Archive for November, 2010

Yaz Gallbladder Settlement

Monday, November 29th, 2010

Intense abdominal pain and nausea are the most common indications of symptomatic Yaz side effects caused by gallstones. Both occur due to inflammation or infection (or both) somewhere in the biliary tract. Most commonly, the gallbladder is affected since it is the site where most stones form. Please contact us for the latest Yaz gallbladder settlement and litigation news.

When the gall bladder’s inner wall becomes inflamed, the organ becomes susceptible to infection. This can lead to one or more serious complications. Even if infection remains localized, it may eventually cause perforations, fistulas, and gangrene. This is the reason doctors seek to treat and resolve symptomatic gallstones as soon as they are detected.

The most common form of treatment is to have your gallbladder surgically removed. The procedure is called cholecystectomy. While the organ is considered nonessential (i.e. you can live without it), there are risks involved with its removal, including dangerous bile duct injuries. A secondary condition that often arises following surgery is postcholecystectomy syndrome (PCS). We’ll describe its presentation, diagnosis, and treatment below.

PCS Symptoms Versus Complications From Gallbladder Removal Surgery

Postcholecystectomy syndrome is characterized by symptoms reminiscent of gallbladder disease. These symptoms include abdominal pain and nausea, and in some cases, jaundice. While its presentation is simple enough to detect, identifying the underlying causes of PCS are more challenging. In some cases, pain may be triggered by the variance in bile flow through the biliary tract in the absence of the gallbladder. In other cases, it may be due to a functional abnormality of the sphincter of Oddi.

It is important that your doctor is able to isolate symptoms that relate to postcholecystectomy syndrome from those associated with complications that arise from surgery. As mentioned earlier, cholecystectomy occasionally results in bile duct injuries. Such injuries allow bile fluid to leak into the abdominal cavity, which can lead to infection. If it is left untreated, the infection can spread to other areas of your body. Hence, diagnosing PCS, and ruling out competing diagnoses, is critical.

Diagnostic Studies For Identifying Postcholecystectomy Syndrome

It is worth noting that PCS is typically a preliminary diagnosis that leads to the diagnoses of other circumstances. Also noteworthy is that there exists very little consensus among doctors regarding factors that suggest a higher risk of developing PCS. Symptoms are nonspecific, and thus tracing their root causes is difficult.

Following review of your medical history, your doctor will order one or more imaging tests. A helical CT scan is usually ordered before other studies, and is often followed by endoscopic retrograde cholangiopancreatography (ERCP). This latter test is used to determine whether gallstones are present within the common bile duct.

If, for some reason, ERCP cannot be performed, your doctor may order magnetic resonance cholangiopancreatography (MRCP). This study, too, can be used to detect bile duct stones, but is also helpful for identifying other biliary abnormalities (e.g. dysfunction of the sphincter of Oddi, cancer, etc.).

Treating The Underlying Problem

The tests described above often reveal other diagnoses that have little to do with the removal of the gallbladder. Treatment follows the specific diagnosis. For example, if irritable bowel disease is detected, you may be given a sedative or calcium channel blocker depending on the circumstances. Gastroesophageal reflux disease (GERD) may be addressed with antacids. If a functional problem with the sphincter of Oddi is identified, your doctor may perform a sphincterotomy to widen the opening.

The long-term prognosis of postcholecystectomy syndrome is dependent upon the condition that led to its initial presentation. Here, it is particularly important to identify bile duct injuries resulting from cholecystectomy since they can lead to infection. If tears in the bile duct are found, they must be resolved through further surgery.

Yaz and gallstones have caused biliary tract problems for many women. Even when stones are addressed with gallbladder removal surgery, dangerous complications can occur. If you have suffered from gallstones, gallbladder disease, or any other Yasmin, Ocella or Yaz side effects, you may be able to file a claim for compensation for your injuries. Contact an experienced Yaz gallbladder settlement lawyer to discuss your case.

Yaz Birth Control Side Effects

Monday, November 29th, 2010

Yaz birth control side effects involving deep vein thrombosis (DVT) is a clot-induced obstruction of the blood vessels that lie deeply buried among muscles. The clots (or thrombi) form partly due to the hormones – estrogen and drospirenone – released by the oral contraceptive. They can develop in several areas of the body, including the arms and pelvis, but commonly form in the legs.

The most worrisome complication associated with a DVT is that a thrombus will break loose, and travel to your lungs. As an embolus (i.e. a migrating mass), it can become lodged within an artery supplying blood to your lung tissue. If it causes a blockage, it will restrict blood flow. This is known as a pulmonary embolism. A large embolus that causes a massive PE can be life-threatening.

Treatment of a DVT is focused on preventing clots from traveling to, and obstructing, the pulmonary arteries. Below, we’ll cover the modalities your doctor may use to accomplish this goal.

Blood Thinners And Fibrinolytic Medications

Once Yaz birth control problems involving a DVT has been diagnosed, treatment typically begins with anticoagulation therapy. Low-molecular-weight heparin (LMWH), a purified form of unfractionated heparin, is administered via injection. Your doctor will also give you warfarin to be taken in pill form. Low-molecular-weight heparin begins to work immediately. Warfarin requires a few days to show results. In most cases, once warfarin begins to have an effect, LMWH is stopped.

Blood thinners do not literally “thin” your blood, but instead inhibit clotting factors. This prevents new thrombi from forming, and existing thrombi from growing larger.

