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Re my question #1: since nitro dilates smooth muscle, could
Sent to Health Experts March 19 04:47 AM

Re my question #1: since nitro dilates smooth muscle, could this cause the pancreas to appear "mildly edamatous" on abdominal ultrasound and CT scan? To ER with severe chest pain (like a Hummer parked on me...if you put your fist on my sternum so your little finger was in line with my nipples, your fist would be right over the pain). Nitro, morphine, and oxygen 7-11am. morphine continuing.
abdominal ultrasound 2:30pm. abdominal CT scan 8:30pm. diagnosis = pancreatitis. But outpatient CT scan 30 days later showed no edema, normal pancreas BUT CHEST PAIN WAS EXACTLY THE SAME. Pain resolved with rest, returned with mild activity...but increasingly exhausted.
Some improvement in how I felt (other than chest pain & exhaustion) with 2 subsequennt courses of antibiotics re sinusitis. Currently on Isosorbide Mononitrate which relieves most of the chest pain even with some exertion (a little more than just mild), but still get very tired.Pancreatis,or endocarditis/myocarditis or ???

 

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March 19 9:57 AM (5 hours and 9 minutes and 47 seconds later)
         
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Hi,
The symptoms and treatment that you are recieving indicate that you have suffered from either angina (mild heart attack) or a full fledged heart attack. Nitro and isosorbide mononitrate are given to patients suffering from a heart ailment. In Pancreatitis there is increase in Serum Lipase and Serum Amylase levels. Also there is some amount of fluid in the abdomen. A patient of Pancreatitis is put on Intarvenous drugs with a tube through the nose to aspirate all stomach contents. Patient is usually off and oral food and liquids for few days.
Endocarditis and myocarditis have totally different symptoms than yours. Read more here and here
I would advise you to consult a cardiologist. The treatment you are on does not seem to be adequate. There might be requirement of revision of dosage of present medicines or addition of some other medicines.

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March 20 4:24 AM (18 hours and 27 minutes and 34 seconds later)
         
The question was : since nitro dilates smooth muscle, could this cause the pancreas to appear "mildly edamatous" on abdominal ultrasound and CT scan?
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March 20 9:11 AM (4 hours and 47 minutes and 9 seconds later)
         
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Pancreas is a compound racemose gland. It is not made of smooth muscles. So nitro will not cause any edema of the Pancrease. On the other hand nitro may produce an increase in pancreatic secretion mediated through an increase of intracellular cyclic GMP (enzyme present in Pancreas) concentration.

Please ACCEPT the reply (by pressing the GREEN accept button), and give a BONUS if it was useful. If you need more information, just let me know.
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Dr. Gupta

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March 20 9:37 AM (25 minutes and 54 seconds later)
         
Reply to Gaurav Gupta's Post: I realize the pancreas is a gland, not a muscle, but is it vascular enough for the nitro to make a difference...also, do the pancreatic ducts have smooth muscle?
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March 20 10:03 AM (25 minutes and 29 seconds later)
         
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