pain comes back. How long will these periods of pain last? She would get fevers late at night accompanied by sharp pains and this is very worrysome. How long will these pain/fever episodes last?
thanks all for your help. since i cannot email you all in private due to your emails being hidden, please email me with help and answers so i can chat directly with you. my email is steven_zhao79@hotmail.com
I would appreciate it very much if any of you can help us on this matter. i would gladly do my best to help you back in return.
Tagged with: admittance • blood pressure treatment • bp • dissection • email • fever • gf • meds • mom • pain killers • periods • type b
Filed under: blood pressure treatment
Aortic dissection is the surging of blood through a tear in the aortic intima with separation of the intima and media and creation of a false lumen. The intimal tear may be a primary event or secondary to hemorrhage within the media. The dissection may occur anywhere along the aorta and extend proximally or distally into other arteries. Hypertension is an important contributor. Symptoms and signs include abrupt onset of tearing chest or back pain, and dissection may result in aortic regurgitation and compromised circulation in branch arteries. Diagnosis is by imaging tests (eg, transesophageal echocardiography, CT angiography, MRI, contrast aortography). Treatment always involves aggressive BP control and serial imaging to monitor progression of dissection; surgical repair of the aorta and placement of a synthetic graft is needed for ascending aortic dissection and for certain descending aortic dissections. Endovascular stent-grafts are used for certain patients, especially when dissection involves the descending thoracic aorta. One fifth of patients die before reaching the hospital, and up to 1⁄3 die of operative or perioperative complications.
What meds. Is her pressure well controlled. Define fevers.
She may be having increases in blood pressure and sweating in response to the pain. Or vice versa the pain could be because she’s having spikes in her blood pressure and straining the aorta.
Regardless recovery from a dissection will take weeks, and it follows it will take weeks for the pain to really go away. Maybe months. And I’m sure she has follow up scheduled – or recommended to schedule – so that’s something she should ask her doc
Dissection is not the most common thing, though – I’d wonder if she had any other medical conditions contributing to it happening in the first place.