Expert Treatment for Portal Vein Thrombosis by Dr. Bharat Pothuri
Dr. Pothuri uses a step-by-step approach:
Medical History and Exam
He reviews your symptoms-especially epigastric pain, nausea, or fullness-along with any history of liver disease, clotting disorders, abdominal infections, surgery, or family clotting tendencies.
Blood Tests
We check liver function tests (AST, ALT, bilirubin), complete blood count, coagulation profile (PT/INR, aPTT), and inflammatory markers to assess clotting risk and liver health.
Imaging Studies
- Doppler Ultrasound evaluates blood flow in the portal vein and can directly visualize thrombus formation.
- Contrast-enhanced CT or MRI provides detailed anatomy of the portal venous system, shows extent and location of clots, and detects collateral vessels.
Advanced Testing (if needed)
In selected cases, a transjugular portal pressure measurement or even a targeted liver biopsy may be performed to confirm diagnosis, gauge portal hypertension, and guide treatment planning.
Frequently Asked Questions
How is portal vein thrombosis diagnosed?
Portal vein thrombosis is diagnosed using imaging tests such as Doppler ultrasound, CT scans, or MRI to visualize blood flow and clots. Blood tests are also performed to assess clotting factors and liver function.
What is the ICD-10 code for this condition?
The ICD-10 code for portal vein thrombosis is I82.0, which is used for billing, insurance, and medical record-keeping purposes.
What treatments are available?
Treatment options include anticoagulant medications to prevent clot growth, beta-blockers to reduce portal pressure, diuretics for fluid management, and, if needed, advanced procedures like TIPS or thrombolysis to restore blood flow.
Can diet make a difference?
Yes. A low-salt, high-fiber diet supports liver health, minimizes fluid retention, and complements medical therapy in managing portal vein thrombosis.
What is the life outlook for people with this condition?
Prognosis depends on underlying causes and promptness of treatment. Many patients do well when diagnosed early and managed appropriately.
When should I see a doctor?
Seek medical attention if you experience sudden abdominal pain, swelling, nausea, or have known clotting risk factors. Early evaluation is key to preventing complications.