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RE: ok, RUQ pain question

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Nita, Working with pt's that have a " tube " It sounds like a tube

position issue. See if your doc can adjust it at all. Has it always

hurt like this or is it a new problem. Make sure it is not getting

infected.But most pt's complain of some discomfort or pain. Best

Wishes that you can get some relief.

PSC 5/07 Listed

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Nita, Working with pt's that have a " tube " It sounds like a tube

position issue. See if your doc can adjust it at all. Has it always

hurt like this or is it a new problem. Make sure it is not getting

infected.But most pt's complain of some discomfort or pain. Best

Wishes that you can get some relief.

PSC 5/07 Listed

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Nita, Working with pt's that have a " tube " It sounds like a tube

position issue. See if your doc can adjust it at all. Has it always

hurt like this or is it a new problem. Make sure it is not getting

infected.But most pt's complain of some discomfort or pain. Best

Wishes that you can get some relief.

PSC 5/07 Listed

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Anita,

I think what you and , are calling a tube, is a stent, probably. And the pain you are describing is more likely to be due to the movement of the stent, too than to be an the upper right quadrent. The later does not get triggered by breathing or movement. For myself, it is mostly there, mild or a little more then suddenly would elevate, usually, after a meal, for example, due to chronic Ulcerative Colitis/ IBD. In other instants it would occur due to an obstruction in the BD, or that plus an infection. I haven't had a stent, but i have read here that it can move after sometime, and as a result it would create pain and some unwanted effects. Usually an ERCP is performed to adjust or remove the stent. I do hope that someone in the group who is more knowledgable on the subject would clarify that. But i would strongly suggest that you contact your physician, right away and let him know about the

discomfort/ pain sitiuation.

Take care and i hope that help will arrive, soon.

UC/PS C

Subject: ok, RUQ pain questionTo: Date: Friday, February 6, 2009, 1:11 AM

Hi all,

Lately toward the end of the day I’m really sore in the RUQ – but I also have a tube going in there, so I don’t know if it’s the same thing y’all have been talking about or maybe just sore around the tube. It hurts if I breathe wrong, move wrong. Doesn’t hurt if I’m really quiet and don’t move. Doesn’t hurt anywhere near as bad if I don’t wear a bra.

Is this RUQ pain or my tube? nita

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Anita,

I think what you and , are calling a tube, is a stent, probably. And the pain you are describing is more likely to be due to the movement of the stent, too than to be an the upper right quadrent. The later does not get triggered by breathing or movement. For myself, it is mostly there, mild or a little more then suddenly would elevate, usually, after a meal, for example, due to chronic Ulcerative Colitis/ IBD. In other instants it would occur due to an obstruction in the BD, or that plus an infection. I haven't had a stent, but i have read here that it can move after sometime, and as a result it would create pain and some unwanted effects. Usually an ERCP is performed to adjust or remove the stent. I do hope that someone in the group who is more knowledgable on the subject would clarify that. But i would strongly suggest that you contact your physician, right away and let him know about the

discomfort/ pain sitiuation.

Take care and i hope that help will arrive, soon.

UC/PS C

Subject: ok, RUQ pain questionTo: Date: Friday, February 6, 2009, 1:11 AM

Hi all,

Lately toward the end of the day I’m really sore in the RUQ – but I also have a tube going in there, so I don’t know if it’s the same thing y’all have been talking about or maybe just sore around the tube. It hurts if I breathe wrong, move wrong. Doesn’t hurt if I’m really quiet and don’t move. Doesn’t hurt anywhere near as bad if I don’t wear a bra.

Is this RUQ pain or my tube? nita

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I’ve had a tube since last April, and it’s always a little sore

for a few days after a change, but it has started hurting again in the last

week or so.

From:

[mailto: ] On Behalf Of

Sent: Friday, February 06, 2009 9:53 AM

To:

Subject: Re: ok, RUQ pain question

Nita, Working with pt's that have a

" tube " It sounds like a tube

position issue. See if your doc can adjust it at all. Has it always

hurt like this or is it a new problem. Make sure it is not getting

infected.But most pt's complain of some discomfort or pain. Best

Wishes that you can get some relief.

PSC 5/07 Listed

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Share on other sites

Yes, be very careful if you have a stent and are experiencing pain, chills, or severe fatigue. The last time I had to have a stent the obstruction in my duct was so bad that the tools they had and stents were not small enough. Then when they special ordered the tool in, I got a stent put in, only it was so tiny it ended up slipping out.. This created an infection, but I didn't realize it. I was having severe chest pain, went to the walk-in clinic and they thought I had pulled some muscles in my chest. (I told them I couldn't remember doing anything that would have done this, but after doing cardio exams and everything else, this is what they thought.) I should have gone immediately to my liver specialist but didn't really understand what was

happening. I had an appt' the following week as I was scheduled to have a larger stent put in, and that's when they found the infection. It was not good. I ended up in the hospital for over a week and they finally got the infection under control.

See your specialist or go to the emergency right away as it could be infection and it will need to be treated with antibiotics ASAP..

Take care and I hope you get feeling better soon.

Kind regards,

Alison

To: Sent: Friday, February 6, 2009 11:39:30 PMSubject: Re: ok, RUQ pain question

Anita,

I think what you and , are calling a tube, is a stent, probably. And the pain you are describing is more likely to be due to the movement of the stent, too than to be an the upper right quadrent. The later does not get triggered by breathing or movement. For myself, it is mostly there, mild or a little more then suddenly would elevate, usually, after a meal, for example, due to chronic Ulcerative Colitis/ IBD. In other instants it would occur due to an obstruction in the BD, or that plus an infection. I haven't had a stent, but i have read here that it can move after sometime, and as a result it would create pain and some unwanted effects. Usually an ERCP is performed to adjust or remove the stent. I do hope that someone in the group who is more knowledgable on the subject would clarify that. But i would strongly suggest that you contact your physician, right away and let him know about the

discomfort/ pain sitiuation.

