my husband has suprascapular aneurysm. how to reduce the risk of rupture?
hi doctor,
my husband is 30 years old. he is generally in good health. three weeks ago he noticed a pulsating mass above his clavicle. he has some shoulder pain, but no neurological or other symptoms. he went to his primary care physician and had an ultrasound yesterday, which reported that he has a suprascapular aneurysm measuring 2 x 1 x 2 cm. a referral was made to a vascular surgeon who was unable to look at his file yet. how urgently does this need to be addressed? can anything be done to decrease the risk of rupture? his blood pressure runs 140/90 mmhg, and he does not take blood pressure medication. he is currently on carbidopa or levodopa for tremor.
hi,
welcome to icliniq.com.
aneurysms of blood vessels of the limbs are better treated than left alone because they will not decrease by themselves and can lead to rupture with day-to-day activity.
the risk of rupture is increased with,
direct injury to the site.
raised blood pressure.
the large size of an aneurysm to begin with.
some diseases of the blood vessels and connective tissues.
in your husband's case, it is a relatively small one. an important thing that you can do is lower the blood pressure from 140/90 mmhg to 120/80 mmhg. the first step in that is usually the reduction of salt in the diet to less than 2-5 g per day.
rupture of such an aneurysm is not a very risky affair, but the treatment might get complicated. so, it is better to get it evaluated.
your husband's ultrasound report can shed light on the specifics of the problem lesion and help decide options that would be available. so, if you need any more information, please upload the ultrasound report and follow up.
revert with the ultrasound report to a general surgeon online --> https://www.icliniq.com/ask-a-doctor-online/general-surgeon
A.  I think your analysis of the situation is correct. Your husband’s fears about not being able to perform are bigger than his concern for his 21 year marriage. Imagine how big those fears must be! The doctors who were trying to help weren’t helpful in that they treated the physical problem without taking into account the emotional message of their interventions. I wish they had talked to him about how normal it is for a man who is under lots of pressure to have trouble performing. I wish they had included you in the discussions.


You probably can’t help him understand that he is running away. At this point, he’s had 10 years of believing that whatever is wrong can’t be fixed. For that reason, I think it would be more helpful for you to start going to a therapist yourself — not because I think you are the patient here but because your relationship is in trouble. When one member of a couple has a problem, the couple has a problem. When one member of a couple starts to go to [therapy](https://psychcentral.com/psychotherapy/) and starts learning new ways to manage stress, it shows. Often that makes the other member of the couple willing to give it a try. Work with a therapist who can hear your whole story and who can give you suggestions about how to approach your husband in new ways. 



You’ve done what you can on your own. Your husband is a lucky man indeed to have a wife who is as understanding and as willing to help as you are. But both you and your husband are missing out on the intimacy that is a special part of a long marriage. For that reason, I encourage you to make an appointment and get started with therapy. 


I wish you well.  

Dr. Marie


Work as Avoidance Technique go and see him, it can be fatal. infections can lead to septicaemia... having had surgery his immunity will be weak, you really should go and see him if you want to. i don't want to be pessimistic, but at the age of 80 he's not going to bounce back. sounds like he contused his elbow by your description. if he has any problems with range of motion or increasing pain or swelling do not hesitate to have it checked and possibly frayed. expect by your description that he should be fine in a couple of days. would advise an exam by your doctor to be sure. see more... You are so kind to be this active due to the distress of a stranger. I'm touched by how much you care. I can also see why you are horrified!  
  
Maybe this woman is too far along with the prolapse, but I do know that there is something called a pessary that can generally be inserted to hold the organs in place. I'm surprised this wasn't done long ago for this woman. The nursing home maybe didn't have care of this woman until it was too late.   
  
You seem to be doing everything you can, and you're right in not wanting to get the nursing home in trouble since they aren't the problem. Contacting the urology department of your local hospital may yield some results. Perhaps there's a program for people who are in such dire situations. Please let us know what happens.   
Take care,  
Carol follow the doctor suggestion. be on complete rest. also maintain healthy diet, 8-10 glasses of water, proper rest.. to reduce from stress read books, meditation. the most direct test is to measure pressure in the spinal fluid. this is done with a spinal tap and pressure measuring column. the fluid column is measured, and then the fluid is drained off. just draining the fluid can relieve symptoms. analysis of the fluid would rule out more serious conditions. this procedure is easily performed in a doctor's office or emergency room. see more... Good evening, thanks for asking at HealthReplies.com. Complaints that you experience can be caused by various things, which among each symptom can be interrelated or not. Among the possibilities are:



 Pinched nerve disorders Infection or inflammation of the nerve lining Low blood pressure Spinal structural abnormalities Kidney stones This condition is most likely harmless, but it must be checked immediately because up to this point, the possibility is still very diverse, whereas the handling of each possibility can be different. So our advice, try to check yourself to a general practitioner, and may go directly to a neurologist, to find out more about his condition through direct examination. The handling that you will receive later depends on the results of this inspection.



Meanwhile, consume foods that are rich in B vitamins, limit physical activity, meet your fluid needs, and see your doctor immediately. So, hopefully answering your question. with blood pressure issues and problem periods, i'd see your pcp for a recommendation of an endocrinologist who can investigate your hormone levels. best wishes and make sure to follow up. until you see the doc, please stay well nourished and hydrated. see more... p dir = "ltr"> Hello  

Thank you for using the HealthReplies.com consulting service  

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