Your doctor may also decide to give you a fibrinolytic drug, such as tissue plasminogen activator (tPA). Rather than merely inhibiting clotting factors, these medications dissolve existing clots. They do so by encouraging production of plasmin. This is an enzyme that breaks down fibrin molecules, which provide support for clots.

The danger of administering anticoagulation therapy or fibrinolytic drugs is that they pose a high risk of bleeding. Tissue plasminogen activator and other fibrinolytics pose a higher risk than blood thinners. For this reason, your doctor will examine your medical history to check for an existing bleeding disorder or other factors that contraindicate their use.

Compression Stockings

Compression stockings are often worn to help blood drain from the legs. They are elastic and usually worn below the knee, starting from the ankle. Some, however, extend past the knee, and may be recommended if a deep vein thrombosis affects the blood vessels in your thighs.

The stockings are tightest around the ankle, and become less tight as they ascend. Depending on the severity of the DVT, your doctor can suggest varying levels of pressure. Compression stockings that offer the most pressure are only available with a prescription.

Installation Of A Vena Cava Filter

The deep veins in your legs drain into the inferior vena cava (IVC). This is a large vein that carries blood to your heart. In rare cases – typically when anticoagulants and fibrinolytics are contraindicated, yet a large thrombus threatens to break loose – a vena cava filter is installed. This filter prevents migrating clots from reaching your heart. By catching them as they travel through the IVC, it prevents them from gaining entry into your pulmonary arteries.

Surgery For Severe Clotting

Occasionally, when other forms of treatment prove inadequate or cannot be used, surgery is necessary to prevent a pulmonary embolism. A vascular surgeon can perform a procedure called venous thrombectomy. A contrast dye is injected into the occluded blood vessel to visualize and identify the precise location of the thrombi. A catheter is then threaded to the obstruction to break up and remove the clot. This procedure is usually reserved for severe cases of deep vein thrombosis.

A DVT may be mild or severe. The type of treatment your doctor administers will depend largely on the likelihood of clot embolization. If you have suffered from abnormal clotting, DVT, or other serious Ocella, Yasmin or Yaz birth control side effects, you may be able to file a claim against the manufacturer. Contact a Yaz lawsuit lawyer to discuss your case.

Yaz Birth Control Lawsuit News

Monday, November 29th, 2010

There are two types of stroke: ischemic and hemorrhagic. The former is caused by a mass that blocks blood flow to the brain. The latter is caused by a ruptured blood vessel that floods the brain tissue. In both cases, the brain sustains damage, which manifests in the form of one or more impairments. It’s worth noting that hemorrhagic strokes are more likely to result in death. Please contact us for the latest Yasmin, Ocella and Yaz birth control lawsuit news.

In most cases, Yaz side effects involving a stroke are ischemic. It occurs when blood clots find their way into one of the carotid arteries that supply blood and oxygen to your brain cells. If blood flow within these arteries is interrupted, the underlying tissue dies. The area of the brain that is injured dictates theĀ stroke side effects you’ll experience. The extent of the injury determines their severity.

Can Blood Clots In The Legs Cause A Stroke?

The efficacy of Yaz birth control is due to the hormones it releases into a woman’s body: estrogen and drospirenone. This latter hormone is a synthetic progestin used exclusively in Yaz, Yasmin, and Ocella. Together, estrogen and drospirenone may raise the risk of blood clots.

These clots often form in the deep veins of the legs, a dangerous condition known as deep vein thrombosis (DVT). Muscle contractions can dislodge clots from the deep venous lining, allowing them to roam with your bloodstream. Blood from your legs travels to your heart and lungs for oxygenation. Roaming clots follow the same route, and thus can potentially cause a pulmonary embolism.

Many experts have suggested that a DVT cannot cause a stroke. In fact, the Centers for Disease Control and Prevention (CDC) makes this assertion on their website. It is incorrect – or at least, misleading.

A traveling blood clot (i.e. embolus) that enters the right side of your heart can migrate through a hole in the interatrial septum. This is a wall that separates the right and left atria (upper chambers) of your heart. Once a clot has migrated to the left side, it can flow through the left ventricle and out into your aorta.

The aorta runs upward from your heart, and arches before descending. This is known as the aortic arch. Your left and right carotid arteries arise from the top of this arch. As an embolus leaves your heart and travels upward through the aorta, it can migrate into one of these two arteries. If it flows downstream and creates a blockage, it will interrupt blood flow to your brain, and trigger Yaz problems leading to a stroke.

Life Following A Stroke

As noted earlier, an ischemic stroke is less likely to be fatal than a hemorrhagic stroke. The resulting brain injury can be minimized as long as the blockage is quickly removed. The affected brain cells, however, begin to die within a few minutes. Their death causes impairments based on the functions for which they were responsible. You might experience vision problems, losses of memory, paralysis, and many other side effects.

It is possible to recover most, if not all, lost function with long-term rehabilitation. This is done with the help of speech pathologists, physical therapists, and occupational therapists. However, the prognosis for those who suffer an ischemic stroke is sobering. Forty percent of survivors cope with impairments that are severe enough to require a degree of special care. Moreover, one in four survivors will experience another stroke within five years. This can lead to further impairments.

Yaz, Ocella and Yasmin side effects involving blood clots can potentially form anywhere in the venous network. The most common site is within the deep veins of the legs, where they pose a risk of pulmonary embolism, stroke, and heart attack. If you have suffered abnormal clotting, DVT, stroke, gallbladder problemsĀ or other Yaz side effects, you may have the right to file a claim against the manufacturer. Contact an experienced Yaz lawsuit 2010 attorney to discuss your options.