1.9K Reviews    |    4.7 Star Rating    |    20+ years of experience    |    72k+ Patients Treated

Portal Hypertension

Our specialized clinic provides expert diagnosis, tailored treatment plans, and ongoing support for individuals with portal hypertension. We focus on reducing complications, improving quality of life, and delivering compassionate care through every stage of your liver health journey.

Call Us 832-632-4070 Schedule Now Click Here Text Us 832-632-4070 Learn More Click Here
Texas Medical Board
Harris County Medical Society
American College of Gastroenterology
American Society for Gastrointestinal Endoscopy
Memorial hermann
Houston Methodist leading Medicine
HCA Houston Healthcare
Bharat Pothuri
Symptoms

What is Portal Hypertension?

Portal Hypertension happens when blood pressure rises too high in the portal vein system, which carries blood from your digestive organs to your liver. Elevated pressure forces nearby veins-especially in the stomach, esophagus, spleen, or intestines-to swell and can lead to serious complications if untreated.

Common Symptoms

You may not notice signs early on. As pressure builds, you might experience:

  • Enlarged spleen (splenomegaly)
  • Fluid accumulation in the abdomen (ascites)
  • Bleeding from swollen stomach or esophageal veins (varices)
  • Changes in the stomach lining (portal hypertensive gastropathy)
  • Confusion or fatigue due to reduced liver function

Causes

Portal Hypertension can arise from various conditions that obstruct or back up blood flow through the liver:

  • Liver scarring (cirrhosis)
  • Blood clots in the portal vein
  • Infections such as schistosomiasis
  • Congenital defects affecting the portal vein
  • Right-sided heart failure impacting liver circulation
Treatment

Treatment Options for Portal Hypertension in Houston

Treatment includes medications, procedures, and lifestyle adjustments:

  • Beta-blocker therapy: Nonselective beta-blockers reduce portal vein pressure to lower the risk of variceal bleeding.
  • Endoscopic variceal ligation (EVL): Banding procedure to stop or prevent bleeding from esophageal or gastric varices.
  • TIPS procedure: Transjugular intrahepatic portosystemic shunt creates an internal channel to relieve high portal pressure.
  • Salt-restricted diet: Limiting sodium intake helps control ascites and reduce fluid buildup in the abdomen.
  • Regular monitoring: Periodic imaging (ultrasound, CT), endoscopy, and lab tests (ICD-10: K76.6) track liver function and portal pressure over time.

Ready to Take the Next Step?

Don't let portal hypertension define your life. At GastroDoxs in Houston, our expert team offers tailored treatment plans, cutting-edge procedures, and compassionate support every step of the way. Schedule your consultation today-call us at 832-632-4070 or book online-to start your journey toward better liver health and lasting relief.

1.5K

Patients Treated

We've successfully treated more than 1.5K patients, helping individuals improve their digestive health and overall well-being through expert, personalized care.

20Y

Years of Experience

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 the ICD-10 code for portal hypertension?

The ICD-10 code for portal hypertension is K76.6, which covers both cirrhotic and non-cirrhotic types.

How do doctors diagnose portal hypertension?

Diagnosis often involves imaging tests such as ultrasound or CT scan, endoscopy to inspect for varices, and sometimes direct pressure measurements within the portal vein.

What are the early warning signs of portal hypertension?

Early signs may include fatigue, fluid buildup in the abdomen (ascites), or an enlarged spleen (splenomegaly).

Can liver damage from portal hypertension be reversed?

While advanced cirrhosis is generally irreversible, early-stage liver scarring can sometimes improve with lifestyle changes, medical treatment, and close monitoring.

What should I eat if I have portal hypertension?

A diet low in salt and rich in high-quality protein and calories is usually recommended. Your gastroenterologist or dietitian will provide a personalized plan.

What is a TIPS procedure?

A TIPS (Transjugular Intrahepatic Portosystemic Shunt) procedure places a small channel (shunt) within the liver to divert blood flow and reduce pressure in the portal vein.

Is portal hypertensive gastropathy the same as varices?

No. Gastropathy refers to changes in the stomach lining caused by high portal pressure, whereas varices are swollen, fragile veins in the esophagus or stomach that can bleed.

Do I need a specialist to manage portal hypertension?

Yes. Effective management of portal hypertension requires a skilled gastroenterologist experienced in advanced treatments, monitoring, and complication prevention.

How is portal hypertension linked to heart problems?

Right-sided heart failure can lead to increased pressure in the liver's blood vessels, contributing to portal hypertension.

How often should I see my doctor for portal hypertension?

Follow-up frequency depends on disease severity and complications, but most patients are seen every 3-6 months or more often if issues arise.

Related Blogs
Abdominal Pain

All-Natural Ways to Reduce GERD

Read More
Abdominal Pain

5 Ways (and Reasons) to Eat More Fiber

Read More
Abdominal Pain

When Abdominal Pain Is Cause for Concern

Read More