Portal Hypertension Treatment: Causes, Signs & Diagnosis

Portal Hypertension

The portal vein carried blood from the digestive organs such as the stomach and pancreas to the liver. When an increase in pressure in this vein is seen, portal hypertension sets in. Cirrhosis of the liver and thrombosis are the most common causes of this.

Portal hypertension can be a serious condition, particularly if there is a delay in treatment. However, it isn’t easy to diagnose it.

 

Causes

Cirrhosis or the scarring of the liver is the leading reason for the development of portal hypertension. It results when one suffers from hepatitis or excessive intake of alcohol. Secondary causes of portal hypertension are primary biliary cholangitis and sclerosing cholangitis and autoimmune hepatitis. When the liver is affected, it tries self-healing, causing the formation of scar tissue. Excessive scarring comes in the way of the liver from performing its role effectively.

When cirrhosis sets in, it causes the interior part of the portal vein to turn from smooth to irregular. This increases blood flow resistance, resulting in an increase in the portal vein’s blood pressure. The portal vein can also develop a blood clot. This causes the blood flow in the portal vein to increase, thereby increasing the blood pressure in the vein.

 

Symptoms

The first symptom of portal hypertension is gastrointestinal bleeding, which often shows up as black, tarry stools. Stools in the blood can also be seen. A second symptom is ascites, which is a fluid buildup in the stomach. Ascites can often lead to bloating, cramps and shortness of breath and mental fog.

 

Diagnosis

Portal hypertension can only be diagnosed if its symptoms are obvious. This condition is best diagnosed by undergoing a doppler ultrasound, CT scan or elastography. If you experience gastrointestinal bleeding, you will have to have an endoscopy. For determining blood pressure in the portal vein, a catheter will have to be fitted along with a blood pressure display into the vein in the liver for an accurate measurement.

 

Treatment

Portal hypertension is best treated by introducing certain lifestyle changes. These include a change of diet, quitting the alcohol habit, exercising daily and taking certain medications like beta-blockers to reduce blood pressure. If ascites is a symptom, a diuretic may be prescribed to bring down fluid levels in the body, and sodium may also be reduced to limit fluid retention.

Sclerotherapy can help prevent the liver to lose more blood. Also helpful is the therapy better known as Nonsurgical Transjugular Intrahepatic Portal-systemic Shunt (TIPSS). It helps limit acute bleeding and redirects the blood flow into various blood vessels after leaving the portal vein.

 

Symptoms

The first symptom of portal hypertension is gastrointestinal bleeding, which often shows up as black, tarry stools. Stools in the blood can also be seen. A second symptom is ascites, which is a fluid buildup in the stomach. Ascites can often lead to bloating, cramps and shortness of breath and mental fog.

 

Diagnosis

Portal hypertension can only be diagnosed if its symptoms are obvious. This condition is best diagnosed by undergoing a doppler ultrasound, CT scan or elastography. If you experience gastrointestinal bleeding, you will have to have an endoscopy. For determining blood pressure in the portal vein, a catheter will have to be fitted along with a blood pressure display into the vein in the liver for an accurate measurement.

 

Treatment

Portal hypertension is best treated by introducing certain lifestyle changes. These include a change of diet, quitting the alcohol habit, exercising daily and taking certain medications like beta-blockers to reduce blood pressure. If ascites is a symptom, a diuretic may be prescribed to bring down fluid levels in the body, and sodium may also be reduced to limit fluid retention.

Sclerotherapy can help prevent the liver to lose more blood. Also helpful is the therapy better known as Nonsurgical Transjugular Intrahepatic Portal-systemic Shunt (TIPSS). It helps limit acute bleeding and redirects the blood flow into various blood vessels after leaving the portal vein.

 

Prevention

  • Alcohol should be drunk only in moderation
  • Avoid developing hepatitis by taking hepatitis vaccinations
  • Introduce healthy lifestyle methods to improve the health of your liver

 

Why RIMC

Advantages/Expertise

One of India’s best liver disease hospitals, the Rela Institute and Medical Centre is endowed with state-of-the-art technology and experienced liver specialists. You’ll find the best Portal Hypertension surgeons in India here who use innovative techniques to treat patients. Where treatment, pre- and post-treatment are concerned, this institute can easily be one among the Best Portal Hypertension Hospitals in India.

No one will refute the fact that this complicated surgery requires the support of the best Portal Hypertension surgeons in India to offer the best outcomes. Over so many years of dedicated service, this hospital is regarded by many as a hospital of repute for having the best Portal Hypertension Specialists in Chennai, India. For world-class diagnosis to treatment, the Rela Institute is the best Portal Hypertension treatment hospital in Chennai.

To know more about this hospital, call for an appointment on +91 9384681770

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