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Prolem with bleeding after Paracentesis...what should we do?

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Posted 4/20/2014 10:34 AM (GMT 0)
The hole from the parecentesis is bleeding should we go immediatelt back to the er for this or is it normal..we got home only a day and a half ago i am worried if we go back and they do nothing he will not return again?

Post Edited By Moderator (MamaLama) : 4/20/2014 9:00:51 PM (GMT-6)

Posted 4/20/2014 12:12 PM (GMT 0)
How bad is the bleeding? I would call the ER and ask. I know people have posted that it is common to have different types of drainage after the procedure. I think you need a medical opinion on this one though.
Posted 4/20/2014 12:47 PM (GMT 0)
On the Boat- "The hole from the parecentesis is bleeding should we go immediatelt back to the er for this or is it normal..we got home only a day and a half ago i am worried if we go back and they do nothing he will not return again?"

I had the parenthesis many times and felt nothing but relief - no bleeding. I too would advise a trip to the hospital to be safe. All of the best. You're ( all ) in my prayers. Much love and health.

Janny
Posted 4/20/2014 2:10 PM (GMT 0)
Some leakage from time to time will occur. I have had the procedure done multiple times and only a handful of those times leakage occurred afterwards. So bad a few times that a women's sanitary napkin had to be placed over the hole to absorb the fluid. If it's blood I would be getting to the ER immediately. If it's yellowish/pink that's just fluid.

Who and how are they doing the paracentesis? It should only be done with the use of imaging to mark the location for the needle insertion. A lot of organs can get nicked if the needle goes too far in or is placed in the wrong area. Some old school G.I doctors did the procedure "Blind" (without use of imaging) and wound up doing more damage than good.


Ziff
Posted 4/20/2014 11:51 PM (GMT 0)
This definitely warrants investigation. It's worth remembering that for folk with liver disease, bleeding not only occurs more easily due to abnormalities of coagulation but also because of the existence of circulation collaterals which are prone to bleed. This is a bit of a double-edged sword.

There is also the possibility that it could be linked to infection and/or disseminated intravascular coagulation both of which can lead to the worst.

Better to be safe than sorry - get down to that hospital!

Ziff - it is still very much the norm here for paracentesis to be done blind. I never had it done under ultrasonography!

Jamie
Posted 4/21/2014 1:15 AM (GMT 0)
Hey Jamie, Always nice to hear from you. Hope all is well. The "Blind" procedure I suppose would be the only option if we didn't have something as common as Doppler Imaging. It takes minutes to see where the large pockets of fluids lay to get the best results and limits the damage of internal organ damage. Every hospital today has Sonogram abilities if for nothing other than taking a peek at baby in mommas belly.

Getting someone to read the imaging properly is where I believe the snag is for the old doctors. G/I docs with limited ability to access proper equipment and training . As I recall the G/I scheduled the procedure, The physician on duty at the time actually did the procedure of inserting the needle. The radiologist had already done the imaging and marked the location for them. I developed a friendship with my old radiologist (We spoke twice a week for a few months rolleyes). He was actually the one who got me expedited to UNC Chapel Hill. That was his medical school. He helped in the student body to develop Doppler imaging while attending there. Hell of a nice guy and has a affection for drag racing on the local circuits. A sport I love also.

Ziff
Posted 4/21/2014 3:02 AM (GMT 0)
OTB,

Welcome to the forum.

I am sorry to hear that you have liver disease and are in need of paracentesis. Ziff is giving you good advice. He has had a real problem with ascites before his TIPS preocedure. And now is doing quite well.

I have added a title to your post.

Let us know what the doctors say if you return to the hospital for further treatment.

Mama Lama
Posted 4/21/2014 6:35 AM (GMT 0)
I never saw my gal go 'blind'. She always went to radiology. That is concerning. I hope all is well, but..maybe they should have more training?
Posted 4/27/2014 5:06 PM (GMT 0)
The person who jabbed me for paracentesis was an Interventional Radiologist. They use the sonogram, and they know how to do the procedure.

In my experience, it is interventional radiologists who would do the procedure. fwiw.
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