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Budd-Chiarai Syndrome

At GastroDoxs in Houston, our multidisciplinary team of expert hepatologists and interventional radiologists provides comprehensive diagnosis, advanced imaging, and specialized procedures for Budd-Chiari syndrome-ensuring personalized care, compassionate support, timely treatment, coordinated care plans, and ongoing follow-up for Greater Houston patients.

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Bharat Pothuri
Symptoms

What is Budd-Chiari Syndrome?

Budd-Chiari Syndrome occurs when the veins that drain blood from the liver become blocked. This blockage raises pressure inside the liver, leading to pain, swelling, and gradual liver damage. Early diagnosis and treatment can improve outcomes and reduce the risk of serious complications.

Common Symptoms

Symptoms can vary but often include:

  • Pain or tenderness in the upper abdomen (between ribs and hips)
  • Swelling of the abdomen (ascites)
  • Enlarged liver or spleen
  • Nausea, loss of appetite, or feeling full quickly
  • Chronic fatigue or weakness
  • Fluid buildup in the legs (edema)

Causes

Several factors can lead to the vein blockage seen in Budd-Chiari Syndrome:

  • Blood clots in one or more hepatic veins
  • Inherited clotting disorders (e.g., Factor V Leiden)
  • Acquired blood disorders affecting coagulation
  • Hormonal changes-pregnancy or estrogen therapy (birth control pills)
  • Inflammatory conditions or infections that damage vein linings
  • Cancers (especially blood or liver tumors) that invade or compress veins
Treatment

Treatment Options for Budd-Chiari Syndrome in Houston

Treatment includes medication, procedures, and lifestyle changes:

  • Anticoagulant therapy: Medications such as warfarin or heparin to prevent new clots and treat existing ones.
  • Diuretics: Drugs to help remove excess fluid from the abdomen and legs, easing swelling and discomfort.
  • Thrombolytic therapy: Clot-dissolving agents used in selected cases to quickly restore blood flow through the liver veins.
  • TIPS procedure: Transjugular intrahepatic portosystemic shunt creates an alternate channel for blood to bypass the blockage and reduce liver pressure.
  • Liver transplant: Surgical replacement of the liver reserved for patients with severe, irreversible liver damage.
  • Low-sodium, high-protein diet: Reducing salt intake and emphasizing lean proteins supports liver function and minimizes fluid retention.

Why Choose GastroDoxs?

At GastroDoxs in Houston, our liver specialists offer advanced care for Budd-Chiari Syndrome using the latest diagnostic tools and treatment options-from anticoagulation and clot-dissolving therapies to TIPS procedures and nutritional guidance. We prioritize personalized, compassionate support at every step. Don't let abdominal pain, swelling, or fatigue go unchecked. Contact us today to schedule your appointment and take the first step toward better liver health.

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We've successfully treated more than 1k patients, helping individuals improve their digestive health and overall well-being through expert, personalized care.

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With over 20 years of experience, GastroDoxs has been a trusted provider of gastroenterology care, focusing on delivering the best outcomes for patients

Bharat Pothuri

About the Author

Dr. Bharat Pothuri is a Board-Certified Gastroenterologist and Hepatologist. With extensive experience in digestive health, he specializes in advanced endoscopic procedures, chronic GI disorder management, and preventive care. Dr. Pothuri is dedicated to providing expert, patient-focused insights to help improve gut health and overall well-being.

Frequently Asked Questions

What is Budd-Chiari Syndrome?

Budd-Chiari Syndrome is a rare liver disorder caused by obstruction of the veins that drain blood from the liver, leading to increased pressure in the organ, abdominal pain, swelling, and potential liver damage over time.

How is Budd-Chiari Syndrome diagnosed?

Diagnosis typically involves imaging studies-such as Doppler ultrasound, CT scan, or MRI-to visualize blood flow and vein blockages, along with blood tests to assess liver function and clotting factors.

What are the symptoms of Budd-Chiari Syndrome?

Common symptoms include upper abdominal pain, abdominal swelling (ascites), enlarged liver or spleen, nausea, loss of appetite, fatigue, and in some cases, fluid retention in the legs.

What causes Budd-Chiari Syndrome?

The condition often results from a blood clot in the hepatic veins. Risk factors include inherited clotting disorders, certain cancers, infections or inflammation of blood vessels, hormonal changes (pregnancy or birth control use), and other underlying diseases.

What medications are used to treat Budd-Chiari Syndrome?

Treatment usually starts with anticoagulants (blood thinners) such as warfarin or heparin to prevent new clots, and diuretics to reduce fluid buildup. In some cases, clot-dissolving agents are also prescribed.

Can diet help manage Budd-Chiari Syndrome?

Yes. A low-sodium diet helps control fluid retention, while adequate protein and balanced nutrition support overall liver health and healing during treatment.

When should I see a gastroenterologist in Houston?

If you experience unexplained upper abdominal pain, swelling, rapid weight gain from fluid retention, or persistent fatigue, you should seek evaluation by a liver specialist promptly.

How do I find a specialist for Budd-Chiari Syndrome?

Contact GastroDoxs in Houston to schedule an appointment. Our team of hepatology and vascular experts specializes in diagnosing and treating rare liver conditions like Budd-Chiari Syndrome.

What is the long-term outlook for Budd-Chiari Syndrome?

With early diagnosis and appropriate treatment-including medication, possible interventional procedures, and regular follow-up-many patients lead healthy lives and avoid serious complications.

Is surgery always needed for Budd-Chiari Syndrome?

Not always. Many patients respond well to medications and lifestyle changes. However, in cases of severe vein obstruction or high liver pressure, interventional procedures like TIPS or, rarely, liver transplantation may be recommended.

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