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Portal Hypertension

At GastroDoxs in Cypress, our specialized Portal Hypertension clinic offers comprehensive state-of-the-art diagnostics and personalized treatment plans for patients with elevated portal vein pressure, ensuring compassionate care and improved outcomes within our local community's leading liver health and gastroenterology services.

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Bharat Pothuri
Symptoms

What Is Portal Hypertension?

Portal hypertension occurs when blood pressure rises in the portal vein, the vessel that carries blood from your stomach, intestines and spleen into your liver. If scar tissue or other blockages slow blood flow through the liver, pressure builds up and reroutes blood into smaller veins that aren't designed for high volume.

Common Symptoms

Early on, portal hypertension may cause few signs, but as pressure mounts you may notice:

  • Abdominal swelling (ascites) from fluid buildup
  • Enlarged spleen causing left-side pain or fullness
  • Visible, swollen veins on your abdomen or chest (caput medusae)
  • Bleeding or vomiting blood from esophageal varices
  • Easy bruising or bleeding due to low clotting factors
  • Chronic fatigue or low energy

Causes

Several conditions can impede portal blood flow and raise pressure:

  • Liver cirrhosis from long-term damage (alcohol, hepatitis)
  • Blood clots or blockages in the portal vein (portal vein thrombosis)
  • Infections such as schistosomiasis
  • Non-cirrhotic vascular disorders (veno-occlusive disease)
  • Congenital or rare liver blood-vessel malformations
Treatment

Treatment Options for Portal Hypertension in Cypress

Treatment includes medical interventions and supportive care:

  • Beta-blockers: Medications such as propranolol or nadolol to lower pressure in the portal vein and reduce the risk of variceal bleeding.
  • Endoscopic band ligation: A procedure during upper endoscopy where rubber bands are placed on enlarged esophageal veins (varices) to stop or prevent bleeding.
  • Diuretics: Water pills (spironolactone, furosemide) to help eliminate excess fluid and relieve ascites (abdominal swelling).
  • TIPS (Transjugular Intrahepatic Portosystemic Shunt): A radiologic procedure that creates a channel within the liver to reroute blood flow and lower portal pressure.
  • Liver transplant evaluation: Assessment for transplant candidacy in cases of advanced cirrhosis or treatment-refractory complications.
  • Monitoring and diagnostics: Regular ultrasound or CT imaging, blood tests (liver panels, clotting studies), and endoscopy to track disease progression and guide therapy.

Why Choose GastroDoxs?

At GastroDoxs in Cypress, we're dedicated to providing expert care for portal hypertension and all related liver conditions. Our board-certified specialists use the latest diagnostics, customized treatment plans, and compassionate support to help you manage symptoms, prevent complications, and improve your quality of life. Ready to take charge of your health? Schedule your appointment today and let us guide you toward better liver wellness.

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 portal hypertension?

Portal hypertension is high blood pressure in the portal vein, which carries blood from your digestive organs to your liver. It develops when scar tissue or blockages slow blood flow through the liver, causing pressure to build up.

How do doctors find portal hypertension?

Physicians diagnose portal hypertension using blood tests, imaging studies like ultrasound or CT scans, and sometimes endoscopy to look for enlarged veins (varices) in the esophagus or stomach.

Why does cirrhosis cause portal hypertension?

Cirrhosis replaces healthy liver tissue with scar tissue, narrowing or blocking blood vessels. This obstruction forces blood to back up into the portal vein, increasing pressure.

Can people live with portal hypertension?

Yes. With appropriate treatment-such as medications, endoscopic procedures, and lifestyle changes-many individuals manage their symptoms and maintain an active, fulfilling life.

What causes portal hypertension?

Common causes include cirrhosis, blood clots in the portal vein, blocked hepatic veins, infections like schistosomiasis, and non-cirrhotic portal fibrosis.

What is the ICD-10 code for portal hypertensive gastropathy?

The ICD-10 code for portal hypertensive gastropathy is K76.6.

Can portal hypertension cause fluid buildup in the belly?

Yes. Increased pressure in the portal vein can lead to ascites, which is the accumulation of fluid in the abdominal cavity, causing swelling and discomfort.

What treatments are available for portal hypertension?

Treatment options include beta-blocker medications to lower portal pressure, endoscopic banding to prevent variceal bleeding, diuretics to reduce ascites, TIPS procedure to reroute blood flow, and liver transplant evaluation for advanced disease.

When should I see a doctor in Cypress?

Seek medical attention if you experience symptoms such as unexplained abdominal swelling, gastrointestinal bleeding, severe fatigue, or any signs of liver disease.

How can GastroDoxs help?

At GastroDoxs in Cypress, our board-certified specialists provide personalized care plans, advanced diagnostics, expert procedures, and ongoing support to manage portal hypertension and related liver conditions.

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