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Is Your Gut in Danger? Understanding Nonocclusive Mesenteric Ischemia
Published: Oct 06, 2023
Nonocclusive mesenteric ischemia (NOMI) is a serious condition that reduces blood flow to the intestines. Learn how this silent threat can impact your health and why early detection is crucial.
What is NOMI?
NOMI is a type of acute mesenteric ischemia characterized by decreased blood flow to the intestines without a physical blockage. It often results from spasms in the arteries supplying the gut, especially in patients with heart conditions. Early diagnosis relies on clinical suspicion and sometimes requires specialized imaging to confirm.
Who is at Risk?
Certain individuals are more susceptible to NOMI, particularly those with severe cardiovascular issues or on medications that reduce blood flow. Risk factors include heart failure, recent heart attacks, use of vasoconstrictive drugs, and conditions like sepsis or severe burns.
Symptoms to Watch Out For
Symptoms of NOMI can be vague and often include mild abdominal pain, nausea, or vomiting. In some patients, especially those critically ill, symptoms may be masked by other health issues, making NOMI hard to diagnose without high suspicion from healthcare providers.
Frequently Asked Questions
It's often caused by arterial spasms reducing blood flow to the gut.
People with severe heart problems and those on certain medications.
No, up to 25% of patients may not experience pain.
Key Takeaways
Understanding the risks and symptoms of NOMI can lead to early intervention and better outcomes.
References
- ENDE N. Infarction of the bowel in cardiac failure. N Engl J Med 1958; 258:879.
- Acosta S, Ogren M, Sternby NH, et al. Fatal nonocclusive mesenteric ischaemia: population-based incidence and risk factors. J Intern Med 2006; 259:305.
- Bobadilla JL. Mesenteric ischemia. Surg Clin North Am 2013; 93:925.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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