Conversation: The conversation between human and AI assistant.
[|Human|] My brother had the blood supply partially cut off to his spleen because of bad varices in his stomach and esophagus. He also has blood clots in the hepatic portal vein area and threw a pulmonary embolism after the spleen surgery.  He is on coumadin now and breathing fine without oxygen but he still has a shooting pain from his spleen up to his clavical and has started to have tremors.  Is this normal after the spleen surgery and will the nerve (that is what the hospital said the pain was from) ever die or stop causing his so much pain or do you have any suggestions on what can stop the pain.  Thanks so much.
[|AI|]  Hi and welcome to Chat Doctor. This is referred pain caused by Phoenix nerve irritation due to enlarged spleen and raises intra-abdominal pressure. It won't stop until speed is enlarged. Spleen can be removed, but it may be risky in such patients. There some potent painkillers with might help based on opiate. He should consult with his doctor about it. It is to expect that nerve will die or stop pain producing, unfortunately. Tratmen of cause will make all symptoms easier.Wish you good health.