Take care and i hope that help will arrive, soon.

UC/PS C

From: Anita Oakley <anita.oakley@ earthlink. net>Subject: ok, RUQ pain questionTo: @ yahoogroups. comDate: Friday, February 6, 2009, 1:11 AM

Hi all,

Lately toward the end of the day I’m really sore in the RUQ – but I also have a tube going in there, so I don’t know if it’s the same thing y’all have been talking about or maybe just sore around the tube. It hurts if I breathe wrong, move wrong. Doesn’t hurt if I’m really quiet and don’t move. Doesn’t hurt anywhere near as bad if I don’t wear a bra. Is this RUQ pain or my tube? nita

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Hi ,

I’ll call my interventional radiologist on Monday, but no.

What we are calling a tube is not just a stint. It’s a biliary drainage

catheter:

http://www.healthsystem.virginia.edu/internet/radiology/angio/angio-pted-biliary.cfm

http://medicalcenter.osu.edu/PatientEd/Materials/PDFDocs/diagnost/gastro/biliary.pdf

It runs internally fully across the liver along one of the major

ducts. One end sticks out my right side and I flush that with saline twice a

day. Mine can either drain into a bag strapped to my leg or internally, though

the anastomosis created by the Roux-en-Y procedure and into my small intestine.

Fortunately, after the first 2 weeks, I’ve been able to use the internal

drain. Living with a bag full of bile strapped to my leg was yucky.

Nita

From:

[mailto: ] On Behalf

Of Alison

Sent: Saturday, February 07, 2009 11:13 PM

To:

Subject: Re: ok, RUQ pain question

Yes, be very careful if you have a stent and are

experiencing pain, chills, or severe fatigue. The last time I had to have

a stent the obstruction in my duct was so bad that the tools they had and

stents were not small enough. Then when they special ordered the tool in,

I got a stent put in, only it was so tiny it ended up slipping out.. This created

an infection, but I didn't realize it. I was having severe chest pain,

went to the walk-in clinic and they thought I had pulled some muscles in my

chest. (I told them I couldn't remember doing anything that would have

done this, but after doing cardio exams and everything else, this is what they

thought.) I should have gone immediately to my liver specialist but

didn't really understand what was happening. I had an appt' the following

week as I was scheduled to have a larger stent put in, and that's when they

found the infection. It was not good. I ended up in the hospital

for over a week and they finally got the infection under control.

See your specialist or go to the emergency right away as it

could be infection and it will need to be treated with antibiotics ASAP..

Take care and I hope you get feeling better soon.

Kind regards,

Alison

To:

Sent: Friday, February 6, 2009 11:39:30 PM

Subject: Re: ok, RUQ pain question

Anita,

I think what you and , are calling a tube, is a

stent, probably. And the pain you are describing is more likely to be

due to the movement of the stent, too than to be an the upper right

quadrent. The later does not get triggered by breathing or

movement. For myself, it is mostly there, mild or a little more then

suddenly would elevate, usually, after a meal, for example, due to chronic

Ulcerative Colitis/ IBD. In other instants it would occur due to an

obstruction in the BD, or that plus an infection. I haven't had a stent,

but i have read here that it can move after sometime, and as a result it

would create pain and some unwanted effects. Usually an ERCP is performed to

adjust or remove the stent. I do hope that someone in the group who is more

knowledgable on the subject would clarify that. But i would strongly

suggest that you contact your physician, right away and let him know about

the discomfort/ pain sitiuation.

Take care and i hope that help will arrive, soon.

UC/PS C

From: Anita Oakley

<anita.oakley@ earthlink. net>

Subject: ok, RUQ pain question

To: @ yahoogroups. com

Date: Friday, February 6, 2009, 1:11 AM

Hi

all,

Lately

toward the end of the day I’m really sore in the RUQ – but I also

have a tube going in there, so I don’t know if it’s the same

thing y’all have been talking about or maybe just sore around the tube.

It hurts if I breathe wrong, move wrong. Doesn’t hurt if I’m

really quiet and don’t move. Doesn’t hurt anywhere near as bad if

I don’t wear a bra.

Is

this RUQ pain or my tube?

nita

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Alison,

Thanks for jumping in and explaining the pain and infection that can be triggered by a placing a stent and how should one come about handling it and may be diffrentiating it from other causes. This information is actually not only for Anita, but for myself, and every one in the group, specially the new comers.

I am sorry that you did have to go thru all that, and i do hope that you don't experience this problem, again. Take care.

[P.S., my niece has your name, but it is written as Alisonn].

From: Anita Oakley <anita.oakley@ earthlink. net>Subject: ok, RUQ pain questionTo: @ yahoogroups. comDate: Friday, February 6, 2009, 1:11 AM

Hi all,

Lately toward the end of the day I’m really sore in the RUQ – but I also have a tube going in there, so I don’t know if it’s the same thing y’all have been talking about or maybe just sore around the tube. It hurts if I breathe wrong, move wrong. Doesn’t hurt if I’m really quiet and don’t move. Doesn’t hurt anywhere near as bad if I don’t wear a bra. Is this RUQ pain or my tube? nita

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