Checklist vascular compression syndromes

In these, frequently chronic and severe symptoms, a functional, quantitative color duplex sonography applying the PixelFlux-technique should be considered to detect or rule out vascular compression syndromes:

Abdomen, Vegetative symptoms Pelvis, Thorax, Head, Back, Legs,

 

Abdomen

Chronic pain, especially in the upper abdomen, below the sternum

Flank pain – especially on the left side

Pain, increasing after a meal

Inability to eat enough

Problems eating solid food

Sensation of food stuck inside the intestinal tract

Vomiting, belching, bilious vomiting

Changing symptoms when changing body position or posture

Irritable bowel symptoms: constipation alternating with diarrhea

Weakness of gastric and intestinal peristalsis

Enlarged stomach, sometimes extending below the belly button

Persistent nausea, especially when provoked by food intake

Inappetence (loss of appetite / early satiety despite inadequate intake of food )

Severe, unintentional weight loss

Hemorrhoids / intestinal bleeding (if unexplained after colonoscopy)

Severe gastro-esophageal reflux, if no improvement after gastroscopy and adequate treatment of the common causes occurs

Massive abdominal distension after a meal, bloating

back to the beginning

 

Vegetative symptoms

Nausea

Dizziness

Palpitations

Sudden, unexpected episodes of diarrhea

Blood pressure fluctuations

Fainting spells

blackouts

Sweats, especially after compressing the upper abdomen

Disturbed intestinal peristalsis

Anorexia

Nausea, belching

Weight loss

Daytime urgency

Headaches

back to the beginning

 

Pelvis

Menstrual pain

Urinary symptoms

Recurrent painful, burning micturation  – after exclusion of an infection

Micro – or macrohematuria – otherwise unexplained

Pain

during sexual intercourse – dyspareunia

after only slight pressure on the lower abdomen

radiating into the genitals

in the perineal region

during bowel movements

when micturating

Unbearable pain below the navel, often right to the midline

Improvement of pain when crouching, curling up , when flexing the hips, when raising the legs while sitting or laying supine

Increased pain when standing, walking or during mental/emotional stress

Pain in the region of the appendix after exclusion of more common causes

Endometriosis pain that does not respond to treatment

back to the beginning

 

Thorax

Thoracic pain: behind the sternum, in the region of the heart

Difficulties with breathing : inability to inhale deeply

Asthma, which does not respond to asthma therapy

Unexplained attacks of respiratory distress, which might have been classified to be asthma attacks

Sudden palpitations when the patient changes body position or after a meal

Postural tachycardia syndrome (POTS)

Blocked inspiration

back to the beginning

 

Head

Preliminary note: severe and progressive symptoms should always be presented to a neurologist, ENT specialist, ophthalmologist and radiologist

Chronic headache in chronic abdominal pain

Obstructed nasal inspiration in the morning, which disappears after getting up

Nosebleeds of unknown cause

Migraine

Neck pain, pain that spreads from the neck over the entire skull

Dizziness of unknown cause

back to the beginning

 

Back

Back pain, especially left sided

Scoliosis

Severe lordosis

Pulsating back pain

back to the beginning

 

Legs

Weakness and paralysis of the legs – here, of course, primarily  neurological and radiological diagnostics are mandatory

Swelling of the legs or feet – left-sided in the begining, later also on the right side

Varices, eft-sided in the begining, later also on the right side

Heaviness

Tingling, numbness – primarily neurological diagnostic mandatory

Thrombosis

back to the beginning