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Re: celiac plexus block

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Darren,

You wrote, " I had my block done at Hennipen County Medical Center (HCMC) in

Minneapolis, MN. under with general anesthesia... endoscopically. The block did

work very well...has lasted over two months.. "

That is so encouraging. You are the first one, (that I am aware of) to have

this done under general. I would definitely give that a try, under those

circumstances.

Thanks for sharing that.

Karyn E. , RN

Executive Director, PAI

http://www.pancassociation.org

Pancreatitis Association International

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  • 2 months later...

Suzi,

good look on your celiac plexus block. I've had 5 and am scheduled for the next

one on Monday. All of mine have been done by my pain mgmt doc through the

spine. I don't think I could have one endoscopically because of having a

gastric bypass. They can't get to my pancreas via ERCP, so I assume they

probably couldn't get far enough to do the block via endoscopy. The celiac

plexus blocks through the back do seem to help me, but I tend to have a day or

so after having them when I don't feel so great. Of course, I have a lot of

days that I don't feel so great! My back always hurts when I wake up but they

give me demerol, phenergan, and an ice pack. Use the ice as it helps

tremendously. Normally by the time I get in the car, the pain in my back is

minimal. I do use the ice on my back a few times a day for the rest of the day

after I've had the block.

Good luck,

W

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Thank you, . My block went well, and you are right, my back

hurts, but at least it is a different pain and not pancreas pain. I

found the I prefer heat vs ice. The ice makes me so cold that I

tense up and everything hurts worse. When you have had blocks done,

does it hurt to breath deeply? (yawn...sigh)I am finding that the

most painful part. I sneezed in the car on the way home from the

hospital, that wasn't much fun either. Thank you for your insight!

I really appreciate any advice I can get!

Hugs,

Suzi

Colorado

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Suzi,

I don't remember my back hurting when I breathe deep after the celiac plexus

blocks, but it makes sense that it might. For some reason the first block hurt

the most of all the ones I've had. I think I've had 5 or 6 and with all the

rest by the time I got to the car, my back no longer hurt. I've had different

symptoms with almost every one it seems. with one I had horrible lower belly

pain and diarrhea. It was bad enough that I called my pain doc's nurse. She

told me that was one of the side effects because doing the block can just kind

of irritate everything in the stomach and intestines. That was on the 4th or

5th block I had and that was the only time I had that effect. She told me it

should settle down within 3 days and she was right. The lower belly pain was

pretty uncomfortable but totally different from the panc pain.

My pain doc recommended that the first 3 or 4 blocks be pretty close together -

don't remember the exact time. They said that typically you get longer results

with each one up to the 3rd or 4th and that it can take 3 or 4 to get the

maximum benefit. I wasn't really sure that they helped at all until the 3rd or

4th one. Even then, it was a little hard to tell at time because I do still

have pain and I still have attacks. I had to look back at the calendar to

realize I definitely have less pain, attacks, ER visits, and hospitalizations

after having a block. Some people have months with no pain or at least no pain

severe enough to warrant an ER visit after having the blocks. I hope that this

will be the case for you.

I don't know why my back hurt so bad with the first one and didn't hurt as long

with the rest. I hope that is also the case with you if you have more blocks.

Take care and do take it easy for the next day or so even though you may have

less pain. Also, if you are a diabetic, keep a close watch on your blood sugar

because the steriods they use with the block can wreak havoc on your blood

sugar.

W

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