I’m sorry for the basic question, but I have read about the theory for EM about arteriovenous shunting … and was wondering if there was a way to test specifically if you have this going on? Or any way to deduce whether you have this going on based on outcomes of trialled meds.
I can see that a vasodilator drug might help if you have the shunting. However I can also see the possibility of a vasodilator causing the rest of the body to “take up” most of the blood, and thereby exacerbating the problem.
Conversely I can see how a vasoconstrictor drug might help if you don’t have the reactive hyperemia. However a vasoconstrictor might overly constrict the rest of the body’s blood vessels, sending more blood to where you don’t want it.
So maybe this is a moot question, but I still think info is power.
Some ppl have peeling of skin after flares – is this due to the tissue hypoxia? Is there a way to measure O2 in affected areas between + during flares?